The Health Insurance Portability & Accountability Act (HIPAA) of 1996 defines protected health information and establishes new patient rights regarding their health information. These rights include the following:
This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
If you have any questions about this notice, please contact the Lafene Health Center Privacy Officer at 785.532.6544, fax at 785.532.3425 or e-mail firstname.lastname@example.org.
Each time you visit a hospital, physician, or other healthcare provider, 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:
Understanding what is in your records and how your health information is used helps you to:
Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information belongs to you. You have the right to:
This organization is required by law to:
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 post a revised notice on the Lafene Health Center website at www.k-state.edu/lafene.
We will not use or disclose your health information without your authorization, except as described in this notice.
If you have questions or would like additional information, you may contact the Privacy Officer/Director of Health Information Management at 785.532.6544.
If you believe your privacy rights have been violated, you can file a complaint with the Privacy Officer/Director of Health Information Management at (785) 532-6544 or with the Region VII Office of Civil Rights in Kansas City; Regional Manager Office for Civil Rights; U.S. Department of Health and Human Services; 601 East 12th Street - Room 248, Kansas City, Missouri 64106; Voice Phone (816) 426-7278; FAX (816) 426-3686; TDD (816) 426-7065 or: Office for Civil Rights; U.S. Department of Health and Human Services; 200 Independence Avenue, S.W. Room 515F HHH Bldg.; Washington, D.C. 20201.
All complaints must be submitted in writing. There will be no retaliation for filing a complaint.
For example: Information obtained by a nurse, physician, or other member of your healthcare 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 healthcare team. Members of your healthcare 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 healthcare provider with copies of various reports that should assist him or her in treating you if you are referred elsewhere for further treatment.
For example: A bill may be sent to you or a third-party payer (i.e. insurance company). The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
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 health care and service we provide.
We may use and disclose health information to contact you as a reminder that you have an appointment for treatment or medical care at Lafene Health Center or regarding follow up of a previous appointment. Unless you direct us to do otherwise, we may leave messages on your telephone answering machine identifying Lafene Health Center and asking for you to return our call. Unless we are specifically instructed by you otherwise in a particular circumstance, we will not disclose any health information to any person other than you who answers your phone except to leave a message for you to return the call.
There are some services provided in our organization through contacts with business associates. Examples include physician services in radiology, certain laboratory tests, and a microfilming service we use when making microfilm copies of your health record. 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.
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.
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 case. Any further disclosure would require a signed authorization from you.
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
We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you.
We may contact you to complete a patient satisfaction survey following a visit to the health center.
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.
We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
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.
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.
Effective Date: April 14, 2003