Understanding Your Health Record/Information

Each time you visit a nursing facility, a record of your visit is made.  Typically, this record contains your symptoms, examination and test results, diagnosis, treatment, and a plan for future care or treatment.  This information, often referred to as your medical record, serves as a:

Understanding what is in your record and how your health information is used helps you to:  ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make more informed decisions when authorizing disclosure to others.

Our Responsibilities

The facility is required to:

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, we will mail you a revised notice.  We will not use or disclose your health information without your authorization, except as described in this notice.

How We Will Use or Disclose Your Health Information

1)   Treatment.  We will use your health information for treatment.  For example, information obtained by a nurse, physician, or other member of your healthcare team will be recorded in your record and used to determine the course of treatment that should work best for you.  Your physician will document in your record his or her expectations of the members of your healthcare team.  Members of your healthcare team will then record the actions they take and their observations.  In that way, the physician will know how you are responding to treatment. We will also provide your physician or a subsequent healthcare provider with copies of various reports that should assist him or her in treating you once you are discharged from our nursing facility.

2)   Payment.  We will use your health information for payment.  For example, a bill may be sent to you or a third-party payer, including Medicare or Medicaid.  The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

3)   Health Care Operations.  We will use your health information for regular health operations.  For example, members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your medical record to assess the care and outcomes in your case and others like it.  This information will then be used in an effort to continually improve the quality and effectiveness of the health care and service we provide.

4)   Business Associates.  There are some services provided in our organization through contacts with business associates.  Examples include our accountants, consultants and attorneys.  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.  To protect your health information, however, we require the business associate to appropriately safeguard your information.

5)   Directory.  Unless you notify us that you object, we may use your name, location in the facility, 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.  We may also use your name on a name plate next to or on your door in order to identify your room, unless you notify us that you object.

6)   Notification.  We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, of your location, and general condition.  If we are unable to reach your family member or personal representative, then we may leave a message for them at the phone number that they have provided us, i.e., and answering machine.

7)   Communication with Family.  Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.

8)   Research.  We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.

9)   Funeral Directors.  We may disclose health information to funeral directors and coroners to carry out their duties consistent with applicable law.

10) Organ Procurement Organizations.  Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation or organs for the purpose of tissue donation and transplant.

11) Marketing.  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.

12) Fund Raising.  We may contact you as part of a fund-raising effort.

13) Food and Drug Administration (FDA).  We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.

14) Workers Compensation.  We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

15) Public Health.  As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

16) Correctional Institution.  Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals.

17) Law Enforcement.  We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

18) Reports. Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.

Your Health Information Rights

Although your medical record is the physical property of the facility the information in your medical record belongs to you.  You have the following rights:

For More Information or To Report a Problem

If you have questions and would like additional information, you may contact our facility’s Administrator.  If you believe that your privacy rights have been violated, you may file a complaint with us.  These complaints must be filed in writing on a form provided by our facility.  The complaint form may be obtained from the Administrator, and when completed should be returned to same.  You may also file a complaint with the secretary of the federal Department of Health and Human Services.  There will be no retaliation for filing a complaint.

Effective Date:  July, 11, 2018