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HIPAA: Setting Ethical Client Boundaries Part II (Abbreviated)

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three concepts that focus on the HIPAA guidelines related to minors?
2. What are three risks in which ethical boundaries could be broken due to the sharing of HIPAA approved information on the internet?
3. What are three changes in boundaries in regards to the disclosure of raw test data?
4. What are three controversies created by HIPAA and its possible breach of privacy boundaries?


Answers:
A. nationwide database; hackers; and errors in correspondence.
B. autonomy; State Law vs. HIPAA; and exemptions.
C. shift in standards; effects of HIPAA; and protecting test security
D. governmentally accessed information; contradictory language; and employer access.

Course Content Manual Questions The Answer to Question 5 is found in Section 5 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
5. What type of research must adhere to relevant HIPAA regulations? 
6. How does HIPAA broadly define “public health information” (PHI)? 
7. Under what conditions can a clinic deny access to a person’s personal health information? 
8. According to Kuczynski & Gibbs-Wahlberg, what is the second confidentiality problem under HIPAA?  
9. What will be a challenge concerning healthcare organizations ensuring HIPAA compliance? 
10. If a health care provider knows that a patient with a serious mental illness has stopped taking a prescribed medication, can the provider tell the patient’s family members? 

Answers
A.  The second confidentiality problem under HIPAA is that information may be shared without the patients consent and with the 2003 Amendments may be shared despite patient objections.
B.  HIPAA broadly defines PHI to include any health information that a covered entity (health care provider and insurer, public health authority, employer, life insurer, academic institution) creates or receives in any medium.
C. It will be very difficult for healthcare organizations to monitor or influence the compliance of outside entities even though they will have the potential to create compliance problems for the healthcare organizations.
D. Research activities that involve a covered entity or include treatment, payment, or the administration of health care operations must adhere to relevant HIPAA regulations.
E.  In certain situations, where providing access may be detrimental to your health, the clinic is permitted by state and federal law to withhold access.
F. So long as the patient does not object, HIPAA allows the provider to share or discuss a patient’s mental health information with the patient’s family members


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