Privacy Policy

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.

Use and Disclosure of Health Information

St. Joseph's Home [facility] may use your health information, that is, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. St. Joseph's Home has established a policy to guard against unnecessary disclosure of your health information.

THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:

To Provide Treatment. While a resident at St. Joseph's Home, you will receive care and services from the Facility staff as well as other independent treatment providers, including but not limited to: pharmacists, rehabilitation services, dentists, dental technicians, podiatrists, attending and consulting physicians, dieticians, laboratories, x-ray service providers, mental health providers, wound care specialists, and medical suppliers of goods and services.  This facility and these independent contractors have established an organized health care arrangement (OHCA).  As an OHCA, St. Joseph's Home and these independent treatment providers may use and disclose your health information for treatment, payment and health care operations for the OHCA.  This Notice of Privacy Practices explains how St. Joseph's Home and these independent treatment providers will disclose your health information.  Please note that these independent treatment providers may have different policies and notices regarding their use and disclosure of your health information that is maintained outside of St. Joseph's Home or created when you are not a resident of the facility.

To Obtain Payment. St. Joseph's Home may include your health information in invoices to collect payment from third parties for the care you may receive from the facility. For example, St. Joseph's Home may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse you or our facility. St. Joseph's Home may need to obtain prior approval from your insurer and may need to explain to the insurer your need for health care ant the services that will be provided to you.

To Conduct Health Care Operations. St. Joseph's Home may use and disclose health information for its own operations in order to facilitate the function of it's facility and as necessary to provide quality care to all of the facility's residents. Healt care operations include activities such as:

·         Quality assessment and improvement activities.

·         Activities designed to improve health or reduce health care costs.

·         Protocol development, case management and care coordination.

·         Contacting health care providers and residents with information about treatment alternatives and other related functions that do not include treatment.

·         Professional review and performance evaluation.

·         Training programs including those in which students, trainees or practitioners in health care learn under supervision.

·         Training of non-health care professionals.

·         Accreditation, certification, licensing or credentialing activities.

·         Review and auditing, including compliance reviews, medical reviews, legal services and compliance programs.

·         Business planning and development including cost management and planning related analyses and formulary development.

·         Business management and general administrative activities of Facility.

·         Fundraising for the benefit of Facility and certain marketing activities.

For example, St. Joseph's Home may use your health information to evaluate its staff performance, combine your health information with other facility residents in evaluating how to more effectively serve all of facility's residents, disclose your health information to facility staff and contracted personnel for training purposes, use your health information to contact you or your family as part of general fundraising and community information mailings (unless you tell us you do not want to be contacted).

For the Facility Directory. St. Joseph's Home may disclose certain information about you including: name, your general health status, your religious affiliation and where you are located in a facility directory while you are in the facility. St. Joseph's Home may disclose this information to only those people who ask for you by name. However, religious affiliation will only be disclosed to clergy.

If you do not want the facility to include your information in the directory, you must notify the Social Service Director.

For Fundraising Activities. St. Joseph's Home may use information about you including your name, address and telephone number to contact you or your family to raise money for the facility. If you do not want the facility to contact you or your family, you must notify the Social Service Director and indicate that you do not wish to be contacted.

For Treatment Alternatives. St. Joseph's Home may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AN DISCLOSED WITHOUT YOUR WRITTEN CONSENT OR AUTHORIZATION:

When Legally Required. St. Joseph's Home will disclose your health information when it is required to do so by any Federal, State or local law.

When There Are Risks to Public Health. St. Joseph's Home may disclose your health information for the following public activities and purposes:

·         To prevent or control disease, injury or disability, report disease, injury, vital events such as birth or death and the conduct of public health surveillance, investigations and interventions.

·         Te report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.

·         To notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease.

·         To an employer about an individual who is a member of the workforce as legally required.

 

To Report Abuse, Neglect Or Domestic Violence. St. Joseph's Home is allowed to notify government authorities if the facility believes a resident is the victim of abuse, neglect or domestic violence. St. Joseph's Home will make this disclosure only when specifically required or authorized by law or when the resident agrees to the disclosure.

To Conduct Health Oversight Activities. St. Joseph's Home may disclose your health information to a health oversight agency for activities including audits; civil administrative or criminal investigations; inspections; licensure or disciplinary action. St. Joseph's Home, however, may not disclose your health information if you are the subject of an investigation and the investigation does not arise out of and is not directly related to your receipt of health care or public benefits.

In Connection With Judicial And Administrative Proceedings. As permitted or required by State law, St. Joseph's Home may disclose your health information in the course of any judicial or administrative proceedings in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discover request or other lawful process, but only when the facility makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information.

For Law Enforcement Purposes. As permitted or required by State law, St. Joseph's Home may disclose your health information to a law enforcement official for certain law enforcement purposes, including, under certain limited circumstance, if you are a victim of a crime or in order to report a crime.

To Coroners And Medical Examiners. St. Joseph's Home may disclose your health information to coroners and medical examiners for purposes if determining your cause of death or for other duties, as authorized by law.

To Funeral Directors. St. Joseph's Home may disclose your health information to funeral directors consistent with applicable law and if necessary, to carry out the duties with respect to your funeral arrangements. If necessary to carry out their duties, the facility may disclose your health information prior to and in reasonable anticipation, of your death.

For Organ, Eye Or Tissue Donation. St. Joseph's Home may use or disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs, eyes or tissue for the purpose of facilitating the donation and transplantation.

For Research Purposes. St. Joseph's Home may, under very select circumstances, use your health information for research. Before the facility discloses any of you health information for such research purposes, the project will be subject to an extensive approval process. St. Joseph's Home will almost always request your written authorization before granting access to your individually identifiable health information.

In The Event of A Serious Threat To Health Or Safety. St. Joseph's Home may, consistent with applicable lay and ethical standards of conduct, disclose your health information if the Facility, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.

For Specified Government Functions. In certain circumstances, the Federal regulations authorize St. Joseph's Home to use or disclose your health information to facilitate specified government functions relating to the military and veterans, national security and intelligence activities, protective services for the President and others, medical suitability determinations and inmates and law enforcement custody.

For Worker's Compensation. St. Joseph's Home may release your health information for worker's compensation or similar programs.

AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION

Other than is stated above, St. Joseph's Home will not disclose your health information other than with your written authorization. If you or your representative authorizes the facility to use or disclose your health information, you may revoke that authorization in writing at any time.

YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION

You have the following rights regarding your health information that Facility St. Joseph's Home maintains:

Right to Request Restrictions. You may request restrictions on certain uses an disclosure of your health information. You have the right to request a limit on St. Joseph's Homes disclosure of your health information to someone who is involved in your care or the payment of your care. However, the facility is not required to agree to your request. If you wish to make a request for restrictions, please contact the Social Service Director.

Right to Receive Confidential CommunicationsYou have the right to request that St. Joseph's Home communicate with you in a certain way. For example, you may ask that the Facility only conduct communications pertaining to your health information with you privately with no other family members present.. If you wish to receive confidential communications, please contact the Social Service Director. St. Joseph's Home will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications.

Right to Inspect and Copy Your Health Information. You have the right to inspect and copy your health information, including billing records. A request to inspect and copy records containing your health information may be made to the Business Office Manager. If you request a copy of your health information, St. Joseph's Home may charge a reasonable fee for copying and assembling costs associated with your request.

Right to Amend Your Health Information. You or your representative have the right to request that St. Joseph's Home amend your records, if you believe your health information records are incorrect or incomplete. That request may be made as long as the information is maintained by the facility. A request for an amendment of records must be made in writing to the Director of Nursing. The facility may deny the request if it is not in writing or does not include a reason for the amendment. The request also may be denied if your health information records were not created by facility, if the records you are requesting are not part of the facility's records, if the health information you wish to amend is not part of the health information you or your representative are permitted t inspect and copy, or if, in the opinion of the Facility, the records containing your health information are accurate and complete.

Right to an Accounting. You or your representative have the right to request an accounting of disclosures of your health information made by the facility for any reason other than for treatment, payment or health operations. The request for an accounting must be made in writing to Medical Records Director. The request should specify the time period for the accounting starting on or after April 14, 2003. Accounting requests may not be made for periods of time in excess of six(6) years. St. Joseph's Home will provide the first accounting you request during any 12-month period without charge. Subsequent accounting requests may be subject to a reasonable cost-based fee.

Right to a Paper Copy of this Notice. You, or your representative have the right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact the Social Service Director. [A resident or a resident's representative may also obtain a copy of the current version of Facility's Notice at its Web site, www.stjosephshome.com ].

DUTIES OF FACILITY

St. Joseph's Home is required by law to maintain the privacy of your health information and to provide to you and your representative this Notice of its duties and privacy practices. St. Joseph's Home is required to abide by the terms of this Notice as may be amended from time to time. St. Joseph's Home reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If St. Joseph's Home changes it Notice, the facility will provide a copy of the revised Notice to you or your appointed representative. You or your representative have the right to express complaints to the facility and to the Secretary of Health and Human Services if you or your representative believe that your privacy rights have been violated. Any complaints to the Facility should be made in writing to the Business Office Manager. St. Joseph's Home encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.

CONTACT PERSON

St. Joseph's Home has designated the Business Manager, or the Medical Records Coordinator as its contact persons for all issues regarding resident privacy and your rights under the Federal privacy standards. You may contact these people at 9244 29th Ave. Kenosha, WI 53143 (262) 694-0080.

EFFECTIVE DATE

This Notice is effective April 14, 2003. If you have any questions regarding this notice, please contact the BUSINESS OFFICE MANAGER or MEDICAL RECORDS COORDINATOR at (262) 694-0080, 9244 29th Ave, Kenosha, WI 53143.