General Information

Privacy Policy

Effective Date 01/01/2009  |  Revised 2013

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

Understanding Your Health Information

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, and a plan for future care or treatment.  This information is often referred to as your health or medical record.

We are required by law to:

  • Make sure that health information that identifies you is kept private;
  • Give you this notice of our legal duties and privacy practices with respect to health information about you;
  • Notify you following a breach of your protected health information that was unsecured; and
  • Follow the terms of the notice that are currently in effect.

Uses and Disclosures of Protected Health Information

The following categories describe examples of ways that we may use and disclose health information.  For more inclusive description see 45 C.F.R. Part 164.

 

Health Information Organization (HIO)

We may disclose health information about you to a health information organization (HIO). HIO facilitate the exchange of electronic protected information or the purpose of treatment, payment and healthcare operations purposed between and among several health care providers, such as hospital, doctors, pharmacies, etc.

Treatment

We may use health information about you to provide you with medical treatment or services. We may disclose health information about you to physicians, nurses, technicians, medical students or other health care personnel who are involved in your care at the hospital. We may also provide your physician or subsequent healthcare provider with copies of hospital reports that should assist in your treatment.

Payment

We may use and disclose health information about you so that payment for treatment and services you receive may be collected from you or a third party.

Healthcare Operations

We may use and disclose health information in order to support the business activities of the hospital. These activities may include quality assessment to assess the care and outcomes in your case. We may combine the health information we have with health information from other hospitals to compare how we are doing and see where we can make improvements.

Health Oversight Activities

We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include accreditations, 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.

Hospital Directory

We may use or disclose limited information in the hospital directory. You will be given an opportunity in advance to agree or object. The information used is limited to name, location in the hospital, and religious affiliation. Directory information may be disclosed to members of the clergy.

Notification/Communication with Family

We may release information to a family member, personal representative, or another person who is involved in your medical care or payment related to your care unless you object in whole or in part.

We may use or disclose limited information in the hospital directory. You will be given an opportunity in advance to agree or object. The information used is limited to name, location in the hospital, and religious affiliation. Directory information may be disclosed to members of the clergy.

Business Associates

There are some services provided in our organization through contacts 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 associate so that they can perform the job we have asked them. To protect your health information, we required the business associate to appropriately safeguard your information.

Public Heath

As required by law, we may disclose your health information to public health or legal authorities with preventing or controlling disease, injury, or disability. We report information about births, deaths and various diseases to government officials in charge of collecting that information. We provide coroners, medical examiners and funeral directors necessary information relating to deaths.

Federal, State, or Local Law

We will disclose health information when a law requires that we report information to government agencies and law enforcement personnel about victims of abuse, neglect or domestic violence or when ordered in a judicial or administrative hearing.

Organ and Tissue Donation

Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.

Research

We may disclose your health information in order to conduct medical research after protocols have been established to ensure the privacy of your health information.

Correctional Institution

Should you be an inmate of a correctional institution, we may disclose to the institution health information necessary for your health and the health and safety of other individuals.

Law Enforcement

We may disclose health information for law enforcement purposes as required by law or response to a valid subpoena.

Workers’ Compensation

We may disclose health information for workers’ compensation or similar programs.

Fundraising

We may contact you to raise funds for a particular hospital service or project. You have the right to opt out of receiving such communications.

OTHER USES OF HEALTH INFORMATION

We must have a written authorization for most uses and disclosures of psychotherapy notes, for marketing purposes, and for the sale of protected health information. If you give us permission to use or disclose health information, you may revoke that permission, in writing, at any time.

YOUR HEALTH INFORMATION RIGHTS

Right to Access

Your have the right to inspect and receive a copy of your health information. You have the right to request a copy of your health information in written or electronic format. You may request that your protected health information be transmitted directly to another person designated by you. This request must be in writing, signed by you, and clearly identify the designated person, and where to send the copy of the protected health information.

There may be a fee for the costs of copying, mailing or other supplies associated with your request.

We reserve the right to deny you access to all or part of you health information. For example, psychotherapy notes, information compiled in reasonable anticipation of civil, criminal, or administrative action or proceeding.

Right to Amend

If you feel that your health information is incorrect or incomplete, you may ask for an amendment of that information. To request an amendment, you must submit your request in writing and include reasons that support your requested amendment.

Right to an Accounting of Disclosures

You have the right to request an Account of Disclosures. This is a list of disclosures we made of your health information to external organizations that is not included in this notice or part of treatment, payment and healthcare operations. We will provide your requested accounting within 60 days after receipt of the request or notify you in writing if we are unable to meet that deadline. Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003.

Right to Request Restrictions

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. We accommodate all requests for such confidential communication to the best of our abilities.

Right to Request Confidential Communications

You have the right to request a restriction or limitation on the health information we use or disclose for treatment, payment, or healthcare operations. You also have the right to request a limit on health information we disclose about you to someone who is involved in your care or the payment for care. We are not required to agree to your request. However, if you request that we restrict the disclosure of your health information to your health plan for the purpose of carrying out payment or health care operations (and not otherwise required by law) and you pay out of pocket for your service in full at the time of service, we agree not to disclose your information to your health plan for that date of service.

To request restrictions, you must make your request in writing to the Health Information Department. 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.

Right to a Paper Copy of this Notice

You have the right to a paper copy of this notice. You may request this at any time, even if you have agreed to receive this notice electronically.

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 health information we already have about you as well as any information we receive in the future. In addition, each time you register at or are admitted to the hospital for treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current notice in effect.

COMPLAINTS

If you believe that your privacy has been violated, you may file a complaint with the hospital or with the Secretary of the Department of Health and Human Services. To file a complaint with Simpson General Hospital, submit your complaint in writing to the Privacy Officer or with the Compliance Officer of Simpson General Hospital. There will be no retaliation for filing a complaint.

1842 Simpson Highway 149

Mendenhall, MS 39114

(601) 847-2221

©2021 Simpson General Hospital