Notice of Privacy Practices
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.
The privacy of your Personal and Health Information (PHI) is important. You are not required to do anything unless you have a specific request or complaint.
Relationships are built on trust. One of the most important elements of trust is respect for an individual’s privacy. We at Accredited value our relationship with you, and we take your personal privacy seriously.
This notice explains The Accredited Family of Home Care Services privacy practices, our legal responsibilities, and your rights concerning your PHI. We follow the privacy practices described in this notice and will notify you of any significant changes.
We reserve the right to change our privacy practices and the terms of this notice at any time, as allowed by law. This includes the right to make changes in our privacy practices and the revised terms of our notice effective for all PHI we maintain. This includes information we created or received before we made the changes.
This Notice describes how we use your PHI within The Accredited Family of Home Care Services and disclose it to outside sources and why.
The Notice covers:
- Uses or disclosures which do not require your written authorization.
- Uses or disclosures which require your written authorization.
- Your rights as a patient regarding privacy of your health information.
We may use or disclose your PHI for the following purposes, unless you ask us not to.
- Agency Directory
We maintain a patient list which includes your name, address, phone number, payor code, disaster acuity level and Case Manager’s name. This information is used within our agency by the On-Call nurses and may be shared with appropriate Public Officials to assist with evacuations during a time of emergency.
- Informing Family and Friends
We may disclose PHI to family, friends, or others identified by you who are involved in your care.
- For Payment
We use and share PHI to manage your account or benefits; or to pay claims for health care services you receive through our agency. For example, we keep information about your premium and deductible payments and occasionally discuss the need for additional authorized visits.
- For Treatment
We may share PHI with other providers so that we can better coordinate your health care services such as with your doctor, pharmacy, insurance carrier or primary caregiver.
- To Others
You may inform us either verbally or in writing that it is permissible to give PHI to someone else for any reason for services you are currently receiving or payment for your services. In the event of an emergency and you are unable to give permission either verbally or in writing, we may give your PHI to a family member, friend or other person if sharing your PHI is in your best interest.
Your written authorization which you may revoke (in writing) is required if we use or disclose your health information for any other purpose not stated in this notice.
Know your rights. To exercise any of these rights please write or telephone the Privacy Officer.
- Right to Request Restrictions
You have the right to request restrictions on our uses and disclosures of your health information, however we are not required to agree to these restrictions.
- Right to Request Confidential Communications
You have the right to request that we communicate with you confidentially, for example to speak with you only in private; to send mail to an address you designate; or to telephone you at a number you designate. Your request must be in writing. We will make every attempt to honor your request.
- Right to Request Access to Your Health Information
You have the right to request access to your health information in order to inspect or copy it. Your request must be in writing. We may deny your request and, if so, you may request a review of the denial. However, we will make every attempt to honor your request.
- Right to Request an Amendment of Your Health Information
You have the right to request an amendment to your health information.
Your request must be in writing and must provide a reason for the amendment.
We may deny your request and, if so, you may submit a statement of disagreement.
However, we will make every attempt to honor your request.
- Right to Request an Accounting of Disclosures of Your Health Information
You have the right to request an accounting of our disclosures of your health information for purposes other than treatment, payment, and health care operations. We will make every attempt to honor your request. We are not required to provide an accounting for disclosures before April 14, 2003 or for more than 6 years prior to the date of your request.
- Right to Obtain a Paper Copy of this Notice
If you received this Notice electronically, you have a right to receive a paper copy.
- Right to be Notified Following an Unintentional Disclosure or Breach of Your Health Information
You have the right to be notified of inadvertent disclosures or unintentional use of your health information no later than sixty days from date of discovery.
Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization.
- Federal government investigation, when required by the Secretary of Health and Human Services to investigate or determine our compliance with federal regulation.
- Federal, state or local law requirements.
- Public health activities, for example to report communicable diseases or death; or for matters involving the Food and Drug Administration.
- Reporting of abuse, neglect or domestic violence.
- Health oversight activities by a health oversight agency. (A health oversight agency is an organization authorized by the government to oversee eligibility and compliance and to enforce civil rights laws.)
- Judicial or administrative proceedings, for example responding to a court order or subpoena.
- Law enforcement purposes, for example to report certain types of wounds or other physical injuries or to identify or locate a suspect, fugitive, material witness, or missing person.
- Use by coroners, medical examiners, or funeral directors.
- Facilitating organ, eye, or tissue donation.
- Research, provided that very strict controls are enforced.
- Averting a serious threat to your health or safety or that of the public.
- Specialized government functions such as military or veterans’ affairs; national security, and intelligence activities.
- Workers’ compensation.
Our Duties in Protecting Your Health Information
- We are required by law to maintain the privacy of your health information.
- We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty.
- We must abide by the terms of the Notice currently in effect.
- We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current notice from the Supervisor of Medical Records.
Complaints, Contact Person, Effective Date, and Acknowledgment
- You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated.
- You will not be retaliated against for filing a complaint.
- For further information or to file your complaint with our agency by calling the Privacy Officer at 818-986-1234 ext. 107 or write to 5955 De Soto Avenue Woodland Hills, California 91367.
- You may file a complaint with the Secretary of Health and Human Services by writing to:
Secretary of Health and Human Services
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201 (source: www.hhs.gov)