| This notice
describes how medical information about you may be
used and disclosed and how you can get access to
this information. Please review it carefully.
If you have any
questions about this Notice please contact us. This Notice of
Privacy Practices describes how we may use and
disclose your protected health information to carry
out treatment, payment or health care operations and
for other purposes that are permitted or required by
law. It also describes your rights to access and
control your protected health information.
“Protected health information” is information about
you, including demographic information, that may
identify you and that relates to your past, present
or future physical or mental health or condition and
related health care services.
We are required to
abide by the terms of this Notice of Privacy
Practices. We may change the terms of our notice, at
any time. The new notice will be effective for all
protected health information that we maintain at
that time. Upon your request, we will provide you
with any revised Notice of Privacy Practices by
accessing our website IroquoisHomeCare.com, calling
the office and requesting that a revised copy be
sent to you in the mail or asking for one at the
time of your next appointment.
Understanding Your
Health Record/Information
Each time you visit a
healthcare provider, a record of your visit is made.
Typically, this record contains your symptoms,
examination and test results, diagnoses, treatment,
and a plan for future care or treatment. This
information, often referred to as your health or
medical record, serves as a:
- basis for
planning your care and treatment
- means of
communication among the many health
professionals who contribute to your care
- legal document
describing the care you received
- means by which
you or a third-party payer can verify that
services billed were actually provided a tool in
educating heath professionals
- source of data
for medical research
- source of
information for public health officials charged
with improving the health of the nation
- source of data
for facility planning and marketing
- a tool with
which we can assess and continually work to
improve the care we render and the outcomes we
achieve
Understanding what is
in your record and how your health information is
used helps you to:
- ensure its
accuracy
- better
understand who, what, when, where, and why
others may access your health information
- make more
informed decisions when authorizing disclosure
to others
Your Health
Information Rights
Although your health
record is the physical property of the healthcare
practitioner or facility that compiled it, the
information belongs to you. You have the right to:
- request a
restriction on certain uses and disclosures of
your information
- obtain a paper
copy of the notice of information practices upon
request
- inspect and
obtain a copy of your health record
- amend your
health record
- obtain an
accounting of disclosures of your health
information
- request
communications of your health information by
alternative means or at alternative
- locations revoke
your authorization to use or disclose health
information except to the extent that action has
already been taken
Our Responsibilities
This organization is
required to:
- maintain the
privacy of your health information
- provide you with
a notice as to our legal duties and privacy
practices with respect to
- information we
collect and maintain about you
- abide by the
terms of this notice
- notify you if we
are unable to agree to a requested restriction
- accommodate
reasonable requests you may have to communicate
health information by alternative means or at
alternative locations. We will not use or
disclose your health information without your
authorization, except as described in this
notice.
If you believe your
privacy rights have been violated, you can file a
complaint with our Privacy Contact. There will be no
retaliation for filing a complaint.
Examples of
Disclosures for Treatment, Payment and Health
Operations
We will use
your health information for treatment.
For example:
Information obtained by a therapist or other member
of your healthcare team will be recorded in your
record and used to determine the course of treatment
that should work best for you. We may provide your
physician or a subsequent healthcare provider with
copies of various reports that should assist him or
her in treating you.
We will use
your health information for payment.
For example: A bill
may be sent to you or a third-party payer. The
information on or accompanying the bill may include
information that identifies you, as well as your
diagnosis, procedures, and supplies used.
We will use
your health information for regular health
operations.
For
example: Members of
our quality improvement team may use information in
your health record to assess the care and outcomes
in your case and others like it. This information
will then be used in an effort to continually
improve the quality and effectiveness of the
healthcare and service we provide.
Business associates:
There are some services provided in our organization
through contacts with business associates. Examples
include our billing service and a copy service we
use when making copies of your health record. When
these services are contracted, we may disclose your
health information to our business associate so that
they can perform the job we’ve asked them to do and
bill you or your third-party payer for services
rendered. To protect your health information,
however, we require the business associate to
appropriately safeguard your information.
Notification: We may
use or disclose information to notify or assist in
notifying a family member, personal representative,
or another person responsible for your care, your
location, and general condition.
Communication with family:
Health professionals, using their best judgment, may
disclose to a family member, other relative, close
personal friend or any other person you identify,
health information relevant to that person’s
involvement in your care or payment related to your
care.
Research: We may
disclose information to researchers when their
research has been approved by an institutional
review board that has reviewed the research proposal
and established protocols to ensure the privacy of
your health information.
Funeral
directors: We may
disclose health information to funeral directors
consistent with applicable law to carry out their
duties.
Organ
procurement organizations:
Consistent with applicable law, we may disclose
health information to organ procurement
organizations or other entities engaged in the
procurement, banking, or transplantation of organs
for the purpose of tissue donation and transplant.
Marketing: We may
contact you to provide appointment reminders or
information about treatment alternatives or other
health-related benefits and services that may be of
interest to you.
Fund
raising: We may
contact you as part of a fund-raising effort.
Food
and Drug Administration (FDA):
We may disclose to the FDA health information
relative to adverse events with respect to food,
supplements, product and product defects, or post
marketing surveillance information to enable product
recalls, repairs, or replacement.
Workers
compensation: We may
disclose health information to the extent authorized
by and to the extent necessary to comply with laws
relating to workers compensation or other similar
programs established by law.
Public
health: As required
by law, we may disclose your health information to
public health or legal authorities charged with
preventing or controlling disease, injury, or
disability.
Correctional institution:
Should you be an inmate of a correctional
institution, we may disclose to the institution or
agents thereof health information necessary for your
health and the health and safety of other
individuals.
Law
enforcement: We may
disclose health information for law enforcement
purposes as required by law or in response to a
valid subpoena.
Federal law makes
provision for your health information to be released
to an appropriate health oversight agency, public
health authority or attorney, provided that a work
force member or business associate believes in good
faith that we have engaged in unlawful conduct or
have otherwise violated professional or clinical
standards and are potentially endangering one or
more patients, workers or the public. |