| THIS NOTICE DESCRIBES
HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Divine HealthCare Network will protect
the confidentiality of your health information we have policies and
safeguards to protect your privacy against unnecessary disclosure of
your health information.
The health information we collect as we provide care and
services to you is called “protected health information”
(PHI). We can use and disclose you health information to:
To Provide Treatment The agency may use
your health information to coordinate care with others involved in your
care, such as your physician and other health care professionals who
have agreed to assist the agency in coordination of care. The agency
may also disclose your health information to individuals outside of
the agency such as family members, pharmacists, and suppliers of medical
equipment or other health care professionals. To Obtain Payment. The agency may include
your health information in invoices to collect payment from third parties
for the care you receive from the agency. For example, the agency may
be required by your heath insurer to provide information regarding your
health status for purposes of reimbursement to you or the agency. The
agency may also need to obtain prior approval from your insurer and
may need to explain to the insurer your need for home care services
that will be provided to you. To Conduct Health Care Operations. The
agency may use and disclose health information for it’s own operations
in order to facilitate the function of the agency and as necessary to
provide quality care to all of the Agency’s patients. Health care
operations includes such activities as using your protected health information
to evaluate and improve or write new guidelines to provide a greater
quality of care; to evaluate performance of health care workers; to
train our employees; to determine satisfaction with our services; for
general business planning and development; or for business management
and general administrative activities; fundraising or benefit of the
agency. For Treatment Alternatives. The agency
may use and disclose your health information to tell you about or recommend
possible treatment options or alternatives that may be of interest to
you. The following are a list of circumstances and
organizations under which your health information may also be used and
disclosed without your written authorization, agreement or objection:
A. When legally required by the state or federal
law;
B. When there are risks to public health. The agency
may disclose your health information for public activities and purposes
in order to:
1. Prevent or control disease, injury or disability
and/or to report disease, injury and vital events such as birth
or death.
2. Report adverse events, product defects, to track products or enable
product recalls, repairs and replacements.
3. Notify a person who has been exposed to a communicable disease
or who may be at risk of contracting or spreading a disease.
4. Notify an employer about an individual who is a member of the
workforce as legally required.
C. To report abuse, neglect or domestic abuse.
D. To conduct health oversight activities.
E. In connection with judicial and administrative proceedings.
F. For law enforcement purposes.
G. To coroners and medical examiners.
H. To funeral directors.
I. For organ, eye or tissue donation.
J. For research purposes.
K. In the event of a serious threat to health or safety.
L. For Specified government functions.
M. For worker’s compensation. Other than is stated above Divine HealthCare will not
disclose your health information other than with your written authorization.
You or your representative may revoke that authorization in writing
at any time. You have the following rights with respect to your health
information:
- Right to request restrictions.
- Right to receive confidential communications.
- Right to inspect and copy your health information.
- Right to amend health care information.
- Right to an accounting.
- Right to a paper of this notice.
Divine HealthCare Network is required by law to maintain
the privacy of your health information and to provide you and/or your
representative this notice of its duties and privacy practices. We do
reserve the right to change the terms of this notice and provide the
revised notice any client who is receiving care or services.
Divine HealthCare Network encourages you to express any concerns your
may have regarding the privacy of your information.
If at any time you feel your privacy rights have been
violated or you have any complaints you may contact the Administrator
at Divine HealthCare Network in writing to: The Administrator:
856 University Ave
St. Paul, MN 55104
651-665-9795 The Quality Home Care Service with That Special
Touch
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