Notice of Health Information Practices
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Advanced Homecare, 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 effective 2/13/15 and applies to all protected health information as defined by federal regulations.
Understanding Your Health Information/Records
Each time you visit Advanced Homecare a record of your visit is made. Typically, this record contains the date of your visit, your personal demographics, the clinician who serviced you and the products/services you were provided. This information is often referred to as a Delivery Ticket. It serves as a:
• Document of services provided;
• Means of communication among the professionals who contribute to your care;
• 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 our planning, marketing;
• A tool to gather data that we can use to 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 informed decisions when authorizing disclosure to others.
In addition to keeping an accurate file of your visits/deliveries/care plan we also keep a file containing information from your physician including but not limited to: chart notes, sleep studies, home studies, O2 testing information, insurance information and personal demographic data.
Your Health Information Rights
Although your record is the physical property of Advanced Homecare, the information belongs to you. You have the right to:
• Obtain a paper copy of this Notice of Information Practices upon request;
• Inspect and copy your health record as provided for in 45 CFR 164.524 (the first copy is free and any additional copies may be billed at the established copying rate);
• Amend your health record as provided in 45 CFR 164.528;
• 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; and
• Revoke your authorization to use or disclose health information except to the extent that action has already been taken.
Advanced Homecare 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 mail a revised notice to the address you’ve supplied us, or if you agree, we will email the revised notice to you.
We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue using or disclosing your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact the Advanced Homecare CEO/Founder, Gabe Quintanilla at 23749 Jefferson Ave., Suite 100, Temecula CA, 92590. or at 1-800-758-7571.
If you believe your privacy rights have been violated, you can file a complaint with the practice’s 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
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C. 20201
Examples of Disclosures for Treatment, Payment and Health Operations
We will use your health information for treatment.
For example: Information obtained from 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 care and any care recommendations. This information is ongoing and will be sent to us during the initiation of services/care, as well as to update your record of ongoing recommendations of care.
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.
We will use your health information for payment.
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 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 that have been coordinated between us, you and your sleep medicine physician. 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.
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.
Communication with family: 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.
Marketing: We may contact you to provide appointment reminders or other care-related benefits and services that may be needed or of interest to you.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to 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 workers 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.
Correctional institution: Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals.
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 provisions 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.
Revision Date: 2/13/15