LESSON TITLE: Confidentiality and the Management of Health Care Information

LESSON REVIEW/PREVIEW (10-15 minutes)

1. What was our topic last meeting?
 Basic Principles of Health Care and the Nature of Rights in Ethical Discourse
2. What are the characteristics of a legal person?
 Characteristics of a Legal Person
– Persons can be injured
– Persons can be thought to have interests

CHECK FOR UNDERSTANDING (10-15 minutes)

Multiple Choice
1. Which of the following of privacy issues usually deals with the unpermitted use of person’s name of likeness for another’s
benefit or advantage?
A. Slander
B. Libel
C. Misappropriation
D. Fraud
Answer: C
Rationale:
2. The allowance of unessential or lay personnel to be present during a surgical procedure examination in a clinical is an
example of?
A. Slander
B. Libel
C. Intrusion
D. Misappropriation
Answer: C

3. This usually involves the publication of information that leads to the public regarding the plaintiff falsely.
A. Public disclosure of facts
B. Intrusion
C. Misappropriation
D. Presenting someone in a false light to the public
Answer: D

4. Invasion of privacy is a breach of what health care principle?

A. Beneficence
B. Maleficence
C. Confidentiality
D. Veracity
Answer: C
Rationale: Confidentiality

5. A review of the appropriateness of care and the various types of patient care provided within an institution.
A. Institutional Review Board
B. Utilization review
C. Privacy review
D. Third party payers
Answer: B

6. All but one is TRUE about a medical record?

A. Property of hospital or clinic
B. Patient has legal interest and right to information
C. Record is confidential
D. None of the above
Answer: D

7. With regards to medical record maintenance which of the following is NOT true?
 A. Draw single line to cross out incorrect entry, enter correction, error initialed and dated
B. Mistakes should be erased or unreadable
C. If legal suit threatened, no changes in medical record without consulting risk management
D. None of the above
Answer: B

8. HIPAA has three self-declared major purposes which includes?

A. To protect and enhance the rights of consumers by providing them access to their health information and
controlling the inappropriate use of information.
B. Safeguards to protect the patient’s privacy will be part of the research protocol
C. Only those involved in the study will have access to the raw data
D. All of the above
Answer: A

9. Basic ethical principles in planning research protocol involving human subjects include?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. All the above
Answer: D