隐私惯例

丽迪亚家庭协会

咨询 中心-芝加哥

THIS NOTICE DESCRIBES HOW MEDICAL AND CLINICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, 以及如何获得这些信息. 请仔细审阅.

We are required by law to maintain to maintain your privacy and to provide you with this notice of your rights. We respect client confidentiality and only release confidential information about you in accordance with the Illinois and federal law. This notice describes our policies related to the use of the records of your care at the 咨询中心 of 丽迪亚家庭协会 (LHA).

Privacy 联系: If you have any questions about this policy or your rights, 你可联络我们的私隐主任, 艾伦·彼得森, at (773) 736-1447.

使用和披露受保护的健康信息

以便有效地为您提供护理, there are times when we will need to share information about your care (also called Protected Health Information) with others outside LHA. 这些时间包括:

  • Treatment: We may use or disclose clinical information about you to those involved in your care to provide, 协调, 或管理您的护理或任何相关服务, including consultation with clinical supervisors or other treatment team members. 只有在您授权的情况下，我们才可能向他人披露PHI.

  • 付款: This agency may use and disclose your health information to others for the purposes of receiving 付款 for treatment and services that you receive. 例如, 账单可能会寄给您或第三方付款人, 比如保险公司或健康计划. The information on the bill may contain information that identifies you, 你的诊断, 你的治疗. We also have a right to verify that the 付款 information you are providing is correct.

  • Healthcare Operations: We may use information about you to support our business activities. 这可能包括安排约会等活动, 检查你的护理和培训员工.

未经您同意而披露的信息. 根据伊利诺斯州和联邦法律, information about you may be disclosed without your consent in the following circumstances:

  • Emergencies: We may share information to avert a serious threat to your health or safety or the health or safety of others.

  • Follow-up Appointments: We may leave appointment information on your home answering machine unless you tell us not to.

  • As Required by Law: We may disclose information about you in situations such as when we have a court order, 或者被授权提供公共卫生信息, such as communicable diseases or suspected abuse or neglect such as child abuse, 虐待老人, 或者机构虐待.

  • Governmental Requirements: We may disclose information to a health oversight agency for activities authorized by law, 比如审计, 调查, 检查, 和许可. 我们还需要共享信息, 如果请求, with the US Department of Health and Human Services to determine our compliance with federal laws related to health care and to Illinois state agencies that fund our services. We may also share information with the government for public health, 军事, 退伍军人, 国家安全, 法律要求的智力.

  • Criminal Activity or Danger to Others: If a crime is committed on our premises or against our personnel, we may share information with law enforcement to apprehend the criminal. We also have the right to involve law enforcement when we believe an immediate danger may occur to someone.

  • Coroners: We are required to disclose information about the circumstances of a client death to a coroner who is investigating it.

病人的权利

根据伊利诺伊州和联邦法律，您拥有以下权利:

  • Permission and Authorization: We may disclose your information with family members directly involved with your care with your verbal permission. Uses and disclosures not specifically permitted by law will be made only with your written authorization, 你可以随时撤销.

  • Copy of Record: You are entitled to inspect the clinical record LHA has generated about you. We may charge you a reasonable fee for copying and mailing your record.

  • Release of Records: You may consent in writing to the release of your records to others, 为任何你选择的目的. This could include your attorney, employer, or others whom you wish to have knowledge of your care. 您可以随时撤销此同意, but only to the extent no action has been taken by LHA based upon your prior authorization.

  • Restriction on Record: You may ask us not to use or disclose part of the clinical information. 这个请求必须是书面的. The agency is not required to agree to your request if we believe it is in your best interest to permit use and disclosure of the information.

  • Amending Record: If you believe that something in your record is incorrect or incomplete, 你可以要求我们对它作一个修改. 提出这个请求, 联系隐私联系人, 并索取“要求修改健康资料表格”. 在某些情况下，我们可能会拒绝您的请求. 如果我们拒绝你的修改要求, 你有权提交一份声明，表明你不同意我们的观点. Your request, our response, and your statement will be added to your record.

  • 联系ing You: You may request that we send information to another address or communicate with you by other means. We will honor such a request as long as it is reasonable and we are assured it is correct.

  • Accounting for Disclosures: You may request an accounting of disclosures we have made related to your confidential information, 除了我们用于治疗的信息, 付款, 或者医疗保健业务, 我们和你或你家人分享的东西, 你明确同意我们公布的信息, 或者是我们需要公布的信息.

  • 问题和投诉:如果您有任何问题, 或索取本政策副本, 或者有任何抱怨, you may contact our Privacy 联系 in writing at 西欧文公园路4300号, 芝加哥, 查阅更多资料. You may also complain to the Secretary of the US Department of Health and Human Services Health and Human Services if you believe LHA has violated your privacy rights. 我们不会因为你的投诉而报复你.

Changes in Policy: This agency reserves the right to change its Privacy Policy based on the needs of LHA and changes in state and federal law. Revised notices will be posted in our facility and copies made available upon request.