NCE Practice Test #7 Health Information Science
PHIPA was enacted in which year?
2004
Which of the following sets the national standard for privacy protection in Canada?
Canadian Standards Association (2003) MODEL CODE for the Protection of Personal Information
PHIPA applies to which of the following?
PHI collected to provide information for health care planning AND PHI collected for the care and treatment of the individual
Which of the following legislation/guidelines was created by Health Canada to specifically address the standardization of the collection, use and disclosure of personal health information in Canada?
Pan-Canadian Health Information Privacy and Confidentiality Framework
Risk management must work closely with the Privacy Office to provide assistance in:
Reporting & investigating privacy breaches, AND Risk assessments on current hospital ROI & disclosure practices.
Access Control Types are:
Role-based access, user-based access, AND shared-secret access.
The final court of appeal for all lower courts in Canada is the:
Supreme Court
In order for a custodian to demonstrate compliance with the 'accountability' principle under PHIPA they must:
a. designate a privacy officer b. establish privacy policy c. provide education for all staff regarding their rights to
An individual's request to 'lock' certain aspects of their PHI will have an impact on the custodian's:
a. release of information policies b. security protocols c. access processes
The Substitute Decisions Act provides direction for those appointed as attorney for property and/or personal care. Which of the following is correct?
an attorney for property and personal care can make decisions for both financial and health care matters
Many disciplines publish and/or endorse systematically developed statements used to assist patient and practitioner decisions about appropriate health care for specific clinical circumstances. These are called:
clinical practice guidelines
Which of the following is not one of the ten principles defined in all privacy legislation?
currency
When reviewing her records a patient discovers that her file contained personal health information that her current physician had received when she was referred to him for care. She felt that the referral information contained information that was incorrect. The patient requested that her current physician change the referral documents. According to PHIPA, what must her current physician do?
document the request and tell the patient that they are unable to make the change and refer her to the original physician to correct the document
Daily, 'round the clock emergency care provided to patients arriving by ambulance and other means of transport is typically provided in a/an:
emergency department
Which of the following is NOT an example of explicit knowledge?
employee knowledge
The most likely point of entry into the Canadian health care system is through a/an:
family physician
Physicians are generally compensated by means of:
fee-for-service
Which of the following data characteristics states that the attributes and values of the data are defined at the correct level of specificity to meet the intended purpose of the information?
granularity
Anti-smoking and fitness campaigns are examples of:
health promotion
Which health care services were covered with the first Canadian public insurance plan?
hospitals
By Ontario's definition, personal health information is:
identifying information about someone that relates to physical or mental health or family health history the patient's health number AND eligibility for health care payments or payments made for the individual
Which of the following does not apply to acceptance of an offer in contract law? It must:
include penalties to be levied if there is a breach of contract
Which health data is reported to the DAD?
inpatient care
Examination for discovery:
is a pre-trial process intended to permit parties in an action access to the other's case material in order to aid settlement or shorten the trial process
Keeping abreast of changes within your field and incorporating them into your work:
is an obligation you must accept throughout your career
Which of the following is true about a Power of Attorney for Personal Care?
it is a legal document that gives someone else the right to act on your behalf
According to the Canadian Charter of Rights, the right to life and the right to liberty and security are what type of rights?
legal rights
You have received a written request from a patient to review their own record. On reviewing the record you notice that the discharge summary is not yet complete. You contact the physician's office but he is unable to dictate the note as he is out of town for 4 weeks. You must:
log the request in the ROI database, and notify the patient explaining the issue and request an additional 30 days to respond to their request
To be admissible in court, the record must meet all of the following criteria except that it is:
made at any time up to a year after the matter occurred
Which of the following terms does NOT apply to SNOMED CT and LOINC:
medical classifications
Beliefs, principles and values about what is right and wrong are called:
morals
Which of the following statements is false?
most dentists work within the publicly funded health insurance system
Which of the following statements about "agents" as defined by PHIPA are true?
nursing students and residents are agents AND volunteers are agents if they use PHI to provide services for the custodian
Early detection, routine care and patient education are the main thrusts of _____
primary care
Immunization programs would typically be conducted by local:
public health units
Quality assurance processes aimed at ensuring continuing professional competence may involve:
self-reporting hours of practice over a defined period of time taking a number of courses over a defined time period AND observed skill demonstration and recertification on an annual basis
The Primary Care Paramedic must achieve a score of 70% or greater on his or her Emergency Medical Care Examinations in order to practice in a specific province. This statement clearly reflects a:
standard of practice
Which of the following does not apply to a summary conviction?
statutes of limitations
A custodian can refuse an individual access to their own PHI if:
the access could risk harm to the patient or another individual AND the information was collected or created during an inspection, investigation or similar procedure
Privacy Impact Assessments can be used to determine compliance levels with privacy standards to identify and mitigate privacy risks. PIA's should be completed before entering into contract in a Health Information Exchange on:
the custodian (your own) systems and protocols the HIE host agencies systems and protocols AND all participating organizations systems and protocols
During the registration process at a local hospital, an out-of-province patient gives the registration clerk their provincial insurance coverage and certificate number. After discharge of the patient, the hospital must provide the insurance company with length of stay, diagnoses and procedures performed during the patient's stay for reimbursement of costs. Which of the following statements is true?
the disclosure of the information is allowed without consent according to PHIPA
A patient is admitted to emergency as a result of a gunshot wound. Under PHIPA, which of the following statements are true:
the hospital must inform the police of the incident without consent
What is the first consideration in determining how long records must be kept?
the most stringent legislation in the province
Except as provided by law, who controls disclosure of a patient's personal health information to third parties such as insurance companies?
the patient's legal representative AND the patient
According to AHIMA which of the following are principles of Information management
there must be a strategic plan and vision for information management information management must be endorsed and enforced at the executive management level AND information management is a treated as equally important to financial and human resources
Which of the following factors impact the resource indicator weight of a case after the CMG has been assigned?
transferred from another acute care facility AND comorbidities
Which of the following is not defined as a patient's right in PHIPA:
verbally request correction of the PHI in the record