Crawford Co. Home Health,
Hospice & Public Health

Crawford County Home Health, Hospice & Public Health

105 N. Main Street
Denison, Iowa 51442

Phone: (712) 263-3303
Fax: (712) 263-4033     

Contact Us

 


Notice of Privacy Practices
Crawford County Home Health, Hospice and Public Health

Notice of Privacy Practices              English          Spanish

English

This notice describes how medical information about you may be used and/or disclosed and how you may get access to this information. Please review it carefully.

If you have any questions about this notice please contact our Privacy Officer.

Introduction
This Notice of Privacy Practices describes how Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information to carry out treatment, payment, health care operations or for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health condition and related health care services.
 
Crawford County Home Health, Hospice and Public Health is required to abide by the terms of this Notice of Privacy Practices. Crawford County Home Health, Hospice and Public Health may change the terms of our notice at any time. The new notice will be effective for all protected health information that Crawford County Home Health, Hospice and Public Health maintains at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices.


1. Uses and Disclosures of Protected Health Information
A. Written Consent: You will be asked to sign a consent form for use and disclosure of your protected health information for treatment, payment or health care operations. Your protected health information may be used and/or disclosed by Crawford County Home Health, Hospice and Public Health staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of Crawford County Home Health, Hospice and Public Health.
 
The following are examples of the types of uses and/or disclosures of your protected health care information that Crawford County Home Health, Hospice and Public Health is permitted to make once you have signed our consent form. These examples are not meant to be exhaustive.
 
Treatment: Crawford County Home Health, Hospice and Public Health will use and/or disclose your protected health information to provide, coordinate, or manage your health care and any related services. For example, Crawford County Home Health, Hospice and Public Health may disclose information to a doctor, nurse or other health care professional, so they may in turn use that information to diagnose or treat you.
 
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services from third party payors, such as, government agencies, health insurance providers, etc. For example, the disclosure of health information to your insurance company to determine eligibility for services.

Operations: Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information in order to support our business activities. These activities include, but are not limited to, quality assessment activities, employee review activities, internal auditing, licensing, certain marketing and fundraising activities, and conducting or arranging for other business activities.

Examples of health operations include; a sign-in sheet at a registration desk, a contact to remind you of your appointment, or third party “business associates” that perform various activities (e.g., billing, transcription services) for us. Other ways Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information would be to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. This may be to send you a newsletter about the services Crawford County Home Health, Hospice and Public Health offers or to send you information about products or services that Crawford County Home Health, Hospice and Public Health believes may be beneficial to you. You may contact the Crawford County Home Health, Hospice and Public Health Privacy Contact to request that these materials not be sent to you.

B. Written Authorization: Other uses and/or disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization in writing, at any time, except to the extent that Crawford County Home Health, Hospice and Public Health has taken an action in reliance on the use or disclosure indicated in the authorization.

C. With Consent, Authorization or Opportunity to Object: In the following instances, you have the opportunity to agree or object to the use and/or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then Crawford County Home Health, Hospice and Public Health may, using professional judgment, determine whether the disclosure is in your best interest. In this case, only the protected health information that is relevant to your health care will be disclosed.

Others Involved in Your Health Care: Unless you object, Crawford County Home Health, Hospice and Public Health may disclose to a family member, a relative, a close friend or any other identified person, the protected health information relevant to such person’s involvement in your care or payment for care, or to notify them of your location, general condition or death. If you are unable to agree or object, Crawford County Home Health, Hospice and Public Health may disclose such information as determined in your best interest based on our professional judgment. Finally, use or disclosure may occur to assist in disaster relief efforts.

Emergencies: Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information in an emergency treatment situation. If this happens, Crawford County Home Health, Hospice and Public Health shall try to obtain your consent as soon as reasonably practicable after the delivery of treatment. If Crawford County Home Health, Hospice and Public Health has attempted to obtain your consent but is unable to obtain your consent, Crawford County Home Health, Hospice and Public Health may still use or disclose your protected health information to treat you.

Communication Barriers: Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information if Crawford County Home Health, Hospice and Public Health attempts to obtain consent from you, but is unable to do so due to substantial communication barriers and Crawford County Home Health, Hospice and Public Health determines, using professional judgment, that you intend to consent to use or disclosure under the circumstances

D. Without Your Consent, Authorization or Opportunity to Object: Crawford County Home Health, Hospice and Public Health may use and/or disclose your protected health information in the following situations without your consent or authorization. These situations include

Required By Law: Crawford County Home Health, Hospice and Public Health may use or disclose your protected health information, if it is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.

Public Health: Crawford County Home Health, Hospice and Public Health may disclose your protected health information, for public health activities and purposes, to a public health authority (could include a foreign government agency) that is permitted by law to collect or receive the information. The disclosure will be made for the purpose of controlling disease, injury or disability.
 
Communicable Diseases: Crawford County Home Health, Hospice and Public Health may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
 
Health Oversight: Crawford County Home Health, Hospice and Public Health may disclose protected health information to a health oversight agency for activities such as audits, investigations, or inspections, as authorized by law to oversee the health care system, government benefit programs, other government regulatory programs or civil rights laws.
Abuse or Neglect: Crawford County Home Health, Hospice and Public Health may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect, or of abuse, neglect or domestic violence situations. In these cases, the disclosures will be made consistent with the requirements of applicable federal and state laws.
 
Food and Drug Administration: Crawford County Home Health, Hospice and Public Health may disclose your protected health information to a person or company required by the Food and Drug Administration, to report: adverse events, product defects or problems, biologic product deviations, to track products, to enable product recalls, to make repairs or replacements, or to conduct post marketing surveillance, as required.

Legal Proceedings: Crawford County Home Health Hospice and Public Health may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized) in certain conditions in response to a subpoena, discovery request or other lawful process.

Law Enforcement: Crawford County Home Health, Hospice and Public Health may disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes otherwise required by law, (2) limited information requests for identification and location purposes, (3) information pertaining to victims of a crime, (4) information for suspicion that a death has occurred as a result of criminal conduct, (5) a crime has occurred on Crawford County Home Health, Hospice and Public Health premises, or (6) a medical emergency (not on the Crawford County Home Health, Hospice and Public Health’s premises) and it is likely that a crime has occurred.
 
Coroners, Funeral Directors, and Organ Donation: Crawford County Home Health, Hospice and Public Health may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. Crawford County Home Health, Hospice and Public Health may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. Crawford County Home Health, Hospice and Public Health may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.
 
Research: Crawford County Home Health, Hospice and Public Health may disclose your protected health information to researchers, when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Criminal Activity: Consistent with applicable federal and state laws, Crawford County Home Health, Hospice and Public Health may disclose your protected health information, if Crawford County Home Health, Hospice and Public Health believes that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. Crawford County Home Health, Hospice and Public Health may also disclose protected health information, if it is necessary, for law enforcement authorities to identify or apprehend an individual.
 
Military Activity and National Security: When the appropriate conditions apply, Crawford County Home Health, Hospice and Public Health may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities, (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to a foreign military authority if you are a member of that foreign military services. Crawford County Home Health, Hospice and Public Health may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.
 
Workers’ Compensation: Your protected health information may be disclosed by Crawford County Home Health, Hospice and Public Health, as authorized to comply with workers’ compensation laws and other similar legally-established programs.
 
Inmates: Crawford County Home Health, Hospice and Public Health may use or disclose your protected health information, if you are an inmate of a correctional facility and Crawford County Home Health, Hospice and Public Health created or received your protected health information in the course of providing care to you.
 
Required Uses and Disclosures: Under the law, Crawford County Home Health, Hospice and Public Health must make disclosures about you as required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of 45 C.F.R. section 164.500 et. seq.


2. Your Rights: The following is a statement of your rights, with respect to your protected health information, and a brief description of how you may exercise these rights.

A. Inspect and Copy: This means you may inspect and obtain a copy of your protected health information that is contained in a designated record set. A “designated record set” contains Crawford County Home Health, Hospice and Public Health’s medical and billing records. Under federal law, the following records may not be inspected or copied; psychotherapy notes, information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to other laws that prohibits access to this information. If Crawford County Home Health, Hospice and Public Health denies access to protected health information, you will receive a timely, written denial that explains reason for denial, your right to review, and how to exercise your rights. If Crawford County Home Health, Hospice and Public Health does not maintain the information you are requesting, Crawford County Home Health, Hospice and Public Health will inform you where to get the information. Please contact Crawford County Home Health, Hospice and Public Health’s Privacy Contact if you have questions about access to your medical records.

B. Request a Restriction: This means you may ask Crawford County Home Health, Hospice and Public Health not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that Crawford County Home Health, Hospice and Public Health does not disclose any part of your protected health information to family members or friends who may be involved in your care or for notification. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Crawford County Home Health, Hospice and Public Health is not required to agree to a restriction. If it becomes necessary to permit use and/or disclosure of your protected health information for the purposes of treatment, payment or healthcare operations, Crawford County Home Health, Hospice and Public Health will do so. For instance, communication with your physician cannot be a restricted request. If Crawford County Home Health, Hospice and Public Health does agree to the restriction, we may not use or disclose your protected health information as restricted unless to provide emergency treatment.
 
C. Request to receive confidential communications by alternative means or location. Crawford County Home Health, Hospice and Public Health will accommodate reasonable requests. Please make the request in writing. Crawford County Home Health, Hospice and Public Health may also condition this accommodation by asking you for information as to how payment will be handled, specification of an alternative address or other methods of contact. Crawford County Home Health, Hospice and Public Health will not request an explanation from you as to the basis for the request.

D. Amend: This means you may request an amendment of protected health information about you in a designated record set for as long as Crawford County Home Health, Hospice and Public Health maintains this information. In certain cases, Crawford County Home Health, Hospice and Public Health may deny your request for an amendment. If Crawford County Home Health, Hospice and Public Health denies your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.
 
E. Receive an accounting of certain disclosures made: This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures Crawford County Home Health, Hospice and Public Health may have made to you, to family members or friends involved in your care, or for notification purposes. You have the right to receive specific information regarding these disclosures that occur after April 14, 2003 or for up to six (6) years prior to the date of request. You may request a shorter timeframe. This request must be in writing on a form provided by Crawford County Home Health, Hospice and Public Health. The right to receive this information is subject to certain exceptions, restrictions and limitations.
 
F. Obtain a paper copy of this notice from us: Upon request, you may obtain a paper copy of this notice even if you have agreed to accept this notice electronically.


3. Complaints: You may complain to Crawford County Home Health, Hospice and Public Health or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by Crawford County Home Health, Hospice and Public Health. You may file a complaint with Crawford County Home Health, Hospice and Public Health by notifying our privacy contact of your complaint. The Complaint should be filed in writing and should state the specific incident(s) in terms of subject, date and other relevant matters. A complaint to the Secretary of the Department of Health and Human Services must be filed in writing within 180 days of when the act or omission occurred, and must describe the acts or omissions believed to be in violation of applicable requirements. Crawford County Home Health, Hospice and Public Health will not retaliate against you for filing a complaint. '


You may contact the Crawford County Home Health, Hospice and Public Health Privacy Officer at (712) 263-3303 for further information about the complaint process.
This notice was published and becomes effective April 14, 2003.


Crawford County Home Health, Hospice and Public Health



Advertencia de Costumbre de Aislamiento

Esta advertencia descrive como la infomacion medical sobre usted talvez se puede usar o
Dilvulgar y como usted puede tener acceso a esta infomacion. Favor de repasar con cuidado.
Si tiene cualquier pregunta sobre esta advertencia porfavor pongase en contacto con nuestro contacto de privacidad el Oficial de Aislamiento (Privacy Officer).

Introducción


Esta advertencia de costumbres de privacidad descrive como Crawford County Home Health, Hospice and Public Health Clinic talvez pueda usar y o dilvulgar su informacion protejida de salud para dar a cargo de tratamento, pago, operacion de cuidado salud o para otro proposito que son permitidas o requiridas por ley. Tambien descrive su derecho a acceso y control de su infomacion protejda de salud. “Infomacion protejida de salud” es infomacion de usted, incluyendo infomacion demográfica, que puede identificarle a usted y aquellos relocionados en su pasado, presente, o futuro condiciones fisicas o mentales y servicios relacionados a el cuidado de salud.

Crawford County Home Health, Hospice and Public Health Clinic es requirido a siguir por las estipulaciones de esta Adventencia de Costumbres de Aislamiento. Crawford County Home Health, Hospice and Public Health Clinic puede cambiar las estipulaciones de esta Adventencia en cualquier momento. La nueva adventencia toma efecto para toda infomacion protejida de salud que Crawford County Home Health, Hospice and Public Health Clinic mantenga en ese tiempo. Sobre su Petición, nosotros vamos a proporcionarle a usted con cualquiera, revision nueva de Adventerncia de Constumbres de Aislamiento.

1. Usos y Dilvulgacion de Infomacion Protejida de Salud

A. Consentimiento Escrito:  A usted le van a pedir que firme una forma de consentimiento para uso y dilvulgacion de su infomacion protejida de salud para tratamento, pago o operacion de cuidado de salud. Su infomacion protejida de salud puede ser usada y/o dilvulgada por empleados de Crawford County Home Health, Hospice and Public Health Clinic y otros fuera de su oficina que esten envueltos en su cuidado o tratamiento para el proposito de prveer servicios de cuidado de salud a usted. Su infomacion protejida de salud tambien puede ser usada o dilvulgada para pagar sus servicios de salud y apoyar la operacion de Crawford County Home Health, Hospice and Public Health Clinic.

Los siguentes son ejemplos de tipos de uso y/ o dilvugacion de su infomacion protejida cuidado salud que Crawford County Home Health, Hospice and Public Health Clinic es permitido a hacer una vez que usted haya firmado nuestra forma de consentimiento. Estos ejemplos no son para ser exhaustivo.

Tratamiento: Crawford County Home Health, Hospice and Public Health Clinic va usar y/o dilvulgar su infomacion protejida de salud para proporcionar, coordinar, manejar su cuidado de salud y cualquier servicios relacionado. Por ejemplo, Crawford County Home Health, Hospice and Public Health Clinic puede dilvulgar infomacion para un medico, enfermera u otro profesional cuidador de salud, asi que ellos en cambio pueden usar aquella infomacion para diagnosticar o dar trartamiento.

Pagos: Su infomacion protejida de salud sere usada, como sea necesaria, para obtener pago para sus servicios de salud de un pagador de tercer parte, tan tal, como agencia de gobierno, proveedor de aseguranza de salud, etc. Por ejemplo, la divulgacion de informacion de salud para su compania de aseguranza para determinar elegibilidad para servicios.

Operacion: Crawford County Home Health, Hospice and Public Health Clinic puede usar y/o dilvulgar su infomacion protejida de salud para apoyar nuestras actividades de negocio. Estas actividades incuyen, pero no son limitadas a, actividades de calidad de evaluo, actividades de repaso por empleo, intervención internal, licenciandos, certa comercialización y actividades de finacianciamiento, y conducir o areglo para otras actividades de negocio.

Ejemplos de operaciones de salud incluye, una pagina de firma en el escritorio de registro, un contacto para recuerdar de cita, o un “asociado de negocio” de tercer parte que realizara varias actividades (e.j., pago, servicios de transcripción) para nosotros. Otras maneras que Crawford County Home Health, Hospice and Public Health Clinic puede usar y/o dilvulgar su infomacion protejida de salud puede ser para proveerle con infomacion de tratamiento alternativo o otros servicios de salud relacionados a beneficios y servicios que talvez pueden interesarle a usted. Esto se puede enviar por Boletín de Noticias de los servicios de Crawford County Home Health, Hospice and Public Health Clinic ofrece o enviar informacion de productos o servicios que Crawford County Home Health, Hospice and Public Health Clinic cree que pueden ser beneficiales para usted. Usted puede aser contacto con Crawford County Home Health, Hospice and Public Health Clinic carga de aislamiento para requir que estos materiales no sean enviados a usted.

B. Autorización Escrito: Otros usos y/o Acceso de su información protejida De salud se hara solamente con su autorización escrita, a menos que o sea requerida por la ley como estipula abajo. Usted puede revokar esta autorización en escrito, en cualquier tiempo, exepto para el extento que Crawford County Home Health Hospice and Public Health Clinic a tomado en acción en relacion con el uso o acceso indicado en la autorización

C. Con consentimiento, authorización y oportunidad a objetar: En los siguientes ejemplos, usted tiene la oportunidad a convenir o objetar para el uso y/o acceso de todo o parte de su información de salud protejida. Si usted no esta presente o no es capaz de convenir o objetar el uso o acceso de su información de salud protejida, entonces Crawford County Home Health Hospice and Public Health Clinic puede, usar su juicio professional, a determinar si el acceso es en el mejor interés de usted. En este caso, nada mas la información protejida de salud que es relevante para su cuidado de salud sera divulgada.

Otros involucrados en su Cuidado de Salud: Almenos que usted quiera objetar, Crawford County Home Health Hospice and Public Health Clinic podra darle acceso a su miembro familiar, pariente, un amigo cercano o otra persona identificada, la información protejida de salud revelante para cualquier persona involucrada en el cuidado o pago para su cuidado, o para aviso de su localidad, condicion general o su muerte. Si usted no es capaz a convenir o objetar, Crawford County Home Health Hospice and Public Health Clinic puede divulgar tal información como es determinado en su mejor interés basado en el juicio professional. Finalmente , uso o divulgacion puede occurir par asistir en Esfuerzo alivio para desastre.

Emergencias: Crawford County Home Health Hospice and Public Health Clinic puede usar y/o divulgar su información protejida de salud en una situacion para tratamiento de emergencia. Si esto ocurre, Crawford County Home Health Hospice and Public Health Clinic va a tratar de obtener su consentamiento lo mas pronto razonable practicable despues de entregar el tratamento. Si en casoCrawford County Home Health Hospice and Public Health Clinic a tratado de obtener su consentimiento pero no fue posible obtener su consentmiento, Crawford County Home Health Hospice and Public Health Clinic todavia puede usar o divulgar su información protejida de salud para tratatamiento.

Barrera de Comunicacion: Crawford County Home Health Hospice and Public Health Clinic Puede usar y/o divulgar su infomacion protejida de salud si Crawford County Home Health Hospice and Public Health Clinic a intentado obtener de usted, pero no ha sido capaz devido a la barrera de comunicacion sustanciale y Crawford County Home Health Hospice and Public Health Clinic determinara , usando su juicio professional, que usted intento dar su consentimiento para el uso o divulgar bajo tales circumstancias.

D. Sin su Consentimiento, Autorizacion oportunidad de Obtejar: Crawford County Home Health Hospice and Public Health Clinic puede uasr y/o dilvulgar su infomacion protejida de salud en las siguiente situaciónes sin su consentimiento o autorizacion. Estas situaciónes incluyen:

Requerirdas por Ley: Crawford County Home Health Hospice and Public Health Clinic puede usar o divulgar su infomacion protejida de salud, si es requiridad por ley. El uso y divulgacion se va hacer en complimiento con la ley y se va limitar a requisitos relevantes de la ley. Usted sera notificada, como es requiredo por ley, de cualquier uso y divulgacion.

Salud Publica: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su infomacion protejida de salud, para actividades de salud publica y propositos, para una autoridad de salud publica (esto puede incluir govierno de un pais extranjero) que es permitido por ley a recojer o recibir información. la dilvulgacion se hace para el proposito de controlar enfermedades, heridas o desabilidad.

Enfermdad Comunicable: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su infomacion personal de salud, para autorizacion por ley, para personas que talvez han sido expuestas a una enfermedád comunicable o talvez de otra manera a ser en riesgo de contraer o contagiarse la enfermedád comunicable o condicion.

Descuido de Salud: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protegida de salud a una agencia descuido de Salud para actividades como auditivo, investigacion, o inspeccion, como es autorizado por la ley para vigilar el sistema de cuidado de salud , programa de benficios de govierno, o otros programas regulados por elgovierno o ley de derechos civiles.

Abuso o Negligencia: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protgegida de salud a una autoridad de salud publica que sea autorizada por la ley de recibir reportes de abuso o negligencia de niños, o abuso, negligencia o situaciones de violencia domestica. En este caso, la dilvulgacion sera consitente con los requisitos de aplicacion de leyes federales y estatales.

Administracion de Alimento y Medicamento: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protegida de salud a personas o companias requiridas por la Administracion de Alimentos y Medicamentos, para reportar: eventos adversos, produc tos defectosos o problemas de productos, desviación biologicos de productos, para rastrear productos, para capacitar llamada de productos, para hacer reparaciones o reemplazo, o para conducir post-venderacion vigilancia, como es requirido.

Proceso legal: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protegida de salud en el courso de cualquier proceso judicial o admistrativa, reacción a una orden de una corte o tribunal admistrativa ( a extento que tal dilvulgacion sea exrpresadamente autorizada ) en ciertas condiciones en ciertas condisiones en respuesta a una descubricion o cualquier proceso legal.

Aplicación de ley: Crawford County Home Health Hospice and Public Health Clinic puede disvulgar su información protejida de salud, siempre y cuando los requisitos legales aplicables sean cumplidos, para los propositos de la applicacion de ley. Este proposito de applicacion de ley incluye (1) propositos de ley de otra manera requeridas por la ley, (2) información limitida a requisto para identificacion o proposito local, (3) infomacion perteneciendo a victima de crimen, (4) infomacion de sospecho de una muerte que occurio por resulto de una conducta criminal, (5) un crimen ocurrido en el local de Crawford County Home Health Hospice and Public Health Clinic o (6) una emergencia medica (no en el local de Crawford County Home Health Hopice and Public Health Clinic) y es probable que haya ocurrido.

Investigador de muerte, Directorio de Funeral, y Donacion de Organos: Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protejida de Salud a un Investigador de muerte, o un examinador medico para proposito de indentificar, determinar la causa de muerte o para un Investigador de muerte o exminador medico para realizar su otro servicio autorizado por ley. Crawford County Home Health Hospice and Public Health Clinics puede tambien dilvulgar tal información en anticipación de muerte rasonable. Infomacion protejida de salud se puede usada y dilvulgaada para proposito de donacion de organos cardeveres, ojos, o tejidos de el cuerpo.

Investigación:  Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protejida de Salud a un investigador, cuando su su investigacion haya sido aprovada y revisada para el proposito de la investigacion y establecido un convenio para asegurar la privacidad de su informacion de de salud protejida por una barra de revision institucional

Actividad Criminal: Consistente con la aplicacion de leyes federales y Estatales, Crawford County Home Health Hospice and Public Health Clinic puede dilvulgar su información protejida de Salud, sí Crawford County Home Health Hospice and Public Health Clinic cree que el uso o dilvugacion es necesaria para prevenir o aminorar una amenaza seria e inminente para la salud o seguridad de una persona o publico. Crawford County Home Health Hospice and Public Health Clinic tambien puede dilvulgar infomacion protejida de salud, si es necesario, para autoridades aplicadores de leyes para identificar o aprender a un individuo.

Actividad Militar y Seguridad de Nacional: Cuando los apropridadas condiciones appliquen, Crawford County Home Health Hospice and Public Health Clinic puede usar o dilvulgar su información protejida de salud a individuos que esten en las Fuerzas Armadas. (1) para actividades Juzgara necesario por Comandante authoridades militares, (2) para el proposito de una determinacion por el departamento de Asuntos Veteranos de sus beneficios elegibles o (3) a una authoridad militar de otro pais si eres miembro de un servicio militar extranjero. Crawford County Home Health Hospice and Public Health Clinic tambien puede dilvugar su información de salud protejida official autorizado para conducir actividade de seguridad de inteligencia national incluyendo para provision de servicos protectores al presidente o a otros legalmente autorizados.

Compesacion al trabajador: su información protejida puede ser dilvugada por Crawford County Home Health Hospice and Public Health Clinic como authorizado para cumplir con las leyes de compensacion al trabajador y otros programas similares legalmente establicidos.

Reclusos: Crawford County Home Health Hospice and Public Health Clinic puede usar y divulgar su infomacion de salud protejida si usted es un recluso de una facilidad correccional y Crawford County Home Health Hospice and Public Health Clinic recibio y creo su infomacion de salud protejida en el curso de proveer cuidado para usted.

Usos requiridos y dilvugaciones: Bajo la ley Crawford County Home Health Hospice and Public Health Clinic debe hacer divugaciones sobre usted como requirido por la secetaria de departamento de servicios humanos y de salud para investigar o determinar nuestr cumplimiento con los requisitos de 45 C.F.R. SECTION 164.500 et seq.

2. Sus derechos: Lo siguente es un estado de sus derechos con respecto a su información de salud protejida y una breve descripcion sobre como puede ejercer sus derechos.

A. Examenar y Copiar: Esto significa que usted puede examinar y obtener copia de su informacion protejida de salud, que es contenidio en achivo ajustara designada. Un “achivo ajustara designada” contendría Crawford County Home Health, Hospice and Public Health Clinic medical y achivos de pago. Bajo las leyes federales , los siguientes archivos no se pueden examinar o copiar; notas de sicoterapia. Informacion coplio en antipacion razonable, o uso en , una accion civil, criminal, o administrativa o procediente, y informacion protejida de salud que que esta sujeta a otras leyes que prohiben el acceso a esta informacion Si Crawford County Home Health, Hospice and Public Health Clinic niega acceso a informacion protejida de salud, usted recibira una carta escrita eficazmente por escrito donde explica las razones por la cual fue negada, su derecho a examinar, y como pueda ejercer sus derechos. Crawford County Home Health, Hospice and Public Health Clinic no mantiene su infomacion que esta solicitando, Crawford County Home Health, Hospice and Public Health Clinic le informa en donde usted puede recibir la infomacion. Por favor de entrar en contacto con Crawford County Home Health, Hospice and Public Health Clinic Carga de aislamiento si en caso tiene alguna pregunta sobre el acceso a sus archivos medicos.

B. Solicitar un Restricción: Esto significa que usted puede pedir a Crawford County Home Health, Hospice and Public Health Clinic no usar o dilvugar alguna parte de su infomacion protejida de salud para el proposito de tratamiento, pago, o operaciones de el sistema de salud. Usted puede solicitar que Crawford County Home Health, Hospice and Public Health Clinic que no dilvulge cualquier parte de su infomacion protejida de salud a miembros familiares, o amigos que pueden estar envuetos o para notificacion. Su solicitud debe afirmar la restricción específica y para quien usted quiera la restricción que aplique. Crawford County Home Health, Hospice and Public Health Clinic no esta requirida a estar de acuerdo con la restricción. Si es necesario a permetir el uso y/o dilvugacion de su infomacion protejida de salud para el proposito de tratamiento, pago, o operacion de cuidado de salud, Crawford County Home Health, Hospice and Public Health Clinic, lo va hacer. Por ejemplo , para comunicaicon con su medico no se puede solicitar una restricción. Si Crawford County Home Health, Hospice and Public Health Clinic esta de acuerdo con su restricción, nosotros podemos usar o dilvulgar su infomacion protejida de salud como restrinjida almenos que sea para prevenir tratamiento de emergencia.

C. Solicitud para recibir comunicacion confidencial de manera alternativa o locacion. Crawford County Home Health, Hospice and Public Health Clinic puede acomodar solicitudes rasonables Por favor haga su solicitud por escrito . Crawford County Home Health, Hospice and Public Health Clinic puede tambien poner una condicion con este arreglo pidiendo a usted infomacion sobre como se manejara el pago, epecificamente una direccion altanativa o otro metodo de estar en contacto. Crawford County Home Health, Hospice and Public Health Clinic no va a requir una explicación de usted sobre que se basa la peticion.

D. Enmendar: Esto significa que usted puede solicitar un enmiendode informacion de salud protejida sobre usted en achivos designados firmes por el tiempo que Crawford County Home Health, Hospice and Public Health Clinic mantenga esta infomacion. In cirtos casos, Crawford County Home Health, Hospice and Public Health Clinic puede negar su peticion de un enmiendo. Si Crawford County Home Health, Hospice and Public Health Clinic niega su peticion por un enmienda, usted tiene el derecho a archivar una declaración de desacuerdo con nosotros y nosotros talvez prepararemos una declaración de refutación y le proporcionaremos una copia de cualquier refutación.

E. Recibir una contabilidad de ciertas dilvugaciones hechas: Este derecho aplica a dilvulgaciones para el proposito de aparte de tratamiento, pago, o operaciones de cuidado de salud como fue descrito en este Aviso de practicas de privacidad Esto excluye dilvulgacion que Crawford County Home Health, Hospice and Public Health Clinic pudo haberle hecho a usted, su miembros familiares o amistades envueltos en su cuidado, o para propositode aviso. Usted tiene el derecho a recibir infomacion espicifica en relacíon a estas dilvugaciones que a ocurrieron despues de 14 de Abril de 2003 o hasta seis (6) años antes de de la fecha de petición. Usted puede peticionar un horario mas corto. Esta petición deber ser por escrito en una forma de Crawford County Home Health, Hospice and Public Health Clinic. El derecho de recibir esta infomacion esta sujeta a ciertas excepciones, restricciones y limitaciones.

F. Obtener una copia en papel sobre este aviso por nosotros: Por peticion,suya usted puede recibir una copia en papel sobre este aviso incluso si usted estuvo de acuerdo en aceptarlo electronicamente.

2. Quejas: Usted se puede quejar con Crawford County Home Health, Hospice and Public Health Clinic o Secretaria de Salud y Servicios Humanos si usted cree que sus derechos de privacidad fueron abusados por Crawford County Home Health, Hospice and Public Health Clinic. Usted puede archivar una queja con Crawford County Home Health, Hospice and Public Health Clinic por notificando a nuestro contacto de privacidad con su queja. La queja se debe archivar por escrito y debe afirmar el incidente especificar los incidentes especificos en terminos de sujeto, fecha, y otra materia relevante. Una queja a la Secetaria de Salud y Servicios Humanos debe ser ser por escrito dentro de 180 dias de cuando la acta o omision ocurrio, y debe describir la acta o omision que se creen que esten en violacion de los requisitos aplicables. Crawford County Home Health, Hospice and Public Health Clinic no tomara represarias contra usted por archivar su queja.

Usted puede entrar en contacto con el Crawford County Home Health, Hospice and Public Health Clinic encargada de privacidad de salud publica (712) 263-3303 para mas infomacion sobrecomo prosesar sus queja

Esta advertencia fue publicada y fue en efecto el 14 de April, 2003.

 

 


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