Deck 12: Clinical Confidentiality, Privacy Ethical Issues in the Digital Age

Question 1

Concern with medical privacy stretches at least as far back as which culture?

A) Ancient Romans
B) Ancient Greeks
C) Mycenaeans
D) Ancient Egyptians

Answer 1

B

Question 2

The HMISS has approximately how many members globally?

A) 10,000
B) 25,000
C) 55,000
D) 70,000

Answer 2

D

Question 3

From what group can the CPHMIS be obtained?

A) HMISS
B) ACA
C) HHS
D) AMA

Answer 3

A

Question 4

Which of the following falls outside the normal bounds of the competence of due care?

A) Confidentiality
B) Access control
C) Cost control
D) Security

Question 5

Which of the following is true about privacy and confidentiality?

A) They are nonidentical but have many overlapping features.
B) They are essentially the same.
C) They are legally indistinguishable.
D) They are imprecisely separated.

Question 6

When were the HIPAA rules first created?

A) 1990
B) 1996
C) 2000
D) 2008

Question 7

Which part of the government would require a new act of Congress for it to have health IT data oversight?

A) ONC
B) FDA
C) HHS
D) FCC

Question 8

In health IT, mobile devices include which of the following?

A) Smartphone
B) Desktop computer
C) Server
D) Mouse

Question 9

Healthcare apps are used by approximately how many people?

A) 500,000
B) 1,000,000,000
C) 1,200,000,000
D) 1,700,000,000

Question 10

If you email a copy of our own medical records to a provider, this is an example of a:

A) directed exchange.
B) legal exchange.
C) consumer-mediated exchange.
D) query-based exchange.

Question 11

Which of the following is an example of telemedicine?

A) Getting medical advice from a nurse practitioner over the phone
B) Calling a doctor's office to make an appointment
C) Answering a phone survey about provider quality
D) Calling a lay friend for medical advice

Question 12

For health IT professionals, which of the following is the greatest danger of social media?

A) Publicizing new software
B) Privacy violations
C) Customer feedback
D) Finding a position

Question 13

The Privacy Rule is intended to protect data while allowing it to be used in practice.

Question 14

The HIPAA Security Rule created protected health information.

Question 15

The HIPAA Privacy Rule governs e-PHI.

Question 16

The HITECH Act raised financial penalties for HIPAA violations.

Question 17

If your local hospital sends you a fundraising letter based on your latest ER visit, that may be a HIPAA violation.

Question 18

In 2017, approximately 250 privacy breaches of health information were publicly reported in the United States.

Question 19

Between 2014 and 2016, approximately 50% of providers had data breaches.

Question 20

The Joint Commission has banned the use of text messaging for patient data.

Question 21

A physician who uses a secure device and secure software to text medical orders violates privacy standards.

Question 22

Passwords should be used on mobile devices involved in health IT.

Question 23

Frequent updates to security software when health data are involved is a very wise thing.

Question 24

HIPAA defines what is protected _________ information.

Question 25

The HITECH Act protected patients from the dissemination of their _________ data for underwriting purposes.

Question 26

How are the HIMSS and the corresponding TIGER Initiative competencies relevant to clinical professionals?

Question 27

Since most, if not all, EHR vendors supply security software, why should providers be concerned with security issues?

Question 28

While some entities are covered under HIPAA privacy and security, others are not. What risk does a non-covered entity pose to a healthcare provider?

Question 29

What should providers consider in the use and storage of mental health records?

Question 30

Does the requirement for accurate medical documentation change with new technology? If so, how?

Question 31

List and define the different types of health IT introduced in the chapter. Based on use and functionality, do some types inherently have more legal and ethical risks? If so, how are the risks greater?

Question 32

Other than privacy and security, what are other legal and ethical risks that are involved with the use of health IT?

Question 33

The end of the chapter describes the "four principles approach" to healthcare ethics. In contemplating the scenario at the beginning of the chapter, how are each of the four principles either promoted or detracted?