隐私政策
你Infor-ma-tion. 你的权利. 我们的责任
This notice describes how medical information about you may be used 和 disclosed 和 how you can get access to this information. Please review it carefully.
你的权利
When it comes to your health information, you have certain rights. This section explains your rights 和 some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
- You can ask to see or get an electronic or paper copy of your medical record 和 other health information we have about you. Ask us how to do this.
- We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- 我们可能会说 “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- 我们会说 “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, pay-ment, 或者我们的操作. We are not required to agree to your request, 和 we may say “no” if it would affect your care.
- If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of pay-ment 或者我们的操作 with your health insurer. 我们会说 “yes” unless a law requires us to share that information.
- As part of our ongoing efforts to provide quality care to our patients, The South Bend Clinic participates in various electronic health information exchanges (HIE). This activity allows your medical information to be readily available to other community healthcare providers for coordination of care 和 may avoid duplicate testing.
Get a list of those with whom we’ve shared information
- You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, 为什么.
- We will include all the disclosures except for those about treatment, pay-ment, 和 health care operations, 和 certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
- You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights 和 make choices about your health information.
- We will make sure the person has this authority 和 can act for you before we take any action.
File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting us using the information at the bottom of this poster.
- You can file a complaint with the U.S. Department of Health 和 Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W.华盛顿特区.C. 20201, calling 1−877−696−6775, or visiting www.美国卫生和公众服务部.gov/ocr/privacy/hipaa/complaints/
- We will not retaliate against you for filing a complaint.
你Choic-es
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, 跟我们谈谈. Tell us what you want us to do, 和 we will follow your instructions.
In these cases, you have both the right 和 choice to tell us to:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
- Include your information in a hospital directory
- Contact you for fundraising efforts
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead 和 share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious 和 imminent threat to health or safety.
In these cases, we never share your information unless you give us written permission:
- Mar-ket-ing目的
- Sale of your information
- Most sharing of psychotherapy notes
In the case of fundraising:
- We may contact you for fundraising efforts, but you can tell us not to contact you again.
Our Uses 和 Disclosures
How do we typically use or share your health information? We typically use or share your health information in the following ways.
对待你
- We can use your health information 和 share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
管理我们的组织
- We can use 和 share your health information to run our practice, 改善你的护理, 和 contact you when necessary.
Example: We use health information about you to manage your treatment 和 services.
Bill for your services
- We can use 和 share your health information to bill 和 get pay-ment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
How else can we use or share your health information? We are allowed or required to share your information in other ways — usually in ways that contribute to the public good, such as public health 和 research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.美国卫生和公众服务部.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Help with public health 和 safety issues
We can share health information about you for certain situations such as:
- Pre-vent-ing疾病
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
做研究
- We can use or share your information for health research.
Comply with the law
- We will share information about you if state or federal laws require it, including with the Department of Health 和 Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ 和 tissue donation requests
- We can share health information about you with organ procurement organizations.
Work with a med-ical exam-in-er or funeral director
- We can share health information with a coroner, med-ical exam-in-er, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, 和 other government requests
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, 中国secu-ri-ty, 和 presidential protective services
Respond to lawsuits 和 legal actions
- We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Our Responsibilities
- We are required by law to maintain the privacy 和 security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties 和 privacy practices described in this notice 和 give you a copy of it.
- We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.美国卫生和公众服务部.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Changes to the Terms of This Notice
We can change the terms of this notice, 和 the changes will apply to all information we have about you. The new notice will be available upon request, in our office, 和 on our web site. This notice applies to The South Bend Clinic 和 all departments, 单位, 网站, 和 locations of The 正规博彩平台.