| |
|
|
| |
First Name |
|
| |
Last Name |
|
| |
Email Address |
|
| |
Phone Number |
|
| |
Employee Number |
|
| |
Question 1: Patients have a right to care that... |
|
| |
Question 2: A copy of the "Statement of Patient Rights and Responsibilities" form is given to... |
|
| |
Question 3: Each employee is provided with information about... |
|
| |
Question 4: Patients have the right to... |
|
| |
Question 5: HIPAA stands for... |
|
| |
Question 6: The purpose of HIPAA is to... |
|
| |
Question 7: Health information is information that is... |
|
| |
Question 8: IIHI is defined as... |
|
| |
Question 9: PHI is defined as. |
|
| |
Question 10: Time slips and Daily Activity Sheets are PHI... |
|
| |
Question 11: The following documentation forms are PHI... |
|
| |
Question 12: The Minimum Necessary standard requires that I access and use only the PHI I need to do my job. |
|
| |
Question 13: The Right of Notice is a HIPAA requirement that patients be informed about the potential uses of their PHI and their rights to limit those uses. |
|
| |
Question 14: Patients are informed of their rights under HIPAA... |
|
| |
Question 15: All Stat Home Health has a Privacy Officer. |
|
| |
Question 16: The Privacy Officer may be contacted by calling the Sarasota office. |
|
| |
Question 17: In order to protect confidentiality, I must... |
|
| |
Question 18: When I no longer need written or printed PHI, the only way I can discard it is by shredding. |
|
| |
Question 19: If I violate confidentiality, I can... |
|
| |
Question 20: An incident is defined as... |
|
| |
Answer the following questions either Yes or No. Yes indicates that the following incident must be reported. |
|
| |
Question 21: Violation of any law, rule or regulation. |
|
| |
Question 22: Violation of patient confidentiality. |
|
| |
Question 23: Loss or damage to a patientŐs belongings. |
|
| |
Question 24: Equipment or medical device malfunction or failure. |
|
| |
Question 25: Endangerment of patients or staff. |
|
| |
Question 26: Wrong &/or ineffective Procedure and/or procedure error. |
|
| |
Question 27: Refusal of treatment. |
|
| |
Question 28: Unexpected outcome. |
|
| |
Question 29: Fall. |
|
| |
Question 30: Witnessed cardiac arrest (unless patient has a Do Not Resuscitate Order). |
|
| |
|
|
| |
|
|
| |
|
|