ATI HIPAA

What is disclosure?

the act of making information known

What is protected health information?

Individually identifiable health information provided through electronic media, maintained in any medium set forth in the definition of "electronic media" in the federal health insurance portability and accountability act, or transmitted or maintained in any other form or medium. Does not include education records covered by the federal Family Educational Right and Privacy Act or employment records held by a licensee in its role as an employer.

A newly hired nurse is reviewing information about the HIPAA Privacy Rule during facility orientation. Which of the following statements by the nurse indicates an understanding of the Privacy Rule?

"I can give information about a patient over the phone if the patient gives his permission." Information about a client can be given over the phone if the client has granted permission for that person to receive information. Many facilities have implemented an access code system that requires the person asking for information to provide the code.

A nurse is teaching a newly licensed nurse about using a computer to document in a clients health record. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I should remain aware of my surroundings when documenting in the computer." The nurse should protect the screen from being visible to others. Maintaining an awareness of who is near the computer and able to see the screen promotes confidentiality and compliance with HIPAA regulations

A nurse in a pediatricians office is speaking on the telephone with the guardian of school-age child who will become a new client at the office. The nurse should instruct the guardian to call the childs previous providers office to request which of the following?

A form authorizing release of copies of the child's medical records to be signed by the guardian A written authorization by the responsible party, in this case the guardian, must be provided to the previous providers office prior to making copies of the health care records available to the new pediatrician.

A nurse in a pediatrician's office is speaking on the telephone with the guardian of a school-age child who will become a new client at the office. The nurse should instruct the guardian to call the child's previous provider's office to request which of the following?

A form authorizing release of copies of the child's medical records to be signed by the guardian. A written authorization by the responsible party, in this case the guardian, must be provided to the previous providers office prior to making copies of the health care records available to the new pediatrician

Which of the following actions should a nurse take after witnessing a breach of a clients confidentiality in a providers office?

Complete a health information privacy complaint form It is the nurses responsibility to submit complaints to the proper agency regarding a breach of client confidentiality

Which of the following actions should a nurse take after witnessing a breach of a client's confidentiality in a provider's office?

Complete a health information privacy complaint form. It is the nurses responsibility to submit complaints to the proper agency regarding a breach of client confidentiality

What is a covered entity?

Health plans, clearinghouses, and any entity transmitting health information is considered to be as is stated by the Privacy Rule.

A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client is unresponsive and the clients spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the clients surgery?

Inform the provider of the spouse's contact information so consent can be obtained over the telephone Because the client is not cognitively or physically able to provide consent, it is within HIPAA guidelines to discuss the clients condition with a spouse, close relative, or friend. Informed consent guidelines mandate obtaining consent from the clients closest adult relative in an emergency situation because it is deemed in the best interest of the client

A client tells a nurse that they feel their privacy has been violated and wants to file a formal complaint with someone other than the medical facility. Through which of the following agencies should the nurse instruct the client to file the complaint?

Office for Civil Rights (OCR) The OCR investigates complaints by clients and other involved individuals related to the HIPAA Privacy Rule. If the client wants to file a complaint to someone in the medical facility, the nurse should arrange for the client to talk to the facility's Privacy Officer.

A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurse is take to ensure the study complies with the HIPAA privacy rule?

Submit their proposal to the institutional review board for review and describe how they will de-identify client information Research using client records can be done if client information is de-identified. It is the responsibility of institutional review boards to determine if a study meets this criterion

A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurse is take to ensure the study complies with the HIPAA privacy rule?

Submit their proposal to the institutional review board for review and describe how they will de-identify client information Research using client records can be done if client information is de-identified. It is the responsibility of institutional review boards to determine if a study meets this criterion.

What is TPO?

Treatment, Payment, and Operations; only send or transmit information from a patient chart to someone whp has a legimitate interest in the patient's care.

Which of the following methods of information exchange can occur without client authorization?

Walking rounds that involve two nurses discussing an assigned client at the client's bedside in a private room This practice is acceptable if the two nurses are both assigned to this client and no one else is in the room. It is within the clients rights to hear information about their own care and treatment

Which of the following methods of information exchange can occur without client authorization?

Walking rounds that involve two nurses discussing an assigned client at the client's bedside in a private room This practice is acceptable if the two nurses are both assigned to this client and no one else is in the room. It is within the clients rights to hear information about their own care and treatment.

What is health information?

any information, whether oral or recorded in any form or medium, that is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse, and relates to the past, present, or future physical or mental health or condition of an individual. This includes the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual.

What is individually identifiable health information?

information, including demographic data that relates to: The individuals past, present or future physical or mental condition, The provision of care to the individual, or The past, present or future payment for the provision of health care to the individual, and that identifies the individual or for which there is reasonable basis to believe can be used to identify the individual

A nurse in the emergency department is caring for a client following a motor vehicle crash. The client is unresponsive and the clients spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the clients surgery?

Inform the provider of the spouse's contact information so consent can be obtained over the telephone Because the client is not cognitively or physically able to provide consent, it is within HIPAA guidelines to discuss the clients conditions with a spouse, close relative, or friend. Informed consent guidelines mandate obtaining consent from the clients closest adult relative in an emergency situation because it is deemed in the best interest of the client.

A nurse is teaching a newly licensed nurse about using a computer to document in a clients health record. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I should remain aware of my surroundings when documenting in the computer." The nurse should protect the screen from being visible to others. Maintaining an awareness of who is near the computer and able to see the screen promotes confidentiality and compliance with HIPAA regulations.