Clinical Methods Quiz #1

What is HIPAA?

Federal law enacted in 1996

Who does HIPAA apply to?

Covered Entities and Business Associates

Who is NOT subject to HIPAA?

Providers not using clearinghouses

What are HIPAA's three main rules?

Privacy, Security, Breach Notification

What is defined as Protected Health Information (PHI)?

Individually identifiable health information.

What information must the Privacy Practice Notice include?

Usage/disclosure of info

What does the HIPAA Privacy Rule require regarding safeguards?

Appropriate safeguards for privacy

Can PHI be disclosed in emergencies?

Yes, without express permission

What does the Security Rule regulate?

Protections and security of specific health info

What must covered entities implement to secure health information?

Policies and procedures

What must covered entities employ according to HIPAA?

Physical safeguards

What does the Breach Notification Rule require?

Notification after breach

What is prohibited by the Privacy Rule?

Further use or disclosure

What must covered entities do if a breach affects more than 500 residents?

Notify media outlets

What is required from a business associate when a breach occurs?

Notify covered entity

Does HIPAA require all ePHI to be encrypted?

No, encryption is addressable (optional).

Has the client paid Sally $4,000?

No

What is Erika's concern?

Safety

Is Lydia a covered entity?

Yes

Who sends an email to the insurance company?

Robert

Who enforces HIPAA rules?

Office of Civil Rights

What is the first step after OCR accepts a complaint?

Notify complainant and covered entity of the investigation

Unlike other whistleblower lawsuits, what do complainants NOT receive a portion of?

CMPs collected from covered entities

What is the right of access under HIPAA?

Access to medical records

Examples of violations in a waiting room?

Mailed info to wrong patients

What concerns arose during COVID-19 regarding clients?

Client abandonment

What service delivery method did clinicians adopt during COVID-19?

Telepractice

What is a common ethical challenge during ordinary times?

Ethical challenges

What is the focus of the article?

Step 3: Consulting resources

Who is conducting the exploration of ethical decision-making?

Maria

What does Maria plan to develop for her staff?

A presentation

What documents will Maria summarize in her presentation?

ASHA Code of Ethics, Assistants Code of Conduct

What is the purpose of the ASHA Code of Ethics?

Guiding principles for behavior

Who is Maria's staff comprised of?

Audiologists, Speech-language pathologists, Assistants

What is the purpose of the ASHA Board of Ethics (BOE)?

Reviews ethics complaints

What does the BOE aim to do?

Describe composition and purpose

How can state complaints affect the BOE?

May become BOE complaints

When was the ASHA Code of Ethics first published?

1952

What organization does the ASHA Code of Ethics serve?

Audiologists and SLPs

What year was ASHA founded?

1925

When was the ASHA Code of Ethics last updated?

2016

What does the ASHA Code of Ethics reflect?

Changes in professions and society

What are the four major values in the Code of Ethics?

Service, harm prevention, fairness, competence

What does the Code of Ethics require professionals to honor?

Responsibilities to others

Who do we serve professionally according to the Code of Ethics?

The persons we serve

What should be established and maintained as per the Code of Ethics?

Competence as clinicians

What aspect of our professions does the Code of Ethics emphasize?

Public reputation

Which relationships are highlighted in the Code of Ethics?

Inter- and intraprofessional

What do the Rules of Ethics describe?

Acceptable and unacceptable behavior

What binds ASHA members and certificate holders?

Professional responsibilities

What does 'shall' indicate in the Code of Ethics?

Required adherence

Is ASHA membership voluntary?

Yes, but mandatory rules apply

When was the Assistants Certification Program established?

2017

What does the Assistants Certification Program provide?

Pathway for certification

What does ASHA stand for?

American Speech-Language-Hearing Association

What year was the Assistants Code of Conduct developed?

2020

What are the major components of the Assistants Code of Conduct?

Three Principles of Conduct

What do the Principles of Conduct mirror?

Principles of Ethics

What does Conduct Fundamentals outline?

Acceptable and unacceptable behavior

What do Conduct Fundamentals A and B address?

Obligation to perform delegated tasks

Who must delegate tasks to assistants?

Supervising audiologist or SLP

What must assistants have to perform tasks?

Adequate competence and training

What do Principles of Conduct III and Conduct Fundamentals A and I require?

Collaborative working relationships

Who must supervise assistants?

Credentialed audiologists or SLPs

What is the responsibility of the supervising audiologist or SLP?

Welfare of persons served

Are assistants considered independent practitioners?

No

What does Principle of Ethics I require?

Disclosure of credentials

What do Rules D, E, and F of Principle of Ethics I protect?

Welfare of persons served

What does Principle of Ethics II, Rule E prohibit?

Exceeding staff credentials

Who must comply with the Code of Ethics regarding supervision?

Supervisors

What does Principle of Ethics IV, Rule I prohibit?

Supervisors allowing violations

Who should be familiar with the Code of Ethics?

Supervisors and assistants

What additional code should be understood?

Assistants Code of Conduct

Who is encouraged to read the Code of Ethics?

ASHA members and assistants

Why is it important for school-based ASHA members to read the Code of Ethics?

Work with assistants

What process includes how the BOE reviews ethics complaints?

Adjudication

What does BOE stand for?

Board of Ethics

How many members are on the BOE?

13 members

Who are the additional members in the BOE?

Public members, Ethics Education Subcommittee

Approximately how many informal ethics inquiries does the ASHA Ethics Office receive annually?

1,500 inquiries

What external factor increased ASHA member guidance requests?

COVID-19 pandemic

What resources does BOE provide?

Ethics education resources

What documents does BOE formulate and update?

Code of Ethics, Assistants Code of Conduct

How many complaints does the BOE consider each year?

Roughly 100 complaints

What initiates the BOE adjudication process?

Receipt of written complaint

What must a complaint include?

Sufficient supporting evidence

Who can be alleged in a complaint?

ASHA member or certificate holder

What codes are referenced in complaints?

Code of Ethics and Assistants Code

What happens if the complaint warrants full BOE review?

Confidential copy sent to Respondent

What must be obtained from the person making the complaint?

Signed waiver

Who receives the copy of the complaint?

The Respondent

What instructions are provided to the Respondent?

How to provide a written answer

What do Principle of Ethics IV, Rules P and Q require?

Compliance with BOE policies

What is prohibited under Principle of Ethics IV, Rules P and Q?

False accusations

Which document contains similar requirements to Principle of Ethics IV?

Assistants Code of Conduct

What principles in the Assistants Code of Conduct are similar?

Principle of Conduct III

Which conduct fundamentals are referenced in the Assistants Code of Conduct?

Conduct Fundamentals L and M

What do most Respondents choose regarding allegations?

Submit a response

What is the BOE's means to investigate ethics complaints?

None

What constitutes the only information for BOE's determination?

Complaint allegations and reply