HIPAA and Privacy Act Training (1.5 hrs) Pretest Test

1) The HIPAA Privacy Rule applies to which of the following? [Remediation Accessed :N]


PHI transmitted orally

PHI in paper form

PHI transmitted electronically

All of the above (correct)



2) Select all that apply: In which of the following circumstances must an individual be given the opportunity to agree or object to the use and disclosure of their PHI?


Before their information is included in a facility directory (correct)


Before PHI directly relevant to a person's involvement with the individual's care or payment of health care is shared with that person (correct)

Prior to disclosure to a business associate



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

Implemented the minimum necessary standard

Established appropriate administrative safeguards

Established appropriate physical and technical safeguards

All of the above (correct)



4) Which of the following would be considered PHI? [Remediation Accessed :N]

An individual's first and last name and the medical diagnosis in a physician's progress report (correct)

Individually identifiable health information (IIHI) in employment records held by a covered entity (CE) in its role as an employer

Results of an eye exam taken at the DMV as part of a driving test

IIHI of persons deceased more than 50 years



5) The HIPAA Security Rule applies to which of the following: [Remediation Accessed :N]

PHI transmitted orally

PHI on paper

PHI transmitted electronically (correct)

All of the above



6) Administrative safeguards are:

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 (correct)

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

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

None of the above



7) Physical safeguards are:

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

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 (correct)

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

None of the above



8) Technical safeguards are:

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

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

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

None of the above



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

Office of Medicare Hearings and Appeals (OMHA)

Office for Civil Rights (OCR) (correct)

Office of the National Coordinator for Health Information Technology (ONC)

None of the above



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

Criminal penalties

Civil money penalties

Sanctions

All of the above (correct)



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

DHA Privacy Office

HHS Secretary

MTF HIPAA Privacy Officer

All of the above (correct)



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

False

True (correct)



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

Balances the privacy rights 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

All of the above (correct)




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

Social Security number

Home address

Telephone

All of the above (correct)



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

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

All of the above (correct)



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

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

All of the above (correct)





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

True (correct)

False



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

Within 1 hours of discovery (correct)

Within 24 hours of discovery

Within 48 hours of discovery

Within 72 hours of discovery



19) Which of the following are common causes of breaches?

Theft and intentional unauthorized access to PHI and personally identifiable information (PII)

Human error (e.g. misdirected communication containing PHI or PII)

Lost or stolen electronic media devices or paper records containing PHI or PII

All of the above (correct)




20) Which of the following are breach prevention best practices?

Access only the minimum amount of PHI/personally identifiable information (PII) necessary

Logoff or lock your workstation when it is unattended

Promptly retrieve documents containing PHI/PHI from the printer

All of this above (correct)

1) Under HIPAA, a covered entity (CE) is defined as:
A health plan
A health care clearinghouse
A health care provider engaged in standard electronic transactions covered by HIPAA
All of the above (correct)


2) Which of the following are breach prevention best practices?
Access only the minimum amount of PHI/personally identifiable information (PII) necessary
Logoff or lock your workstation when it is unattended
Promptly retrieve documents containing PHI/PHI from the printer
All of this above (correct)


3) The minimum necessary standard:
Limits uses, disclosures, and requests for PHI to the minimum necessary amount of PHI needed to carry out the intended purposes of the use or disclosure
Does not apply to exchanges between providers treating a patient
Does not apply to uses or disclosures made to the individual or pursuant to the individual's authorization
All of the above (correct)


4) HIPAA provides individuals with the right to request an accounting of disclosures of their PHI.
False
True (correct)


5) Which of the following statements about the HIPAA Security Rule are true?
Established a 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
All of the above (correct)


6) Administrative safeguards are:
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 (correct)
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
Information technology and the associated policies and procedures that are used to protect and control access to ePHI
None of the above


7) Physical safeguards are:
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
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 (correct)
Information technology and the associated policies and procedures that are used to protect and control access to ePHI
None of the above


8) Technical safeguards are:
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
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
Information technology and the associated policies and procedures that are used to protect and control access to ePHI (correct)
None of the above


9) Which HHS Office is charged with protecting an individual patient's health information privacy and security through the enforcement of HIPAA?
Office of Medicare Hearings and Appeals (OMHA)
Office for Civil Rights (OCR) (correct)
Office of the National Coordinator for Health Information Technology (ONC)
None of the above


10) What of the following are categories for punishing violations of federal health care laws?
Criminal penalties
Civil money penalties
Sanctions
All of the above (correct)


11) If an individual believes that a DoD covered entity (CE) is not complying with HIPAA, he or she may file a complaint with the:
DHA Privacy Office
HHS Secretary
MTF HIPAA Privacy Officer
All of the above (correct)


12) A covered entity (CE) must have an established complaint process.
False
True (correct)


13) Which of the following statements about the Privacy Act are true?
Balances the privacy rights 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
All of the above (correct)


14) Which of the following are examples of personally identifiable information (PII)?
Social Security number
Home address
Telephone
All of the above (correct)


15) Under the Privacy Act, individuals have the right to request amendments of their records contained in a system of records.
True (correct)
False


16) A Privacy Impact Assessment (PIA) is an analysis of how information is handled:
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
All of the above (correct)


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


18) When must a breach be reported to the U.S. Computer Emergency Readiness Team?
Within 1 hour of discovery (correct)
Within 24 hours of discovery
Within 48 hours of discovery
Within 72 hours of discovery


19) Which of the following are common causes of breaches?
Theft and intentional unauthorized access to PHI and personally identifiable information (PII)
Human error (e.g. misdirected communication containing PHI or PII)
Lost or stolen electronic media devices or paper records containing PHI or PII
All of the above (correct)


20) Which of the following is NOT electronic PHI (ePHI)?
Health information maintained in an electronic health record
Health information emailed to an insurer for billing purposes
Health information stored on paper in a file cabinet (correct)
Health information on a flash drive