Notice of Privacy Practices
This describes how medical information about you may be used and disclosed and how you can get access to this information.
|
Introduction
We maintain protocols to ensure the security and confidentiality of your personal information. We have physical security in our building, passwords to protect databases, compliance audits, and virus/intrusion detection software. Within our practice, access to your information is limited to those who need it to perform their jobs.
At the offices of Medical Evaluation Services, we are committed to treating and using protected health information about you responsibly. This notice of privacy policies 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 effective April 14, 2003, and applies to all protected health information as defined by federal regulations. Your Health Information Rights
Although your health record is the physical property of Medical Evaluation Services, the information belongs to you. You have the right to:
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact our practice's Privacy Officer, Shelby Reeves, at 614-261-9723.
If you believe your privacy rights have been violated, you can either file a complaint with Shelby Reeves, or with the Office for Civil Rights, U.S. Department of Health and Human Services (OCR). There will be no retaliation for filing a complaint with either our practice or the OCR. The address for the OCR regional office for Ohio is as follows: Office for Civil Rights US Department of Health and Human Services 233 N. Michigan Ave., Suite 240 Chicago, IL 60601 |
Understanding Your Health Record
Each time you visit Medical Evaluation Services, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
Our Responsibilities
Our practice is required to:
We will not use or disclose your health information in a manner other than described in the section regarding Examples Of Disclosures For Treatment, Payment, And Health Operations, without your written authorization, which you may revoke as provided by 45 CFR 164.508(b)(5), except to the extent that action has already been taken. |
Examples of Disclosures for Treatment, Payment, and Health Operations
We will use your health information for treatment.
We may provide medical information about you to health care providers, our practice personnel, or third parties who are involved in the provision, management, or coordination of your care.
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 medical information will be shared among health care professionals involved in your care.
We will also provide your other physician(s) or subsequent health care provider(s) (when applicable) with copies of various reports that should assist them in treating you.
We will use your health information for payment.
We may disclose your information so that we can collect or make payment for the health care services you receive.
For example:
If you participate in a health insurance plan, we will disclose necessary information to that plan to obtain payment for your care.
We may provide medical information about you to health care providers, our practice personnel, or third parties who are involved in the provision, management, or coordination of your care.
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 medical information will be shared among health care professionals involved in your care.
We will also provide your other physician(s) or subsequent health care provider(s) (when applicable) with copies of various reports that should assist them in treating you.
We will use your health information for payment.
We may disclose your information so that we can collect or make payment for the health care services you receive.
For example:
If you participate in a health insurance plan, we will disclose necessary information to that plan to obtain payment for your care.
Additional Information
We will use your health information for regular health operations.
We may disclose your health information for our routine operations. These uses are necessary for certain administrative, financial, legal, and quality improvement activities that are necessary to run our practice and support the core functions.
For example:
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 and to reduce health care costs.
For all non-routine operations, we will obtain your written authorization before disclosing your personal information. In addition, we take great care to safeguard your information in every way that we can to minimize any incidental disclosures.
We may disclose your health information for our routine operations. These uses are necessary for certain administrative, financial, legal, and quality improvement activities that are necessary to run our practice and support the core functions.
For example:
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 and to reduce health care costs.
- Appointment Reminders
We may disclose information to provide appointment reminders (e.g., contacting you at the phone number you have provided to us and leaving a message as an appointment reminder). - Decedents
Consistent with applicable law, we may disclose health information to a coroner, medical examiner, or funeral director. - Workers Compensation
We may disclose health information to the extent authorized by and necessary to comply with laws relating to workers compensation or other similar programs established by law. - Public Health
As required by law, we may disclose health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability. - Research
We may disclose information to researchers when their research has been approved and the researcher has obtained a required waiver from the Institutional Review Board/Privacy Board, who has reviewed the research proposal. - 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 or organs for the purpose of donation and transplant - As Required by Law
We may disclose health information as required by law. This may include reporting a crime, responding to a court order, grand jury subpoena, warrant, discovery request, or other legal process, or complying with health oversight activities, such as audits, investigations, and inspections, necessary to ensure compliance with government regulations and civil rights laws. - Specialized Government Functions
We may disclose health information for military and veterans affairs or national security and intelligence activities. - Business Associates
There are some services provided in our organization through contacts with business associates. Some examples are billing or transcription services we may use. Due to the nature of business associates' services, they must receive your health information in order to perform the jobs we have asked them to do. To protect your health information, however, when these services are contracted we require the business associate to appropriately safeguard your information. - Practice Marketing
We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you (for example, to notify you of any new tests or services we may be offering). - 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. - Personal Representative
We may use or disclose information to your personal representative (person legally responsible for your care and authorized to act on your behalf in making decisions related to your health care). - To Avert a Serious Threat to Health/Safety
We may disclose your information when we believe in good faith that this is necessary to prevent a serious threat to your safety or that of another person. This may include cases of abuse, neglect, or domestic violence. - Communication with family
Unless you object, health professionals, using their best judgment, may disclose to a family member or close personal friend health information relevant to that person's involvement in your care or payment related to your care. We may notify these individuals of your location and general condition. - Disaster Relief
Unless you object, we may disclose health information about you to an organization assisting in a disaster relief effort.
For all non-routine operations, we will obtain your written authorization before disclosing your personal information. In addition, we take great care to safeguard your information in every way that we can to minimize any incidental disclosures.
