UNS Privacy Practices

 

UNS Home Health Agency, Inc.

Notice of Privacy Practices

 

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.

 

UNS Home Health Agency, Inc. is providing this Notice of Privacy Practices because the privacy of your health information is very important to you and to us, and in compliance with federal regulations.

By “your health information” we mean the information that we maintain that specifically identifies you and your health status.

 

Summary

This Notice describes how we use your health information within UNS Home Health Agency, Inc. and disclose it outside UNS Home Health Agency, Inc., and why.

 

The Notice covers:

 

• Uses or disclosures which do not require your written authorization.

>>​Treatment, payment, and health care operations.

>>​Uses or disclosures of your health information to which you may object.

>>​Uses or disclosures required or permitted.

• Uses or disclosures which require your written authorization.
• Your rights as a patient regarding privacy of your health information.
• Our duties in protecting your health information.
• Complaints, contact person, effective date, and acknowledgement.

 

Uses or disclosures which do not require your written authorization

 

Treatment, Payment, and Health Care Operations

 

We use or disclose your health information to carry out your treatment; to obtain payment for your treatment; and to conduct health care operations. For example:

 

>>​For treatment, we use your health information to plan, coordinate, and provide your care. We disclose your health information for treatment purposes to physicians and other health care professionals outside our agency who are involved in your care.

Uses or disclosures which do not require your written authorization
(continued)

 

Treatment, Payment, and Health Care Operations (continued)

 

>>​For payment, we use your health information to prepare documentation required by your insurance company or HMO or by Medicare or Medicaid. We disclose that part of your health information that these organizations require to pay us.

 

>>​For health care operations, we use or disclose your health information, for example, to improve the quality of our services, to plan better ways of treating patients, and to evaluate staff performance. We may use a business associate under contract to perform these services. As of February 17th, 2010, business associates must comply with the same federal security and privacy rules as we do.

 

Uses or Disclosures of Your Health Information to Which You May Object

 

We may use or disclose your health information for the following purposes, unless you ask us not to.

 

• Facility directories.

We maintain a patient directory including, for each patient, name, location in our facility, health condition in general terms, and religious affiliation. We may disclose this information to people who ask for you by name. We will make known your religious affiliation only to clergy.

• Informing family and friends. We may disclose your health information to family, friends, or others identified by you who are involved in your care.
• Assistance in disaster relief efforts.
• Confirming our visits to your home or other appointments.
• Informing you about treatment alternatives or other health-related benefits and services that may be of interest to you.

If you object to our use of your health information for any of these purposes please contact: Amy Gil, Executive Director at (269) 226-9363

Uses or Disclosures Required or Permitted

 

Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization.

 

• Federal government investigation, when required by the Secretary of Health and Human Services to investigate or determine our compliance with federal regulation.
• Federal, state or local law requirements.
• Public health activities, for example to report communicable diseases or death; or for matters involving the Food and Drug Administration.
• Reporting of abuse, neglect or domestic violence.
• Health oversight activities by a health oversight agency. (A health oversight agency is an organization authorized by the government to oversee eligibility and compliance and to enforce civil rights laws.)
• Judicial or administrative proceedings, for example responding to a court order or subpoena.
• Law enforcement purposes, for example to report certain types of wounds or other physical injuries or to identify or locate a suspect, fugitive, material witness, or missing person.
• Use by coroners, medical examiners, or funeral directors.
• Facilitating organ, eye, or tissue donation.
• Research, provided that very strict controls are enforced.
• Averting a serious threat to your health or safety or that of the public.
• Specialized government functions such as military or veterans’ affairs; national security, and intelligence activities.
• Workers' compensation.

Uses or disclosures which require your written authorization

 

Your written authorization, which you may revoke (in writing), is required if we use or disclose your health information for any other purpose, in particular:

 

• Our use of psychotherapy notes beyond treatment, payment, and health care operations.
• Marketing of goods or services to you.

 

Your Rights As A Patient to Privacy Of Your Health Information

 

• Right to Request Restrictions

You have the right to request restrictions on our uses and disclosures of yourhealth information, however we may refuse to accept the restriction. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer.

• Right to Request Confidential Communications

You have the right to request that we communicate with you confidentially, for example to speak with you only in private; to send mail to an address you designate; or to telephone you at a number you designate. Your request must be in writing. We will make every attempt to honor your request.

• Right to Request Access to Your Health Information

You have the right to request access to your health information in order to inspect or copy it. You may request your copy in paper or electronic format. We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable and cost-based fee. Your request must be in writing. We may deny your request and, if so, you may request a review of the denial. However, we will make every attempt to honor your request.

• Right to Request an Amendment of Your Health Information

You have the right to request an amendment to your health information.
Your request must be in writing and must provide a reason for the amendment.
We may deny your request and, if so, you may submit a statement of disagreement.
However, we will make every attempt to honor your request.

• Right to Request an Accounting of Disclosures of Your Health Information

You have the right to request an accounting of our disclosures of your health information for purposes other than treatment, payment, and health care operations & for purposes of treatment, payment and health care operations under certain circumstances after September 22, 2013. We will make every attempt to honor your request. We are not required to provide an accounting for disclosures before April 14, 2003 or for more than 6 years prior to the date of your request.

 

We do not need to provide accounting for the following:

oTo you for disclosures of protected health information (PHI) to you.
oFor the facility directory or to persons involved in your care or for other notification purposes (uses and disclosures requiring an opportunity for the individual to agree or to object, including notification to family members, personal representatives, or other persons responsible for your care of your location, general condition, or death.)
oFor national security or intelligence purposes.
• Right to Obtain a Paper Copy of this Notice

If you received this Notice electronically, you have the right to receive a paper copy.

• Right to Choose Someone to Act on Your Behalf

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

 

 

To exercise any of these rights please write to UNS Home Health Agency at 2925 Portage Rd, Kalamazoo, Michigan 49001 or telephone Amy Gil, Executive Director at (269) 226-9363.

Our Duties in Protecting Your Health Information

 

• We are required by law to maintain the privacy of your health information.
• We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty.
• We must abide by the terms of the Notice currently in effect.

• We will promptly notify you if a breach occurs that may have compromised the privacy or security of your information.

• We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current notice from Amy Gil, Executive Director at (269) 226-9363.

 

Complaints, Contact Person, Effective Date, and Acknowledgement

• You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated.
• You will not be retaliated against for filing a complaint.
• You may file your complaint with our agency by writing to:

Amy Gil, Executive Director

2925 Portage Rd

Kalamazoo, MI 49001

• You may file a complaint with the Secretary of Health and Human Services by writing to:

 

​​Secretary of Health and Human Services

​​U.S. Department of Health and Human Services

​​200 Independence Avenue, S.W.
​​Washington, D.C. 20201
​​(source: www.hhs.gov)

 

• For further information you may write or call:

Amy Gil, Executive Director

2925 Portage Rd

Kalamazoo, MI 49001

​​                     (269) 226-9363

 

• This notice is effective April 14th, 2003. Updated on August 30th, 2013.

 

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