|> Notice of Privacy Practices|
Notice of Privacy Practices
915 Highland Boulevard
Bozeman, MT 59715
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.
The terms of this Notice of Privacy Practices apply to Bozeman Deaconess Health Services (BDHS) operating as a clinically integrated healthcare arrangement composed of Bozeman Deaconess Hospital and Bozeman Deaconess Health Group and the physicians and other licensed professionals seeing and treating patients at each of these facilities. All of the entities and persons listed will share protected health information as necessary to carry out treatment, payment, and healthcare operations as permitted by law.
We are required by law to maintain the privacy of our patients’ protected health information (PHI) and to provide patients with notice of our legal duties and privacy practices with respect to your protected health information. We are required to abide by the terms of this Notice so long as it remains in effect. We reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make the new Notice effective for all protected health information maintained by us. You may receive a copy of any revised notices at BDHS Patient Registration or a copy may be obtained by mailing a request to: BDHS Privacy Officer, 915 Highland Blvd., Bozeman, MT 59715- 6999.
EXAMPLES OF DISCLOSURE FOR TREATMENT, PAYMENT AND HEALTH OPERATIONS:
BDHS will use your protected health information for your treatment: For instance, doctors and nurses and other professionals involved in your care will use information in your medical record and information that you provide about your symptoms and reactions to plan a course of treatment for you that may include procedures, medications, tests, etc. We may also release your protected health information to another healthcare facility or professional who is not affiliated with our organization but who is or will be providing treatment to you. We may contact you to provide appointment reminders, test results or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
We will use your health information for payment: For instance, we may forward information regarding your medical procedures and treatment to your insurance company to arrange payment for the services provided to you or we may use your information to prepare a bill to send to you or to the person responsible for your payment.
We will use and disclose your protected health information for our healthcare operations: For instance, clinical improvement, professional peer review, business management, accreditation and licensing, etc. We may from time to time use your protected health information to communicate with you about health products and services necessary for your treatment, to advise you of new products and services we offer, and to provide general health and wellness information.
We will make your protected health information available through a Health Information Exchange: For instance, we will disclose your information to HealthShare Montana, a secure computer network which provides a safe and efficient way to share medical information with other health care providers. For example, if you are traveling and you require emergency medical care from another health care facility in Montana, providers at that facility could have access to your medical information to assist them in caring for you. If you do not want your information to be shared through HealthShare Montana, you may “opt out” by contacting the Privacy Officer of HealthShare Montana at (855) 655-4768 or by accessing the opt-out form on HealthShare Montana’s website at www. healthsharemontana.org.
USES & DISCLOSURES THAT REQUIRE AN AUTHORIZATION
PERMITTED USES AND DISCLOSURES:
Your Authorization: Except as outlined below, we will not use or disclose your protected health information for any purpose unless you have signed a form authorizing the use or disclosure. You have the right to revoke that authorization in writing unless we have taken any action in reliance on the authorization.
Facility Directory: We maintain a facility directory listing the name, room number, general condition and, if you wish, your religious affiliation. Unless you choose to have your information excluded from this directory, the information, excluding your religious affiliation, will be disclosed to anyone who requests it by asking for you by name. This information, including your religious affiliation, may also be provided to members of the community clergy. You have the right during registration to have your information excluded from this directory.
Family and Friends Involved In Your Care: With your approval, we may from time to time disclose your protected health information to designated family, friends, and others who are involved in your care or in payment of your care in order to facilitate that person’s involvement in caring for you or paying for your care. If you are unavailable, incapacitated, or facing an emergency medical situation, and we determine that a limited disclosure may be in your best interest, we may share limited protected health information with such individuals without your approval. We may also disclose limited protected health information to a public or private entity that is authorized to assist in disaster relief efforts in order for that entity to locate a family member or other persons that may be involved in some aspect of caring for you.
Business Associates: Certain aspects and components of our services are performed through contracts with outside persons or organizations, such as auditing, accreditation, legal services, etc. At times it may be necessary for us to provide certain aspects of your protected health information to one or more of these outside persons or organizations who assist us with our healthcare operations. In all cases, we require these business associates to appropriately safeguard the privacy of your information.
Fundraising Activities: We may release information about you to Bozeman Deaconess Foundation. Allowable information that may be released includes: name, address, phone number, age, gender, insurance status, dates of service, department of service, treating physician, and outcome of treatment information. Information regarding illnesses and/or treatments will not be released. If you do not want to receive direct solicitations regarding current fundraising efforts you have the right to opt out of receiving such communication.
Research: In limited circumstances, we may use and disclose your protected health information for research purposes. For example, a research organization may wish to compare outcomes of all patients that received a particular drug and will need to review a series of medical records. In all cases where your specific authorization has not been obtained, your privacy will be protected by strict confidentiality requirements applied by an Institutional Review Board or privacy board which oversees the research or by representations of the researchers that limit their use and disclosure of patient information.
REQUIRED USES AND DISCLOSURES:
We are permitted or required by law to make certain other uses and disclosures of your protected health information without your consent or authorization, including but not limited to the following:
YOUR HEALTH INFORMATION RIGHTS:
Although your health record is the physical property of BDHS, the information belongs to you. You have the right:
You will be asked to sign an acknowledgment form that you received this Notice of Privacy Practices.
FOR MORE INFORMATION OR TO REPORT A PROBLEM:
If you believe your privacy rights have been violated, you can file a complaint with the BDHS Privacy Officer or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. If you have questions and/or would like additional information, please contact the BDHS Privacy Officer at (406) 414-5584.Effective April 14, 2003
Revised August 7, 2013