ETHICUS HOSPITAL -  GRAPEVINE

NOTICE OF PRIVACY PRACTICES

 

Takes effect on: September 1, 2007                   This Notice of Privacy Practice and all the forms are posted on our website at  www.ethicushc.com.

 

THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN REQUEST ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.

 

This Notice of Privacy Practices describes our hospitalÕs practices and that of:

 

NOTE:  The doctors who treat you at the hospital are not employees or agents of the hospital.  They are either independent doctors engaged in the private practice of medicine who have staff privileges at the hospital, or independent doctors who are independent contractors and have staff privileges at the hospital.

 

CHANGES TO THIS NOTICE

We reserve the right to change this notice.  We reserve the right to make the changed notice effective for medical information we already have about you as well as any information we receive in the future.  We will post a copy of the current notice in the hospital.  The notice will contain will contain the effective date on the top right-hand side of the first page.  Each time you come to the hospital for care, we will offer you a copy of the notice that is currently in effect.

Our current Notice of Privacy Practices is always posted on our web site at www.health-plus.net.

 

COMPLAINTS

You have the right to file a complaint if you believe that your privacy rights have been violated.

If you believe your privacy rights have been violated, you may file a complaint with the hospital, by contacting the Privacy Officer at 817-288-1300.    All complaints must be submitted in writing    A complaint can also be filed to the Secretary of Health and Human Services, OCR Division at 1-800-368-1019

 

 

OUR PLEDGE REGARDING PERSONAL MEDICAL INFORMATION

 

We understand that your medical information and your health are personal and we promise to protect your medical information. We create a record of the care and services you receive at the hospital. We need this record to provide quality care and to obey certain laws. This notice applies to all of the records of your care created by the hospital, whether made by hospital employees or your personal doctor. Your personal doctor(s) may have different policies or notices regarding how they use or give out or share the medical information created in their office or clinic.

This Notice describes the ways in which we are allowed by laws and rules to use or to give out your medical information.   This Notice also describes the rights that you have to control the use or release of your health information. It also describes the duties that we have in using or giving out your personal medical information.

We are required by law to:

 

UNDERSTANDING YOUR HEALTH  RECORD INFORMATION

 

Each time you visit a hospital, physician, or other healthcare provider, the provider makes a record of your visit.  Usually your records contain your health history, current symptoms, examination, test results, diagnosis, treatment, and a plan for further care or treatment.  This information, is called your medical record and it serves as:

 

Understanding what is in your health records and how your health information is used helps you to:

 

 

HOW WE MAY USE AND DISCLOSE YOUR MEDICAL INFORMATION

 

The following categories or groups describe different ways that we use or share or give out medical information.  For each category of uses and disclosures, we have explained what they mean and have provided examples.  Not every use or disclosure in a category is listed.  All of the ways that we are permitted by law to use and share or give out information will fall within one of the categories

 

 

CATEGORY I:      TREATMENT, PAYMENT AND OPERATIONS

¯       For Treatment   

We are allowed to use your medical information to plan and provide care and treatment to you.  The doctors, nurses, technicians, healthcare students, or other hospital personnel who take care of you at the hospital are allowed to see and read your medical information.  For example:

á          A doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. In addition, the doctor may need to tell the dietitian if you have diabetes so that we can arrange for appropriate meals.

á          Different departments of the hospital also are allowed to look at your medical information in order to coordinate the different services, such as medications, lab tests and x-rays.

á          We also are allowed to share or give out your medical information when arranging for your medical care after you leave our hospital.

á          We are allowed to use your medical information to tell you about or recommend possible treatment choices or alternatives (substitutes) that may be of interest to you or that are provided by your health plan.

 

¯       For Payment   

We are allowed to use and share or give out your medical information so we can bill for the treatment and services you receive at the hospital and collect payment from you, from your insurance company or a third party payer. For example:

á          Your health plan will need information about surgery you received at the hospital so your health plan will pay us or reimburse you for the surgery. We also are allowed to tell your health plan about a treatment you are going to receive to get approval before we do the treatment or to see if your plan will cover the treatment.

á          We may also give information to someone who helps pay for your care. 

 

¯       For Health Care Operations    

We are allowed to use and share or give out your medical information as necessary to operate the hospital and make sure that you and all of our patients receive quality care. For example:

á          We might use your medical information to evaluate (check on) how our staff took care for you.

á          We might also combine some of your medical information with other hospital patients to decide, for example, what other services the hospital should offer or whether new treatments are effective. The doctors, nurses, technicians, healthcare students, and other hospital personnel are allowed to review your medical information learning purposes.

á          We work with other hospitals to compare how we are doing and how we can make improvements in the health in our community. We will take away (delete) information that identifies you or links you to the medical information so the other hospitals may use the information to study health care and health care delivery without learning who you are.

 

 

CATEGORY II.    AS REQUIRED OR PERMITTED BY LAW

 

We must share or give out your medical information when asked in order to comply with federal, state or local law.

 

¯       To Avert a Serious Threat to Health and Safety  

We are permitted to use and share or give out your medical information when necessary to prevent a serious threat to your health and safety or the health and safety of another person or of the public.  Any disclosure, however, would only be to someone who is able to help prevent the threat.

 

¯       Public Health Risks 

We must disclose your personal medical information for public health activities.  These activities generally include the following to:

á          Prevent or control disease, injury, or disability

á          Report births and deaths

á          Report the abuse or neglect of children, elders, and dependent adults

á          Report reactions to medications or problems with products

á          Notify people of recalls of products they may be using

á          Notify a person who may to exposed to a disease or may be at risk for getting or spreading the disease or condition

á          Notify the police, FBI Officer or others who enforce the law (appropriate government authority) if we believe a patient has been a victim of abuse, neglect or domestic violence.

¯       Organ and Tissue   

We required to give your medical information to the organization that handles organ procurement, transplantation or donation, as necessary to facilitate the donation and transplantation at the time of death.

 

¯       WorkersÕ Compensation   

We are allowed to give your medical information for a workersÕ compensation claim.

 

¯       Health Oversight Activities  

We can share your health information with agencies that audit, investigate, and inspect health care programs for the publicÕs health.  These include, for example, agencies that inspect or license our hospital or that investigate a complaint about our hospital.

 

¯       Coroners, Medical Examiners and Funeral Directors   

We must give medical information to a coroner or medical examiner upon request.  We are allowed to give medical information needed by a funeral director to carry out his duties

 

¯       Protective Services for the President  

We may be required to release your medical information to authorized federal officials so they may provide protection to the President, or other authorized persons or foreign heads of state or conduct special investigations.

 

¯       Inmates  

If you are a prisoner of a jail or a prison under the custody of a laws enforcement official, we may be required to release medical information about you to the jail, prison or law enforcement official.  This release would be needed for the jail or prison to give you health care, to protect your health and safety, the health and safety of others, or for the safety and security of the jail or prison.

 

¯       Military and Veterans  

If you are a member of the armed forces, we must give your medical information when required by military command authorities.  We must release your medical information if you are a member of a foreign military to the appropriate foreign military authority.

 

¯       Law Suits and Disputes   

If you are part of a law suit or dispute, we must give your medical information  to some one else in the law suit or disputed if we receive a court or administrative order, a subpoena, a discovery request or other lawful process.  We will make reasonable efforts to tell you about these requests or to get an order to protect the information requested.

 

¯       Law Enforcement    

We are required to release medical information to a police officer, FBI officer or others who enforce the law when asked to do so:

á          If we are given a court order, subpoena, warrant, summons, or similar process or

á          If it is needed to identify or locate a suspect, fugitive, material witness, or missing person or

á          If it is about the victim of a crime, if under certain circumstances, we are unable to obtain the personÕs agreement

á          If it is about a death we believe may be the result of criminal conduct

á          In emergency circumstances to report a crime, the location of the crime or victims, of the identity, description, or location of the person who committed the crime

 

 

CATEGORY III.  THE RIGHT TO OBJECT OR RESTRICT

 

All requests listed in this category must be in writing. The hospital will provide a form for you to complete or will assist you in completing the form when you want to ask for any of the following:

 

¯       Right to Inspect  or to Receive a Copy of Your Medical Record  

You have the right to ask to see (inspect) your medical records or to ask for a copy of the medical information that was used in making decisions about your health care.   Usually, this includes medical and billing records, but it may not include some mental health information.  Instead of asking for a copy of your records, you can also ask for a written summary of your medical records. 

 

If you ask for a copy of your records, a fee will be charged to cover our costs for copying, mailing, and for other supplies needed.  If you ask for a summary of your medical records, a fee will be charged to cover our costs.  We will tell you what the costs will be and you can decide if you still want the copy of the summary, before any work is done.

 

We are permitted by law to deny (say ÒnoÓ to) your request to see or get a copy of your medical records in very limited certain circumstances.  If we say Òno,Ó you may ask that the denial be reviewed.  Another licensed healthcare professional picked by the hospital will review your request and the denial.  This person will not be the person who denied your request.  We will comply with the outcome of the review.

 

¯       Right to Request and Amendment  

If you feel that your medical information is wrong or not complete, you have the right to ask us to change the information.  You have a right to ask for the change as long as the information was created by the hospital.  Our form must be completed and you must provide a reason why you believe the information is not correct.

 

The law allows us to say no to your request for a change if you do not give a reason for your request.  We are allowed by law to say no to your request if you ask us to change information that:

á          We did not create the information. If the person, facility or organization that created the information is no longer available to make the change, the law allows us to make the change.

á          Is not a part of the medical information kept by or for the hospital

á          Is correct and complete.

 

¯       Right to an Accounting of Disclosures  

Your have the right to ask for a list of disclosures.  This is a list of the disclosures of your health information that we are required by federal, state or local laws as listed above.

You can request a time for six years or less.The time period must be after April 13, 2002. The first list that you request in a 12 month period will be provided free.  If you request additional list within the 12 month period, we are permitted to charge you for the costs of providing the list.  We will notify you of the costs and you can decide if you still want the list prepared before the work is started.

 

¯       Right to Request Restrictions   

You have the right to ask us not to use or give out or limitation the type of your medical information for treatment, payment or operations.  You also have the right to ask us to limit your medical information we give out to the person who is responsible for the payment of your care.

 

We are not required to agree to your request. 

 

If we do agree, we will comply with your request unless the information is needed to provide emergency care to you.  You must tell us what information you want to limit; whether you want to limit our use, disclosure or both; and to whom you want the limits to apply.

 

¯       Right to Confidential Communications  

You have the right to ask that we get in touch with you about your care in a certain way or at a certain location.  For example, you can ask us to call you only at work or to mail any information to an address different than your home address.  Your request must be in writing.  We will not ask the why you are asking. We will comply with a reasonable request.

 

¯       Right to Involve Individuals in Your Care   

Unless there is written instructions from you, we are allowed to give out information about you to family member or a friend who is involved in your medical care.  If a disaster happens, we can give out information to a disaster relief agency such as the Red Cross so that your family can be notified about your location or condition

 

RESEARCH  

We may be asked to share or give out your medical information if you are participating in a medical research project.  Before we share or give out this information, we will ask you for specific permission.

 
OTHER USES OF YOUR MEDICAL INFORMATION

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your permission.  If you give us permission to give out your medical information, you can change your mind at any time at any time. You must tell us in writing and give us the reasons why you changed your mind. We will no longer use or share or give out medical information about you for the reasons you listed.  We are not able to take back any disclosure that we have already made with your permissions.  We are required to retain all our records of the care that we provided to you.