|
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.
Understanding Your
Health Record/Information
This notice describes the
practices of Baylor Medical Center at Frisco and that of any physician1
with staff privileges with respect to your protected health information
created while you are a patient here. Baylor Medical Center at Frisco,
physicians with staff privileges, and personnel authorized to have
access to your medical chart are subject to this notice. In addition,
Baylor Medical Center at Frisco and physicians with staff privileges may
share medical information with each other for treatment, payment or
health care operations described in this notice.
We create a record of
the care and services you receive at Baylor Medical Center at Frisco. We
understand that medical information about you and your health is
personal. We are committed to protecting medical information about you.
This notice applies to all of the records of your care at Baylor Medical
Center at Frisco. This notice will tell you about the ways in which we
may use and disclose medical information about you. We also describe
your rights and certain obligations we have regarding the use and
disclosure of medical information.
Your Health Information
Rights
Although your health record is the physical property of Baylor
Medical Center at Frisco, the information belongs to you. You have the
right to:
Request a restriction on certain uses and disclosures of your
information for treatment, payment, health care operations and as to
disclosures permitted to persons, including family members involved with
your care and as provided by law. However, we are not required by law to
agree to a requested restriction;
-
Obtain a paper copy of
this notice of information practices;
-
Inspect and request a copy of
your health record as provided by law;
-
Request that we amend your
health record as provided by law. We will notify you if we are unable to
grant your request to amend your health record;
-
Obtain an accounting
of disclosures of your health information as provided by law;
-
Request
communication of your health information by alternative means or at
alternative locations. We will accommodate reasonable requests; and
-
Revoke your authorization to use or disclose health information except
to the extent that action has already been taken in reliance on your
authorization.
You may exercise your rights set forth in this notice by
providing a written request, except for requests to obtain a paper copy
of the notice, to the Health Information Management Department at Baylor
Medical Center at Frisco in writing at 5601 Warren Parkway Frisco, Texas
75034.
Our Responsibilities
In addition to the responsibilities set
forth above, we are also required to:
-
Maintain the privacy of your
health information;
-
Provide you with a notice as to our legal duties
and privacy practices with respect to information we maintain about you;
-
Abide by the terms of this notice;
-
Notify you if we are unable to
agree to a requested restriction on certain uses and disclosures;
-
We reserve the right to
change our practices and to make the new provisions effective for all
protected health information we maintain, including information created
or received before the change. Should our information practices change
we are not required to notify you, but we will have the revised notice
available for you to request at Baylor Medical Center at Frisco. The
revised notice will also be posted at Baylor Medical Center at Frisco
and at www.bmcf.com
-
We will not use or disclose your health
information without your written authorization, except as described in
this notice.
Examples of Disclosures
for Treatment, Payment, Health Care Operations and As Otherwise Allowed
By Law.
The following categories
describe different ways that we use and disclose medical information.
For each category of uses or disclosures we will explain what we mean
and try to give some examples. Not every use or disclosure in a category
will be listed. However, all of the ways we are permitted to use and
disclose information should fall within one of the categories.
We will
use your health information for treatment. For example: We may disclose
medical information about you to doctors, nurses, technicians, medical
students, or other personnel who are involved in taking care of you at
Baylor Medical Center at Frisco. We may share medical information about
you in order to coordinate different treatments, such as prescriptions,
lab work and x-rays.
We may also provide your
physician or a subsequent health-care provider with copies of various
reports to assist in treating you once you are discharged from care at
Baylor Medical Center at Frisco.
We will use your health
information for payment. For example: A bill may be sent to you or a
third-party payer. The information on or accompanying the bill may
include information that identifies you, as well as your diagnosis,
procedures, and supplies used.
We will use your health
information for regular health care operations.
For example: We may use
the information in your health record to assess the care and outcome 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 services we provide.
We will use your health
information as otherwise allowed by law. The following are some examples
of how we may use or disclose medical information about you.
Business
associates: There are some services provided in our organization through
agreements with business associates. Examples include answering services
and copy services. To protect your health information, however, we
require business associates to appropriately safeguard your information.
Directory: Unless you
notify us that you object, we will use your name, location in facility,
general condition, and religious affiliation for directory purposes
while you are a patient at Baylor Medical Center at Frisco. This
information may be provided to members of the clergy and, except for
religious affiliation, to other people who ask for you by name.
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, your location, and general condition.
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 protect the privacy of your health information.
Funeral directors: We may
disclose health information to funeral directors consistent with
applicable law to carry out their duties.
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 of organs for the
purpose of tissue donation and transplant.
Communications for
treatment and health care operations: 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.
Fundraising: We may
contact you as part of a fundraising effort.
Food and Drug
Administration (FDA): We may disclose to the FDA health information
relative to adverse events with respect to food, medications, devices,
supplements, product and product defects, or post marketing surveillance
information to enable product recalls, repairs, or replacement.
Workers compensation: We
may disclose health information to the extent authorized by and to the
extent necessary to comply with laws relating to worker’s compensation
or other similar programs established by law.
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.
Abuse, neglect or
domestic violence: As required by law, we may disclose health
information to a governmental authority authorized by law to receive
reports of abuse, neglect, or domestic violence.
Judicial, administrative
and law enforcement purposes: Consistent with applicable law, we may
disclose health information about you for judicial, administrative and
law enforcement purposes.
Required or allowed by
law: We will disclose medical information about you when required or
allowed to do so by federal, state or local law.
For More Information
or to Report a Problem
If you have questions
and would like additional information, you may contact the Baylor
Medical Center at Frisco Office of HIPAA Compliance at 214-407-5370.
If you believe your
privacy rights have been violated, you can file a complaint with the
Baylor Medical Center at Frisco Office of HIPAA Compliance or with the
Secretary of Health and Human Services. There will be no retaliation for
filing a complaint. |
