Excellent Care (PEC), has policies and procedures in place
according to Federal and State laws and regulations for Health
Insurance Portability and Accountability Act of 1996 (HIPAA) and
notice describes how medical information about you may be used and
disclosed and how you can get access to this information. Please review
company is required by law to abide by the terms of the following
notice. If at any time changes in this information must be made, you
will receive a revised copy of this notice. If you have any questions,
concerns, or complaints about the information provided here or the
handling of your health information by our agency, please contact
our office and speak to one of our privacy committee members at:
590 3620 extension 23 and 25.
This notice takes effect March 1, 2003.
arising from matters covered by our company notice of privacy practices
are to be given directly to the Privacy Officer who will investigate
the grievance within five working days after receipt of such grievance
and will make every effort to resolve the grievance to the patients
personal and medical information will not be disclosure to third
party unless it is authorized by you in the Agreement and Consent,
the form which you sign at the beginning of the service. Typically,
your information is only to be transferred and/or discussed when
the issue regarding your care is involved. The third party may be
the other home health agency, the hospital, the laboratory, the
pharmacy, the hospital, the physician, the physical therapy, the
DME company, the accreditation body (such as JCAHO),
the Department of Health and Services,
and your insurance company.
company will use your individually identifiable health information
out the treatment ordered for you by your physician, such as wound
care, physical therapy, and/or medication administration including
your insurance/payer sources for our services, including sending
copies of our evaluations, clinical notes progress notes to them.
our health care operations such as quality assurance reviews and
company, by law, will also use your medical information for certain
purposes for which it does not require your consent including:
information to emergency technicians and ER personnel to facilitate
treatment in the case of an emergency.
with State Law regarding the reporting of certain communicable
diseases, evidence of/information on victims of abuse, neglect
or domestic violence, birth or death, or the conduct of public
health surveillance, investigation or intervention.
with federal and/or State Law to report or to provide access
to information for the purpose of management audits, financial
audits, program monitoring and evaluation, or licensure or certification
of the company or individuals.
required by law including to report adverse events with respect
to food or dietary supplements, product defects or problems
including problems with the use or labeling of a product, or
biological product deviations if the disclosure is made to the
person required or directed to report such information to the
food and drug administration.
needed to enable product recalls, repairs or replacements.
conduct post marketing surveillance to comply with requirements
or at the direction of the food
and drug administration.
an employer about you if you are a member of the workforce of
the employer and only if the company has provided healthcare
to you at the requests of your employer to conduct an evaluation
relating to medical surveillance of the workplace or to evaluate
whether you have a work related medical surveillance and the
employer needs such information to comply with State or Federal
company may use your information to call you with appointment reminders
or information about treatment alternatives or other health related
benefits and services that may be of interest to you.
other uses or disclosures of your individually identifiable health
information by us can only be made with your written authorization,
and you may revoke such authorization at any time, provided that you
do so in writing.
have the right to:
a written notice of information practices from our company such
as this one.
your own health information, including a right to inspect and
obtain a copy of that information.
amendment or correction of protected health information that is
inaccurate or incomplete.
restrictions on certain uses and disclosures of protected health
information as provided by section 164.522a. Under the provisions
of that rule, PEC does not have to agree to those requested restrictions.
a paper copy of this notice if you had originally agreed to receive
an electronic copy.
another person such as a family member to exercise your rights
under this privacy notice for you.
addition to the provisions above, PEC protects your health information
by the following practices:
physical copies of individually identifiable health information
maintained in our agency are locked up each night in a specific
room set aside for that use.
such physical copies of your health information are in use in
other parts of the office, they are handled in such a manner as
to prevent casual viewing of that information.
copies of your referral information which can include your diagnoses,
certain medications such as IV medications your are currently
receiving, and your name, address and telephone number or other
such contact information held by nurses, therapists, and other
providers of care involved in your treatment are maintained by
them in a manner which precludes their being seen by persons not
in the agency or involved your care.
copies of your health information are secured in password-protected
programs and only transmitted over special secured telephone lines.