Examples of PHI
Address – More specific than state, especially addresses, cities, counties, districts, and in most cases zip codes and their equivalent geocodes. Date – including date of birth, date of discharge, date of admission, and date of death. Biometric identifiers, including fingerprints and voiceprints.
What is not considered Protected Health Information?
What is NOT PHI? Anonymized health information does not identify or provide a reasonable basis for identifying an individual. Health information without 18 identifiers is not itself considered PHI. For example, a vital signs data set by itself does not constitute protected health information.
What is an example of Protected Health Information or PHI subject to HIPAA?
PHI is any form of health information, including physical records, electronic records, and voice information. Thus, PHI includes health records, medical history, test results, and medical expenses. Essentially, all health information is considered PHI if it contains an individual HIPAA identifier.
What Protected Health Information?
PHI represents protected health information. The HIPAA Privacy Rule provides federal protection for personal health information held by covered entities and gives patients a set of rights regarding that information.
Which of the following does Protected Health Information include?
Protected health information includes all personally identifiable health information, such as demographic data, medical history, test results, insurance information, and other information used to identify patients or to provide medical services or medical coverage.
What health information is not protected by HIPAA?
The Privacy Rule applies to employment records maintained by covered entities in their capacity as employers and education, and to health information that is anonymized under the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g.
What are protected health information identifiers?
What is PHI? Protected health information (PHI) is information in a medical record or designated set of records that can be used to identify an individual that was created, used, or disclosed in the course of providing health care services, such as diagnosis or treatment.
What kind of personally identifiable health information is protected by HIPAA?
Personally identifiable health information is defined as “information, including demographic information, relating to an individual’s past, present, or future physical or mental health or condition; the provision of health care to an individual; or past, present, or future Payment for providing health …
Which is considered an identifier of protected health information quizlet?
– Personally identifiable health information includes many common identifiers (e.g., name, address, date of birth, social security number).
Why is health information protected?
Protecting the security of data in health research is important because health research requires the collection, storage, and use of large amounts of personally identifiable health information, much of which is sensitive and potentially embarrassing.
How do you protect patient health information?
Encrypt PHI in storage and in transit (if applicable) Store PHI only on internal systems protected by firewalls. Store charts in a secure location accessible only to authorized individuals. Use access controls to prevent unauthorized individuals from accessing PHI.
When can PHI be used or disclosed?
In general, a covered entity may only use or disclose PHI if either (1) the entity has access to the PHI (1) the individual who is the subject of the information gives written permission; or (2) the individual who is the subject of the information gives written permission.
What is considered medical information?
The term “medical information” means any information regarding an individual’s medical history, mental or physical condition, or treatment or diagnosis by a health care professional.
What is the most common HIPAA violation?
HIPAA Violation 1: Loss or theft of unencrypted devices One of the most common HIPAA violations is that a lost or stolen device can easily cause theft or unauthorized access to PHI. Fines of up to $1.5 million per violation category, per year that the violation is allowed to persist.
What are the 3 rules of HIPAA?
The Health Insurance Portability and Accountability Act (HIPAA) establishes three rules to protect patient health information: the Privacy Rule. Security Rule. Breach Notification Rule.
What are 2 acceptable patient identifiers?
Acceptable identifiers are an individual’s name, assigned identification number, telephone number, date of birth, or other person-specific identifier.” The use of room numbers is not considered an example of a unique patient identifier.
Is an address considered PHI?
A name, address, or phone number is not considered PHI unless that information is listed with a medical condition, health care delivery, payment data, or listed as seen at a specific practice.
The covered entity may disclose protected health information to a funeral director, if necessary, and to a medical examiner or medical examiner to identify the deceased, determine the cause of death, and perform other functions authorized by law.
Which of the following is an example of a prohibited disclosure of PHI?
Personal Use or Disclosure of PHI Use and disclosure for personal purposes or to benefit anyone other than the patient and the BU covered component is prohibited. For example, workforce members may not post information, photos, videos, etc. about patients on social media and.
What four items must be included in a record of disclosure of Protected Health Information?
It must be signed and dated. It must be written in plain language. It must have an expiration date. It must state the right to refuse approval.
What are the 5 HIPAA rules?
HHS has initiated five rules to implement administrative simplification: the (1) Privacy Rule, (2) Transaction and Code Set Rule, (3) Security Rule, (4) Unique Identifier Rule, and (5) Enforcement Rule.
What are the key elements of protected health information quizlet?
What are the key elements of PHI? Documentation of past, present, or future physical or mental health status, health care delivery, and past, present, and future health care delivery.
Which of the following is an example of a patient’s protected health information quizlet?
Which of the following is an example of a patient’s protected health information? (Address, date of birth, and fax number are all PHI.) Covered Entity. (Under HIPAA, any organization that transmits a patient’s protected health information electronically is a covered entity.)
Is saying a patient name a HIPAA violation?
Under HIPAA, the use or disclosure of PHI is generally permitted for the purpose of calling a patient’s name in a waiting room without the patient’s permission. Several conditions must be met for this principle to apply. When a name is called, other patients may hear the identity of the person whose name is being called.
What information can be disclosed without specific consent of the patient?
There are several scenarios in which PHI can be disclosed without the patient’s consent. Coroner’s investigations, court actions, reports of communicable diseases to the Department of Public Health, gunshot and knife wounds.
Who is responsible for protecting health information?
The Department of Health and Human Services (HHS) in the Office for Civil Rights (OCR) is responsible for administering and enforcing these standards in cooperation with the implementation of the Privacy Rule and can conduct complaint investigations and compliance reviews.
Which of the following is an example of a good precaution to protect patient information?
What privacy precautions are used when caring for patients? Use cover sheets or other protection when faxing patient information. Do not discuss patient information about where others can hear you. Do not leave laptop computer screens unattended along with patient information on the screen.
What can compromise a patient’s PHI?
A HIPAA violation is the use or disclosure of protected health information (PHI) in a manner that compromises an individual’s rights to privacy or security and poses a significant risk of financial, reputational, or other harm.
What is not considered a HIPAA breach?
If your information is shared in error, it is not considered a breach. For example, an administrator unintentionally emails a person’s PHI to another person. If the administrator can prove that it was accidental and did not happen repeatedly, the email would not be considered a violation.
What are examples of HIPAA violations?
Examples of HIPAA violations
- An employee revealing patient information.
- Medical records that fall into the wrong hands.
- Stolen items.
- Lack of proper training.
- Text messages with personal information.
- Passing patient information through Skype or Zoom.
- Discussing information over the phone.
- Social media postings.
What is considered breaking Hippa?
What are HIPAA violations? A health insurance portability and accountability, or HIPAA, violation occurs when the acquisition, access, use, or disclosure of protected health information (PHI) is made in a manner that poses a significant personal risk to patients.
What are the 4 main rules of HIPAA?
The HIPAA Security Rule Standards and Implementation Specifications have four main sections designed to identify relevant security safeguards that will help achieve compliance. 2) Administration; 3) Technology; and 4) Policy, Procedure, and Documentation Requirements.
How do you explain HIPAA to a patient?
The best way to explain HIPAA to patients is to include relevant information in the privacy policy and give patients an overview of what the policy contains. For example, explain to the patient: they have the right to request their medical records whenever they want.
Who must comply with HIPAA?
Who must follow these laws. Entities that must follow HIPAA regulations are called “covered entities.” Covered entities include health plans, including health insurance companies, HMOs, company health plans, and certain government programs that pay for health care such as Medicare and Medicaid.
What is the proper way to identify a patient?
Asking the patient to verbally state the identifying factors is more effective than asking the registrar to verify the information with a “yes” or “no” question. As part of the identification process, adult patients must present a driver’s license or other form of photo ID.
What three elements are required for a patient to give you their consent?
Patients giving consent must be competent. -Consent must be freely given. -Consent must be sufficiently specific to the proposed procedure or treatment. -Consent must be notifiable.
What are some key identifiers used in healthcare?
The seven groups of outcome measures that CMS uses to calculate hospital quality are some of the most common in health care
- #1: Mortality.
- #2: Safety of care.
- #3: Readmissions.
- #4: Patient experience.
- #5: Effectiveness of care.
- #6: Timeliness of care.
- #7: Efficient use of medical imaging.
- Data transparency.
What is not a direct patient identifier?
More Definitions of Direct Patient Identifier A direct patient identifier is information that identifies a patient. An “indirect patient identifier” means information that, when combined with other information, identifies the patient.
Is Social Security number considered PHI?
Demographic data is likewise considered PHI under the HIPAA regulations, as are common identifiers such as patient name, driver’s license number, social security number, insurance information, and date of birth when used in combination with health information.
What PHI can be disclosed?
PHI may be revealed to the patient’s family, friends, or others identified by the patient as being involved in the patient’s care, as well as to law enforcement, the press, or the public. Verbal permission should be obtained from the patient, if possible.
Which of the following is a permitted use of disclosure of protected health information?
The covered entity may disclose protected health information to the individual to whom the information pertains. (2) Treatment, payment, and health care operations. Covered entities may use and disclose protected health information for their own treatment, payment, and health care operations activities.
What constitutes a legal health record?
Legal health records consist of documentation of a patient’s health information created by a health care organization. This vital record is used by health care organizations as a business record and is made available for that purpose when a patient or legal services request is made.