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Notice of Privacy Practices
Northeast Ohio Cardiovascular Specialists (NEOCS) employees and staff understand that medical information about you and your health is personal. We are
committed to protecting medical information about you. We have created a medical record that details the care and services you receive. We need that record in
order to provide you with quality care and to comply with certain legal requirements. This notice applies to any medical records generated by NEOCS. While we
sometimes care for you during a hospital stay, the hospital (s) may have different policies and/or notices about your medical information.
This notice will tell you about the ways we may use and disclose medical information about you. It will also describe your rights and certain obligations we have
regarding the use and disclosure of medical information.
We are required by law to:
• Make sure that medical information that identifies you is kept private
• Give you 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 the 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 disclose in a category will be listed. However, all of the ways we are permitted to use disclose
information will fall within one of the categories.
Category 1- 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, and medical students, or other personnel who are taking care of you. Some examples are:
• Your physician or a staff member may need to talk to another physician who will provide your care when he or she is away
• Your physician or a staff member may want to refer you to a specialist or other physician and will discuss your condition with that physician
• Your physician or a staff member may want you to see a physical therapist, nutritionist or other health care provider and we would discuss your
treatment with them
• Your physician or a staff member may want to talk with family member or clergy who will assist you with care you may need outside the office
Category 2- For Payment
We may use and disclose medical information about you so that the treatment and services you receive from NEOCS may be billed to and collected from you, an
insurance company, or a third party. We may tell an insurance company or a third party about your care you are going to receive in order to obtain prior approval
or determine your coverage.
Category 3- For Health Care Operations
In order to run our practice in a way that ensures that our patients receive quality care, we may use and disclose medical information. The following are examples
of disclosures of medical information for health care operations. We may:
• Use Medical information to review our treatment and services and to evaluate the performance of our staff in caring for you
• Combine your medical information with medical information about other patients to determine if we need to offer additional services to patients
• Disclose medical information to doctors, nurses, technicians, and medical students for reviewing and learning purposes
• Combine the medical information we have with medical information from other practices to see where we can make improvements in our care and
services
• Remove information that identifies you from a set of health information so that others can use it to study health care without learning who the specific
patients are
Category 4- Appointment Reminders
We may use and disclose medical information to contact you to remind you that you have an appointment for treatment or services. If we are unable to reach you
by phone and you have an answering machine a message will be left of the date, time and provider you will be seeing. If you prefer we do not leave a message
please inform us of this as soon as possible.
Category 5- Treatment Alternatives
We may use and disclose medical information to tell you about or recommend possible treatment options of alternatives that may be of interest to you.
Category 6- 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.
Category 7- Individuals involved in your care or payment for your care
We may release medical information about you to a friend or family member who is involved your medical care. We may also tell your family or friends your
condition and that you are receiving care. We also may give information to someone who helps pay your care. If there are any restrictions to this information you
will need to inform us at the time of service.
Category 8- Research
Under certain circumstances we may use and disclose medical information about you for research purposes. Occasionally, we might disclose medical information
to researchers preparing to conduct a research project.
For example, researchers may need to look for patients with specific medical needs and we might assist them with that.
Another example could be that your physician decides to participate in a research project testing the effects of a new medication. There are several things you
should know about research projects
• Research projects are subject to a special approval process, usually handled by the Food and Drug Administration (FDA). The approval process
includes considering a patient’s right to privacy of their health information and the need to conduct research to improve medical care. Before one of your
physicians would participate in a research project, it will have been approved by the FDA
• If you are a candidate for participation in a research project, you will always be given very specific information about the research project and be asked if
you want to participate.
If it is necessary to disclose your name or address or other information that specifically reveals who you are, we will ask specific permission from you for that.
Category 9- As required by law
We will disclose medical information about you when we are required to do so by federal, state, or local law. For example, we are required to report suspected
child or elder abuse, sexually transmitted disease, HIV, or tuberculosis, etc.
Category 10- To avert a serious threat to health or safety
We may use and disclose medical information about you when it is necessary to prevent a serious threat to your health and safety or the health and safety of the
public or of another person. Any disclosure will be someone who is able to help prevent the threat.
Special Situations
Military or Veterans
If you are a member of the armed forces, we may disclose medical information about you as required by military command authorities. We may disclose medical
information about foreign military personnel to the appropriate foreign military authority.
Workers’ Compensation
We may disclose information about you for your workers’ compensation or similar programs.
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 medical products
• To notify people of recalls of products that they may be using
• To notify a person who may have been exposed to a disease or may be at risk for contacting 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 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 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 circumstances, we are unable to obtain the victim/patient’s agreement
• About death we believe may be the result of criminal conduct
• About criminal conduct in the practices’ office
• 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 coroner or medical examiner. This may be necessary for example, to identify a deceased person or determine the causes
of death. We may also release medical information about patients to funeral directors as necessary to carry out their duties.
Inmates
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the
correctional institution or law enforcement official. This release would be necessary 1) for the institution to provide you with health care, 2) to protect your health
and safety or the health and safety and security of the correctional institution.
Your rights regarding medical information about you
You have the following rights regarding medical information we maintain about you:
Right to Inspect and Copy - You have the right to inspect and copy your 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 your medical information, you must submit your request in writing to the Privacy Officer, or Office Manager at the location you are seeing the
physician at. 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.
Your physician 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 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.
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 a right to
request an amendment for as long as the information is kept by or for this practice.
To request an amendment, your request must be in writing and submitted to the Privacy Officer. Your request should include the reason that supports your
request. We may deny your request if you ask to amend information that:
• Was not created by Northeast Ohio Cardiovascular Specialists Inc., unless the person or entity that created the information is no longer available to
make the amendment
• Is not part of the medical information that is kept by Northeast Ohio Cardiovascular Specialists Inc.
• Is not part of the information which you would be permitted to inspect and copy
• Is accurate and complete
Right to Accounting of Disclosures- You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical
information about you. This does not include disclosures sent to your insurance company for payment.
To request this list or accounting of disclosures, you must submit your request in writing to the Privacy Officer. Your request must state a time period which may
not be longer than six years and may not include dates before April 14, 2003.
The first list you request within a 12-month period will be free of charge. 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 the 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 or 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 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 the Privacy Officer. 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. For example, you can ask that we only contact you at work or only by mail.
To request confidential communications, you must make your request in writing to the Privacy Officer. 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 waiting room. The notice will contain the effective date in
the upper corner of the first page.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the practice or with the Secretary of the Department of Health and Human
Services. To file a complaint with the practice, you may call the Privacy Officer, at 330-376-1500. All complaints should be submitted in writing.
You will not be penalized, discriminated against, retaliated against, or intimidated for filing a complaint.
Other uses of Medical Information
Other uses and disclosure 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 you.
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