Information Protection Worksheet

Information Protection Worksheet
HCIS/255 Version 1 / 1

University of Phoenix Material

Information Protection Worksheet

In 100 to 200words, define PHI in your own words. Use your readings to support your definition.

[Insert response here]

Look over the PHI in the following patient information form.Which three fields do you believe are the most at risk, from a privacy and security perspective? Why? Explain your answer in 150 to 300words.

[Insert response here]

REGISTRATION FORM

Today’s date: 11/27/2012 / PCP: Dr. Atwood
PATIENT INFORMATION
Patient’s last name: Johnson / First: Trish / Middle: H. /  Mr.
 Mrs. /  Miss
 Ms. / Marital status:
Sing / Mar / Div / Sep / Wid
Is this your legal name? / If not, what is your legal name? / (Former name): / Birth date: / Age: / Sex:
 Yes /  No / Trish H. Brosen / 08 / 12 / 62 / 60 /  M /  F
Street address: / Social Security no.: / Home phone no:
12345 Hillford Ln. / 123-45-6789 / ( 123 ) 456 - 7890
P.O. box: / City: / State: / ZIP Code:
Lamont / California / 12345
Occupation: / Employer: / Employer phone no.:
Teacher / Lamont Unified School District / ( 987 ) 654 - 3210
Chose clinic because/Referred to clinic by (please check one box): /  Dr. /  Insurance Plan /  Hospital
 Family /  Friend /  Close to home/work /  Yellow Pages /  Other
Other family members seen here: / Mark (Husband) and Denise (Daughter)
INSURANCE INFORMATION
(Please give your insurance card to the receptionist.)
Person responsible for bill: / Birth date: / Address (if different): / Home phone no. (if different):
Mark Johnson / 05 / 23 / 58 / ( )
Is this person a patient here? /  Yes /  No
Occupation: / Employer: / Employer address: / Employer phone no.:
Administrator / Lamont Unified School District / 12234 Main St. / ( 123 ) 998 - 7765
Is this patient covered by insurance? /  Yes /  No
Please indicate primary insurance / LamCare / [Insurance] / [Insurance] / [Insurance] / [Insurance]
[Insurance] / [Insurance] / [Insurance] /  Welfare (Please provide coupon) /  Other
Subscriber’s name: / Subscriber’s S.S. no.: / Birth date: / Group no.: / Policy no.: / Co-payment:
Mark Johnson / 334-22-9876 / 05 / 23 / 58 / 943575-384-00236 / (84659) 8435050078 / $ 25
Patient’s relationship to subscriber: /  Self /  Spouse /  Child /  Other
Name of secondary insurance (if applicable): / Subscriber’s name: / Group no.: / Policy no.:
Patient’s relationship to subscriber: /  Self /  Spouse /  Child /  Other
IN CASE OF EMERGENCY
Name of local friend or relative (not living at same address): / Relationship to patient: / Home phone no: / Work phone no:
Heather Stockley / Friend / ( 123 ) 987 - 6543 / ( 123 ) 654 -9870
The above information is true to the best of my knowledge. I authorize my insurance benefits be paid directly to the physician. I understand that I am financially responsible for any balance. I also authorize [Name of Practice] or insurance company to release any information required to process my claims.
Trish Johnson / 11/27/12
Patient/Guardian signature / Date

(Registration Form Template used from Microsoft.com)

Look at the following pictures. From what you can see, determine what safeguards are currently being used to protect sensitive information. Additionally, look for potential issues that could be improved. Write a 100- to 200-word summary explaining the strengths and weaknesses of security and privacy in each situation. If you identify weaknesses, propose safeguards that could be used to improve them.

Situation 1

Hint: Consider the proximity of the receptionist to the waiting patients.

Summary:

Situation 2

Hint: What can you determine about the woman in the red shirt?

Summary:

Situation 3

Hint: Who is watching the files?

Summary:

Situation 4

Hint: Are these files secure?

Summary: