Esteem HealthCHW Certification Training
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Module 4: CHW in PracticeLesson 4.5 · 7 sections · ~50 min

Safety and Risk

Learning Objectives
  • Demonstrate understanding of HIPAA by identifying and classifying patient information that meets the criteria for Protected Health Information (PHI).
  • Describe basic safeguards CHWs should use to protect a patient's PHI.
  • Define "mandated reporter" and explain when a CHW can or must disclose PHI to a third party.
  • Identify the types of older/dependent adult abuse and what APS can do.
  • Identify the types of child abuse and what CPS can do.

Privacy, Safety, and Risk in CHW Work

Privacy, safety, and risk issues happen in healthcare — including in community health work. Accidental information breaches and physical or mental health crises occur. As a CHW, it's your responsibility to address these within your scope of practice.

HIPAA and Protected Health Information

HIPAA (the Health Insurance Portability and Accountability Act, 1996) is a federal law protecting the privacy and security of health information.

PHI (Protected Health Information) is any information that can identify a patient AND relates to their health status, care, or payment for care. PHI includes medical records, billing, and even conversations between patients and providers.

Types of PHI identifiers

  • Names or parts of names
  • Geographic identifiers
  • Dates directly related to a person
  • Phone number details
  • Email address details
  • Social Security details
  • Vehicle license plate details
  • Fingerprints, retinal and voice prints
  • Photographic identification (face or equivalent)
  • Fax numbers
  • Medical record numbers
  • Health insurance beneficiary numbers
  • Account details
  • Device identifiers and serial numbers
  • Website URLs, IP addresses
Note
PHI includes medical records, billing, conversations between patients and providers, and many identifiers (names, dates, contact details, biometrics, photos, device IDs). When in doubt, treat the information as PHI.

PHI takes many forms

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Paper Records
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All types — handwritten notes, printed records, intake forms.
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Patient rights under HIPAA

How to protect PHI

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Double Lock Rule

Two layers of protection — like a locked filing cabinet inside a locked room. Unauthorized individuals must bypass both. If one is compromised, another protects PHI.

Patient safety and risk management

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Patient Safety
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The absence of preventable harm to a patient during health care; reduction of risk of unnecessary harm to an acceptable minimum.
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Disclosure is permissible

Tips: Confirm identity before disclosing. Disclose only PHI directly relevant to the recipient. Disclose only PHI the patient has consented to. Keep a record of all disclosures.

Sharing necessary information with healthcare team members
Sharing pertinent information with entities that have a business agreement with the agency
Disclosing with patient consent
Disclosing to legally appointed guardians, healthcare proxies, or conservators
In emergencies, when the client cannot give consent

Mandated reporter guidelines

Four situations where CHWs may be required to report. For each, first ask: is the risk imminent? If yes, immediate action is required.

Patient intends to harm themselves

Risk IS imminent: Call 911 or Crisis Intervention. Likely requires disclosure without consent.
Risk IS NOT imminent: Possible need for crisis intervention. Referral to mental health services. May or may not involve disclosure depending on patient consent. Consult supervisor; consider safety plan.
988 Suicide & Crisis Lifeline
Available 24/7. Call or text 988 from any phone.
Call or text 988 — Suicide & Crisis Lifeline
Confidentiality and Reporting
Reflection Prompts

What are some steps CHWs can take if they're unsure whether to report certain information, and who can they consult?

How might reporting sensitive information impact both CHWs and clients, and what choices can CHWs have in making reports?

Apply your knowledge: Helping Carlos

Carlos, a new CHW, is unsure about identifying and protecting Protected Health Information. Can you help him?

Community Member
Practice conversation
I'm overwhelmed with all the sensitive information I need to handle. How do I know what's considered PHI and what's not? I'm afraid of making mistakes.
Knowledge Check

A CHW jots a patient's name and upcoming appointment date on a sticky note and leaves it on their car dashboard. Is this a PHI concern?

ANo — a name and a date aren't PHI unless they're in a medical record.
BYes — names and dates directly related to a person are PHI, and leaving them in view is an unauthorized exposure.
CNo — PHI only applies to digital records, not handwritten notes.
DOnly if the patient's diagnosis is also written down.
Knowledge Check — Matching

Match each mandated-reporter situation with the imminent-risk action a CHW should take.

Terms
Patient intends to harm themselves (imminent)
Patient intends to harm another person (imminent)
Elder/dependent adult abuse witnessed (imminent)
Reasonable suspicion of child abuse (imminent)
Definitions
Call 911; the Tarasoff statute requires warning and protecting potential victims.
Call 911 and the 24-hour CPS help line.
Call 911 or Crisis Intervention; likely disclose without consent.
Call 911 and file an APS report.

Adult Protective Services (APS)

APS is a social services program for older adults (60+ in California) and adults aged 18–59 with disabilities. APS workers investigate cases of abuse, neglect, or exploitation. They collaborate with physicians, nurses, paramedics, firefighters, law enforcement, and CHWs.

Types of older adult and dependent adult abuse

  • Physical abuse
  • Sexual abuse
  • Emotional or psychological abuse
  • Neglect
  • Abandonment
  • Financial abuse
  • Self-neglect

What APS does

  • Determines if a response is warranted and how quickly to dispatch a social worker
  • Conducts private in-person interviews
  • Investigates protective issues
  • Conducts strength and needs assessments
  • Provides linkages to community resources
  • Establishes a plan of action and follows up

Child Protective Services (CPS)

CPS is a division within the California Department of Social Services (Children and Family Services Division). Their primary objective: ensure the safety and welfare of children and adults by promoting family preservation, personal accountability, and independence.

The Continuum of CPS Services

Stage 1 of 4

Step 1: Prevention & Family Strengthening

Key Points
  • Family Resource Centers — support, education, resources
  • Home Visiting Programs — support and education to expectant and new parents
  • Parenting Education Programs — parenting skills, stress management, child development
  • Community Awareness Campaigns — prevention awareness and reporting procedures

What CPS can do

Investigate every report, even if false
Talk to minors without parental consent
Show up to the child's home without notice
Ask invasive and personal questions
Remove the minor from their home and terminate parental rights
Reporting child abuse
To file a CPS report, a CHW only needs reasonable suspicion of abuse or neglect. You don't need to be physically present, witness the abuse, or have definite proof. Child abuse and neglect can include physical injury inflicted by another person, sexual abuse or exploitation, negligent treatment or maltreatment by a caregiver, and willful harming or endangerment.

Mandated reporting in brief

  • Who is a mandated reporter? You are.
  • When MUST you report (or face a fine)? When you observe, have knowledge of, are told about, or reasonably suspect abuse, neglect, or self-neglect.
  • Should you investigate first? No. You don't have a duty to investigate — only to report.
  • Call 911 first for immediate danger.
Tip
For more training on mandated reporting, visit the California Department of Social Services website — they offer a free online mandated reporter course.
Knowledge Check — Select all that apply

Which of the following are true about a CHW's duty as a mandated reporter? Select all that apply.

You must report when you observe, are told about, or reasonably suspect abuse, neglect, or self-neglect.
You should fully investigate and confirm the abuse before filing a report.
Reasonable suspicion is enough to file a CPS report — you don't need definite proof.
For immediate danger, call 911 first.
Mandated reporting only applies to licensed clinicians, not CHWs.
Lesson Takeaways

🌟 Lesson takeaways

Privacy and safety in CHW work means understanding HIPAA, recognizing the many forms of PHI, and applying safeguards (the double-lock rule, secure digital practices, careful communication). Beyond protection, you're a mandated reporter — there are times you CAN disclose PHI and times you MUST. APS and CPS are your partners for adult and child welfare; you don't need definite proof to report — just reasonable suspicion. When in doubt, consult your supervisor.

🎉Great work!
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Coming up

Great work! At the end of this module, you'll join a live discussion with your cohort and an instructor. We'll see you there.