NHO: Compliance: Secure Communication and Standards of Conduct

New Hire Orientation Self-study Module

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Instructions:

1. Read Compliance: Secure Communication and Standards of Conduct (opens in new window).

2. Complete the questions below and click done.

Please note: You must score 80% or better to successfully pass this module.

If you have any questions or feedback, please contact your supervisor.

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* 1. Name (First and Last)

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* 2. Role with TCPS

Nurse

Therapist

CNA

Other (select this if you are not a nurse, therapist, or CNA)

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* 3. An important part of your job is to protect:

Patients names and social security numbers only

Only current information such as treatments and medications

Patient information in paper form only

All information (past, present, and future) that can be used to connect the patient to their health information

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* 4. Protected health information (PHI) can include which of the following (check all that apply):

Name, Nickname, Initials

Date of Birth

Address

Medical Record Number

Diagnosis

Admission date

Any other unique identifying characteristic, number, or code

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* 5. The use and disclosure of patient information is required when it is (check all that apply):

Requested by a family friend

Requested by a nurse who used to care for the patient but no longer does

Requested or authorized by the patient/personal representative

Required by the Department of Health and Human Services

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* 6. You do NOT have to obtain written authorization from the patient/personal representative to share patient information that is not for treatment, payment, or authorization.

True

False

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* 7. How much patient information should you use or disclose (check all that apply)?

The least amount to get the job done

In order to do a good job, you have to read the whole chart

Only the diagnosis and the most recent visit note

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* 8. Which examples below are HIPAA breaches (check all that apply)?

A team member fails to maintain confidentiality by discussing patient health information on social media

Lab results are uploaded to the wrong patient’s chart

A tablet or other electronic device containing PHI is lost or stolen

A computer hacker gains access to systems that contain patient information

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* 9. Your responsibility under HIPAA includes:

Disposing of physical documents by shredding or confidential disposal

Keeping electronic devices secure and locked when not in use

Ensuring that all communication is secure

Accessing patient information, only the minimum necessary, to do your job

Discussing potential violations or any HIPAA concerns with your supervisor, Administrator, or the HIPAA Privacy/Security Officer

All of the above

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* 10. Read the scenario below and decide if Jamie has violated HIPAA:

Jamie has been working in hospice care for the last six years and one of her patients, Maria, maintained a hospital-sponsored communication page to keep friends and family updated on her battle with cancer. One day, Maria posted about her depression. As her nurse, Jamie wanted to provide support, so she posted, “I know the last week has been difficult. Hopefully, the new happy pill will help, along with the increased dose of morphine. I will see you on Wednesday.” The site automatically listed the user’s name with each comment. The next day, Jamie was shopping at the local grocery store when a friend stopped her to ask about Maria’s condition. “I saw your post yesterday. I didn’t know you were taking care of Maria,” the friend said. “I hope that new medication helps with her pain.”

Violation

No Violation

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* 11. How can you report a HIPAA breach (check all that apply)?

Complete a Safety Event Report form (Link on Favorite menu in myUnity Business Operations)

If no one saw it and there was no harm to the patient, there is no need to report it

Notify your supervisor

Notify the Privacy/Security Officer: Heidi Dailey

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* 12. The following could potentially open you, as a healthcare worker, and the agency up to the risk of fraud (check all that apply):

Late documentation

Cutting and pasting information in a way that constitutes pre-charting

Clocking in early

Accidently choosing the wrong billing code

Letting your supervisor know when you have to stay late to work

NHO: Compliance: Secure Communication and Standards of Conduct

New Hire Orientation Self-study Module

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* 1. Name (First and Last)

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* 2. Role with TCPS

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* 3. An important part of your job is to protect:

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* 4. Protected health information (PHI) can include which of the following (check all that apply):

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* 5. The use and disclosure of patient information is required when it is (check all that apply):

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* 6. You do NOT have to obtain written authorization from the patient/personal representative to share patient information that is not for treatment, payment, or authorization.

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* 7. How much patient information should you use or disclose (check all that apply)?

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* 8. Which examples below are HIPAA breaches (check all that apply)?

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* 9. Your responsibility under HIPAA includes:

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* 11. How can you report a HIPAA breach (check all that apply)?

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* 12. The following could potentially open you, as a healthcare worker, and the agency up to the risk of fraud (check all that apply):

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* 13. Name three ways to avoid disclosing confidential patient information: