Notice of Privacy Practices

Effective April 5, 2021

Notice of Privacy Practices PDF

This Notice tells you how your medical information may be used or shared. It also tells how you can get your information. Please read it carefully. Ask us if you have any questions, or call the Privacy Officer at (419) 557-6913.

WhyWe保留關於你的信息

We keep medical information about you to help care for you and because the law requires us to. The law also says we must:

  • protect your medical information;
  • give you this Notice; and
  • follow what this Notice says.

我們用的詞是什麼意思

  • “Notice” means this Notice of Privacy Practices.

  • “FRHS” means Firelands Regional Health System, Firelands Regional Medical Center Main and South Campuses, Route 4 Surgery Center, all offsite locations, our staff, volunteers, contractors and any affiliated organizations covered by the Notice, including but not limited to: Firelands Physician Group, Firelands Counseling and Recovery Services, Firelands Corporate Health, Firelands DME Company, Firelands Home Health, Firelands MSO, Firelands Vocational Rehabilitation Services, and Firelands Physicians Regional Health Care.

  • “We,” “our,” or “us” means one or more FRHS organizations, providers, or staff.

  • “You” means the patient that the medical information is about.

  • “Medical information” means all the paper and electronic records related to a patient’s physical and mental health care—past, present, or future. These records tell who the patient is and includes information about billing and payment.

  • “使用”指在FRHS內共享或使用醫療信息。

  • “Share” means giving medical information, or access to information, to someone outside FRHS.

我們如何使用和分享您的信息

我們使用電子記錄係統來管理您的護理。這些係統有保護措施來保護其中的信息。我們還有一些政策和培訓,將信息的使用限製在那些需要信息來完成工作的人身上。非FRHS雇傭的醫生和其他人員可以與我們的員工分享他們掌握的關於您的信息,以照顧您。醫院、診所、醫生和其他護理人員、項目和服務機構可能會出於多種原因在未經您同意的情況下共享您的醫療信息。以下是幾個例子:

治療

我們可以使用和共享醫療信息來治療您。例如,為你治療骨折腿的醫生需要知道你是否患有糖尿病,因為糖尿病會延緩愈合。醫生可能需要告訴食品服務機構你患有糖尿病,以便為你準備合適的膳食。我們還可以分享您的醫療信息,以便您可以獲得:

  • medicine, medical equipment, or other things you need for your health care;
  • lab tests, x-rays, transportation, home care, nursing care, rehab, or other health care services.

Medical information may also be shared when needed to plan for your care after you leave FRHS.

用於計費和付款

我們可以使用和共享您的信息,以便我們和其他向您提供服務的人可以為這些服務收費。例如,我們可能會將您的醫療信息與您的健康計劃共享:

  • so your health plan will pay for care you received at FRHS
  • to get approval before doing a procedure
  • so your health plan can make sure they have paid the right amount to FRHS.

如果賬單過期,我們也可以與托收機構分享您的信息。

For Business Reasons

出於商業原因,我們可能會使用和分享有關您的信息。當我們這樣做的時候,如果可能的話,我們可能會取出識別你是誰的信息。我們可能使用或共享您的醫療信息的一些業務原因包括:

  • 遵守法律法規;
  • to train and educate;
  • for credentialing, licensure, certification, and accreditation;
  • to improve our care and services;
  • 預算和計劃;
  • 審計;
  • to maintain computer systems;
  • to evaluate our staff;
  • 決定是否提供更多服務;
  • to find out how satisfied our patients are; and
  • to bill and collect payment.

Anyone we share information with in order to do these tasks on behalf of us must also protect and restrict the use of your medical information.

For Health Information Exchanges

We will disclose some of your protected health information to one or more approved Health Information Exchanges (HIE) for the purpose of facilitating the provision of health care to you, as permitted by law. An HIE is an electronic network to facilitate secure transmission of health information between health care providers. Only authorized individuals may access and use your protected health information for the HIE. We may also use the HIE to disclose information for public health reporting purposes, for example, immunization reporting. The HIE maintains appropriate administrative, physical and technical safeguards to protect the privacy and security of your protected health information.

您或您的個人代表有權隨時以書麵形式要求我們不向HIE披露您的任何受保護健康信息(“選擇退出”)。將此書麵請求發送給FRHS隱私官員,地址:俄亥俄州桑達斯基市海斯大道1111號,郵編44870。我們必須尊重任何選擇退出HIE的書麵請求。如果您決定退出,您的數據將保留在電子係統中,但提供商將被阻止查看數據。您對向HIE披露受保護健康信息的任何限製可能會導致醫療保健提供者無法獲取為您提供適當護理所需的信息。

就預約、保險和其他事宜與您聯係

We may contact you by mail, phone, text, or email for many reasons, including to:

  • 提醒你約會的事
  • register you for a procedure
  • give you test results
  • 詢問有關保險、賬單或付款的信息
  • 跟進你的護理
  • ask you how well we cared for you.

We may leave voice messages at the telephone number you give to us.

To Tell You about Treatment Options or Health-related Products and Services

We may use or share your information to let you know about treatment options or health-related products or services that may interest you.

籌款

我們可能會使用您的姓名、地址、電話號碼、您在FRHS接受服務的日期和地點,以及您的醫生姓名與您聯係,以便為FRHS籌集資金。你有權要求不要聯係籌款人。如果您不希望我們聯係您進行籌款活動,您必須使用本通知中提供的聯係信息通知隱私官員。我們將迅速處理您的請求,但可能無法停止在收到您的退出通知之前啟動的聯係。

For the HospitalDirectory

With the exception of Behavioral Health patients, if you are admitted to the hospital,your name, where you are in the hospital, your general condition (such as “fair” or “stable”), and your religion are included in the patient directory at the information desk. This helps family, friends, and clergy visit you and be informed about your condition. Except for your religion, this information may be shared with visitors or phone callers who ask for you by name. Unless you tell us not to, your religion may be shared with a member of the clergy, such as a priest, rabbi, or imam even if you aren’t asked for by name.

You may opt out of the directory. If you opt out of the directory we will not share your information even if you are asked for by name.

通知家人和朋友參與Your Care or Paying for Your Care

With the exception of Behavioral Health patients, we may share information about you with family members and friends who are involved in your care or paying for your care. Whenever possible, we will allow you to tell us who you would like to be involved in your care. However, in emergencies or other situations in which you are unable to tell us who to share information with, we will only share information with those legally permitted to receive the information. We may also share information about you with a public or private agency during a disaster so that the agency can help contact your family or friends to tell them where you are and how you are doing.

For Research

We may use and share medical information about you for the research we do to improve public health and develop new knowledge. For example, a research project may compare the health and recovery of patients who received one medicine for an illness to those who received a different medicine for the same illness. We use and share your information for research only as allowed by federal and state rules. Each research project is approved through a special process that balances the research needs with the patient’s need for privacy. In most cases, if the research involves your care or the sharing of medical information that can identify you, we will first explain to you how your information will be used and ask your consent to use the information. We may access your medical information before the approval process to design the research project and provide the information needed for approval. Health information used to prepare a research project does not leave FRHS.

阻止嚴重威脅

根據法律授權或要求,我們可能會共享您的醫療信息,以防止對您或其他人的健康和安全造成嚴重和緊急的威脅。

For Organ, Eye, and Tissue Donation

We share medical information about organ, eye, and tissue donors and about the patients who need the organs, eyes, and tissues, with others involved in obtaining, storing, and transplanting the organs, eyes, and tissues.

With Military Authorities

If you are a member or veteran of the armed forces, we may share your medical information with the military as authorized or required by law. We may also share information about foreign military personnel to the proper foreign military authority.

工人的Compensation

我們可能會根據與工人補償或類似計劃相關的法律授權,分享您的醫療信息。

衛生監督和公共衛生報告

We may share information for audits, investigations, inspections, and licensing with agencies that oversee health organizations.

We may also share your medical information in reports to public health agencies.

Some reasons for this include:

  • 預防或控製疾病和傷害
  • 報告某些事件,如出生和死亡
  • to report abuse or neglect of children, elders, or dependent adults
  • to report reactions to medicines or problems with medical products
  • to inform people about recalls of medical products they may be using
  • to let someone know that they may have been exposed to a disease or may spread a disease
  • to notify the authorities as authorized or required by law that a patient has been the victim of abuse, neglect, or domestic violence.

For Lawsuits and Disputes

We may share your medical information as directed by a court order, discovery request, or other lawful instructions from a court or authorized government agency when needed for a legal or administrative proceeding.

With Law Enforcement and Other Officials

We may share your medical information with a law enforcement official as authorized or required by law.

我們還可以將您的醫療信息分享給:

  • coroners, medical examiners, and funeral directors, so they can carry out their duties
  • federal officials for national security and intelligence activities
  • a correctional institution if you are an inmate

其他用途of Your Medical Information

We will not use or share your medical information for reasons other than those described in this Notice unless you agree in writing. For example, you may want us to give medical information to your employer. We will do this only with your written approval.

破壞keting

我們不允許使用您的信息進行營銷活動,除非您明確授權進行溝通。

心理治療Notes

心理治療notes are notes recorded by a mental health professional that document or analyze the contents of a conversation in a counseling session and are kept separated from the rest of your medical record. There are limited circumstances in which we will use or disclose psychotherapy notes without a written authorization from you. The originator of the notes may use them for treatment purposes. We may use psychotherapy notes in our own mental health counseling training programs. We may also use psychotherapy notes in defense of a legal action or other proceeding brought by you, as required by law, or to avert a serious threat to a person’s or the public’s health or safety.

Sale受保護的健康信息

除非您明確授權披露,否則我們不允許出售您的信息。

Your Rights Regarding Your Medical Information

The records we create and maintain using your medical information are the custody of FRMC, but you have the following rights:

查看和接收您的醫療信息副本的權利

您有權查看並收到您的醫療信息副本,包括賬單記錄。您必須以書麵形式提出請求,並且必須由您或您的代表簽字。我們可能會收取費用,以支付複印、郵寄和其他費用和用品。在極少數情況下,我們可能會拒絕您提供某些信息的請求。如果我們拒絕您的請求,我們將以書麵形式向您說明原因。本通知末尾列出了我們供應商的醫療記錄位置。188bet体育投注官网

正當to Ask for a Change in Your Medical Information

如果您認為我們掌握的有關您的信息不正確,或者重要信息缺失,您有權要求我們更正現有信息或添加缺失的信息。該請求必須以書麵形式提出,並直接發送至本通知末尾所列供應商的健康信息管理部門。我們不能從記錄中刪除任何信息。我們隻能添加新信息來完成或更正現有信息。我們可能會拒絕你的要求;如果我們拒絕您的請求,我們將以書麵形式說明拒絕您請求的原因。

正當to Ask For a List of When Your Medical Information Was Shared

You have the right to ask for a list of when your medical information was shared without your written consent. This list will NOT include uses or sharing:

  • 因治療、付款或業務原因
  • 和你或代表你的人在一起
  • with those who ask for your information as listed in the hospital directory
  • 與家人或朋友一起照顧你
  • in those very few instances where the law does not require or permit it
  • 作為刪除直接標識符的有限數據集的一部分
  • releases before April 14, 2003.

You must request this list in writing from the Privacy Officer at the address listed at the end of this Notice. Your request must state the time period for which you want the list. The time period may not be longer than 6 years from the date of your request. You may be charged reasonable copying and mailing fees associated with this list.

違約時的通知權

You have a right to know if your information has been breached (unauthorized acquisition, access, use, or disclosure of certain categories of health information ). We will follow what the privacy laws require to let you know if your information has been shared in error.

正當to Ask for Limits on the Use and Sharing of Your Medical Information

You may request in writing that we not use or disclose your information for treatment (other than emergency treatment), payment, or operations purposes, or to individuals involved in your care, unless required by law.

我們會考慮你的要求並作出回應,但我們不需要遵守這個請求。但是,如果信息僅涉及除代表您的健康計劃外的其他人已全額支付的項目或服務,我們將接受出於支付或運營目的限製您向健康計劃披露信息的請求。

正當to Limit Sharing of Information with Health Plans

如果您全額支付了服務費用,您有權限製與您的健康計劃或保險公司共享的信息。為了限製這些信息,您必須在收到任何服務之前詢問。在安排預約時,請告知我們您希望限製與健康計劃的共享。在我們收到全額付款之前共享的任何信息,例如預授權您的保險的信息,都可以共享。此外,由於我們有一個綜合了您所有記錄的病曆係統,我們隻能限製一次護理的信息(在診所或醫院的一次就診中提供的服務)。如果您希望將信息限製在護理期之外,您還必須為以後的每次就診全額付費。

要求保密通信的權利

您有權要求我們以特定方式或在特定地點與您溝通。例如,你可以要求我們隻在工作時聯係你,或者隻使用郵政信箱聯係你。您必須按照本通知末尾列出的地址向隱私官員提出書麵請求。你不需要告訴我們你要求的理由。您的請求必須說明您希望聯係的方式或地點。您還必須告訴我們寄賬單的地址。我們將接受所有合理的要求。但是,如果我們無法使用您要求的方式或地點與您聯係,我們可能會使用我們掌握的任何信息與您聯係。188bet体育投注官网

正當to Get a Paper Copy of This Notice

您有權獲得本通知的紙質副本,即使您已同意以電子方式接收。你可以得到一份:

  • 在我們的任何設施
  • by contacting the Privacy Officer at the number listed at the end of this Notice or at火地。通用域名格式

Changes to this Notice

We have the right to change this Notice at any time. Any change could apply to medical information we already have about you, as well as information we receive in the future. The effective date of this Notice is on the first page of the Notice. A copy of the當前通知在FRHS和火地。通用域名格式

How to Ask a Question or Report a Complaint

如果你有關於這個通知或想的問題talk about a problem without filing a formal complaint, please contact the Privacy Officer at (419) 557-6913. If you believe your privacy rights have been violated, you may file a complaint with us. Please send your complaint to the FRHS Privacy Officer at the location listed at the end of this Notice or call the Compliance Hotline at the number listed below. You may also file a complaint with the Office of Civil Rights. You will not be treated differently for filing a complaint.

How to Contact Us

Firelands地區衛生係統隱私官員
1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-6913

HIPAA幫助熱線
(419) 557-6912

Firelands Regional Health SystemCompliance Hotline
(888) 556-4984

Firelands Regional Medical Center Health Information Management Department

1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-7435

Firelands Physician Group Health Information Management Department

1111 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-5552

Firelands Counseling & Recovery Services Medical Records Department

1925 Hayes Avenue
Sandusky, Ohio 44870
(419) 557-5177

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