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Compliance Hotline
Call 1-866-654-6507 or visit the
Hotline to report:
- Unsafe Conditions and/or Improper Conduct
- Fraud or Theft
- Quality Violations
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Christian Care Communities (Christian Care)
Notice of Privacy Practices - Effective Date: February 19,
2007
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.
Understanding Your Medical Record and Your Health Information
Each time you visit a Christian Care Communities facility
or one of its affiliates (together affiliated covered entity),
information about your visit is recorded in your medical
record. Typically, this record consists of your medical
history, symptoms, examination, observations, test results,
diagnosis, treatment, and future care plans. Understanding
your health information and how it is used helps to ensure
that it is accurate, and that it is used and disclosed
appropriately.
Your Health Information Privacy Rights
Although your medical record is in the custody of Christian
Care, the information contained in the record belongs to
you. You have legal rights regarding your health information,
which are described below. To exercise any of these rights,
a written request must be submitted to the Facility's Administration.
Requests that do not follow these guidelines may be denied.
Your legal rights include a:
- Right to Access. With some
exceptions, you have the right to review and copy your
health information. Kentucky law provides that a patient
is entitled to one free copy of his or her medical records. Thereafter,
we may charge a fee for the cost of copying, mailing, or
other supplies associated with your request.
- Right to Amend. You have
the right to request an amendment of your health information
if you believe it contains incorrect, inaccurate or incomplete
information. This right exists as long as we keep this
information.
- Right to an Accounting of Disclosures. You
have the right to obtain a listing of those to whom we
disclosed your health information. This right applies to
disclosures other than those made for treatment, payment,
health care operations; and those you specifically authorized.
You can request an accounting for up to 6 years prior to
the date of the request but not prior to April 14, 2003.
The first request in a 12-month period is provided at no
cost to you. There may be a charge for subsequent requests
within the same 12-month period.
- Right to Request Restrictions. You
have the right to request restrictions on the use or disclosing
of your health information. We will use our best efforts
to comply with all approved requests except when the information
is needed to provide emergency treatment. We will provide
you with a written explanation for denied requests or when
we revoke a previously agreed to restriction.
- Right to Request Alternate Communications. You
have the right to specify that communication with you be
conducted in a particular manner or be directed to a certain
location. We will attempt to accommodate all reasonable
requests.
- Right to a Paper Copy of this Notice. You
may request a paper copy of this Notice at any time.
- Right to Require Written Authorization. Any
uses or disclosures of your health information, other than
those described below, will be made only with your advance
written authorization, which you may grant or revoke at
any time.
Use and Disclosure of Your Health Information
Federal privacy laws allow Christian Care to use and disclose
your health information for the following reasons or to
the following entities:
- Treatment - Members of Christian Care's
workforce (including doctors, nurses, therapists, etc.)
may use your health information to treat and care for you.
We may disclose your health information to providers not
affiliated with Christian Care, to facilitate the care
they provide you. For example, we may disclose your health
information to your personal physician during your stay
at the Christian Care Facility.
- Payment - Members of Christian Care's
workforce may use your heath information to request payment,
for the treatment we provide. For example, we may disclose
your health information to your health insurance plan,
to a third party, or directly to you to request payment
for the treatment we provide.
- Health Care Operations - Members of
Christian Care's workforce may use your health information
for health care operations of the Christian Care Facility.
Examples of these activities are: state certification surveys,
reviews of our services, determinations of the effectiveness
of new treatments, evaluation of our performance, providing
training to our staff, or to identify future services offerings
and those no longer needed.
- Health Related Benefits and Services – We
may use and disclose medical information about you to contact
you about health related benefits and services that may
be of interest to you.
- Facility Directory and Notification Purposes
- Your name and location in the Facility may
be included in the directory. This information may be
released to people who ask for you by name. Your name
may be included in a list of residents provided to clergy
who offer spiritual services.
- Communication - We may contact you to
provide appointment reminders, alternative treatments,
and other health services that may be of interest.
- Individuals Involved in Your Care – We
may disclose to a family member, other relative, a close
personal friend, or any other person identified by you,
medical information about you that is directly relevant
to that person’s involvement with your care or payment
related to your care. We may also use or disclose
medical information about you to notify, or assist in notifying,
those persons of your location, general condition or death.
- Disaster Relief – We may use or
disclose medical information about you to a public or private
entity authorized by law or its charter to assist in disaster
relief efforts.
- Business Associates - We may disclose
your information to service providers with whom we have
contracted to provide a service or raise money on our behalf.
We must have written assurances in place, before disclosing
your information to our Business Associates.
- Research - We may use and disclose your
health information to researchers when permitted by law,
for example, if the 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.
- Law, Lawsuits, Disputes, Law Enforcement - We
may disclose your information in response to a court or
administrative order, subpoena, warrant, summons, discovery
request, or as required by Law. In the event of such
requirement, we will make every effort to ensure that there
is strict compliance with all rules applicable to matters
before any such tribunal related to the disclosure and
protection of health information.
- Funeral Directors, Coroners, Medical Examiners
- We may disclose your health information in
order for these individuals to carry out their duties.
- Food and Drug Administration (FDA), Public Health
Agencies, Health Oversight Agencies - We may
disclose your information to: report adverse events with
food, drugs, medical devices, dietary supplements, other
products and product recalls; report births, deaths,
child abuse, neglect, domestic violence; prevent or control
disease, injury, disability; notify people possibly exposed
to a disease or maybe spreading a disease; authorized
organ donations; or as required by law.
- Workers' Compensation Programs - We
may disclose your information as permitted or required
by state law relating to workers' compensation programs.
- Correctional Institution - We may disclose
your information when you are an inmate or under custody
so the correctional institution can provide you health
care, to protect your health and safety and that of others.
- Military Authorities - We may disclose
your information when you are a member or veteran of the
military.
- Mental Health or Chemical Dependency Records – If
we receive health information about you from a health care
provider, we will not redisclose or otherwise reveal any
mental health or chemical dependency records contained
in that information beyond the purpose of the disclosure
to us, without first obtaining your written authorization
or as required by law.
- Marketing Communications – We
may use or disclose your information about you to communicate
with you about a product or service to encourage you to
purchase the product or service. This may be to describe
a health-related product or service; for your treatment;
for case management or care coordination; to direct or
recommend alternative treatments, therapies, health care
providers or settings of care.
- Fundraising – We may use or disclose
medical information about you to contact you and/or your
family members to raise funds for Christian Care.
- Other Uses and Disclosures – We
will obtain your written authorization for other uses and
disclosures.
Our Responsibilities
It is our responsibility to:
- Provide reasonable safeguards in order to protect the
privacy of your health information;
- Use or disclose the minimum amount of information required
to reasonably provide necessary services;
- Provide and review this Notice with you regarding our
legal duties and privacy practices with respect to your
health information and to make a good faith effort to obtain
your signature acknowledging receipt of this Notice;
- Post the current Notice in the Christian Care Communities
facility, as well as on our website; and
- Abide by the terms of this Notice.
We reserve the right to change our practices and to make
the new provisions effective for all health information we
maintain. Such a Notice will specify the effective date on
the first page.
Contacting the Facility Privacy Contact
If you have questions, or to exercise your rights, please
contact the Christian Care Communities facility by phone
or mail and request to speak to the Privacy Contact. If you
believe your privacy rights have been violated, you may file
a complaint with the Privacy Contact or you may file a complaint
using Christian Care's Compliance Hotline (1-866-654-6507).
Additionally, you may file a written complaint with the Secretary
of the Department of Health and Human Services, Atlanta Federal
Center, Suite 3B70, 61 Forsyth Street, SW., Atlanta, GA 30303-8909.
No retaliation will occur based on your filing a complaint. |