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Privacy Policy Page

AculertSM Safety Network
Notice of Privacy Practices

 

IMPORTANT

 

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.

 

As an essential part of our commitment to you, the Aculert Safety Network maintains the privacy of certain confidential health care information about you, known as Protected Health Information or PHI . We are required by law to protect your health care information and to provide you with the attached Notice of Privacy Practices.

The Notice outlines our legal duties and privacy practices with respect to your PHI. It not only describes our privacy practices and your legal rights, but lets you know, among other things, how we are permitted to use and disclose PHI about you, how you can access and copy that information, how you may request amendment of that information, and how you may request restrictions on our use and disclosure of your PHI.

We are also required to abide by the terms of the version of this Notice currently in effect. In most situations we may use this information as described in this Notice without your permission, but there are some situations where we may use it only after we obtain your written authorization, if we are required by law to do so.

We respect your privacy, and treat all health care information about our patients with care under strict policies of confidentiality that all of our staff are committed to following at all times.

PLEASE READ THE FOLLOWING DETAILED NOTICE. IF YOU HAVE ANY QUESTIONS ABOUT IT, PLEASE CONTACT OUR PRIVACY OFFICER, AT 562-432-9833.


PRIVACY PRACTICES OF ACULERT SAFETY NETWORK


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.

Your health information is personal, and we are committed to protecting it. Your health information is also very important to our ability to provide you with quality care, and to comply with certain laws. This Notice applies to all records about your care that our personnel create. (Your physician may have different policies and a different Notice regarding your health information that is created in the physician’s office.) In addition, the hospital at which you receive care may also have different policies and a different Notice regarding your health information.

We Are Legally Required to Safeguard Your Protected Health Information

We are required by law to:

FUTURE CHANGES TO OUR PRACTICES AND THIS NOTICE


We reserve the right to change our privacy practices and to make any such change applicable to the PHI we obtained about you before the change, as well as to information we receive in the future. If a change in our practices is material, we will revise this Notice to reflect the change. You may obtain a copy of any revised Notice by contacting Customer Service at 1-562-432-9833. We will also make any revised Notice available in our Administrative Offices.

How We May Use and Disclose Your Protected Health Information
The law requires us to obtain your prior authorization for some uses and disclosures. In other circumstances, the law allows us to use or disclose your PHI without your authorization. The following gives examples of each of these circumstances.

USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION
USES AND DISCLOSURES THAT REQUIRE US TO GIVE YOU THE OPPORTUNITY TO OBJECT CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION

The law allows us to disclose your PHI without your authorization in the following circumstances:

Other Uses and Disclosures of Your Protected Health Information
Other uses and disclosures of your PHI that are not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you give us written authorization for a use or disclosure of your PHI , you may revoke that authorization, in writing, at any time. If you revoke your authorization we will no longer use or disclosure your PHI for the purposes specified in the written authorization, except that we are unable to take back any disclosures we have already made with your permission. In addition, we can use or disclose your PHI after you have revoked your authorization for actions we have already taken in reliance on your authorization. We are also required to retain certain records of the uses and disclosures made when the authorization was in effect.

Your Rights Related to Your Protected Health Information
You have the following rights:

The Right to Request Limits on Uses and Disclosures of Your PHI.
You have the right to ask us to limit how we use and disclose your PHI , as long as you are not asking us to limit uses and disclosures that we are required or authorized to make to the Secretary of the Department of Health and Human Services, related to our facility’s patient directory, or the disclosures described in Section III , above. Any such request must be submitted in writing to our Privacy Officer. We are not required to agree to your request. If we do agree, we will put it in writing and will abide by the agreement except when you require emergency treatment.

The Right to Choose How We Communicate With You.
You have the right to ask that we send information to you at a specific address (for example, at work rather than at home) or in a specific manner (for example, by e-mail rather than by regular mail, or never by telephone). We must agree to your request as long as it would not be disruptive to our operations to do so. You must make any such request in writing, addressed to our Privacy Officer.

The Right to See and Copy Your PHI.
Except for limited circumstances, you may look at and copy your PHI that may be used to make decisions about your care if you ask in writing to do so. Any such request must be addressed to our Customer Service Office. In certain situations we may deny your request, but if we do, we will tell you in writing of the reasons for the denial and explain your rights with regard to having the denial reviewed. If you ask us to copy your PHI , we will not charge you for the complete set of documents. Alternatively, we may provide you with a summary or explanation of your PHI , as long as you agree to that and in advance.

The Right to Correct or Update Your PHI.
If you believe that the PHI we have about you is incomplete or incorrect, you may ask us to amend it. Any such request must be made in writing and you must tell us why you think the amendment is appropriate. In addition, the following procedures apply:

The Right to Get a List of the Disclosures We Have Made.
You have the right to get a list of instances in which we have disclosed your PHI. The list will not include certain disclosures, such as disclosures we have made for treatment, payment and health care operations purposes, those that are a byproduct of another use or disclosure permitted under our privacy policies or by law, those made under an authorization provided by you, those made directly to you or your family or friends or through our facility directory, or for disaster relief purposes. Neither will the list include disclosures we have made for national security purposes or to law enforcement personnel, or disclosures made before April 14, 2003.

Complaints

You may contact our Privacy Officer if you have questions or comments about our privacy practices.

If you believe your privacy rights have been violated, you may file a complaint with us. To file a complaint with us, put your complaint in writing and address it to our Privacy Officer at the Aculert Safety Network, PO Box 190114, Boise, ID 83719-0114. You can also file a complaint with the Secretary of the Federal Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Effective Date: January 1, 2010.
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