To contact us:
Phone: (814) 534-4450
Toll Free: 1-877-534-4450
Fax: (814) 534-4455
Effective Date of the Privacy Regulations is April 2003.
This Notice of Privacy Practices (Notice) describes how medical information about you may be used and shared and how you can get access to see and copy this information.
Please review carefully.
What is a Privacy Notice?
We at Community Nursing and Home Health (CNHH) create a personal health record with information regarding the services and care that you receive. This Notice applies to all the information about your care that CNHH and its contract staff may create, maintain, or receive, including information received from other medical facilities or physicians. This Notice not only tells you about your rights under federal (United States) and state (PA) laws, but also explains the ways we may share and use your health information to help give you better care.
Notice of Privacy Practices
Community Nursing and Home Health Notice of Privacy Practices
Phone: (814) 623-7737
Toll Free: 1-877-534-4450
Fax: (814) 623-2752
How we may use your health information without your consent?
The law permits CNHH to use your health information and share it in certain ways. The following list will show some examples:
A. Treatment. We may use your health information in the delivery of medical treatment or services to you, and we may share this information with other people and places that provide treatment to you. For example, if you have diabetes and your blood sugar results are not controlled, we will notify your physician so that he can provide you with the proper treatment. We may also share information with others who may provide you with follow-up care, such as a hospital or nursing home.
B. Payment. We may use and share your health information with your insurance company or a third party in order to receive payment for the services that we provide to you. We may also share your health information with another physician or facility that has treated you so that they can proceed with the billing process. For example, some insurance companies require health information in order to pre-approve our home care visits. The request must be in writing and contain specific information.
C. Health Care Operations. We may use and share your health information for such things as quality improvement activities, business administration, financial planning, and other activities required in order to better operate our home care. For example, we may use your health information during chart reviews to see how well we cared for you. We may also share information with students or trainees for teaching purposes.
D. Business Associates. We may share your health information with others called “business associates” who perform services on our behalf. The business associates must agree in writing to protect the confidentiality of the information. For example, business associates include management consultants, accreditation agencies or computer consultants.
E. Appointment Reminders. We may use and share you health information to provide reminders to you re: appointments for treatment or medical care. For example, we may call to remind you that we will be making a visit to your home.
F. Treatment Options. We may use and share your health information to inform you of possible treatment options and other health-related benefits and services. For example, we may tell you about a special treatment that is being offered for your specific illness or condition.
G. Fund-Raising and Marketing. We may contact you as part of our marketing and/or fundraising efforts. For example, we may call you to tell you about a new service that we are offering. Any fundraising material will tell you what to do if you do not wish to be contacted in the future.
H. Research. We may share your health information with researchers when
1). an Institutional Review Board (IRB) has reviewed the research proposal and has determined that it meets the standards required by law or
2). you provide us with written permission to share the information or
3). you have agreed to participate in a research study and the researchers have provided you with a copy of your signed informed consent.
For example, you have Multiple Sclerosis and have signed a consent to participate in a research study for a new medication. Our home care is ordered by your doctor to obtain lab work once a week. We will obtain a copy of your informed consent and will provide the doctor with your lab results.
I. Directory. CNHH has a directory of all of its patients. Your name and general condition can be shared with others unless you request us not to do so (information block). If you request an information block, we will not share information with anyone other than you, your physician, and those from our agency who are caring for you.
J. Others involved in your care or payment of your care. We may share your health information with family, friends or others who are involved in your care or in the medical payment of your care if 1). you provide verbal permission for us to share the information or 2). you are present and do not object to our sharing your health information or 3). our staff feels that it is in your best interest if we share the information. For example, the doctor calls us to change your medication and he has called a new prescription in to the pharmacy. We may inform your family of this so that they can pick the prescription up at the pharmacy.
K. Other Special Situations. The law either requires or permits us to share your health information with others in the following situations:
1). To prevent serious threat to health and safety. We may share information about you to help prevent or lessen the threat to the health and safety of you, another person, or the public.
2). Organ and Tissue Donation. In the event of your death, we may share information about you with an organization that handles procurement of organs if you or your family have indicated that you wished to be an organ donor.
3). Certain Government Purposes. We may share your health information with:
¨ Authorized federal officials for intelligence and national security activities as authorized by law.
¨ Appropriate authorities, if you are a member of the armed forces, so that these authorities may carry out their duties as required by law.
¨ Authorized federal officials to ensure the protection of the President of the United States, other authorized persons, or foreign heads of state.
4). Public Health. We may share health information about you with public health authorities. These may include, but are not limited to such things as:
¨ Reports of disease or injury
¨ Reports of births or deaths
¨ Reports of abuse, neglect or domestic violence
¨ Reports of quality and safety of products and items regulated by the Food and Drug Administration
¨ Reports of products that you are using that may have been recalled
¨ Notifying a person who was exposed to a disease or may be at risk of spreading a disease
5). Workers’ Compensation. We may share health information with Workers’ Compensation or other benefit providers for work-related injuries or illnesses.
6). Coroners, Medical Examiners, and Funeral Directors. We may share health information with coroners or medical examiners in order to identify a deceased individual, to determine cause of death or as permitted by law. We may also share health information with funeral directors so they may carry out their duties.
7). Health Oversight. We may share your health information with health oversight agencies so that they may monitor our health care agency, ensure that we are complying with government regulations and civil rights laws, investigate complaints or problems, and perform license and certification surveys.
8). Law Enforcement. We may share your health information with law enforcement officials:
¨ If we are reporting an injury or death that we believe was caused by criminal activity.
¨ In response to a court order, warrant, subpoena, or summons.
¨ For the purpose of identifying or locating a missing person, material witness, suspect or fugitive.
¨ In order to report a crime against our agency or its staff.
¨ To report a crime in an emergency situation.
¨ As required by local, state and federal law.
9). Appropriate Officials/Agencies. We will share health information about you with the appropriate agencies and officials if we believe you have been a victim of adult abuse, neglect or domestic violence. We will do so even without your consent if we believe that sharing this information will protect you or someone else from further harm. We will tell you that we intend to share this information unless telling you would put you or the victim at additional risk for harm.
10). Lawsuits. We may share health information about you in response to a subpoena, discovery request, court order or other legal process if we have been notified that you are aware of the request, or you have agreed to the release of the information, or if you disagree, you are taking action to prevent the release of the information.
11). Inmates/Under custody of a law enforcement official. We may share your health information with the correctional institution or law enforcement officials in order to insure the health, safety and security of you, the other inmates, or the correctional institution and its employees.
12). Pennsylvania law does restrict the sharing of information regarding behavioral health, drug and alcohol treatment, and HIV information. An additional consent from you would be required before this information could be shared.
IV. Release of your information that requires your written consent.
Except as stated in “III” above, we must have your written consent or the written permission of an authorized representative in order to share your health information. You will need to complete a form to provide this authorization. If at some point you decide to no longer permit the sharing of information that you previously authorized, you must inform us of this in writing. At that point, we will no longer release any additional information but cannot take back any information that was already shared.
V. Your rights regarding your health information.
A. Right to Ask to See and Copy. You have the right to ask to see and copy your health information. Your request must be in writing, and must be given to the doctor’s office or place where you were treated. You may have to pay for costs of copying, mailing, or other costs. If your request is refused, a licensed health care professional chosen by CNHH will review those that can be reviewed. After February 2010, you have the right to request an electronic copy of your health record.
B. Right to Ask for a Correction. You have the right to ask us to correct any of your health information that you feel is incorrect or incomplete. Your written request must be given to your doctor or the place where you received care. Verbal requests may be refused. We have the right to refuse your request if you ask us to correct information that 1). was not made by us, unless the person or place that originally made the information is no longer available to make the correction, 2). is not part of the information you are permitted by law to see and copy, 3). is not part of the health information kept by or for CNHH, or 4). we decide is correct and complete.
C. Right to Ask for Limits on Use and Sharing. You have the right to ask us to limit the health information that we share with family members or friends, or with others for treatment, payment or health care operations. For example, you could ask that we not use or share information about a surgery or medical condition that you had. You must submit your written request to your doctor’s office or place where you received your care. In your request, you must tell us what information is to be limited, whether you want to limit our use, or disclosure or both, and the person or the institution that the limits apply to. We are not required to agree to your request. If we do agree, we may not follow your request if the information is needed to give you emergency treatment. If you pay out-of-pocket for any service, you may request our agency to withhold your health information related to that service from being given to third party health plans. The request must be in writing and contain specific information. Contact CNHH for information on how to proceed with these requests.
D. Right to Ask for an Accounting of Disclosures. Right to Ask for an Accounting of Disclosures. You have the right to ask for a list of those people outside of CNHH and/or CNHH Business Associates who have received your health information. Disclosures made outside of our organization, other than those done so with your permission, will be documented on the Accounting of Disclosure. Your health record is partially maintained in electronic computer format. Because of this, you have the right to request an electronic or paper copy of your health record. CNHH will attempt to provide you with the copies in the format that you request. Your request must be for dates after April 14, 2003. Federal law permits you to request an accounting of disclosure for a period of 3 years prior to the date the accounting is requested. Your request must be in writing and contain specific information. Contact CNHH for information on how to proceed with this request. A list of Business Associates is posted on our website.
E. Right to Ask for a Paper Copy of This Notice. You have the right to a paper copy of this Notice at any time upon request.
F. Right to Ask for Confidential Communications. You have the right to request how or where we contact you about your health information. For example, you can ask that we contact you at work or by mail. We will comply with all reasonable written requests.
G. Right to File a Complaint. You have the right to file a complaint if you believe your privacy rights have been violated, without any reprisal or penalization for filing the complaint. You can do this by contacting the Community Nursing and Home Health, Inc. Privacy Officer by phone at ( 814)-534-4450, or in writing at: 244 Walnut St., Johnstown, PA 15901. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services. The complaint is filed with the Secretary in writing and must include the name of the organization you believe violated your rights, how you believe your rights wee violated, and must be filed within 180 days of the violation or when you should have known about the violation. The address of the Secretary of the Department of Health is:
U.S. Department of Health and Human Services
200 Independence Ave., SW
Washington, DC 20201
VI. Rights to Change of Notice of Privacy Practice.
We reserve the right to change this notice as needed. The changed notice becomes effective for all health information we have or will create/receive about you in the future. If you are an active patient at the time of the change, you will receive a copy of the changed notice. All patients admitted to the agency on or after the date on the changed notice will receive a copy of the new notice.
If you have questions regarding this Notice, please contact the Community Nursing and Home Health Privacy Officer
Community Nursing and Home Health is an equal opportunity organization. Employees, patients, and others will not be discriminated against on the basis of race, color, national origin, religious creed, ancestry, sex, age or disability.