Notice of Privacy Practices
Each time you visit a hospital, physician, or other healthcare provider, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, a plan for future care or treatment, and billing-related information. This notice applies to all of the records of your care generated by the facility, whether made by facility personnel, agents of the facility, or your personal doctor. Your personal doctor may have different policies or notices regarding the doctor’s use and disclosure of your health information created in the doctor’s office or clinic.
We are required by law to maintain the privacy of your health information, provide you a description of our privacy practices, and to notify you following a breach of unsecured protected health information. We will abide by the terms of this notice.
Uses and Disclosures
How we may use and disclose Health Information about you.
The following categories describe examples of the way we use and disclose health information:
For Treatment: We may use health information about you to provide you treatment or services. We may disclose health information about you to doctors, nurses, technicians, medical students, or other facility personnel who are involved in taking care of you at the facility. 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. Different departments of the facility also may share health information about you in order to coordinate the different things you may need, such as prescriptions, lab work, meals, and x-rays.
We may also provide your physician or a subsequent healthcare provider with copies of various reports that should assist him or her in treating you once you’re discharged from this facility.
For Payment: We may use and disclose health information about your treatment and services to bill and collect payment from you, your insurance company or a third party payer. For example, we may need to give your insurance company information about your surgery so they will pay us or reimburse you for the treatment. We may also tell your health plan about treatment you are going to receive to determine whether your plan will cover it.
For Health Care Operations: Members of the medical staff and/or quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. The results will then be used to continually improve the quality of care for all patients we serve. For example, we may combine health information about many patients to evaluate the need for new services or treatment. We may disclose information to doctors, nurses, and other students for educational purposes. And we may combine health information we have with that of other facilities to see where we can make improvements. We may remove information that identifies you from this set of health information to protect your privacy.
Fundraising: We may contact you to raise funds for the facility; however, you have the right to elect not to receive such communications.
We may also use and disclose health information:
To remind you that you have an appointment for medical care;
To assess your satisfaction with our services;
To tell you about possible treatment alternatives;
To tell you about health–related benefits or services;
For population based activities relating to improving health or reducing health care costs;
For conducting training programs or reviewing competence of health care professionals; and
To a Medicaid eligibility database and the Children’s Health Insurance Program eligibility database, as applicable.
When disclosing information, primarily appointment reminders and billing/collections efforts, we may leave messages on your answering machine/voice mail.
Business Associates: There are some services provided in our organization through contracts with business associates. Examples include physician services in the emergency department and radiology, certain laboratory tests, and a copy service we use when making copies of your health record. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we’ve asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, business associates are required by federal law to appropriately safeguard your information.
Directory: We may include certain limited information about you in the facility directory while you are a patient at the facility. The information may include your name, location in the facility, your general condition (e.g., good, fair) and your religious affiliation. This information may be provided to members of the clergy and, except for religious affiliation, to other people who ask for you by name. If you would like to opt out of being in the facility directory please request the Opt Out Form from the admission staff or Facility Privacy Official.
Individuals Involved in Your Care or Payment for Your Care and/or Notification Purposes: We may release health information about you to a friend or family member who is involved in your medical care or who helps pay for your care or to notify, or assist in the notification of (including identifying or locating), a family member, your personal representative, or another person responsible for your care of your location and general condition. In addition, we may disclose health information about you to an entity assisting in a disaster relief effort in order to assist with the provision of this notice.
Research: The use of health information is important to develop new knowledge and improve medical care. We may use or disclose health information for research studies but only when they meet all federal and state requirements to protect your privacy (such as using only de-identified data whenever possible). You may also be contacted to participate in a research study.
Future Communications: We may communicate to you via newsletters, mail outs or other means regarding treatment options, health related information, disease-management programs, wellness programs, research projects, or other community based initiatives or activities our facility is participating in.
Organized Health Care Arrangement: This facility and its medical staff members have organized and are presenting you this document as a joint notice. Information will be shared as necessary to carry out treatment, payment and health care operations. Physicians and caregivers may have access to protected health information in their offices to assist in reviewing past treatment as it may affect treatment at the time.
Affiliated Covered Entity: Protected health information will be made available to facility personnel at local affiliated facilities as necessary to carry out treatment, payment and health care operations. Caregivers at other facilities may have access to protected health information at their locations to assist in reviewing past treatment information as it may affect treatment at this time. Please contact the Facility Privacy Official for further information on the specific sites included in this affiliated covered entity.
Health Information Exchange/Regional Health Information Organization: Federal and state laws may permit us to participate in organizations with other healthcare providers, insurers, and/or other health care industry participants and their subcontractors in order for these individuals and entities to share your health information with one another to accomplish goals that may include but not be limited to: improving the accuracy and increasing the availability of your health records; decreasing the time needed to access your information; aggregating and comparing your information for quality improvement purposes; and such other purposes as may be permitted by law.
As required by law. We may disclose information when required to do so by law.
As permitted by law, we may also use and disclose health information for the following types of entities, including but not limited to:
Food and Drug Administration
Public Health or Legal Authorities charged with preventing or controlling disease, injury or disability
Workers Compensation Agents
Organ and Tissue Donation Organizations
Military Command Authorities
Health Oversight Agencies
Funeral Directors and Coroners
National Security and Intelligence Agencies
Protective Services for the President and Others
A person or persons able to prevent or lessen a serious threat to health or safety
Law Enforcement: We may disclose health information to a law enforcement official for purposes such as providing limited information to locate a missing person or report a crime.
For Judicial or Administrative Proceedings: We may disclose protected health information as permitted by law in connection with judicial or administrative proceedings, such as in response to a court order, search warrant or subpoena.
Authorization Required: We must obtain your written authorization in order to use or disclose psychotherapy notes, use or disclose your protected health information for marketing purposes, or to sell your protected health information.
State-Specific Requirements: Many states have requirements for reporting including population-based activities relating to improving health or reducing health care costs. Some states have separate privacy laws that may apply additional legal requirements. If the state privacy laws are more stringent than federal privacy laws, the state law preempts the federal law.
Your Health Information Rights
Although your health record is the physical property of the healthcare practitioner or facility that compiled it, you have the Right to:
Inspect and Copy: You have the right to inspect and obtain a copy of the health information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed health care professional chosen by the facility will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
Amend:If you feel that health 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 the facility. Any request for an amendment must be sent in writing to the Facility Privacy Official.
We may deny your request for an amendment and if this occurs, you will be notified of the reason for the denial.
An Accounting of Disclosures: You have the right to request an accounting of disclosures. This is a list of certain disclosures we make of your health information for purposes other than treatment, payment or health care operations where an authorization was not required.
Request Restrictions: You have the right to request a restriction or limitation on the health 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 health 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. Any request for a restriction must be sent in writing to the Facility Privacy Official.
We are required to agree to your request only if 1) except as otherwise required by law, the disclosure is to your health plan and the purpose is related to payment or health care operations (and not treatment purposes), and 2) your information pertains solely to health care services for which you have paid in full. For other requests, we are not required to agree. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
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. For example, you may ask that we contact you at work instead of your home. The facility will grant reasonable requests for confidential communications at alternative locations and/or via alternative means only if the request is submitted in writing and the written request includes a mailing address where the individual will receive bills for services rendered by the facility and related correspondence regarding payment for services. Please realize, we reserve the right to contact you by other means and at other locations if you fail to respond to any communication from us that requires a response. We will notify you in accordance with your original request prior to attempting to contact you by other means or at another location.
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.
If the facility has a website you may print or view a copy of the notice by clicking on the Notice of Privacy Practices link.
To exercise any of your rights, please obtain the required forms from the Privacy Official and submit your request in writing.
CHANGES TO THIS NOTICE
We reserve the right to change this notice and the revised or changed notice will be effective for information we already have about you as well as any information we receive in the future. The current notice will be posted in the facility and on our website and include the effective date. In addition, each time you register at or are admitted to the facility for treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current notice in effect.
If you believe your privacy rights have been violated, you may file a complaint with the facility by following the process outlined in the facility’s Patient Rights documentation. You may also file a complaint with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing.
You will not be penalized for filing a complaint.
OTHER USES OF HEALTH INFORMATION
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health 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 authorization, and that we are required to retain our records of the care that we provided to you.
Screening Study Privacy notice
2. INFORMATION COLLECTED FROM YOU.
When you use the Tools, several types of data may be collected from you, including: (1) Non-Personal Information; and (2) Personally Identifiable Information. Certain types of data are specifically NOT collected, including financial account information and personal information from children.
2.1. Non-Personal Information. We may automatically collect certain data regarding use of or access to the Tools, such as:
The type of device you use to access the Tools;
The date and time you access the Tools;
The type of web browser you use to access the Site; and
The sections within the Tools that you access.
We may also collect the IP address, user language, the operating system, the presence/absence of "flash" plug-ins, screen resolution, and connection type that you use to access the Tools.
2.2.1. User Authentication and Study Eligibility Screening. In order to access certain restricted portions of the Site, and to access the App, you may have and login with a user account. Creation of a user account (if you do not already have one) requires you to provide your name and email address.
We will ask certain screening questions, such as willingness to undergo certain medical tests like chest x-rays, to determine your eligibility. You will be asked to create a profile by completing the enrollment survey described below. You will also have the option to sign-up for our mailing list to stay informed of future opportunities to participate in studies, which requires you to provide your email address.
2.2.2. Online Consent and Enrollment Survey. Before creating your Profile, you must review and electronically sign the Profile consent form that describes the type of information that we will collect when you fill out the enrollment survey and create a profile, and how we will use that information. The online consent describes how, upon completion of the survey, your information will be used, what information may be requested of you in the future, and how certain of this information could be shared with others outside.
2.3. No Personal Information from Children. We do not knowingly collect personal information from children under the age of 13. Children are not permitted to use the Tools, and we request that children under the age of 13 not submit any personal information to through the Tools. Since information regarding children under the age of 13 is not collected, we do not knowingly distribute personal information regarding children under the age of 13. For additional information, please refer to the "Children and Parents" section below.
2.4. Other Information NOT Collected. Our services and your use of the Tools does not require you to disclose, nor require us to request or collect, any credit card or other financial account information. We do not request, solicit or intend to collect any such information and you should not disclose, enter or upload any such information through the Tools. If we discover that such information was disclosed by you, we may delete such information; however, we are not liable for any consequences relating to such disclosures of information.
3. USE AND DISCLOSURE OF INFORMATION COLLECTED.
The use and disclosure of certain information varies with respect to the type of information collected, including: (1) Non-Personal Information; and (2) Personally Identifiable Information.
3.1. Use of Non-Personal Information. We use the Non-Personal Information collected through the Tools for statistical and research purposes and for improving the functionality of the Tools. This information may also be used for administrative purposes including, without limitation, to troubleshoot and resolve problems with the Tools. We may rely on third-party partners to collect and analyze the Non-Personal Information.
3.2. Use of Personally Identifiable Information. As described above, the PII collected may be used for a variety of purposes, including responding to your requests for information, commercial product research and development, study eligibility screening, creation of your Baseline Profile and engagement with enrolled patients throughout the Study period. Your PII may be used to create a de-identified data set. We may share your PII with business partners or service providers we use to perform the various activities contemplated in the Study.
3.3 Additional Disclosures. Though we make every effort to preserve your privacy, disclosure of PII to third parties may occur in certain situations such as: (i) responding to a subpoena, court order or other such request; and (ii) responding to a law enforcement agency's request or as otherwise required by law. In all such instances, we will take the utmost care to disclose only that information which is necessary and appropriate under the circumstances.
5. LINKED SITES.
In addition to the third-party entities referenced above, we may provide links to other third-party websites through the Tools solely as a convenience to you. However, such linking does not mean, and should not be interpreted to mean, that Verily endorses, is affiliated with or makes any representations concerning such third-party websites. Verily neither reviews, nor controls, nor is responsible for these third-party sites or any content therein. By using such links, you will leave the Tools. If you decide to access any of the third-party sites linked to the Tools, you do so entirely at your own risk. Verily shall not be liable for any consequences arising from use of any third-party websites to which the Tools link.
We strive to maintain the security of your information by using appropriate measures designed to protect our systems. However, we cannot guarantee the security of any information that is disclosed online. Consequently, we do not insure or warrant the security of any information you transmit, and you do so at your own risk.
7. CHILDREN AND PARENTS.
Use of the Tools is not offered to children. If you are under 13, you may not use the Tools. We do not intend to collect personal information from children. If your child has submitted personal information, please contact us to request that such information be removed. Once we are aware of information entered by a child, we will exercise commercially reasonable efforts to remove such information from our databases and storage areas; however, we are not liable for any consequences relating to such information.
If you have any questions or concerns about this policy or the use of your information, please contact us.