We value our relationships with our patients, and we know that respect for your privacy is the foundation of that relationship.
Effective: September 23, 2013
The HIPAA Privacy Rule (HIPAA) gives you the right to be informed of the privacy practices of the Hospital & Medical Foundation of Paris, Inc. (HMFP) and its affiliates and subsidiaries, as well as the right to be informed of your privacy rights with respect to your protected health information (PHI). HMFP uses health information for the treatment of patients, to obtain payment for treatment, for administrative purposes and to evaluate the quality of care that you receive.
We are committed to protecting the privacy of your PHI and only using and disclosing your PHI as necessary to provide you with health care services. This Notice has been created to help you understand our legal duties to protect your PHI by describing how HMFP will use and disclose your PHI. If you have any questions about this notice, please contact HMFP’s Privacy Officer at 217-465-4141.
Protected Health Information (PHI) is any health care related information we might have about you, whether in paper, electronic, or other format, from which your identity might be known. Some examples of PHI are:
This notice describes HMFP’s practices relating to your PHI. In addition to treatment, payment, and health care operation purposes, we may share PHI for the joint management and operation of these entities. This sharing does not mean that one organization is responsible for the activities of another, but rather that we are all committed to protecting our patients’ privacy rights.
In this notice, HMFP includes:
III. OUR PLEDGE REGARDING MEDICAL INFORMATION
We are required by law to create and maintain medical records, charts, and files of the care and services you receive at HMFP. We use this information to provide quality care to our patients. We understand that your health and medical care are personal and we are committed to protecting the PHI we maintain about you. This Notice applies to your entire PHI at HMFP. This Notice will tell you about the ways we may use and disclose your PHI, and will describe your rights and certain obligations we have regarding the use and disclosure of your PHI.
We are required by law to:
We are also required by federal law to follow Illinois laws that may provide you with more rights or greater protections relating to your PHI.
HOW WILL WE USE AND DISCLOSE YOUR PHI?
The following categories summarize different ways that we may use and disclose PHI. 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. Any type of use or disclosure of your PHI not described in a category included in this Notice will require your written authorization before it is made.
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. We may need to share PHI between the HMFP entities or with other health care providers in order to ensure that you get the health care services you need.
For example, we may disclose PHI regarding a service you received from us so your health plan will pay us or reimburse you for the service. We may also tell your health plan about a service you are going to receive to obtain prior approval, or to determine whether your plan will cover the treatment. We may also disclose your PHI to a third-party payer who is conducting an audit related to the payment of your claims. For example, if your insurance company conducts an audit to verify our charges, we may provide that company with copies of claim forms, doctors’ orders, and other records documenting your receipt of all services we billed. We must agree to a request by you to restrict certain disclosures of your PHI to a health plan when you pay for a service or item out of pocket in full.
As Required By Law
We will disclose your PHI to authorities when required to do so by federal, state, or local law. Examples of these requirements include the following: 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; in mandatory reporting situations, including when there is reason to suspect domestic, child, or elder abuse or neglect; about a death we believe may be the result of criminal conduct; about criminal conduct at a HMFP facility; and 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.
For Public Health or Safety
We may use and disclose PHI when required to do so for public health activities, or as necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. For example, we will disclose PHI to report births and deaths to the Department of Public Health. We may also disclose PHI to report, prevent, or control disease, injury, or disability.
Health Oversight Activities
We may disclose your PHI to a health oversight agency for activities authorized by law. Examples of these oversight activities include:
Coroners, Medical Examiners and Funeral Directors We may disclose PHI 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 PHI about HMFP patients to funeral directors as necessary to carry out their duties.
Paris Community Hospital
721 East Court Street
Paris, IL 61944
Paris Family Medical Center
727 East Court Street
Paris, IL 61944
Chrisman Family Medical Center
112 W. Madison Ave.
Chrisman, IL 61924
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