HIPAA; DHA-US001; Challenge Exam

Administrative safeguards are:

A. Administrative actions, and policies and procedures that are used to manage the selection, development, implementation and maintenance of security measures to protect electronic PHI (ePHI). These safeguards also outline how to manage the conduct of the workforce in relation to the protection of ePHI

Which of the following are breach prevention best practices?

All are correct. #Access only the minimum amount of PHI/PII necessary; #Logoff or lock your workstation when it is unattended; #Promptly retrieve documents containing PHI/PHI from the printer

Which of the following statements about the Privacy Act are true?

All are correct. #Balances the privacy right of individuals with the Government's need to collect and maintain information; #Regulates how federal agencies solicit and collect personally identifiable information (PII); #Sets forth requirements for the maintenance, use, and disclosure of PII

What of the following are categories for punishing violations of federal health care laws?

All are correct. #Criminal penalties; #Civil money penalties; #Sanctions

If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:

All are correct. #DHA Privacy Office; #HHS Secretary; #MTF HIPAA Privacy Officer

Physical safeguards are:

Physical measures, including policies and procedures that are used to protect electronic information systems and related buildings and equipment, from natural and environmental hazards, and unauthorized intrusion

A breach as defined by the DoD is broader than a HIPAA breach (or breach defined by HHS).

True

A covered entity (CE) must have an established complaint process.

True

HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.

True

When must a breach be reported to the U.S. Computer Emergency Readiness Team?

Within 1 hour of discovery

Which of the following statements about the HIPPAA Security Rule are true?

All are correct. #Establish national set of standards for the protection of PHI that is created, received, maintained, or transmitted in electronic media by a HIPAA covered entity (CE) or business associate (BA); #Protects electronic PHI (ePHI); #Addresses three types of safeguards - administrative, technical and physical - that must be in place to secure individuals' ePHI

An incidental use or disclosure is not a violation of the HIPAA Privacy Rule if the covered entity (CE) has:

All are correct. #Implemented the minimum necessary standard; #Established appropriate administrative safeguards; #Established appropriate physical and technical safeguards

The HIPAA Privacy Rule apples to which of the following?

All are correct. #PHI transmitted orally; #PHI in paper form; #PHI transmitted electronically

Which of the following are examples of personally identifiable information (PII)?

All are correct. #SSN; #Home address; #Telephone

Which of he following are common causes of breaches?

All are correct. #Theft and intentional unauthorized access to PHI and PII; #Human error (e.g. misdirected communication containing PHI or PII); #Lost or stolen electronic media devices or paper records containing PHI or PII

A Privacy Impact Assessment (PIA) is an analysis of how information is handled:

All are correct. #To ensure handling conforms to applicable legal, regulatory, and policy requirements regarding privacy; #To determine the risks and effects of collecting, maintaining and disseminating information in identifiable form in an electronic information system; #To examine and evaluate protections and alternative processes for handling information to mitigate potential privacy risks

System of Records Notice (SORN) serves as a notice to the public about a system of records and must:

All are correct: #Specify routine uses (how the information will be used); #Be republished if a new routine use is created; #Be provided to Office of Management and Budget (OMB) and Congress and published in the Federal Register before the system is operational

True or Fales? "Use" is defined under HIPAA as the release of information containing PHI outside of the covered entity (CE).

False

Which of the following is NOT electronic PHI (ePHI)

Health information stored on paper in a file cabinet

Technical safeguards are:

Information technology and the associated policies and procedures that are used to protect and control access to ePHI

Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?

Office for Civil Right (OCR)