1) Explain each in a short paragraph the most common of medical information confidentiality breaches.

  • Perry, a receptionist in a medical office, greets a patient and asks (where others can hear), “Why are you seeing the doctor today?”
  • A sign-in sheet at the front desk of a medical office is in list form, and when a

patient comes to sign in, other patients’ information (sometimes even including

address and phone number) can be openly viewed.

  • A nurse and doctor are in an area near examination rooms. They are discussing

the patient they just saw, Maria Fernandez. Patients in the examination rooms, as well as those passing through, can easily hear what is being said concerning Ms. Fernandez.

  • An insurance clerk leaves her computer on while she goes to lunch. In plain

sight is the insurance record of Mr. James Foreman. In addition, the screen is

visible to those signing in.

  • Milton McMurray is a night-shift custodian for the medical office of

Dr. Jay Smith. Mr. McMurray is the only person in the office at night as

he works. Without anyone knowing, he occasionally reads medical records

of patients whom he knows. After all, he has to vacuum the carpet in the records storage room and has easy access when he is cleaning.

2) What is a connection between modern HIPAA rules and the ancient Hippocratic Oath.

3) What may be some exceptions to confidentiality?


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