COMPLIANCE

QUIZ

COMPLIANCE

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QUESTION 1/6 - PHI

Question 1/6 - PHI

Preventing Printed PHI Errors (Protected Health Information)

• The most common privacy incidents involve misdirected printed PHI such as AVS, discharge instructions, or medication labels.
• Staff should double check before handing out documents, verify patient identity, and secure printed materials.

QUESTION 2/6 - ESAR

QUESTION 2/6 - ESAR

ESAR Monitoring (Enterprise System Access Review)

• Kaiser uses proactive monitoring to detect unauthorized chart access.
• Triggers include accessing records of coworkers, family members, people at the same address, or patients without a business need.
• Unauthorized access is a HIPAA violation and may lead to discipline or termination.

QUESTION 3/6 - Social Media

QUESTION 3/6 - Social Media

Social Media: Think Before You Post

• Posting anything that includes PHI, hospital equipment, screens, or identifiable staff violates policy.
• Even personal opinions can appear as representing Kaiser if your employment is known.
• Employees have been disciplined or terminated for inappropriate posting.

QUESTION 4/6 - Communication

QUESTION 4/6 - Communication

Personal Cell Phones Cannot Contain or Transmit PHI

• Only Kaiser issued, encrypted devices may send or receive PHI.
• Personal cell phones—including Teams installed on personal devices—cannot be used for PHI due to lack of approved security protections.

QUESTION 5/6 - PHOTOS & VIDEO

QUESTION 5/6 - PHOTOS & VIDEO

Photography & Video Are Strictly Restricted

• Kaiser prohibits photography or recording in patient care areas without explicit patient AND provider consent.
• Staff also cannot photograph equipment, monitors, name badges, or any PHI.
• California law requires express permission to photograph individuals.

QUESTION 6/6 - Protecting PHI

QUESTION 6/6 - protecting phi

Protecting PHI: Only Access the Minimum Necessary

• Staff must only access, use, and discuss the minimum protected health information (PHI) needed to do their job.
• Unnecessary access violates HIPAA, HITECH, and Kaiser policy.

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