QUESTION IMAGE
Question
the administrative safeguards mandated by hipaa include which of the following?
unique health plan identifiers
workforce security training
evaluation of computer security effectiveness
sanctions for unauthorized disclosures
question 4 (2.5 points)
what step is part of reporting of security incidents?
report disclosure to all patients.
exclude notation of incident from the patients medical record.
notify business associates and trading partners of the breach.
change passwords to protect from further invasion.
First Question (Administrative Safeguards under HIPAA)
HIPAA Administrative Safeguards focus on policies/procedures for workforce security, data protection, etc. Workforce security training is part of Administrative Safeguards (addressing workforce access to PHI). Unique health plan identifiers are Technical Safeguards - related to standards, not admin. Evaluation of computer security effectiveness is Technical (assessing tech measures). Sanctions for unauthorized disclosures are part of Administrative Safeguards? Wait, no: Wait, Administrative Safeguards include workforce security (training), security management process, etc. Wait, let's recheck: Administrative Safeguards elements: Workforce Security (training, access management), Security Management Process, etc. Sanctions for unauthorized disclosures are part of Administrative Safeguards (policy to sanction workforce for violations). Wait, but the options: Wait, the correct answer for the first question: Wait, let's recall HIPAA Administrative Safeguards. Workforce security training is part of Administrative Safeguards (workforce security is an admin safeguard: policies to manage workforce access). Wait, but also, sanctions for unauthorized disclosures: Administrative Safeguards include policies for sanctions. Wait, maybe I confused. Wait, the options: Let's check each:
- Unique health plan identifiers: Technical Safeguards (standard for identifiers, part of Technical).
- Workforce security training: Administrative (workforce security is an admin safeguard: policies/procedures for workforce access, training, etc.).
- Evaluation of computer security effectiveness: Technical (assessing technical security measures, part of Technical Safeguards).
- Sanctions for unauthorized disclosures: Administrative (policy to sanction workforce for violations, part of Administrative Safeguards). Wait, but maybe the intended answer is Workforce security training? Wait, no, maybe I made a mistake. Wait, actually, Administrative Safeguards include: Workforce Security (training, access), Security Management Process, Security Awareness and Training, etc. Sanctions for unauthorized disclosures: yes, part of Administrative (policy to have sanctions). But maybe the question's correct answer is Workforce security training? Wait, no, let's check reliable sources. HIPAA Administrative Safeguards: Workforce Security (procedures for authorizing access, training workforce on security), Security Management Process, etc. So Workforce security training is part of Administrative Safeguards. So the correct option is "Workforce security training".
Reporting security incidents (breaches) under HIPAA: After a breach, covered entities must notify Business Associates and Trading Partners (if they were involved or affected). Let's analyze options:
- Report disclosure to all patients: Not all patients, only those affected by the breach (and in certain cases, media if large). So incorrect.
- Exclude notation of incident from the patient’s medical record: No, the incident (if related to PHI) may be documented, but notation in medical record is not excluded. Incorrect.
- Notify Business Associates and Trading Partners of the breach: Correct, as Business Associates are part of the covered entity’s business, and trading partners (if involved) need notification.
- Change passwords to protect from further invasion: This is a response (mitigation) after reporting, not part of the reporting step. Reporting is about notifying affected parties, not changing passwords (which is mitigation).
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