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UNIVERSITY of ARKANSAS |
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PAT WALKER HEALTH CENTER |
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PWHC Video
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HIPAA Privacy Policy Your privacy and confidentiality is vitally important to us at the Pat Walker Health Center. We follow all applicable state and federal laws concerning protection of your information. In accordance with the Health Information Portability Accessibility Act (HIPAA), we will not release your private medical information to anyone without your consent. For more information please read our notice below. Click here for information on requesting copies of your medical records Click here to read our Patient Bill of Rights
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. This
Notice is provided on behalf of the PURPOSE
OF NOTICE:
This Notice of Privacy Practices describes how we may use and
disclose your Protected Health Information to carry out treatment,
payment or healthcare operations and for other purposes permitted or
required by law. “Protected
Health Information” is information about you or your minor child,
including demographic data such as name, address, phone numbers, etc.,
that may identify you and that relates to your past, present or future
physical or mental health and related healthcare services. We
are required to provide this Notice and to maintain the privacy of
Protected Health Information. We
must abide by this Notice, but we reserve the right to change the
privacy practices described in it. This Notice may be viewed on our web
site, at http://health.uark.edu. Notices
will be posted in prominent areas of our facilities.
You may receive a current copy by sending a written request to
the We
understand that medical information about you and your health is
personal and confidential, and we are committed to protecting the
confidentiality of your medical information.
We create a record of the care and services you receive at the If
you believe your Privacy Rights have been violated, you may complain to
us or to the U.S. Secretary of Health and Human Services.
To file a complaint with us, you may send a letter describing the
violation to the If
you have questions or need more information, contact the Assistant
Director for Clinical Management at 479-575-4476. THIS
NOTICE DESCRIBES THE PRACTICES OF: Students-in-training
at the Your
Privacy Rights.
You have the following rights relating to your Protected Health
Information and may: §
You may request a paper copy of this Notice. §
Inspect and/or obtain a copy of records used to make decisions
about you. You may be
charged a fee for the cost of copying, mailing or other supplies.
We are allowed to deny this request under certain circumstances.
In some situations, you have the right to have the denial of your
request reviewed by a licensed healthcare professional you select from
the §
Request that an amendment be added to your record if you feel the
information is incomplete or incorrect.
We are allowed to deny this request in certain circumstances and
will ask you to put these requests in writing and provide a reason that
supports your request. §
Request in writing a restriction on certain uses and disclosures
of your information. We are
not required to abide by the requested restrictions if such restrictions
are not required by law. §
Obtain a record of certain disclosures of your Protected Health
Information. §
Make a reasonable request to have confidential communications of
your Protected Health Information sent to you by alternative means or at
alternative locations. §
Revoke your authorization for use or disclosure of your Protected
Health Information except to the extent that use or disclosure already
has occurred. This request
must be in writing and signed by you.
§
Any written requests to inspect, copy or amend your records must
be submitted to the Health Information Management Department. Our
Responsibilities.
We are required to protect the privacy of your Protected Health
Information, abide by the terms of this Notice,
make this Notice
available to you and to notify you if we are unable to agree to a
requested restriction or an alternative means of communicating. Examples
of Uses & Disclosures We
will use your Protected Health Information for treatment.
Certain information obtained by a nurse, doctor, or other
healthcare worker will be put into your record and used to plan and
manage your treatment. We
may provide reports or other information to your doctor or other
authorized persons who are involved in your care. We
will also provide your physician(s) or a subsequent healthcare provider
with copies or various reports that should assist him or her in treating
you once you are no longer receiving care at the We
will use your Protected Health Information for payment.
If applicable, a bill will be sent to your insurance (medical
or pharmaceutical) company with information that identifies you,
your diagnosis, procedures and supplies used.
If there is a charge from the On
Campus Services
$XX.XX with
a transaction date that is not necessarily the date services are
rendered. We
will use your Protected Health Information for regular healthcare
operations.
The Medical Staff and other healthcare workers may use your
Protected Health Information to check on the care you received, how you
responded to it, and for other business purposes related to operating
our clinic. We
may use and disclose your Protected Health Information, without your
authorization, when the pharmacy needs to contact a physician or
physician’s staff. We may
use and disclose your Protected Health Information if we are contacted
by another pharmacy who states they have your request and consent to
transfer pharmacy records to them.
Business
Associates:
We may share some of your Protected Health Information with
outside people or companies who provide services for us, such as typing
physician reports. Notification:
We may use or disclose Protected Health Information to notify a
family member or other person involved in your care your location and
general condition unless you tell us not to do so. Communication
with Involved Individuals:
We may share Protected Health Information with a family member, a close
personal friend, or a person that you identify, if we determine they are
involved in your care or in payment for your care, unless you tell us
not to do so. We will use
our professional judgment and experience with common practice to allow a
person to pick up prescriptions, medical supplies, or other types of
medical information. Research:
We may disclose 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 health information. Coroners,
Medical Examiners, Funeral Directors:
The law allows us to disclose Protected Health Information to
these people so that they may carry out their duties. Organ
Donor Organizations:
We must share your Protected Health Information with the organ donation
agency for the purpose of tissue or organ donation or as we are required
to do so. Contacts:
We may contact you to provide appointment reminders, to discuss
treatment alternatives or other health related benefits that may be of
interest to you as a patient. Our
Pharmacy may call to remind you to pick up your prescriptions.
Fundraising:
We may contact you to raise funds. Food
and Drug Administration (FDA):
We may share your Protected Health Information with certain government
agencies like the FDA so they can recall drugs or equipment. Workers
Compensation:
We may disclose your Protected Health Information for workers'
compensation claims. Your
Employer:
We may disclose your Protected Health Information to your
employer if the health care you receive is at the request of your
employer. Examples include
but are not limited to Worker’s Compensation, mandatory employee drug
testing, and various physical examinations. Public
Health:
We may give your Protected Health Information to public health agencies
who are charged with preventing or controlling disease, injury or
disability or as required by law. Communicable
Disease:
We may disclose 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. Correctional
Institution:
If you are an inmate of a correctional institution, we may disclose
Protected Health Information needed for your health or the health and
safety of others. Law
Enforcement:
We must disclose Protected Health Information for law enforcement
purposes as required by law. As
Required by Law: We
must disclose Protected Health Information about you when required by
federal, state or local law. Health
Oversight:
We must disclose Protected Health Information to a health
oversight agency for activities authorized by law, such as
investigations and inspections. Oversight agencies are those that
oversee the healthcare system, government benefit programs, such as
Medicaid, and other government regulatory programs. Abuse
or Neglect:
We must disclose your Protected Health Information to government
authorities that are authorized by law to receive reports of suspected
abuse or neglect. Legal
Proceedings:
We may disclose Protected Health Information in the course of any
judicial or administrative proceeding and in response to a court order,
subpoena, discovery request or other lawful process. Required
Uses and Disclosures:
We must make disclosures when required by the Secretary of the
Department of Health and Human Services to investigate or determine our
compliance with the requirements of the HIPAA Privacy Regulations. To
Avoid Harm:
We may use and disclose information about you when necessary to
prevent a serious threat to your health or safety of the health or
safety of the public or another person. For
Specific Government Functions:
In certain situations, we may disclose Protected Health
Information of military personnel and veterans.
We may disclose Protected Health Information for national
security activities required by law. OTHER
USES OF MEDICAL INFORMATION Use
and sharing of medical information not covered by this Notice or allowed
under the law will be made only with your written permission.
At any time, you may cancel this permission, but you must put
this in writing. If you
cancel this permission, we will no longer use or disclose medical
information about you for the reasons covered by your written
authorization unless we are required to do so by law.
We are unable to take back any uses or disclosures we have
already made. Effective
Date: Revision(s):
Signature:
___________________________________
Mary Alice Serafini Title:
Director,
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