At Highland Clinic, we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is required by law effective October 1, 2002 and applies to all protected health information as defined by federal regulations.
Understanding Your Health Record/Information
Each time you visit Highland Clinic; a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnosis, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
- Basis for planning your care and treatment,
- Means of communication among the many health professionals who contribute to your care,
- Legal document describing the care you received,
- Means by which you or a third-party payer can verify that services billed were actually provided,
- A tool in educating health professionals,
- A source of data for medical research,
- A source of information for public health officials charged with improving the health of this state and the nation,
- A source of data for planning and marketing,
- A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve.
Understanding what is in your record and how your health information is used helps you to: ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make more decisions when authorizing disclosure to others.
Your Health Information Rights
Although your health record is the physical property of Highland Clinic, the information belongs to you. You have the right to:
- Obtain a paper copy of this notice of information practices upon requests,
- Inspect and copy your health record as provided for in 45 CFR 164.524,
- Amend your health record as provided in 45 CFR 164.526,
- Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528,
- Request communications of your health information by alternative means or at alternative locations,
- Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522,
- Revoke your authorization to use or disclose health information except to the extent that action has already been taken.45 CFR 164.508 (b) (5),
- Request an accounting of who accessed your medical record and why.
Highland Clinic is required to:
- Maintain the privacy of your health information,
- Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you,
- Abide by the terms of this notice,
- Notify you if we are unable to agree to a requested restriction, and
- Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will supply you with a revised notice when you return for your next appointment. We will also place an updated notice on our Website www.highlandclinic.com.
We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization. Other uses and disclosures not described in this notice will be made only with the individual's written authorization.
An authorization must be obtained for the use and disclosure of psychotherapy notes, marketing, and the sale of PHI (CFR 45 164.508 (a)(2)-(a)(4)).
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact the practice's Privacy Officer at (318) 798-4630.
If you believe your privacy rights have been violated, you can file a complaint with the practices Privacy Officer, or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights. The address for the OCR is listed below:
Office for Civil Rights
U.S. Department of Health and Human Services
1301 Young Street – Suite 1169
Dallas, TX 75202
(214) 767-4056; (214) 767-8940 (TDD)
(214) 767-0432 Fax
Examples of Disclosures for Treatment, Payment and Health Operations
We will use your health information for treatment.
For example: Information obtained by a nurse, physician, or other member of your health care team will be recorded in your record and used to determine the course of treatment that should work best for you. Your physician will document in your record his or her expectations of the members of your health care team. Members of your health care team will then record the actions they took and their observations. In that way, the physician will know how you are responding to treatment.
We will also provide your physician or a subsequent health care provider with copies of various reports that should assist him or her in treating you once you're discharged from this clinic.
We will use your health information for payment. You can retrict disclosure of PHI to a health plan when services are paid in full out-of-pocket.
For example: A bill may be sent to you or a third party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
We will use your health information for regular health operations.
For example: Members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide.
Business associates: There are some services provided in our organization through contacts with business associates.
Examples include physician services in the emergency department and radiology, and certain laboratory tests. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we've asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.
Notification: We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition.
We may call your residence and leave a message reminding you of your appointment date and time.
Communication with family: Unless you object; Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person's involvement in your care or payment related to your care. It is the practice of our Oncology group to administer chemotherapy in an open setting. We allow one family member or friend per patient but no person under the age of 16 to accompany each patient if so desired. Our providers believe that family or friend involvement is beneficial to the patient. Please inform your physician if you object to this practice in any way.
Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.
Funeral directors: We may disclose health information to funeral directors consistent with applicable law to carry out their duties.
Organ procurement organizations: Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.
Genetic Information: A health plan is prohibited from using or disclosing PHI that is genetic information of an individual for underwriting purposes.
Marketing: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Fund raising: We may contact you as part of a fund-raising effort. You have the right to opt out of fundraising contacts.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
Workers compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to worker compensation or other similar programs established by law.
Public health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
Breach notification: You have the right to be notified after a breach of unsecured PHI.
Law enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena. -
Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.
Notice of Privacy Revision (2) - 03/06/2013
Política de Privacidad - En Español
Base para planear su cuidado y tratamiento
Medios de comunicación entre los profesionales de la salud que contribuyen a su cuidado
Documento legal que describe el cuidado que usted recibió
Medio por el cual usted o un tercero pagador puede verificar que realmente se prestaron servicios facturados
Un instrumento en educación de profesionales de la salud
Una fuente de datos para la investigación médica
Una fuente de información para los funcionarios de salud pública encargado de mejorar la salud de este estado y la nación
Una fuente de datos para planificación y mercadotecnia
Un instrumento con el cual podemos evaluar y continuamente trabajar para mejorar el cuidado que damos y los resultados que logramos
Obtenga una copia de papel de este aviso de prácticas de información a petición
Inspeccionar y copiar su registro de salud según lo dispuesto en 45 CFR 164.524
Modificar su registro de salud según lo dispuesto en 45 CFR 164.526
Obtener una lista de las divulgaciones de su información de la salud según lo dispuesto en 45 CFR 164.528
Pedir comunicaciones de su información médica por medios alternativos o en lugares alternativos
Solicitar una restricción en ciertos usos y divulgaciones de su información de conformidad con lo dispuesto en 45 CFR 164.522
Revocar su autorización para usar o divulgar información de salud excepto en la medida que la acción ya se ha tomado. 45 CFR 164.508 (b) (5)
Solicite una contabilidad de quien tuvo acceso a su registro médico y por qué
Mantener la privacidad de su información de salud
Proporcionarle este aviso de nuestras obligaciones legales y prácticas de privacidad con respecto a la información que recopilamos y mantenemos sobre usted
Cumplir los términos de esta notificación
Le notificaremos si no podemos estar de acuerdo con una restricción solicitada
Acomodar las solicitudes razonables que tenga que comunicar información de salud por medios alternativos o en lugares alternativos