Please review the presentation below on HIPAA and then complete the accompanying quiz. 

HIPAA Title Slide

Employee Training Presentation

HIPAA

HIPPA Learning Objectives

Learning Objectives

1. Define requirements of Health Insurance Portability and Accountability Act
2. Identify Protected Health Information (PHI)
3. Recognize how HIPAA impacts your role
4. How to safeguard PHI
5. Recognize what corrective actions may be taken
6. Perform your role in compliance with HIPAA

What Is HIPAA

What Is HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) provides a framework for the Privacy, Security, and Electronic Data Exchange (EDI) of an individual’s health information.

HIPAA is a Federal Law passed in 1996 to safeguard individuals’ health information.

Privacy & Security Training

Why is Privacy and Security Training Important?

It is everyone’s responsibility to take the confidentiality of information seriously.

Anytime you come in contact with someone’s information or any PHI that is written, spoken or electronically stored, YOU become involved with some part of the privacy and security regulations.

The law requires us to train you.

To ensure your understanding of the Privacy and Security Rules as they relate to your job.

Privacy Rule

Privacy Rule

Privacy Rule is the core component of HIPAA...

• Privacy refers to protection of an individual’s health care data.
• Defines how individual’s information is used and disclosed.
• Gives individuals privacy rights and more control over their own health information.
• Outlines ways to safeguard Protected Health Information (PHI).

PHI Components

PHI Components

1. Medical Information

2. Personally Identifiable Information (PII):
Information that leads to the identification of an individual

Examples of PHI

Examples of PHI Information

• Names
• Addresses
• Medical record numbers
• Social Security numbers
• Account numbers
• License numbers
• Vehicle Identifiers/serial numbers/license plate numbers
• Internet addresses

• Any dates related to any individual (date of birth)
• Telephone numbers
• Fax numbers
• Email addresses
• Full face photographic images and any comparable images
• Health plan numbers
• Health payment information

Permitted Disclosure of PHI

Permitted Disclosure of PHI

"TPO"

TREATMENT - Direct treatment of patient

PAYMENT - Activities by health plan to pay claims

HEALTH CARE OPERATIONS - Activities directly related to treatment and payment -- such as credentialing, auditing, utilization review, quality assessment, training programs

Covered Entities & Business Associations

Covered Entities & Business Associations

Covered Entity
A healthcare provider, health plan, or healthcare clearinghouse that electronically transmits Protected Healthcare Information (PHI)

Business Association
An entity or person who performs services or functions for a Covered Entity

Security Rule

Security Rule

Security (IT) regulations went into effect April 21, 2005.

Security means controlling:

Confidentiality of electronic protected health information (ePHI).

Storage of electronic protected health information (ePHI)

Access into electronic information

HIPAA Security Rule Safeguards

HIPAA Security Rule Safeguards

There are three types of safeguards under the HIPAA Security Rule:

1. Administrative Safeguards
• Policies & procedures

2. Physical Safeguards
• Workplace security
• Workspace security
• Building access security

3. Technical Safeguards
• Password security
• Hacker security
• Email security
• Network security

Security Awareness

Security Awareness

1. Use strong passwords
2. Pay attention to web addresses
3. Don’t use personal email for work
4. Don’t open unfamiliar emails
5. Don’t download apps from unknown sources
6. Protect mobile devices with a password
7. Use key cards to enter facility
8. Lock your computer whenever leaving
9. Don’t bite on email phishing scams
10. Follow a clean desk policy

What must a covered entity (UMI) do to be in compliance with HIPAA?

What must a covered entity (UMI) do to be in compliance with HIPAA?

• Adopt and implement privacy procedures.
• Train employees so they understand the privacy procedures.
• Designate a Privacy Officer.
• Notify patients about their privacy rights and how their information can be used.
• Secure patient records containing Protected Health Information [PHI].

HIPAA Training Quiz

HIPAA Training QUIZ

Below is a 10 question quiz.

Complete your name and answer all 10 questions.

A score of 80% or better is required to pass

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To pass the HIPAA Quiz you must score 80% or higher. Please be sure before selecting your answers as you cannot change an answer once it is selected.

Your Full Name
1. 
What is PHI?

2. 
HIPAA is needed for:

3. 
Protected Health Information, PHI can include which of the following:

4. 
The permitted uses of PHI are: TREATMENT, PRIVACY, HEALTH CARE OPERATIONS

5. 
The HIPAA Privacy Rule protects all PHI, electronic, verbal, and written.

6. 
There are 3 types of security safeguards under the HIPAA Security Rule: PHYSICAL, TECHNICAL, and ADMINISTRATIVE

7. 
Which of the following is NOT an example of practicing Security Awareness?

8. 
If you need to report a HIPAA concern or violation, which of the following can you do?

9. 
The primary federal law pertaining to medical information privacy is: