PTP 1 Final USA Exam Questions And Correct Answers

PTP 1 Final USA Exam Questions And Correct Answers Joint Commission Accredits and certifies healthcare organizations and programs in the united states When was HIPAA enacted? 1996 HIPAA regulations were designed to: 1) Protect individuals' rights to privacy and confidentiality 2) Assure the security of electronic transfer of personal information 3)Allow insurance portability between change of jobs Title 1 of HIPAA maintain insurance coverage when changing jobs Title 2 of HIPAA Focus on preventing fraud and safeguarding patient privacy and PHI Why HIPAA - Technology As information is quickly and sometimes loosely moved around networks, HIPAA standards will hold violators accountable for accidental or intentional 'interception' of protected health information (PHI). Why HIPAA - Genetic Advancements As more is known about our genetic predisposition to diseases, HIPAA will ensure that, for example, an individual is not denied insurance because the company knows that she may eventually develop MS Why HIPAA - Marketing As information is more easily captured concerning, for example, the prescriptions we purchase, HIPAA is designed to prevent marketing of unsolicited products or services based on harvested marketing data Agency that oversees HIPAA health and human services office for civil rights PHI Protected Health Information. This is any data about the patient that would tend to identify the individual: name, hospital #, SSN, diagnosis, lab results, past or current photos, etc De-identified Data Protected health information that does not identify an individual; there is no reasonable basis to believe that the information can be used to identify an individual. (not the same as PHI) It is health info data from medical record that has been stripped of "all direct identifiers" ie. names, SS, Phone Number etc...) Release/Disclosure These are terms used in describing the release of PHI to other CEs for TPO, treatment. payment, or health care operations. Accounting of Disclosure (AOD) The patient has the right to have an AODs for his PHI or PMI. Directory This is CE's census or list of patients used by volunteers and operators to direct visitors. Patient's Rights Individuals have the right to: 1. Receive notice of an agency's privacy practices. 2. Know that an agency will useits PHI ONLY for treatment, payment, operations (TPO), certain other permitted uses and uses as required by law 3. Consent to and control the use and disclosure of their PHI. 4. Access their protected health information (PHI), except for psychotherapy notes (they might be charged for copies) 5. Request amendment or addendum to their PHI (not always granted) 6. Receive accounting's of disclosures 7. File privacy complaints to agency officer HIPAA Restricts Sharing PHI: Per sonal information cannot be released to individuals or companies interested in marketing ventures, without the patient's written permission. Need to Know Principle PHI should be shared with as few individuals as needed to ensure patient care and then only to the extent demanded by the individual's role. Consequences related to violation of HIPAA Must notify patient, media, and office of health and human service What Objectives do the Privacy Regulations Accomplish for Patients? • Give patients more control over their health information. • Set boundaries on the use and disclosure of health records. • Establish appropriate safeguards for all people who participate in or are associated with the provision of healthcare to ensure that they honor patients' rights to privacy of their PHI. • Hold violators accountable through civil and criminal penalties. • Strike a balance when public responsibility requires disclosure of some forms of data--for example, to protect public health. OSHA Assures safe and healthful working conditions by enforcing standards and requiring employers to inform workers about hazards, provide safety training to workers, keep records of injuries, and provide required equipment Reasons for Documentation - record of care - communication tool between providers - guidance system for problem solving - supports reimbursement - proves care is reasonable and necessary - proves care is medically necessary - provide proof of skill - facilitates administrative duties - becomes part of a legal record Medically necessary Services or supplies needed for diagnosis or treatment of a medical condition and meet the accepted standards of medical practice. ICF Model International Classification of Functioning, Disability, and Health Activity as part of ICF model completion of a task or action by an individual Participation as part of ICF model involvement in a life situation Disability as part of ICF model encompasses impairments, activity limitation, participation restriction Purpose of ICF model The goal is to provide unified, standard language and framework that enables collection of data for practice and research language that describes how people function in daily lives rather than focusing exclusively on medical or disease specific diagnosis environmental factors of ICF model these involve either barriers or facilitators to the health issue. personal factors of the ICF model these involve anything that a patient may do or have in order to affect their own health. Patient/Client Management Model 1. Examination 2. Evaluation 3. Diagnosis 4. Prognosis 5. Intervention 6. Outcomes Guidelines for documentation 1. Compliance