Treatment
Purposes: We will share your information with those who are
caring for you. For example, if you come in with a broken arm,
we will give your x-rays to your doctor. If you need medication,
the doctor may share your information with your pharmacist.
Payment Purposes:
We may share your medical information with the person or company
paying for your care. For example, if you come to us with a
broken arm, we will tell your insurance company why you came in
and what we did for you.
Health Care
Operations: We may use your medical information to improve
the way we provide care to you and others. For example, we may
share your medical information to teach others.
Appointment
Reminders: We may call or send a letter to remind you about
your appointment. Please tell us if you do not want your
information used in this way.
Sign-in Sheets:
We may use sign-in sheets in our offices and call your name when
the doctor is ready to see you.
Treatment Choices
and Other Services: We may send you information about
different ways to treat you and about other health benefits or
services that you may want to know about.
Fundraising:
We may share your information with the Baptist Health Care
Foundation so that the Foundation may contact you. The
Foundation raises money for Baptist Health Care to use to help
needy families, buy new equipment, and provide facilities and
services. Please call the Foundation at 850-469-7906 if you do
not want to be contacted.
Research: We
may share your information for research. The law requires us to
take extra steps to protect your privacy and tell why we will be
using your information.
Hospital Directory:
We may use your information in our directory. Our directory has
your name, religion, room number and how you are doing. If
someone asks for you by name, we will tell them your room number
and how you are doing. We may allow members of the clergy to see
our directory even if they do not ask for you by name. Please
tell us if you do not want to be listed in our directory.
People Involved In
Your Care: We may share your medical information with a
family member or a friend who is involved in your care. We may
also share your information with a person or company who is
helping pay your bill. Please tell us if you do not want your
information shared in this way.
Disaster Relief:
If there is a disaster such as a hurricane, plane crash, or
tornado we may use your medical information to notify your
family. We may also release information to an agency such as the
Red Cross. Please tell us if you do not want your information
shared in this way.
Satisfaction
Surveys: We may use your information to send a survey to you
in the mail. Your answers will help us provide better care.
Special Programs:
If you sign-up for one of our programs such as Golden Care or
Heart First, we may share your health information with our
volunteers and others so they can check on you while you are in
our care.
We May Share Your
Medical Information Without Your Permission:
As Required By
Law: An example is the mandatory reporting of positive
cancer tests to State agencies.
To stop a serious
threat to someone’s health or safety: We may only share this
information with someone who can stop the threat.
For Public Health:
We may share your medical information with a public health
agency such as the Centers for Disease Control.
Law Enforcement:
In some situations we may share your medical information
with law enforcement. If we believe you are a victim of abuse or
some other crime we may tell the police. We may also tell the
police if you commit a crime at our facility.
State and Federal
Review: We may share your medical information when we are
being reviewed. For example, we may share your information with
Medicare or Medicaid when they are reviewing the way we provide
care.
Legal Proceedings:
We may share your medical information when responding to proper
requests in legal proceedings.
Children: In
some cases we may not share your child’s medical information
with you. For example, there are times when your child can seek
care without your permission.
Organ Donation:
If you are an organ donor we may share your medical information
when appropriate.
In Case of Death:
We may share your medical information with a medical examiner or
funeral director.
Military and
Veterans: If you are in the military or a veteran, we may
share your medical information when required by law.
National Security:
We may share your medical information when required by law for
national security purposes.
Protection of The
President and Others: We may share your medical information
when required by law for protection services of the President
and other important leaders.
Department of
State: We may share your medical information when required
for security clearances and physicals of State Department
personnel and their dependents.
Inmates: If
you are a prisoner or in police custody, we may share your
medical information when required by law.
Work Injuries:
If you are receiving care because you were hurt at work we may
share your medical information with your employer and others as
required by Workers’ Compensation laws.
Your Rights Concerning
Your Medical Information:
Right To Request
Restrictions:
You can ask us not to
share your medical information for treatment, payment and health
care operations. Usually, we will not agree to this request
because it would make it difficult for us to care for you.
You can ask us not to
share your medical information with family or friends who are
involved in your care.
If you want to make
any of these requests you must do so in writing. The law does
not require us to agree to your request.
If you need emergency
treatment we may share your medical information even if you have
asked us not to.
Right To See And Get
A Copy:
You have the right to
see and get a copy of your medical information for as long as we
have it.
We may charge a fee
for giving you a copy.
Sometimes the law
does not allow us to let you see your medical information. If
this happens, you can appeal our decision. Your appeal must be
made in writing.
Right To Request
Confidential Communications:
You can ask us to
contact you in certain ways. For example, you can ask that we
not send your bills or appointment reminders to your home
address or call you at your work number.
This request must be
made in writing and tell us how you would like to be contacted.
We will agree to
reasonable requests.
Right To Amend:
You can ask us to
change your medical information. For example, you can ask us to
correct errors such as your date of birth.
This request must be
made in writing.
The law does
not require us to agree to your request.
If we deny your
request to change your medical information, you can appeal our
decision. Your appeal must be made in writing.
Right To An
Accounting:
You can ask us to
give you a list of people we have shared your medical
information with.
This does not include
information shared for treatment, payment and health care
operations.
This also does not
include information shared at your request.
This request must be
made in writing.
We are required to
keep track of who we have shared your information with for six
years.
This right starts on
April 14, 2003 and we will not have any information prior to
that date.
If you request more
than one accounting in a twelve-month period, we may charge you
a fee.
Right To A Paper
Copy Of This Notice: If asked, we will give you a paper copy
of this Notice.
No Other Use of Your
Medical Information Without Your Authorization:
We will not share your
medical information except in the ways indicated in this Notice
unless you give us your written authorization to do so. You may
revoke your authorization for other use of your medical
information at any time.
We ask that you please
give us the opportunity to resolve any issues you have concerning
your privacy. If you feel that we have violated your privacy, you
may file a written complaint with the Baptist Health Care Privacy
Officer at the address below. If you prefer, we will be happy to
assist you in completing a written complaint. There will be no
retaliation against you for filing a complaint. For further
information or assistance, you may contact us at:
Privacy
Officer
HIPAA
Program Office
Baptist
Health Care
1000
West Moreno Street
Pensacola, FL 32501
Telephone: 850-434-4472
You also have the right
to file a complaint with the Secretary of the U.S. Department of
Health and Human Services but we ask that you first allow us the
opportunity to correct any issues you may have concerning your
privacy.
| |
1000
West Moreno Street
Post
Office Box 17500
Pensacola, FL 32522-7500
(850) 434-4011 |
