SUMMARY- NOTICE OF PRIVACY PRACTICES
This
is a summary of the Northeast Valley Health Corporation (NEVHC)
Notice of Privacy Practices. You have a right to receive a copy
of the complete document.
NEVHC
recognizes that your medical information is personal. We are committed
to providing privacy and confidentiality of your medical information.
This notice describes NEVHC's privacy practices and the way in which
we may use and disclose medical information about you.
We
are required to maintain a complete copy of your medical history,
current condition, treatment plan and all treatment given, including
the results of all tests, procedures and therapies. We must maintain
this information in a safe and secure manner that protects your
privacy and confidentiality. You have the right to read or get a
copy of your medical information.
NEVHC
May Use and Disclose Medical Information About You in the Following
Ways:
a)
For Treatment: Other health professionals within or outside of NEVHC
who are involved in your care may need to
access your information.
b) For Payment: To bill or collect for payment of services from
you, your insurance company, or a third
party billing agency we may disclose your information.
c) For Health Care Operations: We may use or disclose medical information
about you to the extent necessary to run the facility or ensure
quality care.
d) For Research: Information that may identify you will not be released
to anyone outside of NEVHC without your
prior written permission but we may remove
information that identifies you so that others may use it to study
health care.
e) Appointment Reminders: We may use your information to contact
you as a reminder that you have a scheduled
appointment
f) Treatment Alternatives, Health Related Benefits and Services:
We may use or disclose medical information
to tell you about or recommend possible
treatment options, alternatives to your current treatment, health
related benefits or services that may be
of interest to you.
g) To Avoid Serious Threat to Health or Safety: When necessary your
information may be used or disclosed to
prevent a serious threat to the health and
safety of you, of the public or of another person.
h) Public Health Risks: We may disclose medical information about
you for public health activities to prevent
or control disease, injury or disability; to
report births and deaths; to report child abuse and/or neglect;
to report reactions to medications or problems
with products; to notify people of recalls
of products; to notify a person that they may have been exposed
to a disease or may be at risk for contracting or spreading a disease;
to notify a government agency about abuse, neglect or domestic
violence as required by law.
i) Worker's Compensation: We may release medical information about
you for worker's compensation benefits for
work related injuries or illnesses.
j) Military or Veteran's: If you are a member of the armed forces,
we may release information about you as
required by military command authorities.
k) Fundraising Activities: We may use medical information about
you to contact you in an effort to raise
money for the facility and its operations but
we will only release contact information about you.
l) Law Enforcement: We may release information about you in response
to a court order, subpoena, warrant, summons;
to identify or locate a suspect, fugitive, material
witness or missing person; about a victim of crime
; about a death as a result of a crime; about criminal conduct at
our clinic; in emergency circumstances to report
a crime.
m) Coroner's, Medical Examiners and Funeral Directors: We may release
medical information about you to a coroner or
medical examiner to identify a deceased person
or determine cause of death. We may release information
to funeral directors as necessary to carry out their duties.
n) As required by law- We may release your information as required
by California Law.
We
do not allow others outside of NEVHC to access your medical information
unless we have authorization from you to do so. Any authorization
to use or disclose medical information may be revoked by you in
writing at any time unless (1) NEVHC has already taken action in
reliance on that authorization or (2) if the authorization was obtained
as a condition of obtaining insurance coverage.
YOU HAVE THE FOLLOWING RIGHTS REGARDING MEDICAL INFORMATION WE MAINTAIN
ABOUT YOU:
•You
have the right to inspect and receive a copy of your medical information.
•You have the right to amend your medical information if you
believe it is incorrect or incomplete (restrictions
may apply).
•You have the right to request restrictions or limitations
of your medical information.
•You have the right to request the method by which we communicate
with you about medical matters so that the communication
is kept confidential.
•You have a right to receive an accounting of all disclosures
of your medical information.
•You have a right to receive a paper copy of the NEVHC Notice
of Privacy Practices.
Filing
a Complaint:
If
you wish to request restrictions, amendments or accountings of your
medical information, you may file such a request in writing with
the NEVHC Privacy Officer located at 1172 North Maclay Avenue, San
Fernando, CA, 91340. You may also send an e-mail to privacyoffice@nevhc.org
or call (818) 898-1388.
If
you believe your privacy rights have been violated, you may file
a complaint with the Privacy Officer of NEVHC or with the Secretary
of the Department of Health and Human Services. All complaints must
be in writing. You will not be penalized in any way for filing a
complaint. |
