Your information is important and confidential. Our ethics and policies require that your information be held in strict confidence. We maintain protocols to ensure the security and confidentiality of your personal information. We have physical security in our building, passwords to protect databases, compliance audits, and virus/intrusion detection software. Within our practice, access to your information is limited to those who need it to perform their jobs.
Our practice is committed to treating and using protected health information about you responsibly. This notice of Privacy Policies describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective April 14, 2003, and applies to all protected health information as defined by federal regulations.
UNDERSTANDING YOUR HEALTH RECORD
Each time you visit our practice a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information often referred to as your health or medical record, serves as a: Basis for planning your care and treatment; Means of communication among the many health professionals who contribute to your care; Legal document describing the care you received; Means by which you or a third-party can verify that services billed were actually provided; Tool in educating health professionals; Source of data for medical research; source of information for public health officials charged to improve the health of the state and nation; Source of data for our planning and marketing, and Tool by which we can assess and continually improve the care we render and outcomes we achieve.
Understanding that 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 decision when authorizing disclosure to others.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the physical property of our practice, the information belongs to you. You have the right to: obtain a paper copy of this notice of privacy policies upon request; inspect and obtain a copy of your health record as provided by 45 CFR 164.524; request amendment to your health record as provided by 45 CFR 164-526; obtain an accounting of disclosures of your health information as provided by 45 CFR 164.528; request confidential communications of your health information as provided by 45 CFR 164.522, and request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522 (our practice, however, is not required by law to agree to a requested restriction).
Our practice is required to: Maintain the privacy of your health information; Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you; Abide by the terms of this notice; Notify you if we are unable to agree to a requested restriction, and Accommodate reasonable request you may have to communicate your health information.
We reserve the right to change our practices and to make the new provision effective for all protected health information we maintain. We will keep a posted copy of the most current notice in our facility containing the effective date in the bottom, right hand corner. In addition to each time you visit our facility for treatment, you may obtain a copy of the current notice in effect upon request.
We will not use or disclose your health information in a manner other than described in the section regarding Examples of Disclosures For Treatment, Payment, and Health Operations, without your written authorization, which you may revoke as provided by 45 CFR 164.508(b)(5), except as to the extent that action has already been taken.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have a question and would like additional information you may contact our practice Privacy Officer at 402.397.7400.
If you believe your privacy rights have been violated you can either file a complaint with our Privacy Officer, or with the Office of Civil Rights U.S. Department of Health and Human Services (OCR). There will be no retaliation for filing a complaint with either our Privacy Officer or the OCR. The address for the OCR is as follows: Office of Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C. 20201.
EXAMPLES OF DISCLOSURES FOR TREATMENT, PAYMENT, AND HEALTH OPERATIONS
We will use your health information for treatment. For example: Information obtained by a nurse, physician, or other member of your health care 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 health care team. Members of your health care team will then record the actions they took and their observations. In that way, the physician will know how you are responding to treatment.
We will use your health information for payment. For example: A bill may be sent to you or a third-party payer. The information or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
PRIVACY OFFICER: NANCY SARVER, APRN
16945 Frances Street, Omaha, Nebraska 68130