Effective April 13, 2003
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.
Oahe, Inc. is required by law to maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices with respect to the health information that we have about you.
OUR PLEDGE REGARDING HEALTH INFORMATIONOahe, Inc. understands that your health information is personal. Protecting that information is important. We create a record of the services that you receive through Oahe, Inc. We need this record to provide you with quality services and supports and to comply with certain legal requirements. This Notice applies to all of the records generated or maintained by Oahe, Inc. We are required to abide by the terms of this Notice
WHO WILL FOLLOW THIS NOTICE
Service Coordinators, Nursing staff, Direct Support Professionals, and all employees, volunteers, and other personnel who may need access to your information.
All entities, sites and locations of Oahe Inc. follow the terms of this Notice. In addition, these entities, sites and locations may share medical information with each other for treatment, payment or health care purposes described in this Notice.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU
Health information is disclosed for a number of different reasons, including, but not limited to the following:
For Treatment: Health information may be used to provide, coordinate, or manage the services, supports, and health care received from Oahe, Inc. and other providers. Health information may be disclosed to doctors, nurses, service coordinators, psychologists, social workers, direct support staff and other agency staff, volunteers, employers, and other persons involved with supporting or providing care for the people served by Oahe, Inc. Other health care providers may also be consulted and as a part of the consultation share information. For example, staff may discuss information needed to develop and carry out Personal Support Plans. Health information may be shared to coordinate needed services, such as medical tests, transportation to a doctors office, physical therapy, etc. Health information may need to be disclosed to outside entities of Oahe, Inc., for example, another provider or a state/local agency, to obtain services.
For Payment: Health information may be used and disclosed so Oahe, Inc. can be paid for the services they provide. This may include billing a third party payer, such as Medicaid, another state agency, school district, or insurance company.
For Health Care Operations: Health information may be used and disclosed for Oahe, Inc.s operations and to maintain quality care for the people we serve. Health care information may be disclosed to study ways to more efficiently manage the organization, for accreditation or licensing activities, or for compliance programs.
Appointment Reminders: Health information may be used and disclosed as a reminder of an appointment for treatment or services.
Treatment and Service Alternatives: Health information may be used and disclosed to contact people we serve about treatment and service alternatives that may be of interest to them.
Health Related Benefits and Services: Health information may be used and disclosed for contacts regarding health-related benefits and services.
Disclosure to Family and Others: Health information that is directly relevant to the persons involvement with the services and supports received or payment of such may be disclosed to a parent/guardian, personal representative, family member, other relative, a close personal friend, or any other person identified by the person served. Health information may be used or disclosed to notify, or to assist in notifying, those persons of the location, general condition, or death of a person served by Oahe, Inc.
Disaster Relief: Health information may be used or disclosed to a public or private entity authorized by law or by its charter to assist in disaster relief efforts. This will be done to coordinate with those entities in notifying a parent/guardian, personal representative, family member, other relative, close personal friend, or other person identified by the person served, of the location, general condition, or death.
Required by Law: Health information may be used or disclosed when we are required to do so by law.
Public Health Activities: Health information may be disclosed for public health activities and purposes. This includes reporting health information to a public health authority that is authorized by law to collect or receive the information for purposes of preventing or controlling disease, one that is authorized to receive reports of child abuse and neglect. This also includes reporting for purposes of activities related to the quality, safety or effectiveness of a United States Food and Drug administration regulated product or activity.
Victims of Abuse, Neglect, or Domestic Violence: Health information may be disclosed to a government authority authorized by law to receive reports of abuse, neglect or domestic violence, if believed a person served by Oahe, Inc. is a victim of abuse, neglect or domestic violence. This will occur to the extent the disclosure is (a) required by law; (b) agreed upon by the person served or a personal representative; or (c) authorized by law, if Oahe, Inc. believed the disclosure is necessary to prevent serious harm to people served or to other potential victims.
Health Oversight Activities: Health information can be disclosed to a health oversight agency for activities authorized by law, including audits, investigations, inspections, licensure, or disciplinary actions.
Judicial and Administrative Proceedings: Health information may be disclosed in the course of any judicial or administrative tribunal. Health information may also be disclosed in response to a subpoena, discovery request, or other legal process, but only if efforts have been made to tell the person served about the request or to obtain an order protecting the information to be disclosed.
Disclosures for Law Enforcement Purposes: Health information may be disclosed to law enforcement official for law enforcement purposes: (a) as required by law; (b) in response to a court, or administrative order, warrant, or subpoena; (c) to identify or locate a suspect, fugitive, material witness or missing person; (d) about an actual or suspected victim of a crime and that person agrees to the disclosure. If the persons agreement is unable to be obtained, in emergency circumstances, the information may still be disclosed; (e) to alert law enforcement officials to a death is suspected the death may have resulted from criminal conduct; (f) about crimes that occur at Oahe, Inc; (g) to report a crime in emergency circumstances.
Fundraising: Health care information may be used and disclosed to raise funds for Oahe, Inc. Health information can be disclosed to a business associate of Oahe, Inc. or a foundation related to Oahe, Inc. so that contact may be made for the people we serve to raise money to benefit Oahe, Inc.
Coroners and Medical Examiners: Health information may be disclosed to a coroner or medical examiner for purposes such as identifying a deceased person and determining cause of death.
Funeral Directors: Health information can be disclosed to funeral directors as necessary for them to carry out their duties.
Organ, Eye or Tissue Donation: Health information can be disclosed to facilitate organ, eye or tissue donations and transplantations. Health information may be disclosed to organ procurement organizations or other entities engaged in the procurement, banking or transportation of organs, eye or tissue.
To Avert Serious Threat to Health or Safety: Health information may be used or disclosed if believed the use of disclosure is necessary to prevent or lessen a serious or imminent threat to the health or safety of a person or the public. Information may also be released if believed the disclosure is necessary for law enforcement authorities to identify or apprehend an individual who admitted participation in a violent crime or who is an escapee from a correctional institution or from lawful custody.
National Security or Intelligence: Health information may be disclosed to authorized federal officials for the conduct of intelligence, counter-intelligence and other national security activities authorized by law.
Protective Services for the President: Health information may be disclosed to authorized federal officials so they can provide protection to the President of the United States, certain other federal officials, or foreign heads of state.
Inmates; Persons in Custody: Health information may be disclosed to a correctional institution or law enforcement official having custody of the person. The disclosure will be made, if the disclosure is necessary: (a) to provide health care to the person; (b) for the health and safety of others; or (c) the safety, security and good order of the correctional institution.
Workers Compensation: health information may be disclosed to the extent necessary to comply with workers compensation and similar laws that provide benefits for work-related injuries or illness without regard to fault.
OTHER USES OF MEDICAL INFORMATION REQUIRING YOUR WRITTEN PERMISSION
Other uses and disclosures of your personal health information not addressed in this Notice will be made only with your written authorization. You may revoke that consent, in writing, at any time. However, we are unable to take back any disclosures we may have previously made with your permission.
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 Oahe Inc. maintains and uses to make decisions about your care. This right does not include psychotherapy notes. Oahe, Inc. may charge a reasonable fee for the costs of copying, mailing or other supplies associated with your request.
Oahe, Inc. may deny your request to inspect and copy in certain circumstances.
Right to Amend: If you feel that medical information that Oahe, Inc. has 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. We may deny your request for an amendment if it is not in writing, or does not include a reason to support the request. We may also deny your request if the information you ask us to amend:
o Was not created by us;
o Is not part of the medical information kept by Oahe, Inc.;
o Is not part of the information that you would be permitted to inspect and copy; or
o Is accurate and complete.
Right to an Accounting of Disclosures: You have the right to request an Accounting of Disclosures. This is a listing of disclosures we have made of your health information to others as provided by 45 CFR 164.528. The request must be submitted in writing to Oahe, Inc.
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 case management 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, like a service provider, family member, guardian, authorized representative, or friend. Oahe, Inc. is not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. Your request must be submitted in writing and include a description of the information you want restricted or limited, and to whom and how the restriction applies.
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 your residential facility or by mail. Your request must be in writing. We will accommodate all reasonable requests.
Right to a Paper Copy of this Notice: You have the right to a paper copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this Notice
CHANGES TO THIS NOTICE
Oahe, Inc. may change, at any time, a privacy practice that does not materially affect the content of the Notice
Oahe, Inc. will revise and make available to you an updated Notice of Privacy Practice whenever there is a material change to the way we use or disclose your health information, your rights, our legal duties or responsibilities, or other privacy practices addressed in this Notice.
If you believe your privacy rights have been violated, you may submit a written complaint to Oahe Inc.s Executive Director. If Oahe Inc. cannot resolve your concern, you also have the right to file a written complaint with the United States Secretary of Health and Human Services at the address below.
Office for Civil Rights Region VIII
US Dept of Health & Human Services
1961 Stout St., Room 1185 FOB
Denver, CO 80294-3538
Phone (303) 844-2024
Fax (303) 844-2025
TDD (303) 844-3439
You will not be retaliated against for filing a complaint.