Notice of Privacy Practices
This Notice Describes How Medical Information about You May Be Used
和披露以及如何获得这些信息
PLEASE REVIEW CAREFULLY.
如果您对此通知有任何疑问, 请联络设施私隐主任 listed at the end of this Notice.
关于医疗信息的承诺: 我们理解您的医疗信息是个人信息. 我们致力于保护您的医疗信息. 您的私人医生可能对医生在医生办公室或诊所使用和披露您的医疗信息有不同的政策或通知.
本通知将说明本设施可能使用您的医疗信息和向本设施以外的其他人披露您的医疗信息的方式. The law requires the Facility to:
- Make sure that medical information that identifies you is kept private;
- 告知您我们在您的医疗信息方面的法律责任和隐私惯例;
- Follow the terms of the Notice that is currently in effect; and
- 如果您的医疗信息受到泄露影响,将通知您.
Who Will Follow This Notice: The Facility and all of its sites and locations will follow the terms of this Notice. The following people will also follow the terms of this Notice:
- 设施的所有员工、承包商、志愿者和其他代理(“授权人员”).
- 授权医疗保健专业人员在设施内将信息输入您的医疗记录.
- Members of the Facility's medical staff and their authorized personnel.
- 与本设施共享电子病历的医疗保健提供者也可以使用本通知(尽管他们可能有自己的通知), which they will follow).
How the Facility May Use and Disclose Your Medical Information: We may use your medical information or share it with others for the following purposes:
- Treatment. Your medical information may be used to provide you with medical treatment or services. 这些医疗信息可能会透露给医生, interns, nurses, technicians, volunteers, students, 以及其他在疗养院照顾你的人. 我们还可能与本设施以外的医疗保健提供者及其工作人员共享您的医疗信息. 我们还可能使用您的医疗信息与您联系,以提供预约提醒,或向您提供有关治疗方案或您可能感兴趣的其他健康相关福利和服务的信息.
For example: 为你治疗断腿的医生可能需要知道你是否患有糖尿病,因为糖尿病可能会减缓愈合过程. 医生可能需要告诉营养师有关糖尿病的情况,以便安排适当的膳食. 该机构的不同部门也可能共享您的医疗信息,以协调您的不同需求, such as prescriptions, lab work and x-rays. 本机构还可能向机构以外的人披露有关您的医疗信息,这些人可能在您离开本机构后参与您的医疗护理, such as family members, home health agencies, 以及其他为你提供服务的人.
- Payment. 您的医疗信息可能会被使用和披露,以便对本机构提供的治疗和服务进行收费,并向您收取费用, 你的保险公司和/或第三方. Please note, 如果您的万博manbetx全站下载仅与您已向我们全额支付的医疗项目或服务有关,我们将遵从您的要求,不向您的保险公司披露您的万博manbetx全站下载.
例如:如果保险公司将负责报销您的护理费用, 健康计划或保险公司可能需要您在该设施接受手术的信息,以便他们可以支付手术费用. Information may also be given to someone who helps pay for your care. 您的健康计划或保险公司也可能需要您将要接受的治疗的信息,以获得事先批准或确定他们是否会支付治疗费用.
- Health Care Operations. 您的医疗信息可能会被用于和披露,以促进日常设施运营. 这些使用和披露是必要的,以运行设施和监测我们的病人得到的护理质量. 我们也可能与为我们提供认证等服务的外部公司共享您的医疗信息, legal, computer or auditing services. 这些外部公司被称为“商业伙伴”,HIPAA要求它们为您的医疗信息保密.
For example: Your medical information may be:
- Reviewed to evaluate the treatment and services performed by our staff in caring for you.
- 结合医院其他病人的情况,决定医院应该提供哪些额外的服务, what services are not needed, 以及某些新疗法是否有效.
- Disclosed to doctors, nurses, technicians, and other agents of the Facility for review and learning purposes.
- Disclosed to healthcare students, interns and residents for educational purposes.
- 与其他机构的信息相结合,比较我们的工作情况,看看我们可以在哪些方面改进所提供的护理和服务. 在这组医疗信息中识别您的信息可能会被删除,以便其他人可以在不知道特定患者是谁的情况下使用它来研究医疗保健和医疗保健服务.
- 参与共享电子病历. 该机构与社区中的其他医疗保健提供者共享电子病历. 我们这样做是为了让您的医疗保健提供者更容易获得您的万博manbetx全站下载,并提高您的护理质量. 如果您想要参与共享医疗记录的医疗保健提供者的列表, 请联络设施私隐主任.
- Facility Directory Information. 如果机构使用病人目录, you will be asked if you would like to participate in the Patient Directory. Only limited information including your room number and general condition, e.g., good, fair, poor, will be disclosed to those who ask for you by name. 如果你提供宗教信仰, it may be provided only to members of the clergy unless you object.
- 私人认可机构. 您的医疗信息可能用于满足本设施的要求,以满足联合委员会等私人设施认证组织的指导方针, NCQA, etc.
- 参与卫生信息交流. 我们可能参与一个或多个万博manbetx全站下载交换(HIEs),并可能以电子方式共享您的万博manbetx全站下载以进行治疗, payment and permitted healthcare operations purposes with other participants in the HIE, 包括可能不在本通知第一页“谁将遵循本通知”下列出的实体. 取决于州法律要求, you may be asked to "opt-in" in order to share your information with HIEs, or you may be provided the opportunity to "opt-out" of HIE participation. HIEs允许您的医疗保健提供者有效地访问您的医疗信息,这些信息是治疗您和其他合法目的所必需的. 除非HIE符合HIPAA的隐私和安全要求,否则我们不会与HIE分享您的信息.
- Individuals Involved in Your Care. 我们可能会与您的家庭成员分享您的医疗信息, 监护人或其他照顾你的人, or who helps pay for your care. In addition, 您的医疗信息可能会披露给协助救灾工作的实体,以便通知您的家人您的病情, status, and location. If you have any objection to sharing your medical information in this way, 请联络设施私隐主任 listed at the end of this notice.
- Research. Under certain circumstances, your medical information may be used and disclosed for research purposes. 所有涉及患者医疗信息的研究项目必须通过特殊的审查程序获得批准,以保护患者的隐私.
研究人员可能只有通过特殊审查过程才能获得识别您的信息, or with your written permission. In addition, 研究人员可以联系患者,了解他们是否有兴趣参加某些研究. 研究人员只有在通过特殊审查程序获得批准后才能与您联系. 只有在您同意并签署同意书的情况下,您才会成为其中一个研究项目的一部分.
- 万博manbetx全站下载的营销或销售. 出于营销目的使用和披露您的医疗信息或出售您的医疗信息,大多数情况下都需要您的书面许可. 我们可能会就我们自己的产品或服务与您沟通.
- Appointment Reminders. 您的医疗信息可能会被用于与您联系,以提醒您在本机构接受治疗或医疗护理的预约.
- Treatment Alternatives. 您的医疗信息可能会被用来告诉您或推荐您可能感兴趣的治疗方案或替代方案.
- 与健康有关的福利和服务. 您的医疗信息可能被用来告诉您您可能感兴趣的与健康相关的福利或服务.
- As Required by Law. Your medical information will be disclosed when we are required to do so by federal, state, or local authorities, laws, rules and/or regulations.
- Lawsuits and Disputes. 如果你卷入了诉讼或纠纷, your medical information may be disclosed in response to a court or administration order, subpoena, discovery request, or other lawful process by someone else involved in the dispute.
- Law Enforcement. 根据法律授权或要求,您的医疗信息可能会被发布给执法部门.
例如,我们可能会在以下情况下发布您的信息:
- In response to a court order, subpoena, warrant, summons or similar process;
- To identify or locate a suspect, fugitive, material witness, or missing person;
- About the victim of a crime if, 在某些有限的情况下, 无法取得被害人同意的;
- 万博manbetx全站下载认为可能是犯罪行为造成的死亡;
- 防止对健康或安全的严重威胁. 我们可能会在必要时使用或共享您的医疗信息,以防止对您的健康和安全以及公众或其他人的健康和安全构成严重威胁. Any disclosure, however, would only be to someone able to help prevent the threat.
- Health Oversight Activities. 我们可能会为法律授权的活动向健康监督机构披露您的医疗信息. 这些监督活动包括,例如,审计、调查、检查和许可. These activities are necessary for the government to monitor the health care system, government programs, 以及遵守民权法.
- Organ and Tissue Donation. 如果你是器官或组织捐赠者, 您的医疗信息可能会被发布给器官采购或器官管理机构, 眼睛和组织移植或器官捐赠银行, as necessary to facilitate organ or tissue donation and transplantation.
- Military and Veterans. 如果你是军队的一员, your medical information may be released as required by military command authorities. 如果你是外国军事人员, your medical information may be released to the appropriate foreign military authority.
- 国家安全和情报活动. 你的医疗信息将被公布给联邦情报部门, counterintelligence, 以及法律授权的其他国家安全活动.
- 为总统和其他人提供保护服务. 您的医疗信息可能会透露给授权的联邦官员,以便他们为总统提供保护, other authorized persons or foreign heads of state or conduct special investigations.
- Workers' Compensation. 如果你因与工作有关的疾病或伤害寻求治疗, 我们必须根据各州有关工人赔偿要求的具体法律提供充分的信息. Once state-specific requirements are met and an appropriate written request is received, only the records pertaining to the work-related illness or injury may be disclosed.
- Public Health Purposes. 我们可能会将您的医疗信息用于公共卫生活动,例如:
- 预防或控制疾病、伤害或残疾;
- To report births and deaths;
- To report child abuse or neglect;
- 报告药物反应或产品问题;
- 通知人们可能正在使用的产品被召回;
- 通知可能已接触某种疾病或可能有感染或传播某种疾病或病症风险的人;
- 如果我们认为病人是虐待的受害者,通知相应的政府部门, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
- 验尸官,验尸官和葬礼主管. Your medical information may be released to a coroner or medical examiner. 这可能是必要的,例如,识别死者或确定死亡原因. 如有必要,我们亦会向殡仪承办人公布病人的医疗资料,以协助他们履行职责.
- Inmates. 如果你是惩教机构的囚犯或被执法人员拘留, 我们可能会向惩教机构或执法人员公布您的医疗信息. 出于以下原因,此发布是必要的:
- 为你提供医疗保健的机构;
- 保护您和他人的健康和安全;
- 为了惩教机构的安全.
- 特别保护的资料: HIPAA为心理治疗笔记提供了额外的保护, and most uses or disclosures of psychotherapy notes require your written permission. 心理治疗笔记是心理健康专业人员关于私人或团体咨询会议的个人笔记. In addition, other types of information may have greater protection under federal or state law, 比如某些药物和酒精信息, 艾滋病毒/艾滋病和其他传染病信息, genetic information, mental health information, 或者关于发育障碍的信息. For this type of information, we may be required to get your written permission before disclosing it to others; we may seek that permission in the Facility's Condition of Admission form if permitted by law. 如果您对此有任何疑问,请联系本通知末尾的设施隐私官.
- Other Uses and Disclosures: 如果本机构希望出于本通知中未讨论的目的使用或披露您的医疗信息, 本设施将征求您的书面许可. 如果你同意的话, 你可以随时撤销(收回)那项许可, unless we have already relied on your permission to use or disclose the information. 如果你想撤销你的权限, please notify the Privacy Officer listed at the end of this Notice in writing.
您对医疗信息的权利: You have the following rights regarding your medical information:
**注:所有要求必须以书面形式提交给本通知末尾所列的设施隐私主任**
- 要求查阅您的医疗信息的权利. With certain exceptions, 您有权查看并获得您的医疗信息的副本,这些信息可能会被用来决定您的护理. To see or get a copy of your medical information, you must submit a written request. 如果您要求提供您的信息的纸质副本, 我们可能会收取复印费用, 邮寄或其他与您的要求相关的用品. 查看您的医疗信息是免费的.
- 要求修改您的医疗信息的权利. If you feel that the medical information we have about you is incorrect or incomplete, 你可以要求我们修改信息. 要请求修改,你必须提交一份书面请求. Please be specific about the information that you believe is incorrect or incomplete.
- Right to a List of Disclosures. 您有权索取我们为治疗以外的目的而披露您的医疗信息的清单, 支付和保健业务. 您请求的第一个列表是免费的. 参阅你在12个月内要求的其他名单, 我们可能会向你方收取提供清单的费用. We will notify you of the cost in advance so that you can choose whether to get the list.
- Right to Request Restrictions on How Your Medical Information is Used or Disclosed. 您有权要求我们改变使用或披露您的医疗信息的方式, payment or health care operations. 如欲要求限制,你必须以书面提出要求. In your request, you must tell us:
- 你想限制哪些信息;
- 您是否希望限制我们的使用、披露或两者兼而有之;
- To whom you want the limits to apply, for example, disclosures to your spouse.
我们不必同意你的要求, 除非您支付了您获得的服务的全部到期金额,否则我们不会与您的健康保险公司共享您的医疗信息(除非法律要求我们与您的健康保险公司共享信息)。.
- 要求保密通信的权利. 您有权要求我们以您认为更为保密的某种方式或地点与您沟通. For example: 您可以要求我们只在工作时或通过邮件与您联系. To request confidential communications, you must make your request in writing. 我们不会问你请求的理由. 我们将满足所有合理的要求. 您的请求必须指定您希望联系的方式或地点.
- Right to Be Notified of Breach. We will notify you if we discover a breach of your unsecured protected health information.
- 有权获得本通知书的书面副本. 您有权获得本通知的副本. 你可以随时要求我们给你一份副本. 即使您已同意以电子方式接收此通知, 您仍有权获得本通知的纸质副本.
有关本通告的其他资料:
- Changes To This Notice. 我们保留更改本通知的权利,并对我们已经掌握的有关您的医疗信息以及我们将来收到的任何信息有效. The facility will post a current copy of the notice with the effective date. In addition, each time you register at, or are admitted to, the facility for treatment or health care services as an inpatient or outpatient, 我们将向您提供当前有效通知的副本.
- Complaints. 你不会因为提出投诉而受到处罚. 如果你认为你的隐私权被侵犯了, 你可以向该机构或卫生与公众服务部部长投诉. Some States may allow you to file a complaint with State's Attorney General, Office of Consumer Affairs or other State agency as specified by applicable State law. 向该机构投诉, submit your complaint to the facility's Privacy Office in writing.
Please contact the Facility Privacy Officer by calling (205) 971-1000.
Effective Date: October 16, 2016
本供应商遵守适用的联邦民权法律,不存在种族歧视, color, national origin, age, disability, or sex.
注意:如果你不会说英语, language assistance services, free of charge, are available to you. 电话:(205)971-1000 (TTY: 800-548-2546)
Notice of Non-Discrimination
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