NOTICE OF INFORMATION PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ CAREFULLY.
INTRODUCTION: As part of your health care, Methodist Homes of Alabama & Northwest Florida originates and maintains numerous medical, billing, and other related records which contain information identifying you and describing your health history, symptoms, test results, diagnosis, treatment, and any future plans for care. This notice describes how this information may be used and disclosed by Methodist Homes, as well as your rights and Methodist Homes’s duties with respect to such information.
Your Health Information Rights:
Although all records relating to the treatment you receive at Methodist Homes are the proper
The right to request restrictions on certain uses and disclosures of your health information. Methodist Homes is not required to agree to any requested restriction.
The right to obtain a copy of this Notice upon request.
The right to inspect and obtain a copy of your health information.
The right to amend your health information.
The right to obtain an accounting of disclosures of your health information.
The right to receive confidential communications of your health information.
You may exercise any of these rights by contacting Methodist Homes representative listed below.
Methodist Homes is required by law to maintain the privacy of your health information and to provide you with a notice as to Methodist Homes's legal duties and privacy practices with respect to your health information. Methodist Homes is also required to abide by the terms of this Notice, as it may be revised from time to time.
Methodist Homes reserves the right to change the terms of this Notice and to make any revisions to the Notice effective for all your health information that Methodist Homes maintains. Should Methodist Homes change the terms of this Notice it shall mail a revised notice to the address you have supplied as well as post the revised notice in an area accessible to residents.
For More Information or to Report a Problem:
If you have any questions or would like additional information, you may contact:
Michael D. Giles
Chief Operating Officer & General Counsel
If you believe your privacy rights have been violated, you can file a complaint with:
Michael D. Giles
1520 Cooper Hill Road, Birmingham, AL 35210
Or with the Secretary of the Department of Health and Human Services without fear of retaliation for filing a complaint. All complaints must be in writing.
Use and Disclosure of Your Health Information:
Methodist Homes is permitted to use or disclose your health information in the following ways:
Methodist Homes will use your health information in the provision and coordination of your healthcare. We may disclose all or any portion of your health information to your attending physician, consulting physician(s), nurses, technicians, and other health care providers who have a legitimate need for such information in your care and continued treatment. Methodist Homes may share information about you with other providers in order to coordinate specific services, such as prescriptions, lab work and x-rays. Methodist Homes also may disclose your health information to people outside Methodist Homes who may be involved in your medical care after you leave Methodist Homes, such as family members, clergy, and others used to provide services that are part of your care.
FAMILY/FRIENDS: Methodist Homes may release health information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. We may also tell your family or friends your condition and that you are in Methodist Homes.
PAYMENT: Methodist Homes may release health information about you for the purposes of determining coverage, billing, claims management, medical data processing, and reimbursement. Your health information may be released to an insurance company, third party payer or other entity (or their authorized representatives) involved in the payment of your medical bill and may include copies or excerpts of your medical records which are necessary for payment of your account. For example, a bill sent to a third party payer may include information that identifies you, your diagnosis, and the services and supplies provided to you.
ROUTINE HEALTHCARE OPERATIONS: Methodist Homes may use and disclose your health information during routine healthcare operations, including, but not limited to, quality assurance, utilization review, medical review, internal auditing, accreditation, certification, licensing or credentialing activities of Methodist Homes.
FACILITY DIRECTORY: Unless you notify Methodist Homes that you object, Methodist Homes will use your name, location in Methodist Homes, general condition, and religious affiliation for directory purposes. This information may be provided to members of the clergy and, except for religious affiliation, to other people who ask for you by name.
BUSINESS ASSOCIATES: Methodist Homes may disclose certain health information about you to business associates. A business associate is an individual or entity under contract with Methodist Homes to perform or assist Methodist Homes in a function or activity which necessitates the use or disclosure of health information. Examples of business associates include, but are not limited to, consultants, accountants, lawyers, medical transcriptionists, and third-party billing companies. Methodist Homes requires the business associate to protect the confidentiality of your health information.
MARKETING: Methodist Homes may disclose certain contact information to a third party to provide marketing materials and information to you.
REGULATORY AGENCIES: Methodist Homes may disclose your health information to a health oversight agency for activities authorized by law, including, but not limited to, licensure, certification, audits, investigations and inspections. These activities are necessary for the government and other health oversight agencies to monitor the healthcare system, government programs, and compliance with civil rights.
LAW ENFORCEMENT/LITIGATION: Methodist Homes may disclose your health information for law enforcement purposes as required by law or in response to a valid subpoena or court order.
PUBLIC HEALTH: As required by law, Methodist Homes may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury or disability.
WORKERS' COMPENSATION: Methodist Homes may release health information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
REQUIRED BY LAW: Methodist Homes will disclose medical information about you when required to do so by law.
CORONERS, MEDICAL EXAMINERS, FUNERAL DIRECTORS: Methodist Homes may release your health information to a coroner or medical examiner. This may be necessary, for example, to determine a cause of death. Methodist Homes may also release your health information to funeral directors as necessary to carry out their duties.
ORGAN PROCUREMENT ORGANIZATION: Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs for the purpose of tissue donation and transplant.
RESEARCH: We may disclose your health information to researchers when their research has been approved by an institutional review board that has reviewed the research purpose and established protocols to ensure the privacy of your health information. Before disclosing any of your health information we will verify that the researchers have obtained your consent to participate in the study.
APPOINTMENT REMINDERS/TREATMENT ALTERNATIVES: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
FOOD AND DRUG ADMINISTRATION (FDA): We may disclose to the FDA health information relative to adverse events with respect to food supplements, products, and product defects, or post-marketing surveillance information to enable product recalls, repairs or replacement.
OTHER USES: Any other uses or disclosures of your health information will be made only with your written authorization.
The effective date of this notice is April 14, 2003.