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.
Who we are:
This notice describes the privacy practice of Pulmonary & Sleep Associates of Hunterdon County, LLC, and our employed doctors and employees. This notice applies to all services that are provided to you at our facility.
The Practice also participates in electronic health information exchange (HIE) networks, including “Hunterdon Health Connections” and “Jersey Health Connect:. This notice describes how your authorized providers may access and share your health information electronically through an HIE network.
Our Privacy Obligations:
We are required by law to maintain privacy of your health information (“Protected Health Information” or “PHI”) and to provide you with this Notice of our legal duties and privacy practices with respect to your PHI.
When we use or disclose your PHI, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).
How we may use or disclose your PHI without your written consent authorization:
You may use and/or disclose your PHI without your written authorization for the following purposes:
Treatment: We may use or disclose your PHI to provide treatment and other
Health care services to you-for example, to diagnose and treat your injury or illness. As part of your treatment, your PHI may be shared among the individuals and entities that are affiliated or have a partnership with the practice. In addition, 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. We may also disclose PHI to other providers involved in your treatment.
Payment: We may use and disclose your PHI to obtain payment for services that we provide to you- for example, disclosures to claim and obtain payment from your health insurer, HMO, or other company that arranges or pays the cost of some or all of your health care to verify that they will pay for health care.
Healthcare Operations: We may use or disclose your PHI for our health care operations. For example, we may use your PHI to evaluate the quality and competence of our physicians, nurses, and other health care workers.
Business Associates: We may disclose your PHI to persons who perform functions, activities or services to us or on our behalf that require the use or disclosure of PHI. To protect your health information, we require the vendor to appropriately safeguard your information.
Public Health Activities: We may disclose your PHI for public health activities, such as disclosures to a public health authority or other government agency that is permitted by law to collect or receive the information (e.g., the Food and Drug Admininstration).
Victims of Abuse or Neglect: If we reasonably believe you are a victim of abuse or neglect, we may disclose your PHI to a governmental authority, including a social service or protective agency, authorized by law to receive reports of such abuse or neglect.
Health Oversight Activities: We may disclose your PHI to a health oversight agency that oversees the health care and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare or Medicaid and civil rights laws.
Judicial and Administrative Proceedings: We may disclose your PHI in the course of judicial or administrative proceedings in response to a legal order or other lawful process.
Law Enforcement Officials: We may disclose your PHI to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena.
Decedents: We may disclose your PHI to a funeral director or medical examiner as authorized by law.
Organ and Tissue Procurement: We may disclose your PHI to organizations that facilitate organ, eye or tissue procurement, banking or transplantation.
Research: We may disclose your PHI for research purposes with your consent or we will ask our Institutional Review Board to approve a waiver of authorization for disclosure. A waiver of authorization will be based upon assurances from the review board that the researchers will adequately protect your PHI.
Preventing a Threat to Health and Safety: We may, consistent
with applicable laws and standards of ethical conduct, use or disclose your PHI to prevent or lessen a serious or imminent threat to the health or safety of a person or the public.
Specialized Government Functions: We may use and disclose your PHI to units of the government with special functions, such as the US military or the US Department of State under certain circumstances.
Workers’ Compensation: We may use or disclose your PHI as authorized by and to the extent necessary to comply with state law relating to workers’ compensation or other similar programs.
As Required by Law: We may use or disclose your PHI when required to do so by federal or state law.
When you may agree or object to How We Use and Disclose Your PHI
-Directory of Individuals in the Practice: Unless you object, we may include your name, location in the practice, general health
condition (e.g., fair, stable, etc.) and religious affiliation in a patient directory. Information in the directory may be disclosed to anyone who asks for you by name or members of the clergy: provided, however, that religious affiliation will only be disclosed to members of the clergy.
-Relatives, Close Friends and Other Caregivers: Unless you object, we may disclose your PHI to a family member, or other relative, a close personal friend or any other person.