NOTICE
OF PRIVACY PRACTICES
Effective: May 1, 2002 (Revised 10/07/2010)
§164.520(a-e)
§164.512(a-l)
This notice describes how information about you may be used and disclosed and
how you can get access to this information.
Use and Disclosure of Your Health
Information
Here at Crider Health Center, we use your Personal Health Information (PHI)
to provide you with treatment and services, to receive payment for those services,
and in our daily operations.
Treatment. We may disclose your Personal Health Information to those involved in your treatment on an as-needed basis. For example, your doctor may require you to have a blood test in the hospital lab. Your doctor would then need to speak with someone from the lab about the medical information gathered from your blood test. Payment. We may be required to use or disclose your Personal Health Information in order to obtain payment for services you receive at our facility. For example, when we bill your insurance provider, we may have to notify them of the services you receive from us in order to receive payment for those services. Health Care Operations. We may use and disclose your Personal Health Information in our everyday health care operations. For example, your information may be used to assist us in evaluating our performance as your health care provider. We may disclose information to Doctors, Clinicians, and other agency personnel for peer review or training purposes. Research and Outcomes Reporting. We may use and disclose non-identifying health outcomes information to Funding Sources. For example, Crider Health Center may collect data related to chronic disease; if you are diagnosed with one of these conditions we would take results from your medical chart or lab and aggregate the readings with other patients to report to the funding sources. This will enable Crider Health Center to continue to maintain funding as well as enable the Funders to evaluate our performance as your health care provider.
Uses and Disclosures Which Do Not
Require Your Consent
State and federal law permit and/or require certain uses and disclosures of
PHI for various purposes related to public responsibility. Such uses and disclosures
may be made without the agreement or authorization of the individual. The following
uses and disclosures fall within this category:
- We may disclose your health information to a public health authority in order to prevent or control disease, to report birth or death, and to correctional institutions (if not objected by the inmate) for the purpose of public health investigations, interventions, and other related matters.
- We may disclose your health information to the Food and Drug Administration (FDA) regarding his/her responsibility for quality, safety or effectiveness of an FDA regulated product or activity, to report adverse events, product defects or problems, track products, enable recalls, repairs or replacements, or conduct post-marketing surveillance.
- We are mandated by law and clinical ethics to report information related to situations involving instances of abuse and neglect.
- We are required to disclose your health information in response to a court order.
- In the event of your death, we may disclose your health information to a coroner, medical examiner or funeral director to carrying out their duties, and to the designated organ procurement organization, and tissue and eye banks.
- We are mandated by law and clinical ethics to disclose information to prevent an immediate threat to the health or safety of yourself or the public.
- Disclosures of admitted participation in a violent crime are not permitted when the information is learned in the course of treatment entered into by the individual to affect his/her propensity to commit the subject crime, or through counseling, or therapy or a request to initiate the same.
- We may disclose your health information to the Secretary of Health and Human Services related to compliance and enforcement efforts for the purpose of audits, investigations, inspections, or other activities.
- We may disclose your health information for workers’ compensation as authorized and to the extent necessary to comply with laws relating to workers' compensation and other similar programs.
- Specialized Government Functions:
- National Security and Intelligence: your health information may be disclosed to authorized federal officials for the conduct of lawful intelligence, counter intelligence, and other activities authorized by the National Security Act.
- Protective Services: your health information may be disclosed to authorized federal officials for the provision of protective services to the President, foreign heads of state, and others designated by law, and for the conduct of criminal investigations of threats against such persons.
- Public Benefits: your health information relevant to administration of a government program providing public benefits may be disclosed to another governmental
- program providing public benefits serving the same or similar populations as necessary to coordinate
- program functions or improve administration and management of program functions.
Our office may contact you at the address and/or telephone number you give us, in order to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Crider Health Center, our business associates or related foundations for the purpose of fundraising may use your demographic information and the dates you are provided health care by Crider Health Center. This information shall not contain your name or any other information that could reasonably be used to identify you.
All other uses or disclosures of your health information
will be made only with your written authorization. You may revoke your written
authorization at any time.
Your Rights
The federal law that protects the privacy of your health information gives you
several rights. You have the right to have a copy of the notice of privacy practices
of your health care provider, and updated notices will be mailed to your residence
of record. You have the right to inspect and copy information in your record
under the supervision and consent of your case manager. You may request changes
to the information contained in your record. You have the right to request that
restrictions be placed on us for the use and disclosure of your health information.
You have the right to request restrictions to your insurance company for information
other than described in Treatment, Payment, and Healthcare Operations if services
issued have already been paid by you in full. Crider Health Center reserves
the right to deny such requests based on the information outlined within this
notice. You may also receive a list of all the uses and disclosures of your
health information made by Crider Health Center. Certain limitations apply.
Finally, you have the right to receive communications from us regarding your
health information in a confidential manner. If you wish to exercise any of
these rights, please contact your case manager for assistance.
If you believe that any of these rights or your privacy rights has been violated, you have the right to complain to Crider Health Center by contacting the Vice President of Human Resources at 636-332-6000 or to the Department of Health and Human Services at 1-877-696-6775. You are protected under federal law from intimidate, threaten, coerce, discriminate against, or other retaliatory actions for exercising these rights, participate in an investigation or compliance review, opposing Crider Center’s privacy policy (if belief policy is unlawful), and complaints you make.
Our Duties
We have a duty under the law to tell you our legal obligations regarding your
health information. Our obligations are as follows: we must maintain the privacy
of your health information; we must follow the terms of this notice; we have
the right to change the terms of this notice, but if we do so, we must give
you a copy of the new notice.
This notice shall be posted in a clear and prominent location where it is reasonable to expect individuals seeking services, to be able to read this notice. Furthermore, all individuals receiving services for the first time shall be given a copy of this notice prior to services being given.
Crider Health Center does not discriminate in the provision of service based upon an individual's race, ethnicity, color, gender, national origin, disability, sexual orientation, or religion; nor does the agency discriminate in the provision of services to an individual because the individual is unable to pay or because payment for those services would be made under Medicare, Medicaid (MO Health Net), or the State Children's Health Insurance Program. For those without health care insurance, Crider Health Center has established a Sliding Fee Scale based on the standard and customary charges for services. Eligibility and rates are based on income and number in household.
To Our Medical Patients:
You may be seen by an Advanced Practice Registered Nurse, Physician’s
Assistant or Clinical Nurse Specialist at this location who practices in collaboration
with a licensed physician. You have the right to request to see the collaborating
physician.
To Our Behavioral Health Patients:
To share your comments or suggestions, as well as to register a complaint, you
may contact:
Missouri Department of Mental Health Client’s Rights Monitor
1706 East Elm
Jefferson City, MO 65101
Or call: 1-800-364-9687
Web Site Privacy Policy
Your privacy is very important to us. Our policy is to respect and protect the privacy of visitors to our web site. The purpose of this privacy policy is to provide you with a description of the type of information we collect and how we use that information.
Crider Health Center does not collect individually identifiable data on users. We do not collect personally identifiable information on our web site unless you choose to give it to us via an electronic mail message. Even when you choose to give us information, we keep it confidential. When guests visit the Crider Health Center web site, we collect some basic information that does not identify individual users. This includes the amount of traffic visiting the site, which pages are visited and for how long, where the visitors come from, and what ISP they are using. We use the information we collect to improve the quality of our web site, enhance or tailor the information we offer, and make your experience on our site as valuable and efficient as possible.
Links to Other Web Sites:
Please be aware that when you click on links that take you to third-party sites web sites, you will be subject to their respective privacy policy. While we support the protection of privacy in the Internet, Crider Health Center cannot be responsible for the actions of third parties. We encourage you to read the posted privacy statement whenever interacting with any web site.
Consent to Gather Non-Identifiable:
By using our web site, you consent to Crider Health Center to collect and use your information as described in this policy. If we update this privacy policy, such changes will be posted on this page. So that you are always aware of what information we collect and how we use it, we recommend that you review this page regularly.
