Blair Orthopedic Associates & Sports Medicine
| Notice of Privacy Practices |
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.
Introduction
At Blair Orthopedic Associates & Sports Medicine, 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 April 14th, 2003, and applies to all protected health information as defined by federal regulations.
Understanding Your Health Record/Information
Each time you visit Blair Orthopedic Associates & Sports Medicine; 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:
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 our 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 informed decisions when authorizing disclosure to others.
Your Health Information Rights
Although your health record is the physical property of Blair Orthopedic Associates & Sports Medicine, the information belongs to you. You have the right to:
Obtain a paper copy of this notice of information practices upon request,
Inspect and obtain a copy of your health record as provided for in 45 CFR 164.524,
Request an amendment of 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 reasonable 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.
Our Responsibilities
Blair Orthopedic Associates & Sports Medicine is required by law 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. 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. Our Notice of Privacy Practices will be posted on our website at http://www.blairortho.com
For More Information or to Report a Problem
If have questions and would like additional information, you may contact the practice's Privacy Officer at (814) 942-1166. 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 as follows:
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 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. 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 provide your primary care physician or a subsequent health care provider with a copy of your physician's note which should assist him or her in treating you. We will provide other physicians with your health information once we verify who they are to expedite your health treatment.
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, for example.
We will use your health information for regular health operations.
For example: Members of our staff 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.
Dictation: We dictate notes and other medical information that is transcribed and placed in your medical record to ensure the legibility of our records. During dictation, it may be possible for other patients and staff, not directly involved in your care, to incidentally hear the dictation.
X-Rays: We may hang x-rays in areas that may be seen by individuals other than you.
Business Associates: There are some services provided in our organization through contracts with business associates. Examples include, but aren't limited to transcription, accounting, certain laboratory tests, and, at times, a copy service we use when making 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 of them. To protect your health information, however, we require the business associate to appropriately safeguard your information.
Directory: We may use your name on sign-in sheets which may be visible by other patients. These sheets, are only out for the day of your visit to insure your receive the best care possible. If you are uncomfortable with your name on a sheet, please let staff know of your concern and we will address it.
Appointment Reminders: We may contact you via telephone, first-class mail, or email to provide appointment reminders.
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.
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. For example, we may let your spouse or relative pick up your x-rays or a disability form.
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.
Announcements: We will call patients' names in our waiting areas. We have drop boxes outside our waiting areas for the forms we hand you to ensure orderly patient flow.
Correctional institution/Inmates: 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.
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 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.
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.
