Purpose of Notice
This notice describes how information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
Our organization is required by law to:
- Maintain the privacy of your health information
- Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
- Abide by the terms of this notice
- Notify you if we are unable to agree to a requested restriction
- Accommodate reasonable requests you may have to communicate health information by alternative means or at an alternative location (electronic transmission or faxing).
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change substantially, we will post and /or provide a revised notice. We will not use or disclose your health information without your authorization, except as described in this notice.
Understanding Your Health Record/Information
Each time you visit a hospital, physician or other healthcare provider, a record of your visit is made. Typically, this record contains information about your symptoms, examination, test results, diagnoses, treatment and a plan of care. This information may be used for the following purposes:
- As a basis for planning and documenting your care and treatment
- As a means of communication among the many health professionals who contribute to your care.
- We will provide your physician or a subsequent healthcare provider with copies of various reports that should assist him/her in treating you once you are discharged from the Hospital or any of its departments/office practices.
- As a means by which you or your third party payor (insurance carrier) can verify that services billed were actually provided. For example, a bill may be sent to you or a third party payor (insurance carrier). This may include information that identifies you, your diagnoses, procedures and medical supplies used in your treatment.
We will use your health information for regular health operations:
- Directory – Unless you notify us that you object, we will use your name, location in the facility and general condition for directory purposes. A directory is a list of all patients who are occupying a bed as an inpatient. This information may be provided to those people who ask for you by name.
- Notification – With your permission, we may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location and general condition.
- Communication with Family – Unless you object, hospital staff involved in your direct care, using their best judgement, may disclose health information to family or another identified individual to the extent that the information is relevant to that person’s involvement in your care or payment related to your care.
- Research – We will disclose limited information to researchers. Your permission will be obtained before any identifying information is provided for research.
- In compliance with laws – We may disclose health information to others consistent with applicable laws to carry out their duties. These include, but are not limited to: New England Organ Donation Bank, the FDA, the Public Health Department, funeral directors, workers’ compensation and similar programs, law enforcement, and certain regulatory agencies overseeing provision of specific health care services.
- Quality – We may use information in your health record to assess the care and outcomes of the services you receive from us. This information is used in an effort to continually improve the quality and effectiveness of the healthcare services that we provide.
- Communication – 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.
- Fund Raising – Your personal information may be used to provide you with information about our fund raising activities. You have the right to request that your information not be used for fund raising activities, and we will use our best efforts, in this case, to comply with your wishes.
- Marketing – Except to provide you with information about services, providers or to remind you of appointments or the need to schedule a service, your protected health information will not be used for marketing purposes without your authorization. Marketing information may be provided to you in a face-to-face encounter.
- Business Associates – There are some services provided in our organization through contacts with business associates. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we have asked them to do. We will require our business associates to agree to appropriately safeguard your information. An example of a business associate would be an outside billing/collection service.
Your Health Information Rights
Although your health record is the physical property of the healthcare practitioners or facility that compiled it, the information belongs to you. You have the right to:
- Request a restriction on certain uses and disclosures of your information
- Inspect and obtain a copy of your health record
- Request in writing to amend your health record
- Obtain a list of disclosures of your health information if used for purposes other than for treatment, payment or operations
- Revoke your authorization to use or disclose health information except to the extent that action has already been taken.
If you have questions and would like additional information, you may contact the Privacy Officer by calling the switchboard at Monadnock Community Hospital, 924-7191, during regular working hours.