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In Da HouseStick To It

AQ1: How often do HCHC employees need to redo

their OSHA and HIPAA training?

• A. Quarterly

• B. Annually

• C. Once when you sign on

• D. Only if anyone asks

• E. Only if associated w/ a RAISE

• AA1

• What is B

• Do the intranet training for HIPAA and OSHA when first hired. Take the appropriate modules/tests. Must make over 70% on the test.

• Annually review the material on the intranet

• Sign the acknowledgement forms and give to HR Director or HIPAA officer

A Q 2When do you need to redo OSHA training?

• A. Job function changes• B. New technology• C. New products• D. Poor performance• E. All of the above

A A 2

• What is E

AQ3

Privacy notices must do all of the following EXCEPT• A. describe the ways in which the covered entity may use

and disclose PHI • B . state the covered entity’s duties to protect privacy • C. provide a notice of privacy practices, and abide by the

terms of the current notice. • D. Take disciplinary or legal action against those who

make a complaint.• E. must include a point of contact for further information

and for making complaints to the covered entity.

AA3

• D

AQ4.

• If HIPAA violation occurs an employee should:• A. Notify the HIPAA officer• B. Notify their supervisor• C. Not take action unless a patient is really

affected.• D. Not get involved unless you were in some way

involved with that person’s care/records, etc.• E. A +B

AA4

• What is EQuestions, Issues ideally to be addressed in following

order (Even if you are not sure and have a doubt that there was a violation)

• Direct supervisor• HIPAA Compliance Officer• Medical Director (for clinical staff) or Human

Resources Director (non-clinical staff) ; COO or CEO • HHS/OCR (anyone may report directly to HHS/OCR)

AQ5

• Which of the following is true:• A. HIPAA takes effect once there are at least

500 patients and 20 employees• B. OSHA rules supercede state safety laws.• C. Effective date for HIPAA compliance

2010 and OSHA compliance by 2011.• D. Private organizations can have less strict

rules than HIPAA regulations

AA5What is B

BQ1

• Who does HIPAA apply to:

• A. Clinics, Hospitals

• B. Insurance companies

• C. Billing offices

• D. Medical Records

• E. All of the above

BA1 – What is E

BQ2

• Entities that disclose PHI (protected health information) must do everything except:

• A. Have disclosures for billing, treatment

• B. Keep accounting for payment, treatment, health care operations for 3 yrs

• C. Keep other disclosures for 6 yrs

• D. Keep all records for 6 years.

BA2- What is D

BQ3

• OSHA Covers:

• A. Self employed• B. Family owned business where only

immediate family members are employed• C. Coal miners (covered by different

regulations)• D. Public employees in state/local govt• E. None of the above.

PA3- What is E.

BQ4

• Which of the following is true:• A. Federal HIPAA laws overrule state rules if

there is a contradiction• B. A PRIVATE clinic/hospital that does not get

any government funding is not obligated to follow HIPAA rules.

• C. State laws that are stricter are overruled by federal HIPAA rules.

• D. The Briscoe/Montez rules overrule everything.

BA4- What is A

BQ5• OSHA guidelines require employers to do all of

the following EXCEPT• A. Provide personal protective equipment• B. Provide medical exams for exposure or work

related injury• C. Offer HIV testing to all employees involved in

clinical care.• D. Offer safe workplace• E. Allow for whistleblowing or reporting to

authorities without penalty

BA5- What is C

CQ1

• You overhear the doctors discuss a patient’s case in the hallway. You should first:

• A. Tell your supervisor at your weekly meeting.• B. Send an email to OCR• C. Inform the patient• D. Remind the physicians to take measures that

will keep patient information confidential.• E. Get in on the gossip.

CA1: What is D

CQ2

• Dr. Briscoe’s 20 year old girlfriend comes to the clinic as a new patient with Dr. Sealock. After seeing Dr. Sealock the patient leaves (forgetting her prescriptions). Dr. Briscoe states he will give the prescriptions to her …..LATER. You should:

• A. Give him the prescription so her medical care isn’t affected.

• B. Call and inform the patient that she left her medications. If patient provides written/faxed authorization, then document this and give Briscoe the prescriptions.

• C. Refuse to give Briscoe the prescription and then let everyone in the kitchen know what just happened.

CA2-what is B

CQ3.• Briscoe comes out of a room after messing up a procedure with a

patient and comes out to asks you to help. As you walk in the patient is bleeding severely from the skin procedure. Dr. Briscoe asks you to hold the bandage in place while he gets an instrument. You mention that there are no gloves in the room and would like to return after getting the gloves. Briscoe states it will be fine and just hold it so he won’t bleed anymore. You should:

• A. Do as he says.• B. Refuse as the action could adversely affect your health/safety.• C. Make fun of the patient• D. Make fun of Briscoe • refusing care and the physician informs you that he needs

CA3 – What is B

CQ4A patient’s husband presents to the clinic for request of his wife’s

records. He states the patient is wheelchair bound and couldn’t come to pick up her records. She wishes to transfer to another clinic and wants her records. You initially informed him of the HIPAA rules but he became quite upset. He states our physicians have destroyed their life and they are just trying to get better. You should:

A. Call the patient and if she states ok over the phone give him the records

B. Refuse to give him the records and insist she has to pick them up.

C. Advise the individual that we can release the records if patient signs a written release of information and authorizes the husband to pick it up.

D. Close the window and place an “OUT TO LUNCH” sign on the window.

CA4 – What is C

CQ5

• As an employee of the clinic you can expect all of the following except:

• A. Hepatis B vaccination if requested.• B. Protective equipment for job completion• C. Ability to participate in an OSHA audit• D. Be informed of OSHA / HIPAA regulations and notify

authorities of non-compliance without fear of losing your job.

• E. Be immune from disciplinary action if you don’t use required safety equipment for your own protection.

IA5-What is E

DQ1:

In case of a HIPAA breech, new regulations require the following EXCEPT

A. Notify the media if PHI breeched for over 500 pts.

B. Notify the patient involved.

C. Notify all patients even if they were not involved/affected

D. Provide the details of how the breech occured

E. Warn involved patients even if it won’t cause medical harm

DA1 : What is C

DQ2:

If an employee unknowing commits a HIPAA violation, Civil penalties may be:

A. NO penalty

B. $ 50 per occurrence to the organization

C. Max penalty $ 250 to individual

D. Max penalty $50,000 per violation w/ Cap of $ 1.5 Million

DA2:

DQ3

• Criminal penalties for HIPAA violations include which of the following

• A. $1000 per known violation, max $10000• B. $ 250,000 + 10 yrs jail if known violation w/

intent to profit from it or harm another.• C. $25,000 + 5 yrs prison for intent to profit.• D. No personal penalty, only organizational

penalty.

•DA3. What is B.•A person who knowingly obtains or discloses individually identifiable health information in violation of HIPAA faces a fine of $50,000 and up to one-year imprisonment. The criminal penalties increase to $100,000 and up to five years imprisonment if the wrongful conduct involves false pretenses, and to $250,000 and up to ten years imprisonment if the wrongful conduct involves the intent to sell, transfer, or use individually identifiable health information for commercial advantage, personal gain, or malicious harm.

DQ4All of the following are required by OSHA

except: A. Logs of violationsB. MSDS bookC. Sharp Injury logsD. Safety plans/checklists.E. Documentation of employee HIV status

after a needlestick

What is E

DQ5• What are the immediate maneuvers one must do if one comes into

any physical contact with Dr. Briscoe? (handshake, bumping shoulders, or even if the air hits you as he walks by)

• A. Decontamination protocol as shown on the TV show 24 or as stated by the CDC

• B. Shock Treatments to erase the memory of the experience, and

• C. Amputate any part that was in direct contact or nearby the contact point.

• D. meditation/prayer just to be on the safe side.

• E. A+B+D. Although C is not unreasonable.

TA5

• What is: E

EQ1

HIPAA Stands for

A. Health Industry Protected Asset Accountablity

B. Health Information Protected Accountability Act

C. Health Insurance Portability and Accountability Act

D. Health Information Portability and Accountability Act

E. Health Insurance Protected Accountable Assets

EA1:What Is C

EQ2

The patient’s medical record is the ultimately the property of:

A. Federal government

B. the organization (clinic/hospital, etc)

C. the patient (or parent if patient is a minor)

D. the insurance company

OA2. What is B

EQ3

• Is it illegal to charge a patient if they wan’t their own medical records?

Yes

No

EA3: What is No

EQ4Which of the following is true in regards to

OSHA and workplace violence

• A. Being yelled at, cursed at, or having people spread false rumors, can be considered workplace violence

• B. Employer is required to provide a happy workplace

• C. Workplace violence comprises of physical assault but not verbal abuse by your boss.

OA4: What is A

EQ5• Which of the following regarding OSHA and safety is true:

A. Refusal to do your job (especially to care for patient safety) because it MAY pose a danger to yourself is not acceptable.

B. Employer is not responsible for an assault or act of violence that occurs outside of the clinic...i.e. in the parking lot.

C. N95 mask is what is required while caring for TB patients.D. Safe lifting techniques are required only once the object is

over 15 pounds.E. Prior to repairing office machinery, the only requirement is to

turn off the power button.

EA5: What is C

Make your wager

• The elephant

Answer for elephant riddle