Notice of hospice 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.
USE AND DISCLOSURE OF HEALTH INFORMATION
Hospice Home Care, Inc. may use your health information for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. Your health information may be used or disclosed only after the Hospice has obtained your written consent. The Hospice has established a policy to guard against unnecessary disclosure of your health information. THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED AFTER YOU HAVE PROVIDED YOUR WRITTEN CONSENT:
To Provide Treatment. Hospice Home Care may use your health information to coordinate care within Hospice and with others involved in your care, such as your attending physician, members of the Hospice interdisciplinary team and other health care professionals who have agreed to assist in coordinating care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications. Hospice Home Care also may disclose your health care information to individuals outside of Hospice involved in your care including family members, clergy whom you have designated, pharmacists, suppliers of medical equipment or other health care professionals that Hospice uses in order to coordinate your care.
To Obtain Payment. Hospice Home Care may include your health information in invoices to collect payment from third parties for the care you may receive. For example, we may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse Hospice. Hospice Home Care also may need to obtain prior approval from your insurer and may need to explain to the insurer your need for hospice care and the services that will be provided to you.
To Conduct Health Care Operations. Hospice Home Care may use and disclose health care information for its own operations in order to provide quality care to all of our patients. Health care operations includes such activities as:
For example Hospice Home Care may use your health information to evaluate its staff performance, combine your health information with other Hospice patients in evaluating how to more effectively serve all Hospice patients, disclose your health information to Hospice staff and contracted personnel for training purposes, use your health information to contact you as a reminder regarding a visit to you, or contact you or your family as part of community information mailings (unless you tell us you do not want to be contacted).
Federal privacy rules allow Hospice Home Care to use or disclose your health information without your consent or authorization for a number of reasons.
When Legally Required. Hospice Home Care will disclose your health information when it is required to do so by any Federal, State or local law.
When There Are Risks to Public Health. Hospice Home Care may disclose your health information for public activities and purposes in order to:
To report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.
To Report Abuse, Neglect Or Domestic Violence. Hospice Home Care is allowed to notify government authorities if we believe a patient is the victim of abuse, neglect or domestic violence. Hospice Home Care will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure.
To Conduct Health Oversight Activities. Hospice Home Care may disclose your health information to a health oversight agency for activities including audits, civil administrative or criminal investigations, inspections, licensure or disciplinary action. Hospice Home Care, however, may not disclose your health information if you are the subject of an investigation and your health information is not directly related to your receipt of health care or public benefits.
In Connection With Judicial And Administrative Proceedings. Hospice Home Care may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process.
For Law Enforcement Purposes. Hospice Home Care may disclose your health information to a law enforcement official for law enforcement purposes as follows:
To Coroners And Medical Examiners. Hospice Home Care may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties, as authorized by law.
To Funeral Directors. Hospice Home Care may disclose your health information to funeral directors consistent with applicable law and if necessary, to carry out their duties with respect to your funeral arrangements. If necessary to carry out their duties, Hospice Home Care may disclose your health information prior to and in reasonable anticipation, of your death.
For Organ, Eye Or Tissue Donation. Hospice Home Care may use or disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs, eyes or tissue for the purpose of facilitating the donation and transplantation.
For Research Purposes. Hospice Home Care may, under very select circumstances, use your health information for research. Before Hospice Home Care discloses any of your health information for such research purposes, the project will be subject to an extensive approval process. Hospice Home Care will ask your permission if any researcher will be granted access to your individually identifiable health information.
In the Event of A Serious Threat To Health Or Safety. Hospice Home Care may, consistent with applicable law and ethical standards of conduct, disclose your health information if Hospice, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.
For Worker's Compensation. Hospice Home Care may release your health information for worker's compensation or similar programs.
AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION
Other than is stated above, Hospice Home Care will not disclose your health information other than with your written authorization. If you or your representative authorizes Hospice Home Care to use or disclose your health information, you may revoke that authorization in writing at any time.
YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION
You have the following rights regarding your health information:
DUTIES OF THE HOSPICE
Hospice Home Care is required by law to maintain the privacy of your health information and to provide to you and your representative this Notice of its duties and privacy practices. Hospice Home Care is required to abide by terms of this Notice as may be amended from time to time. Hospice Home Care reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If Hospice Home Care changes its Notice, we will provide a copy of the revised Notice to you or your appointed representative. You or your personal representative have the right to express complaints to Hospice Home Care and to the Secretary of Health and Human Services if you or your representative believe that your privacy rights have been violated. Any complaints to Hospice Home Care should be made in writing to the Patient Care Coordinator. Hospice Home Care encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
This Notice is effective August 1, 2002.
Hospice Home Care does not exclude, deny benefits to, or otherwise discriminate against any person on the ground of race, color, creed, sexual orientation, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefit under any of its programs and activities, whether carried out by Hospice Home Care directly or through a contractor or any other entity with which Hospice Home Care arranges to carry out its programs and activities.