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Who will follow this notice
This notice describes Oaklawn’s practices and that of:
- any health care professional authorized to enter information
into your chart;
- all employees, departments, and units of Oaklawn; and
- any member of a volunteer group allowed to help you at
Oaklawn.
All these entities, sites and locations follow the terms
of this notice. In addition, these entities, sites and locations
may share medical information with each other for treatment,
payment, or Oaklawn operations purposes described here.
Our pledge regarding medical information
We understand that medical information about you and your
health is personal and we are committed to protecting your
privacy. A record of the care and services you receive at
Oaklawn is created in order to provide you with quality care
and to comply with certain legal requirements.
This notice applies to all of the records of your care generated
by Oaklawn. Other health care facilities may have different
policies or notices regarding use and disclosure of your medical
information. This notice will tell you about the ways in which
we may use and disclose medical information about you. We
also describe your rights and certain obligations we have
regarding the use and disclosure of medical information. Oaklawn
is required by law to:
- make sure that medical information that identifies you
is kept private;
- give you this notice of our legal duties and privacy practices
with respect to medical information about you; and
- follow the terms of the notice that is currently in effect.
We will disclose medical information about you when we are
required to do so by federal, state or local law
To avert a serious threat to health or safety We will use
and disclose medical information about you when we have a
“Duty to Report” under state or federal law, because we believe
that it is necessary to prevent a serious threat to your health
and safety or the health and safety of the public or another
person. Any disclosure, however, would only be to someone
able to help prevent the threat.
Public health risks
We will disclose medical information about you for public
health reporting required by federal or state law in certain
cases, including:
- to prevent or control disease, injury or disability;
- to report births and deaths;
- to report child abuse or neglect;
- to report reactions to medications or problems with
products;
- to notify people of recalls of products they may be
using;
- to notify a person who may have been exposed to a disease
or may be at risk for contracting or spreading a disease
or condition;
- to notify the appropriate government authority if we
believe a client has been the victim of abuse, neglect
or domestic violence. We will only make this disclosure
if you agree or when required or authorized by law.
Health oversight activities
We will disclose medical information as required by law
to a health oversight agency for activities authorized by
law. These oversight activities include, for example, audits,
investigations, inspections, accreditation, and licensure.
These activities are necessary for the government to monitor
the health care system, government programs, and compliance
with civil rights laws.
Lawsuits and disputes
If you are involved in a lawsuit or a dispute, we will
disclose medical information about you when properly ordered
to do so by a court.
Law enforcement
We will release medical information if asked to do so by
a law enforcement official, and if permitted by law:
- in response to a court order;
- if required by state or federal law;
- to identify or locate a suspect, fugitive, material
witness, or missing person;
- about the victim of a crime if, under certain limited
circumstances, we are unable to obtain the person’s agreement;
- about a death we believe may be the result of criminal
conduct;
- about criminal conduct at an Oaklawn facility; and
- in emergency circumstances to report a crime; the location
of the crime or victims; or the identity, description,
or location of the person who committed the crime.
Protective services for the President and others
We will disclose medical information about you to authorized
federal officials so they may provide protection to the
President of the United States, other authorized persons
or foreign heads of state, or conduct special investigations.
How we may use and disclose medical information about you
The following categories describe different ways that we
use and disclose medical information. For each category of
uses or disclosures we will explain what we mean and try to
give some examples. Not every use or disclosure in a category
will be listed. However, all of the ways we are permitted
to use and disclose information will fall within one of the
categories.
For treatment
We may use medical information about you to provide you
with medical treatment or services. We may disclose medical
information about you to doctors, psychologists, nurses,
social workers, therapists, technicians, students, or other
Oaklawn personnel who are involved in taking care of you.
Different departments within Oaklawn also may share medical
information about you in order to coordinate the different
services you need. We also may disclose medical information
about you to people outside Oaklawn, such as other health
care providers involved in providing medical treatment for
you.
For payment
We may use and disclose medical information about you so
that the treatment and services you receive at Oaklawn and
elsewhere, may be billed, and payment may be collected from
you, an insurance company, or a third party. For example,
we may need to give information to your health plan about
treatment you received at Oaklawn so that your health plan
will pay us or reimburse you for your treatment. We may
also tell your health plan about a treatment you are going
to receive to obtain prior approval or to determine whether
your plan will cover the treatment.
For health care operations
We may use and disclose medical information about you for
Oaklawn operations or to another health care provider or
health plan, if you have a relationship with that health
care provider or health plan. These uses and disclosures
are necessary to operate Oaklawn and make sure that all
of our clients receive quality care. For example, we may
use medical information to review our treatment and services
and to evaluate the performance of our staff in caring for
you. We may also combine medical information about many
clients to decide what additional services Oaklawn should
offer, what services are not needed, or whether certain
new treatments are effective.
We may also disclose information to doctors, social workers,
therapists, nurses, psychologists, technicians, medical
students, and other personnel for review and learning purposes.
We may also combine the medical information we have with
medical information from other health care providers to
compare how we are doing and see where we can make improvements
in the care and services we offer. We may remove information
that identifies you from this set of medical information
so others may use it to study health care and health care
delivery without learning the identity of specific clients.
Appointment reminders
We may use and disclose medical information to contact
you as a reminder that you have an appointment for treatment
or medical care at Oaklawn.
Treatment alternatives
We may use and disclose medical information to tell you
about or recommend possible treatment options or alternatives
that may be of interest to you.
Health-related benefits and services
We may use and disclose medical information to tell you
about health-related benefits or services that may be of
interest to you.
Individuals involved in your care or payment for your
care
We may release certain limited information about you to
a friend or family member who is involved in your medical
care, but only with your permission or the approval of your
parent, guardian, or personal representative. We may also
give information to someone who helps pay for your care.
In addition, we may disclose medical information about you
to an entity assisting in a disaster relief effort so that
your family can be notified about your condition, status,
and location.
Research
With your permission, there may be a rare occasion where
Oaklawn would embark on a project for which they may use
or disclose medical information about you for research purposes.
All research projects are subject to an approval process.
This process evaluates a proposed research project and its
use of medical information, trying to balance the research
needs with clients’ need for privacy of their medical information.
If the project is approved and you are singled out to be
a participant, we will ask you to sign an authorization.
Special situations
Organ and tissue donation
If you are an organ donor, we may release medical information
to organizations that handle organ procurement or organ,
eye or tissue transplantation, or to an organ donation bank,
as necessary, to facilitate organ or tissue donation and
transplantation.
Military and veterans
If you are a member of the armed forces, we may release
medical information about you as required by military command
authorities. We may also release medical information about
foreign military personnel to the appropriate foreign military
authority.
Coroners, medical examiners and funeral directors
We may release medical information to a coroner or medical
examiner. This may be necessary, for example, to identify
a deceased person or determine the cause of death. We may
also release medical information about clients of Oaklawn
to funeral directors as necessary to carry out their duties.
National security and intelligence activities
We may release medical information about you to authorized
federal officials for intelligence, counterintelligence,
and other national security activities authorized by law.
Inmates
If you are an inmate of a correctional institution or under
the custody of a law enforcement official, we may release
medical information about you to them (1) for the institution
to provide you with health care; (2) to protect your health
and safety or the health and safety of others; or (3) for
the safety and security of the correctional institution.
Your rights regarding medical information about you
You have the following rights regarding medical information
we maintain about you:
Right to inspect and copy
You have the right to inspect and copy medical information
that may be used to make decisions about your care. Usually,
this includes medical and billing records, but does not
include psychotherapy notes.
To inspect and copy medical information that may be used
to make decisions about your treatment, you must submit
your request in writing to the Manager of Health Information.
If you request a copy of the information, we may charge
a fee for the costs of copying, mailing, or other supplies
associated with your request.
We may deny your request to inspect and copy in certain
very limited circumstances. If you are denied access to
medical information, under some circumstances you may request
that the denial be reviewed. Another licensed health care
professional chosen by Oaklawn will review your request
and the denial. The person conducting the review will not
be the person who denied your request. We will comply with
the outcome of the review.
Right to amend
If you feel that medical information we have about you
is incorrect or incomplete, you may ask us to amend the
information. You have the right to request an amendment
for as long as the information is kept by or for Oaklawn.
To request an amendment, your request must be made in writing
and submitted to the Manager of Health Information. In addition,
you must provide a reason that supports your request.
We may deny your request for an amendment if it is not
in writing or does not include a reason to support the request.
In addition, we may deny your request if you ask us to amend
information that:
- was not created by Oaklawn, unless the person or entity
that created the information is no longer available to
make the amendment;
- is not part of the medical information kept by or for
Oaklawn;
- is not part of the information which you would be permitted
to inspect and copy; or
- is accurate and complete.
Right to an accounting of disclosures
You have the right to request an “accounting of disclosures.”
This is a list of the disclosures we made of your medical
information.
To request this list or accounting of disclosures, you
must submit your request in writing to the Manager of Health
Information. Your request must state a time period, which
may not be longer than six years and may not include dates
before April 14, 2003. Your request should indicate in what
form you want the list (for example, on paper or electronically).
The first list you request within a 12-month period will
be free. For additional lists, you may be charged for the
costs of providing the list. We will notify you of the cost
involved and you may choose to withdraw or modify your request
before any costs are incurred.
Right to request restrictions
You have the right to request a restriction or limitation
on the medical information we use or disclose about you
for treatment, payment, or health care operations. You also
have the right to request a limit on the medical information
we disclose about you to someone who is involved in your
care or the payment for your care, like a family member
or friend. For example, you could ask that we not use or
disclose information about a specific treatment session
you had.
We are not required to agree to your request. If
we do agree, we will comply with your request unless the
information is needed to provide emergency treatment for
you.
To request restrictions, you must make your request in
writing to the Manager of Health Information. In your request,
you must tell us (1) what information you want to limit;
(2) whether you want to limit our use, disclosure, or both;
and (3) to whom you want the limits to apply, for example,
disclosures to your spouse.
Right to request confidential communications
You have the right to request that we communicate with
you about medical matters in a certain way or at a certain
location. For example, you can ask that we only contact
you at work or by mail.
To request confidential communications, you must make your
request in writing to the Access Center, an administrative
assistant, or the Privacy Officer at Oaklawn. We will not
ask you the reason for your request and will accommodate
all reasonable requests. Your request must specify how or
where you wish to be contacted.
Right to a paper copy of this notice
You have the right to a paper copy of this notice. You
may ask us to give you a copy of this notice at any time.
You may obtain a copy of this notice at our web site at
www.oaklawn.org. To obtain a paper copy of this notice,
contact the receptionist at any Oaklawn location.
Changes to this notice
We reserve the right to change this notice. We reserve the
right to make the revised or changed notice effective for
medical information we already have about you as well as any
information we receive in the future. We will post a copy
of the current notice in each of our facilities. The notice
will contain on the first page, in the top right-hand corner,
the effective date. In addition, each time you register at
or are admitted to Oaklawn for treatment or health care services
as an inpatient or outpatient, we will offer you a copy of
the current notice in effect.
Complaints
If you believe your privacy rights have been violated, you
may file a complaint with Oaklawn or with the Secretary of
the Department of Health and Human Services. To file a complaint
with Oaklawn, contact the Privacy Officer at 330 Lakeview
Drive, P.O. Box 809, Goshen, IN 46527. All complaints must
be submitted in writing.
You will not be penalized for filing a complaint.
Other uses of medical information
Other uses and disclosures of medical information not covered
by this notice or the laws that apply to us will be made only
with your written permission. If you provide us permission
to use or disclose your medical information, you may revoke
that permission, in writing, at any time. If you revoke your
permission, we will no longer use or disclose medical information
about you for the reasons covered by your written authorization.
Oaklawn is, of course, unable to take back any disclosures
we have already made with your permission. |