Notice of Privacy Practices
This notice describes how information about you (as a patient of this practice) may be used and disclosed and how you can get access to this information. If a patient is under 18 year old, the medical records referred in this notice shall pertain to the patient the legal guardian shall review the policy. Please review this notice carefully.
The terms of this notice apply to all records containing your individual identifiable health information (IIHI) that are created or retained by our practice. We reserve the right to revise or amend this Notice or Privacy Practices. Any revision or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any or your records that we may crate or maintain in the future. Our practice will post a copy of our current Notice in our office in a visible location, and you may request a copy of our most current Notice at any time.
Our Commitment to Your Privacy
Our practice is dedicated to maintain the privacy of your IIHI. In conduction our business, we will create records regarding you and the treatment and services we provide to you. We are required by law to maintain the confidentiality of health information that identifies you. We also are required by law to provide you with this notice or our legal duties and the privacy practices that we maintain in our practice concerning your IIHI. By federal and state law, we must follow the terms of the notice of privacy practices that we have in effect at the time.
We realize that these laws are complicated, but we must provide you with the following important information:
• How we may use and disclose your IIHI
• Your privacy rights in regard to your IIHI
• Our obligations concerning the use and disclose of your IIHI
Each time you visit a physician of Tender Care Pediatrics, 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 payer can verify that services billed were actually provided
• a tool in educating heath professionals
• a source of information for public health officials charged with improving the health of the nation
• a tool with which we can assess and continually work to improve the care we render and the outcomes we achieve
• 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
• make more informed decisions when authorizing disclosure to others
Your Health Information Rights
Although your health record is the physical property of the Tender Care Pediatrics, the information belongs to you. You have the right to:
• request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522
• obtain a paper copy of the notice of information practices upon request
• inspect and obtain a copy of your health record as provided for in 45 CFR 164.524
• amend your health record as provided in 45 CFR 164.528
• obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528
• request communications of your health information by alternative means or at alternative locations
• revoke your authorization to use or disclose health information except to the extent that action has already been taken
• to file complaint with our practice or with the Secretary of the Department of Health and Human Services
Tender Care Pediatrics is 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 collect and maintain about you
• abide by the terms of this notice
• notify you if we are unable to agree to a requested restriction
• accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
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 a revised notice to the address you’ve supplied us. We will not use or disclose your health information without your authorization, except as described in this notice.
For More Information or to Report a Problem
If have questions and would like additional information, you may contact the office manager at (609)
641-0200. If you believe your privacy rights have been violated, you can file a complaint with the director of health information management or with the secretary of Health and Human Services. There will be no retaliation for filing a complaint.
Disclosures for Treatment, Payment and Health Operations
We will use your health information for treatment
The IIHI 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 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
Our practice may use and disclose your IIHI in order to bill and collect payment for the services and items you may receive from us. We may contact your health insurer to certify that you are eligible for benefits, and we may provide your insurer with details regarding your treatment to determine if your insurer will cover, or pay for, your treatment. We also may use and disclose your IIHI to obtain payment from third parties that may be responsible for such costs, such as family members and legal guardians. Also, we may use your IIHI to bill you directly for services and items. 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 operations
Members of the medical staff may use your IIHI in your health 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 healthcare and service we provide.
Other Permitted or Required Uses and Disclosures
Business associates: There are some services provided in our organization through contacts with business associates. Examples include physician services in the emergency department and radiology, certain laboratory tests, and a copy service we use when making copies of your health record. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we have asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.
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.
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.
We may contact you to provide appointment reminders, treatment follow-up calls, or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
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.
We may disclose IIHI 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.
As required by law, we may disclose your IIHI to public health or legal authorities charged with preventing or controlling disease, child abuse, neglect, injury, or disability.
We may disclose your IIHI to a health oversight agency for activities authorized by law. Oversight activities can include, for example, investigations, inspections, audits, licensure and disciplinary actions; civil, administrative, and criminal procedures or actions: or other activities necessary for the government to monitor government programs, compliance with civil rights laws and health care system in general.
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.
We may disclose your IIHI for law enforcement purposes as required by law or in response to a valid subpoena. 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.