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2. Annual HIPAA Privacy & Security Training

   Please view the Training Video Below

   
   

4. Electronic Signature Agreement*

   This is to certify that I have viewed and understand the Madison County HIPAA training presentation. I agree to comply with the HIPAA Privacy Rule and related policies and procedures, applicable to my position. This will be expected as part of my continued association. I understand that I must report any instances of possible violations of HIPAA, laws, regulations, and policies and procedures to Madison County's HIPAA Privacy Officer. I understand that my failure to comply with HIPAA, laws, regulations, and policies and procedures or to report possible violations may result in disciplinary action. Should I have any questions I will direct them to the Privacy Officer, Security Officer, Compliance Officer or my supervisor.

   Submission of this form is your legally binding acknowledgement that you have viewed the training presentation.

   1. I agree.
6. First Name*
7. Last Name*
8. Department*
10. Post-Training Quiz (Required)

    Upon completion of the training video, please answer the below questions to test your knowledge of the HIPAA Privacy and Security Rules.

12. 1. Unauthorized access is:*

    1. a. Access/disclosure of information that an employee or physician does not have the job responsibility to access or share.
    2. b. Prohibited and against Madison County policy and the HIPAA Privacy Rule
    3. c. Looking at your neighbor’s medical record when you are not involved in his care and do not have written authorization from him.
    4. d. All of the above
14. 2. What does PHI stand for?*

    1. a. Personal Health Instructions
    2. b. Protected Health Information
    3. c. Private Health Instructions
    4. d. Personal Health Information
16. 3. Protected health information that should be kept confidential includes a patient’s: *

    1. a. Diagnosis, procedures received, lab results
    2. b. Name, address, and social security number
    3. c. Medical information stored electronically (in i.e., Medent)
    4. d. All of the above.
18. 4. Discussions about patients or patient information in public areas, such as the break room or lobby, may be overheard by unauthorized listeners and may violate the patient’s right to privacy. *

    1. a. True
    2. b. False
20. 5. You are logging into your computer first thing Monday morning. You enter your password but get a message that your log-in failed. You try again and it doesn’t work. You are positive that you are using the correct password. What do you do? *

    1. a. Notify the IT Help Desk or your computer support of your problem so that they can research the problem.
    2. b. Since your can’t work on your computer, take this opportunity to clear out your inbox.
    3. c. Ask your coworker, Sandra, to let you use her logon ID and password.
    4. d. Find a computer that someone else is already logged into and work from that computer.
22. 6. How should an employee report a suspected privacy or security breach? Choose all that apply. *

    1. a. Contact the Privacy Officer, Security Officer or Compliance Officer.
    2. b. Tell your supervisor
    3. c. Keep it to yourself so as not to make waves.
    4. d. Take it upon yourself to tell the patient that his/her privacy was breached.
24. 7. You are at the copier and notice that patient information has been discarded in the wastebasket. What should you do?

    1. a. Take the documents out of the wastebasket and shred them because they contain confidential information.
    2. b. Do nothing because you did not discard the documents.
    3. c. Remove the documents, bring them to your supervisor or Privacy Officer, and report what you found.
26. 8. As an employee of a HIPAA designated Department you must securely segregate PHI from access by or disclosure to non-HIPAA department.*

    1. a. True
    2. b. False
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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