CHPS Privacy Program Management

Question 1

Which framework is most widely used by healthcare organizations to build a comprehensive privacy program structure?

Accepted Answer

Generally Accepted Privacy Principles (GAPP)

Answer

NIST Cybersecurity Framework (CSF)

Answer

ISO/IEC 27001

Answer

COBIT 5 for Information Security

Question 2

In a healthcare privacy program, which document formally authorizes the Privacy Officer's role and defines the scope of the privacy program?

Accepted Answer

Privacy Policy Charter or Program Charter

Answer

Privacy Notice

Answer

Business Associate Agreement

Answer

Risk Management Plan

Question 3

A healthcare organization conducts a Privacy Impact Assessment (PIA). What is its primary purpose?

Accepted Answer

To evaluate how a new system or process will collect, use, and protect personal health information

Answer

To audit workforce compliance with HIPAA training requirements

Answer

To assess vendor security practices before signing a BAA

Answer

To measure patient satisfaction with privacy practices

Question 4

Which of the following is a key component of an effective healthcare privacy training program?

Accepted Answer

Training should be role-based, addressing the specific PHI access and risks for each job function

Answer

Training should occur only at onboarding and need not be repeated

Answer

All workforce members should receive identical training content regardless of their role

Answer

Training is only required for workforce members who handle paper records

Question 5

What is the primary purpose of a healthcare organization's sanctions policy under HIPAA?

Accepted Answer

To define consequences for workforce members who violate privacy and security policies

Answer

To establish financial penalties for patients who misuse the patient portal

Answer

To document procedures for reporting breaches to HHS

Answer

To create a framework for denying patient access requests

Question 6

In healthcare privacy program management, which metric best measures the effectiveness of a privacy training program?

Accepted Answer

The rate of privacy incidents following retraining compared to baseline incident rates

Answer

The number of privacy policies published on the intranet

Answer

The percentage of workforce who clicked 'complete' in the LMS

Answer

Annual budget allocated to the privacy program