HIPAA Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.  Effective date September 23, 2013.

Introduction

Adelante Healthcare (“AHC”) is committed to protecting the confidentiality of information about you, and is required by law to do so. This notice describes how we may use information about you within Adelante Healthcare and how we may disclose it to others outside AHC. We will notify you if there is a breach of your unsecured protected health information. This notice also describes the rights you have concerning your own health information.

How will we use and disclose information about you?

Treatment: AHC may use information about you to provide you with services and supplies. We may also disclose information about you to others that need the information to treat you, such as doctors, physician assistants, nurses, students, technicians, therapists, dentists, emergency service and medical transportation providers, medical equipment providers, and others involved in your care. For example, we will allow your physician to have access to your health record to assist in your treatment and for follow up care. We may make your health information available electronically through an electronic health information exchange (“HIE”) to other health care providers and health plans that request your information for their treatment and payment purposes.

We may also use and disclose information about you to contact you to remind you of an upcoming appointment, to inform you about possible treatment options or alternatives, or to tell you about health-related services available to you.

Family Members and Others Involved in Your Care: AHC may disclose information about you to a family member or friend who is involved in your care. If you do not want the Center to disclose information about you to family members or others, you must notify the registration/front office staff at the Center.  In the event of a disaster, we may disclose information about you to help locate a family member or friend in a disaster.

Payment: AHC may use and disclose information about you to get paid for the services and supplies we provide to you. For example, your health plan or health insurance company may request to see parts of your health record before they will pay us for your treatment.

Health Care Operations:  AHC may use and disclose information about you if it is necessary to improve the quality of care we provide to patients or for health care operations. We may use information about you to conduct quality improvement activities, to obtain audit, accounting or legal services, or to conduct business management and planning. For example, we may use health information to review our treatment and services and to evaluate the performance of our staff in caring for you.

Fundraising: Many of our patients like to make contributions to support the care provided by Adelante Healthcare. AHC may contact you in the future to raise funds for this purpose. You will be provided the option of not receiving these communications. Your health information is not shared for the purpose of fundraising.

Research: AHC may use or disclose information about you for research projects, such as studying the effectiveness of a treatment you received. These research projects must go through a special process that protects the confidentiality of your information.

Required by Law: Federal, state, or local laws do not require patient consent to disclose information which is required to be reported. For instance, we are required to report child abuse and neglect, gunshot wounds, etc. Public policy has determined that these types of needs outweigh the patient’s right to privacy. AHC is also required to give information to the state workers’ compensation program for work- related injuries.

Public Health: AHC may report certain health information for public health purposes. For instance, we are required by law to report births, deaths, and communicable diseases to the state. We may also need to report patient problems with medications or medical products to the manufacturer and to the FDA.

Public Safety: AHC may disclose health information for public safety purposes in limited circumstances.  We may disclose health information to law enforcement officials or to the court in response to a search warrant or other court order. We may also disclose health information to assist law enforcement officials in identifying or locating a person, to prosecute a crime of violence, to report deaths that may have resulted from criminal conduct at the Center. We may also disclose information about you to law enforcement officials and others to prevent a serious threat to health or safety.

Health Oversight Activities: AHC may disclose health information to a government or oversight agency that oversees AHC centers or its personnel, such as the state’s department of health services, or other federal agencies that oversee Medicare, or licensing agencies who govern physicians and other healthcare professionals.

X