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We are a 200-bed long term care/short term care rehab facility serving all the needs of the elderly: physical, spiritual, psychological and social. |
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NOTICE OF PRIVACY INFORMATION PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. If you have any questions, please contact our Privacy Officer at (718) 931.3000 x: 8456 or write to the address at the bottom of this notice. Who will follow this notice? The privacy practices policy in this notice will be followed by:
Our policy regarding your health information (PHI). Providence Rest is required by law to maintain the privacy of protected health information and to provide individuals with notice of any legal duties or privacy practices with respect to PHI. This notice will provide you with information regarding our privacy practices and applies to all of your health information created and/or maintained at our facility, including any information that we receive from other health care providers or facilities. The notice describes the ways in which we may use or disclose your health information and also describes your rights and our obligations regarding any such uses or disclosures. We will abide by the terms of this notice, including any future revisions that we may make to the notice as required or authorized by law. We reserve the right to change this notice and to make the revised or changed notice effective for health 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 our facility. The first page of the notice contains the effective date and any dates of revision. Your personal doctor may have different policies or notices regarding the doctor's use and disclosure of your medical information created in the doctor's office. How we may use and disclose medical information about you.
Uses pursuant to your written authorization. We may use or disclose your health information pursuant to your written authorization for purposes other that treatment, payment or health care operations. You have the right to revoke a written authorization at any time as long as your revocation is provided to us in writing. If you revoke your written authorization, we will no longer use or disclose your health information for the purposes identified in the authorization. You understand that we are unable to retrieve any disclosures which we may have already made pursuant to your authorization. Your rights regarding your health information. Right to inspect and copy. You have the right to inspect and copy health information that may be used to make decisions about your care. Generally, this includes medical and billing records, but does not include psychotherapy notes. To inspect and copy your health information, you must submit your request in writing to the Privacy Officer. 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. We may deny your request to inspect and copy your health information in certain limited circumstances. If you are denied access to your health information, you may request that the denial be reviewed. The Compliance Officer will review your request and the denial. We will comply with the outcome of this review. Right to request an amendment. If you feel that the health information we have about you is correct or incomplete, you may ask to amend the information. You have the right to request an amendment for as long as the information is kept by or for our facility. To request an amendment, your request must be made in writing and submitted to the Privacy Officer. In addition, you must provide us with a reason that supports your request. We may deny your request if you ask us to amend information that was not created by us, is not part of the health information kept by or for our facility, is not part of the information which you would be permitted to inspect and copy and is accurate and complete. Right to 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, such as a family member or friend, who is involved in your care or in the payment of your care. For example, you could ask that we not use or disclose information regarding a particular treatment that you received. 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 emergency treatment to you. To request restrictions, you must make your request in writing to the Privacy Officer. Right to request confidential communications. You have the right to request that we communicate with you about your health care in a certain way or at a certain location. For example, you can ask that we send information to a post office box instead of your home address. To request confidential communications, you must make your request in writing to the Privacy Officer. Right to a paper copy of this notice. You have the right to receive a paper copy of this notice. You will receive a copy of this notice upon admission. You may obtain a copy of this notice at our Website www.providencerest.org. To obtain a paper copy of this notice, contact the Social Service Department.
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Last modified: 04/21/2008
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