NOTICE OF PRIVACY PRACTICESDonnaKim Jahn222009-12-04T21:42:00Z2010-02-05T19:10:00Z2010-02-05T19:10:00Z1270615430 128361810011.0000NOTICE OF PRIVACY PRACTICESTHIS 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.EFFECTIVE DATE: 04-14-2003PURPOSE OF THIS PRIVACY NOTICE: This Notice of Privacy Practices describes how Manning Regional Healthcare Center may use and disclose your protected health information to carry out treatment, initiate payment, or conduct health care operations and for other purposes that are permitted or required by law.Manning Regional Healthcare Center reserves the right to make changes in the Notice of Privacy Practices.OUR PLEDGE REGARDING MEDICAL INFORMATION: We understand that medical information about you and your health is personal and we are committed to protecting that information. A record of the care and services you receive at Manning Regional Healthcare Center is created and maintained at this location. This notice applies to all of those records of your care.MANNING REGIONAL HEALTHCARE CENTER’S RESPONSIBILITIESWe understand that medical information about you and your health is personal and we are committed to protecting your right of privacy. A record of the care and services you receive at Manning Regional Healthcare Center is created and maintained at this location. This notice applies to all of those records of your care. We are required by law to: Maintain the privacy of your health informationProvide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about youFollow the terms of this notice that is currently in effect. We may change the terms of our notice at any time. The new notice will be effective for all protected health information we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. You may obtain a copy by calling Manning Regional Healthcare Center and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next service at this facility.WE WILL NOT USE OR DISCLOSE YOUR HEALTH INFORMATION WITHOUT YOUR AUTHORIZATION EXCEPT AS DESCRIBED IN THIS NOTICE.USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION PERMITTEDThe following categories describe ways that we use and disclose medical information. Examples of each category are included. Not every use or disclosure in each category is listed; however, all of the ways we are permitted to use and disclose information falls into one of these categories:TREATMENT: We may use medical information about you to provide, coordinate, or manage your medical treatment or services. We may disclose medical information about you to other physicians or health care providers who are or will be involved in taking care of you. For example, we would disclose your protected health information, as necessary, to those who will provide care to you after your service or discharge from the hospital such as home health agency or family members directly involved in your care and to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you, PAYMENT: We may use and disclose medical information about you so that the treatment and services you received at our facility may be billed to and payment collected from the patient, insurance company or a third party. We may also disclose this information to obtain prior approval from a health plan to ensure that a scheduled treatment or admission is covered and for undertaking utilization review activities. HEALTH CARE OPERATIONS: We may use or disclose, as needed, your protected health information in order to support the business activities of this facility. These activities include, but are not limited to, quality assessment activities, employee review activities, training of hospital personnel, and conducting and arranging for other business activities. For example, we may call you by name in the waiting room or use protected health information, as necessary, to contact you to remind you of your appointments.We may share your protected health information with third party “business associates” that perform various activities (e.g. billing, collections, auditing) for this facility. Whenever an arrangement between our facility and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. For example, your name and address may be used to send you a newsletter about our facility and the services we offer. You may contact our Privacy Officer to request that these materials not be sent to you.USE AND DISCLOSURES OF PROTECTED HEALTH INFORMATION BASED UPON YOUR WRITTEN AUTHORIZATION.Other uses and 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, at any time, in writing, except to the extent that Manning Regional Healthcare Center has taken action in reliance on the use or disclosure indicated in the authorizationOTHER PERMITTED AND REQUIRED USES AND DISCLOSURES THAT MAY BE MADE WITH YOUR CONSENT, AUTHORIZATION OR OPPORTUNITY TO OBJECTHOSPITAL DIRECTORY: Certain limited information about patients may be listed in the hospital directory while you are a patient. This may include name, location in the hospital, general condition and religious affiliation. This information will not be given out unless the individual asks specifically by patient’s name except a patient’s religious affiliation may be given to a member of the clergy who does not ask for the patient by name. This disclosure allows the family, friends and clergy of the patient to visit him/her in the hospital and be apprised of his/her wellbeing.TO OTHERS INVOLVED IN YOUR HEALTHCARE. We may disclose to a family member, a relative, a close friend, or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.EMERGENCIES: We may use or disclose your protected health information in an emergency treatment situation. If this happens, this facility shall try to obtain your acknowledgement of receipt of the Notice of Privacy Practices as soon as reasonably practicable after the delivery of treatment.OTHER USES AND DISCLOSURES PERMITTED WITHOUT YOUR CONSENT, AUTHORIZATION OR OPPORTUNITY TO OBJECTWe may use or disclose your protected health information in the following situations without your consent or authorization. These situations include:REQUIRED BY LAW: We may use or disclose your protected health information to the extent that law requires the use or disclosure. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. PUBLIC HEALTH ACTIVITIES: We may use or disclose your protected health information for public health activities and purposes to a public health authority 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. We may also disclose your protected health information, if directed by the public health authority, to a foreign government agency that is collaborating with the public health authority.COMMUNICABLE DISEASES: We 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: We may use or disclose your protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.CHILD ABUSE OR NEGLECT: We may use or disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. OTHER VICTIMS OF ABUSE, NEGLECT, DOMESTIC VIOLENCE: We may disclose your protected health information if we believe that you have been a victim of abuse, neglect, or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws. You will be notified, as required by law, of any such uses or disclosures except where such notification could result in additional harm to the individual.FOOD AND DRUG ADMINISTRATION: We may use or 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, track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.LEGAL PROCEEDINGS: We may use or disclose your 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 purpose.OTHER USES (continued):LAW ENFORCEMENT: We may use or disclose your protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of this facility, and (6) medical emergency (not on this facility’s premises) and it is likely that a crime as occurred.CORONERS, FUNERAL DIRECTORS, AND ORGAN DONATION: We may use or disclose your protected health information to a coroner or medical examiner for identification purposes, determining the cause of death or for the coroner or medical examiner to perform other duties authorized by law. We 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. We 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.WORKERS’ COMPENSATION: We may disclose your protected health information as authorized to comply with workers’ compensation laws and other similar legally established programINMATES: We may use or disclose your protected health information if you are an inmate of a correctional facility and this facility created or received your protected health information in the coursed of providing care to you.SALE OR CLOSURE OF THIS FACILITY: In the event that Manning Regional Healthcare Center is sold or acquired by another facility or entity, your protected health information will be disclosed to that facility or entity.REQUIRED USES AND DISCLOSURES: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. seq. YOUR RIGHTS: 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.You have the right to inspect and copy your protected health information. This means you may inspect and obtain and copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A “designated record set” contains medical and billing records and any other records that your physician and this facility use for making decisions about you.Under federal law, however, you may not inspect or copy the following records: 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 law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewed. In some circumstances, you may have the right to have this decision reviewed. You have the right to request a restriction of our protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes or treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes described in this Notice of Privacy Practices. Your request must be in writing and state the specific restriction requested and to whom you want the restriction to apply.This facility and your physician are not required to agree to a restriction that you may request. If your physician and this facility believe it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If we do agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. You may request a restriction by contacting and discussing the issue with the Privacy Officer.You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. This request must be made in writing to our Privacy Officer.You may have the right to have your physician amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain that information. In certain cases, we may deny your request for an amendment. If we deny your request for an 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. .YOUR RIGHTS (continued):You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. 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 we may have made to you, for a facility directory, 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 occurred after April 14, 2003. The right to receive this information is subject to certain exceptions, restrictions or limitations.Breach Notification: MRHC shall notify any individual when it is determined that unsecured protected health information has been inappropriately disclosed in violation of the HIPAA privacy regulations and the breach poses a significant risk of financial, reputational, or other harm to the individual. A “breach” is defined as the acquisition, access, use or disclosure of protected health information in a manner not permitted by the HIPAA privacy regulations which compromises the security or privacy of the protected health information. “Unsecured protected health information” is health information not protected by encryption or a comparable method to safeguard the information.You will receive a paper copy of this notice upon request.FOR MORE INFORMATION OR TO REPORT A PROBLEMIf you have questions and would like additional information, you may contact the Privacy Officer of Manning Regional Healthcare Center at 712-655-2072.IF YOU BELIEVE YOUR PRIVACY RIGHTS HAVE BEEN VIOLATEDYou may file a complaint with the Privacy Officer, Manning Regional Healthcare Center, 410 Main St., Manning, IA 51455. Office of Civil Rights, U. S. Department of Health and Human Services, 601 East 12th St., Room 248, Kansas City, MO 64106Director, Office of Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue, SW—Room 506-F, Washington, D.C. 20201.The complaint must be writing and contain your name, address and telephone number, the name and address of the health care provider the complaint is about, how, why and when your privacy rights were violated, and any other relevant information.THERE WILL BE NO RETALIATION FOR FILING A COMPLAINT.This Notice was published and became effective on April 14, 2003 with revision December, 2009.