Confidentiality Information and Courses from MediaLab, Inc.
These are the MediaLab courses that cover Confidentiality and links to relevant pages within the course.
Learn more about laboratory continuing education for medical technologists to earn CE credit for AMT, ASCP, NCA, and state license renewal and recertification. Or get information about laboratory safety and compliance courses that deliver cost-effective OSHA safety training and continuing education to your laboratory's employees.
| Administrative Safeguards Administrative Safeguards include the policies, and procedures that your facility uses to manage and protect ePHI. Although there are probably many such policies and procedures at your institution, a few examples might include:
Active review and audits of IS activity.
Employee confidentiality agreements.
Employee security clearance policies and procedures.
Employee disciplinary policies.
Data backup and disaster recovery plans
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| What is the HIPAA Privacy Regulation: The HIPAA Privacy Regulation went into effect April 14, 2003. It protects the confidentiality of individuals' health data by:Regulating how Protected Health Information (PHI) is used,
whom it is disclosed to, and
how and where it is maintained.
The HIPAA Privacy Regulation:Requires reasonable security measures to protect individuals' health information.
Establishes accountability for use and release of this information.
Gives individuals rights regarding their health information. | View Page |
| Administrative Safeguards Examples of administrative safeguards include:Policies and proceduresStaff training programsAuditing and monitoring compliance with policies and proceduresEmployee confidentiality agreements | View Page |
| Fax Machines Fax Machines may be used to transmit PHI, provided that you are in compliance with your own institution's policies and procedures. To minimize the risk of misdirected faxes: Preprogram fax machines with frequently used destination numbers. Double check accuracy when faxing to numbers which are not preprogrammed. Always include a Confidentiality Statement on the cover page. Check transmittal confirmation after each fax, to ensure that the information was sent to the correct number. Do not leave the original report on the fax machine. Report fax errors to your supervisor or other designated person. | View Page |
| A person commits a misdemeanor of the first degree by: | View Page |
| Evaluation and Treatment Your supervisor will refer you for an immediate evaluation and any necessary treatment. Confidentiality will be maintained.Your blood will be tested only with your consent. | View Page |
| Informed Consent Informed consent must be obtained first before a HIV antigen or antibody test can be ordered.Informed consent must be preceded by: Explanation of the test subject's right of confidentiality. Notification that a positive HIV test result will be reported to county health department with enough information to possibly identify the test subject. Availability and location of sites where anonymous testing is performedInformed consent can be given by a legal guardian or other person authorized by law when the test subject is: not competent incapacitated a minor | View Page |
| Confidentiality A person who receives the results of an HIV test shall maintain the confidentiality of the information received and of the person tested.A person who violates the confidentiality provisions commits a misdemeanor of the first degree.A person who obtains information that identifies an individual who has a sexually transmissible disease and maliciously, or for monetary gain, disseminates this information commits a felony of the third degree. | View Page |
| Reporting results Each laboratory that performs a test indicative of HIV or AIDS shall report to the county health department in less than 2 weeks.To assure the confidentiality of the patient, reporting of HIV infection and AIDS must be conducted using a system developed by CDC or equivalent system.Each person who violates reporting rules may be fined $500 per offense. | View Page |
| Depending upon the circumstances, a responsible person who fails to maintain confidentiality of HIV test results and test subjects may be charged with which of the following crimes? | View Page |
| Challenges to Existing Programs
Current error-prevention programs face many challenges: | View Page |
| Confidentiality All employees have a responsibility to maintain the confidentiality of medical information.
Medical information should never be discussed outside of the laboratory.
It should only be discussed with the ordering doctor or an authorized representative of the doctor.
Employees should verify the identity of the individual requesting such information
Employees who communicate with patients, physicians or their office staff, insurance company representatives or government employees about any laboratory activity should only give information they know to be true and accurate.
Employees should never give false information and should never guess the answer to any question.
In case of doubt, refer the person to a supervisor.
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| Confidentiality and inducements Do not leave test orders or test results in areas where they can be viewed by patients.Do not discuss test results or any patient information in areas where patients can overhear the conversation. Be careful not to discuss confidential information on the telephone where patients can overhear the conversation.Do not provide supplies to physician offices other than those usually provided by the laboratory. Document any supplies given to an office.Do not supply items that the office can use for testing (e.g. urine dipsticks). Do not allow offices to dispose of biohazard waste or sharps in the waste containers paid for by the laboratory.
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| Confidentiality All employees have a responsibility to maintain the confidentiality of medical information. Medical information should never be discussed outside of the laboratory. Do not leave test orders or test results in areas where they can be viewed by patients. Do not discuss test results or any patient information in areas where patients can overhear the conversation. Be careful not to discuss confidential information on the telephone where patients can overhear the conversation. Employees should verify the identity of an individual requesting patient information. | View Page |
| Evaluation and Treatment Your supervisor will refer you for an immediate evaluation and any necessary treatment. Confidentiality will be maintained.Your blood will be tested only with your consent. | View Page |
| Professionalism: maintaining confidentiality Phlebotomists are ethically and legally required to keep patient information confidential.
Reveal patient information including medical history and results only to authorized individuals as defined by your laboratory’s policies & procedures.
Do not discuss test results with patients without a written order from the ordering physician.
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