1. Health Insurance Portability and Accountability Act of 1996 (HIPAA)
11/13/2018
Health Insurance Portability and Accountability Act of 1996 (HIPAA)

2. The organization has adopted a policy of zero tolerance for employees who knowingly/willingly violate confidentiality/security of Protected Health Information. Any staff member who knowingly/willingly breaches confidentiality/security of Protected Health Information will result in termination.

3. Health Information Portability and Accountability Act
Privacy
-anything written or verbally spoken
-conscious effort by healthcare workers to keep patient information secret
-includes physical condition, emotional status, financial information, and etc.
-P.H.I. should not be discussed in public places
-breaches of confidentiality should be reported to someone who can actively advocate for the patient
-P.H.I. is to be given out on a need to know basis only
-protecting PHI is everyone’s responsibility
-we must have a written or verbal consent to release PHI, except in emergencies

4. Health Information Portability and Accountability Act
Security
-any PHI that is on a computer system
preventing computer viruses or malicious software by using caution when opening attachments and using caution when downloading from the internet
-Phishing- deceptive directing you to an official looking, but phony website
-Physical security- as it relates to HIPAA, is securing of physical devices and media from loss or theft

5. Health Information Portability and Accountability Act
Security
-keeping passwords confidential
-changing passwords on a regular basis decreases the risk of a password being compromised.
-when creating a password try not to use people, places, and
sports teams
-use upper and lower case letters
-report any suspicious activity related to PHI immediately

6. PATIENT RIGHTS The right to receive a Notice of the Privacy Practices
The right to obtain access, inspect and copy their PHI
The right to an accounting of the disclosures of their PHI
The right to receive confidential communications
The right to request an amendment to their PHI

7. The patient has a right to request a restriction of their PHI
PATIENT RIGHTS
The patient has a right to request a restriction of their PHI
The patient has a right to receive an accounting of disclosures outside of treatment, payment or operations.
The patient has a right to file a complaint to our organization or to the Secretary of Health and Human Services about the organization’s privacy practices and/or suspected violations.

8. Is it ok to text patient orders?
Question:
Is it ok to text patient orders?

9. messaging is strictly prohibited.
Answer:
No, Never! Unsecure text
messaging is strictly prohibited.

10. Can we share our user names and passwords with anyone
Question:
Can we share our user names
and passwords with anyone
(including co-workers,
Students, and etc.)?

11. No, Never!!!!! You are responsible for your userid and password!
Answer:
No, Never!!!!! You are responsible for your userid and password!

12. on a prayer list at church when they are a patient in
Question:
Can you put someone
on a prayer list at church
when they are a patient in
this facility?

13. information from work – no. unspoken prayer requests.
Answer:
If you have learned the
information from work – no.
You can always have
unspoken prayer requests.

14. If I have seen a patient during an earlier hospital stay, can I
Question:
If I have seen a patient during
an earlier hospital stay, can I
look at old chart information?

15. Answer:
Yes, if you receive a
referral or need
information for the
treatment plan.

16. When talking to a referring facility – what initial
Question:
When talking to a referring
facility – what initial
information are you allowed
to give?

17. You are allowed to give as much information as needed.
Answer:
You are allowed to give as
much information as needed.
This falls under continuity
of care.

18. Is it a HIPAA violation to access portions of the chart
Question:
Is it a HIPAA violation to
access portions of the chart
that I do not need?

19. Answer:
Yes

20. If your immediate family member is in the hospital,
Question:
If your immediate family
member is in the hospital,
can you look at their records?

21. hospital policy for obtaining
Answer:
No – you must follow
hospital policy for obtaining
records.

22. Is it a HIPAA violation to look at your own test
Question:
Is it a HIPAA violation to
look at your own test
results? Must you sign a
release of information form
first and go through the
health information
department?

23. hospital policy on obtaining records, which requires that
Answer:
You must follow the
hospital policy on obtaining
records, which requires that
you sign a release of
information and Health
Information will copy your
records for you.

24. Patient information in a
Question:
Am I allowed to discuss
Patient information in a
public area?

25. of your surroundings and
Answer:
You need to be aware
of your surroundings and
be discrete.

26. who is in the hospital without looking
Question:
Can you go in and see
who is in the hospital without looking
at information?

27. No, this would be considered
Answer:
No, this would be considered
a HIPAA violation.

28. Is it okay to send Protected Health Information in a text
Question:
Is it okay to send Protected
Health Information in a text
Message?

29. No, this would be considered
Answer:
No, this would be considered
a HIPAA violation.

30. Should I review document(s) for the correct
Question:
Should I review document(s) for the correct
patient name prior to giving the document(s) to the patient?

31. document for the correct patient name prior to giving
Answer:
Yes, Always review your
document for the correct
patient name prior to giving
document(s) to the patient.

36. The organization has adopted a policy of zero tolerance for employees who knowingly/willingly violate confidentiality/security of Protected Health Information. Any staff member who knowingly/willingly breaches confidentiality/security of Protected Health Information will result in termination.

37. Questions Who can I contact about HIPAA?
Debbie Martin, Director of Health Information HIPAA Privacy Officer
Maleigha Amyx, Director of Information Services
HIPAA Security Officer