HIPAA
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What does HIPAA stand for
Health Insurance Portability Accountability Act
What must PT’s do before their physicians office files an insurance claim for the PT
Sign a HIPAA authorization form
How often are HIPAA authorization/ consent forms signed
Every appointment
What does a medical chart contain
Anything medical related (x-rays, doctors/ nurses notes, care planes, etc.)
In what two ways can you access a medical chart
Electronically and paper
T/F: A medical chart is a document that belongs to you
False; it belongs to the facility
What is the only way that other healthcare workers can access your private medical chart
if they NEED to know
T/F: Your medical chart can be subpoenaed by the court
True
Are PT’s allowed to view/ access their medical chart
Yes
Are facilities allowed to give you your medical chart for a small fee
Yes
What does your medical chart contain
PHI
What does PHI stand for
Protected Health Information
What does PHI do
It protects most identifiable health information held or transmitted by a covered entity, or its business associate, in any form or medium, whether electronic, paper, or oral
What does PHI include???
EVERYTHING
T/F: If it is accidental, a breach or break PHI does not count as a HIPAA violation
False; it will always be a HIPAA violation
What five steps should you take to ensure you don’t breach PHI
• Shred all old/ unnecessary documents • Turn off/ log off computers before walking away • Shield your computer screen • Never share passwords • Follow the “need to know” rule
When is it only acceptable to share information on a PT
When the information is needed for the other health care worker to safely provide care for the PT
What are the four exceptions of HIPAA
• Birth and death • Injuries caused by violence/ abuse that requires police involvement • Communicable diseases • Sexually transmitted diseases
What are advanced directives also known as
legal directives
What does a legal directive do
allow individuals to state what kind of medical treatment they want if they become incapacitated
What are the two types of legal directives
• Living will • Durable power of attorney
What are the four parts of a living will
• States that specific measures should not be taken to prolong the Pt’s life when the PT is terminal • Must be signed when the PT is competent and witnessed by two adults who do not benefit from the death • Most states have laws that honor living wills • Living wills often have a DNR request, if so then a DR. will write a DNR order
What is a durable power of attorney also known as
Designation of health care surrogate Or medical power of attorney
What are the four parts to a PoA
• Permits a principle to appoint an agent to make health care decisions if the principle becomes unable to make decisions • Usually given to a spouse or adult child • May be given to a qualified adult • POA must be signed by the principle, agent, and two adult witnesses