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Privacy Policy

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.

If you have any questions about this notice, please contact our Privacy Officer at 814-459-0621.


WHO WILL FOLLOW THIS NOTICE:

  • Any health care professional authorized to enter information into your medical record.
  • All departments of Saint Mary's Home of Erie d/b/a/ Saint Mary's East and Saint Mary's at Asbury Ridge (referred to henceforth as Saint Mary's)
  • Any member of a volunteer group we allow to assist you while you are at Saint Mary's
  • All employees, staff and other Saint Mary's personnel.

OUR PLEDGE REGARDING MEDICAL INFORMATION:

Saint Mary's understands that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at Saint Mary's. We need this record to provide you with quality care and to comply with certain legal and regulatory requirements. This notice applies to all of the records of your care generated by Saint Mary's, whether made by Saint Mary's personnel, your personal doctor or other practitioner. This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.

Saint Mary's is required by law to:

  • Make sure that medical information that identifies you is kept private
  • Provide you with this notice of our legal duties and privacy practices with respect to medical information about you
  • Follow the terms of the notice that is currently in effect.

HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU:

The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

  • For Treatment. We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of you at Saint Mary's. For example, a doctor treating you for a broken leg may need to know if you have diabetes because diabetes may slow the healing process. In addition, the doctor may need to tell the dietitian if you have diabetes so that we can arrange for appropriate meals. Different departments at Saint Mary's also may share medical information about you in order to coordinate the different things you need, such as prescriptions, lab work and x-rays. We also may disclose medical information about you to people outside of Saint Mary's who may be involved in your medical care after you leave, such as family members, healthcare agencies, or others who provide services as part of your care.
  • For Payment. We may use and disclose medical information about you so that the treatment and services you receive at Saint Mary's may be billed and payment may be collected from you, an insurance company or a third party. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.
  • For Health Care Operations. We may use and disclose medical information about you for operations. These uses and disclosures are necessary to run Saint Mary's and make sure that all of our residents receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine medical information about many residents to decide what additional services we should offer, what services are not needed, and whether certain new treatments are effective. We may also disclose information to doctors, nurses, technicians, and medical students for review and learning purposes. We may also combine the medical information we have with medical information from other nursing homes to compare how we are doing and see where we can make improvements in the care and services we offer. We may remove information that identifies you from this set of medical information so others may use it to study health care and health care delivery without learning who the specific residents are.
  • Treatment Alternatives. We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
  • Health-Related Benefits and Services. We may use and disclose medical information to tell you about health-related benefits or services that may be of interest to you.
  • Resident Directory. We may include certain limited information about you in the directory while you are a resident at Saint Mary's. This information may include your name, location at Saint Mary's, your general condition (e.g. fair, stable, etc.) and your religious affiliation. The directory information, except for your religious affiliation, may also be released to people who ask for you by name. Your religious affiliation may be given to a member of the clergy, such as a priest or minister even if they don't ask for you by name. This is so your family, friends and clergy can visit you at Saint Mary's and generally know how you are doing.
  • Individuals Involved in Your Care or Payment for Your Care. We may release medical information about you to a family member, friend, or emergency contact who is involved in your medical care. We may also give information to someone such as a responsible party who helps pay for your care. We may also tell your family or friends your condition and that you are a resident of Saint Mary's. In addition, we may disclose medical information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.
  • As Required By Law. We will disclose medical information about you when required to do so by federal, state or local law.
  • To Avert a Serious Threat to Health or Safety. We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.

SPECIAL SITUATIONS:

  • Organ and Tissue Donation. If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
  • Military and Veterans. If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.
  • Workers' Compensation. We may release medical information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illness.
  • Public Health Risks. We may disclose medical information about you for public health activities. These activities generally include the following:
    • to prevent or control disease, injury or disability
    • to report births and deaths
    • to report child abuse or neglect
    • to report reactions to medications or problems with products
    • to notify people of recalls of products they may be using
    • to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition
    • to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
  • Health Oversight Activities. We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
  • Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
  • Law Enforcement. We may release medical information if asked to do so by a law enforcement official:
    • In response to a court order, subpoena, warrant, summons or similar process
    • To identify or locate a suspect, fugitive, material witness, or missing person
    • About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person's agreement
    • About a death we believe may be the result of criminal conduct
    • About criminal conduct at the facility
    • In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
  • Coroners, Medical Examiners and Funeral Directors. We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about residents to funeral directors as necessary to carry out their duties.
  • National Security and Intelligence Activities. We may release medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION.

  • Right to Inspect and Copy. You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to a Saint Mary's administrator (or designee). If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by Saint Mary's will review your request and the denial. The person conducting the review will not be the person who denied your request.
  • Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for Saint Mary's. To request an amendment, your request must be made in writing and submitted to Saint Mary's administrator (or designee). In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
    • Was not created by us, unless the person or entity that created the information is no longer available to make the amendment
    • Is not part of the medical information kept by or for the facility
    • Is not part of the information which you would be permitted to inspect and copy; or
    • Is accurate and complete.
  • Right to a Summary Accounting of Disclosures. You have the right to request an "accounting of disclosures." This is a list of certain of the disclosures we made of medical information about you. To request this list or summary accounting of disclosures, you must submit your request in writing to a Saint Mary's administrator (or designee). Your request must state a time period which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper). The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
  • Right to Request Restrictions. You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing to a Saint Mary's administrator (or designee). In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
  • Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. To request confidential communications, you must make your request in writing to a Saint Mary's administrator (or designee). We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
  • Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

CHANGES TO THIS NOTICE

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in the facility. The notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you are admitted to the facility for treatment or health care services, we will offer you a copy of the current notice in effect.


COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Saint Mary's or with the Secretary of the Department of Health and Human Services. To file a complaint with Saint Mary's, contact our Privacy Officer at 814-459-0621. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

OTHER USES OF MEDICAL INFORMATION.

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.


Effective Date

The effective date of this Notice is 4/14/03.


Additional Information

To obtain additional information about this notice or how Saint Mary's will use your information, please contact our Privacy Officer at 814-459-0621.

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