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The Facility, its employees, workforce members and members of the ACE who are involved in providing and coordinating health care are all bound to follow the terms of this Notice of Privacy Practices "Notice". Each Facility is required by law to maintain the privacy of your health information "Protected Health Information" or "PHI" and to provide you with this Notice of legal duties and privacy practices with respect to your Protected Health Information.
When the Facility uses or discloses your Protected Health Information, we are required to abide by the terms of this Notice or other notice in effect at the time of the use or disclosure. The Facility is required by law to protect the privacy of your medical information, distribute this Notice of Privacy Practices to you, and follow the terms of this Notice.
The Facility is also required to notify you if there is a breach or impermissible access, use or disclosure of your medical information. However, the Facility and Health Professionals do not need any type of authorization from you for the following uses and disclosures:.
Your PHI may be used and disclosed to provide treatment and other services to you--for example, to diagnose and treat your injury or illness. In addition, you may be contacted to provide you appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Your PHI may also be disclosed to other providers involved in your treatment. For example, a doctor treating you for a broken leg may need to know if you have diabetes because if you do, this may impact your recovery. The physician who re your x-ray may need Adult looking nsa TX El paso 79902 bill you or your Payor for reading of your x-ray therefore your billing information may be shared with the physician who read your x-ray. Health Care Operations. Your PHI may be used and disclosed for health care operations, which include internal administration and planning and various activities that improve the quality and cost effectiveness of the care delivered to you.
For example, PHI may be used to evaluate the quality and competence of physicians, nurses and other health care workers. Your PHI may be provided to various governmental or accreditation entities such as the t Commission on Accreditation of Healthcare Organizations to maintain our and accreditation. In addition, PHI may be shared with business associates who perform treatment, payment and health care operations services on behalf of the Facility and Health Professionals.
Health Information Organizations. Your PHI may be used and disclosed with other health care providers or other health care entities for treatment, payment and health care operations purposes, as permitted by law, through a Health Information Organization. A list of Health Information Organizations in which this facility participates may be obtained upon request or found on our website at www. For example, information about your past medical care and current medical conditions and medications can be available to other primary care physicians if they participate in the Health Information Organization.
Exchange of health information can provide faster access, better coordination of care and assist providers and public health officials in making more informed treatment decisions. You may opt out of the Health Information Organization and prevent providers from being able to search for your information through the exchange. You may opt out and prevent your medical information from being searched through the Health Information Organization by completing and submitting an Opt-Out Form to registration.
Use or Disclosure for Directory of Individuals in the Facility. Facility may include your name, location in the Facility, general health condition and religious affiliation in a patient directory without obtaining your authorization unless you object to inclusion in the directory. Information in the directory may be disclosed to anyone who asks for you by name. Your religious affiliation may be given to a member of the clergy, such as a priest or minister, even if they do not ask for you by name.
If you do not wish to be included in the facility directory, you will be given an opportunity to object at the time of admission. Your PHI may be disclosed to a family member, other relative, a close personal friend or any other person identified by you who is involved in your health care or helps pay for your care. Your PHI also may be disclosed in order to notify or assist in notifying such persons of your location or general condition.
Public Health Activities. Your PHI may be disclosed for the following public health activities: 1 to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; 2 to report child abuse and neglect to public health authorities or other government authorities authorized by law to receive such reports; 3 to report information about products and services under the jurisdiction of the U.
Food and Drug Administration; 4 to alert a person who may Adult looking nsa TX El paso 79902 been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and 5 to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace medical surveillance. Victims of Abuse, Neglect or Domestic Violence.
Your PHI may be disclosed to a governmental authority, including a social service or protective services agency, authorized by law to receive reports of such abuse, neglect, or domestic violence if there is a reasonable belief that you are a victim of abuse, neglect or domestic violence. Health Oversight Activities. Your PHI may be disclosed to a health oversight agency that oversees the health care system and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare or Medicaid.
Judicial and Administrative Proceedings. Your PHI may be disclosed in the course of a judicial or administrative proceeding in response to a legal order or other lawful process. Law Enforcement Officials. Your PHI may be disclosed to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena. For example, your PHI may be disclosed to identify or locate a suspect, fugitive, material witness, or missing person or to report a crime or criminal conduct at the facility. Correctional Institution.
You PHI may be disclosed to a correctional institution if you are an inmate in a correctional institution and if the correctional institution or law enforcement authority makes certain requests to us. Organ and Tissue Procurement. Your PHI may be disclosed to organizations that facilitate organ, eye or tissue procurement, banking or transplantation. Your PHI may be used or disclosed without your consent or authorization if an Institutional Review Board approves a waiver of authorization for disclosure.
Health or Safety. Your PHI may be use or disclosed to U. Military Commanders for assuring proper execution of the military mission. Other Specialized Government Functions. Your PHI may be disclosed to units of the government with special functions, such as the U. Your PHI may be disclosed as authorized by and to the extent necessary to comply with state law relating to workers' compensation or other similar programs.
As Required by Law. Your PHI may be used and disclosed when required to do so by any other law not already referred to in the preceding ; such as required by the FDA, to monitor the safety of a medical device. Appointment Reminders. Your PHI may be used to tell or remind you about appointments. Your PHI may be used to contact you as a part of fundraising efforts, unless you elect not to receive this type of information. Use or Disclosure with Your Authorization.
For instance, you will need to execute an authorization form before your PHI can be sent to your life insurance company or to the attorney representing the other party in litigation in which you are involved. However, marketing materials can be provided to you in a face-to-face encounter without obtaining Your Marketing Authorization.
Sale of PHI. The Facility and Health Professionals will not disclose your PHI without your authorization in exchange for direct or indirect payment except in limited circumstances permitted by law. These circumstances include public health activities; research; treatment of the individual; sale, transfer, merger or consolidation of the Facility; services provided by a business associate, pursuant to a business associate agreement; providing an individual with a copy of their PHI; and other purposes deemed necessary and appropriate by the U.
In order for your Highly Confidential Information to be disclosed for a purpose other than those permitted by law, your written authorization is required. Right to Request Additional Restrictions. You may request restrictions on the use and disclosure of your PHI 1 for treatment, payment and health care operations, 2 to individuals such as a family member, other relative, close personal friend or any other person identified by you involved with your care or with payment related to your care, or 3 to notify or assist in the notification of such individuals regarding your location and general condition.
While all requests for additional restrictions will be carefully considered, the Facility and Health Professionals are not required to agree to these requested restrictions. You may also request to restrict disclosures of your PHI to your health plan for payment and healthcare operations purposes and not for treatment if the disclosure pertains to a healthcare item or service for which you paid out-of-pocket in full.
If you wish to request additional restrictions, please obtain a request form from the Health Information Management Office and submit the completed form to the Health Information Management Office. A written response will be sent to you. Right to Receive Confidential Communications. You may request, and the Facility and Health Professionals will accommodate, any reasonable written request for you to receive your PHI by alternative means of communication or at alternative locations.
Right to Revoke Your Authorization. You may request access to your medical record file and billing records maintained by the Facility and Health Professionals in order to inspect and request copies of the records. Under limited circumstances, you may be denied access to a portion of your records. If you desire access to your records, please obtain a record request form from the Facility Health Information Management Office and submit the completed form to the Facility Health Information Management Office. If you request copies of paper records, you will be charged in accordance with federal and state law.
To the extent the request for records includes portions of records which are not in paper form e. You also will be charged for the postage costs, if you request that the copies be mailed to you. However, you will not be charged for copies that are requested in order to make or complete an application for a federal or state disability benefits program.
Right to Amend Your Records. You have the right to request that PHI maintained in your medical record file or billing records be Adult looking nsa TX El paso 79902. If you desire to amend your records, please obtain an amendment request form from the Facility Health Information Management Office and submit the completed form to the Facility Health Information Management Office. Right to Receive an ing of Disclosures.
Upon request, you may obtain an ing of certain disclosures of your PHI made during any period of time prior to the date of your request provided such period does not exceed six years and does not apply to disclosures that occurred prior to April 14, If you request an ing more than once during a twelve 12 month period, you will be charged for the ing statement. Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you have agreed to receive such notice electronically. For Further Information or Complaints.
Department of Health and Human Services. Right to Change Terms of this Notice. The terms of this Notice may be changed at any time. If this Notice is changed, the new notice terms may be made effective for all PHI that the Facility and Health Professionals maintain, including any information created or received prior to issuing the new notice. If this Notice is changed, the new notice Adult looking nsa TX El paso 79902 be posted in waiting areas around the Facility and on our Internet site at www. Dahill, PA Patricia M. Jezari, MD Jorge G. Zamudio, M. Mesa St. Privacy Obligations Each Facility is required by law to maintain the privacy of your health information "Protected Health Information" or "PHI" and to provide you with this Notice of legal duties and privacy practices with respect to your Protected Health Information.
Notifications The Facility is required by law to protect the privacy of your medical information, distribute this Notice of Privacy Practices to you, and follow the terms of this Notice. However, the Facility and Health Professionals do not need any type of authorization from you for the following uses and disclosures: Uses and Disclosures for Treatment, Payment and Health Care Operations.Adult looking nsa TX El paso 79902
email: [email protected] - phone:(718) 171-8234 x 1723
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