NOTICE OF PRIVACY PRACTICES
Serenity Health Management, LLC
(Serenity Home Health, LLC)
(Serenity Hospice Care, LLC)
Collectively referred to as “Serenity”
January 1, 2015
THIS JOINT 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.
If you have any questions about this notices, please contact the Privacy Official by dialing the office number.
Each time a visit from a home health or hospice staff member is made, a record of the visit is made. Typically, this record contains your symptoms, the results of an evaluation or examination, test results, diagnoses, treatment, a plan for future care or treatment, and billing-related information. This notice applies to all of the records of your care and treatment generated by Serenity, whether made by Serenity personnel, agents of Serenity, or your personal doctor. Your personal doctor may have different policies or notices regarding the doctor’s use and disclosure of your health information created in the doctor’s office or clinic.
We are required by law to maintain the privacy of your health information, provide you a description of our privacy practices, and to notify you following a breach of unsecured protected health information. We will abide by the terms of this notice.
Uses and Disclosures
How Serenity Health Management, LLC and its affiliated companies, “Serenity”, may use and disclose Health Information about you.
The following categories describe examples of the way we use and disclose health information:
Serenity may use health information about you to provide you treatment or services. We may disclose health information about you to doctors, nurses, technicians, medical students, or other health care and support personnel who are involved in taking care of you. For example: a Physical Therapist treating you following a hip replacement surgery may need to know if you have diabetes because diabetes may slow the healing process. Different departments of Serenity may share health information about you in order to coordinate the different thing you may need, such as prescriptions, lab work, medical equipment or therapies.
We may also provide your physician or subsequent healthcare provider with copies of various reports that should assist him or her in treating you once you’re discharged from our care.
We may use and disclose health information about your treatment and services to bill and collect payment from you, your insurance company or a third party payer. For example, we may need to give your insurance company information about your care so they will pay us or reimburse you for the treatment. WE may also tell your health plan about treatment you are going to receive to determine whether your plan will cover it.
For Health Care Operations:
Members of the medical staff and/or quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. The results will them be used to continually improve the quality of care for all patients we serve. For example, we may combine health information about many patients to evaluate the need for new services or treatment. We may disclose information to doctors, nurses, and others for education purposes. And we may combine health information we have with that of other entities to see where we can make improvements. We may remove information that identifies you from this set of health information to protect your privacy.
We may also use and disclose health information:
- To remind you that you have an appointment for medical care;
- To assess your satisfaction with our services;
- To tell you about possible treatment alternatives;
- To tell you about health-related benefits or services;
- For population based activities relating to improving health or reducing health care costs;
- For conducting training programs or reviewing competence of health care professionals;
- To determine Medicare, Medicaid or other payer eligibility
When disclosing information, primarily appointment reminders, we may leave messages on your answering machine/voice mail.
There are some services provided in our organization through contracts with business associates. Examples include services arranged through staffing agencies, information technology companies, certain laboratory tests, and a software company that manages our Electronic Medical Records. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we’ve asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, business associates are required by federal law to appropriately safeguard your information.
Individuals Involved in Your Care or Payment for Your Care and/or Notification Purposes:
We may release health information about you to a friend or family member who is involved in your medical care or who helps pay for your care or to notify, or assist in the notification of (including identifying or location), a family member, your personal representative, or another person responsible for your care of your location and general condition. In addition, we may disclose health information about you to an entity assisting in disaster relief effort in order to assist with the provision of this notice.
The use of health information is important to develop new knowledge and improve medical care. We may use or disclose health information for research studies but only when they meet all federal and state requirement to protect your privacy (such as using only de-identified data whenever possible).
We may communicate to you via newsletters, mail outs or other means regarding treatment options, health related information, disease-management programs, wellness programs, research projects, or other community based initiatives or activities our organization is participating in.
Parent Company and subsidiaries:
Serenity is presenting you this document as a joint notice. Information will be shared as necessary to carry out treatment, payment and health care operations. Physicians and caregivers may have access to protected health information in their offices to assist in reviewing past treatment as it may affect treatment at the time.
Affiliated Covered Entity:
Protected health information will be made available to personnel at local affiliated facilities as necessary to carry out treatment, payment and health care operations. Caregivers at other facilities may have access to protected health information at their locations to assist in reviewing past treatment information as it may affect treatment at this time. Please contact the Privacy Official for further information on the specific sites included in this affiliated covered entity.
Health Information Exchange/Regional Health Information Organization:
Federal and state laws may permit us to participate in organizations with other healthcare providers, insurers, and/or other health care industry participants and their subcontractors in order for these individuals and entities to share your health information with one another to accomplish goals that may include but not be limited to : improving the accuracy and increasing the availability of your health records; decreasing the time needed to access your information; aggregating and comparing your information for quality improvement purposes; and such other purposes as may be permitted by law.
As required by law.
We may disclose information when required to do so by law.
As permitted by law,
we may also use and disclose health information for the following types of entities, including but not limited to:
- Food and Drug Administration
- Public Health or Legal Authorities charged with preventing or controlling disease, injury or disability
- Corrections Institutions
- Workers Compensation Agents
- Organ and Tissue Donation Organizations
- Military Command Authorities
- Health Oversight Agencies
- Funeral Directors and Coroners
- Nations Security and Intelligence Agencies
- Protective Services for the President and Others
- A person or persons able to prevent or lessen a serious threat to health or safety
We may disclose health information to a law enforcement official for purposes such as providing limited information to locate a missing person or report a crime.
For Judicial or Administrative Proceedings:
We may disclose protected health information as permitted by law in connection with judicial or administrative proceedings, such as in response to a court order, search warrant or subpoena.
We must obtain your written authorization in order to use or disclose psychotherapy notes, use or disclose your protected health information for marketing purposes, or to sell your protected health information.
State – Specific Requirements:
Many states have requirements for reporting including population-based activities relating to improving health or reducing health care costs. Some states have separate privacy laws that may apply additional legal requirements. If the state privacy laws are more stringent than federal privacy laws, the state law preempts the federal law.
Your Rights Regarding Electronic Health Information Technology as required by the Kansas Health Information Exchange.
Serenity now or in the future will participate in electronic health information technology or HIT. This technology allows a provider or health plan to make a single request through a health information organization or HIO to obtain electronic records for a specific patient from other HIT participants for purposes of treatment, payment, or health care operations. HIOS are required to use appropriate safeguards to prevent unauthorized uses and disclosures.
You have two options with respect to HIT. First, you may permit authorized individuals to access your electronic health information through an HIO. If you choose this option, you do not have to do anything.
Second, you may restrict access to all of your information through an HIO (except as required by law). If you wish to restrict access, you must submit the required information either online at http://www.KanHIT.org or by completing and mailing a form. This form is available at http://www.KanHIT.org. You cannot restrict access to certain information only; your choice is to permit or restrict access to all of your information.
If you have questions regarding HIT or HIO’s, please visit http://www.KanHIT.org for additional information.
If you receive health care services in a state other than Kansas, different rules may apply regarding restrictions on access to your electronic health information. Please communicate directly with your out-of-state health care provider regarding those rules.
Your Health Information Rights
Although your health record is the physical property of the healthcare practitioner or entity that compiled it, you have the Right to:
- Inspect and Copy: You have the right to inspect and obtain a copy of the health information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed health care professional chosen by Serenity 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.
- Amend: If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request and amendment for as long as the information is kept by or for Serenity.Any request for an amendment must be sent in writing to the Privacy Official.
We may deny your request for an amendment and if this occurs, you will be notified of the reasons for the denial.
- An Accounting of Disclosures: You have the right to request an accounting of disclosures. This is a list of certain disclosures we make of your health information for purposes other than treatment, payment or health care operations where an authorization was not required.
- 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 who is involved in your care or the 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. Any request for a restriction may be sent in writing to the Privacy Official.
- We are required to agree to your request only if 1) except as otherwise required by law, the disclosure is to your health plan and the purpose is related to payment or health care operations (and not treatment purposes), and 2) your information pertains solely to health care services for which you have paid in full. For other requests, we are not required to agree. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.
- 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 may ask that we contact you at work instead of your home. Serenity will grant reasonable requests for confidential communications at alternative locations and/or via alternative means only if the request is submitted in writing and the written request includes a mailing address where the individual will receive bills for services rendered by the Serenity and related correspondence regarding payment for services. Please realize, we reserve the right to contact you by other means and at other locations if you fail to respond to any communication from us that requires a response. We will notify you in accordance with your original request prior to attempting to contact you by other means or at another location.
- 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.
If Serenity has this notice posted on its website, you may print or view a copy of the notice by clicking on the Notice of Privacy Practices link.
To exercise any of your rights, please obtain the required forms from the Privacy Official and submit your request in writing.
CHANGES TO THIS NOTICE
We reserve the right to change this notice and the revised or changed notice will be effective for information we already have about you as well as any information we receive in the future. The current notice will be posted at our offices and on our website and include the effective date. In addition, each time you register at or are admitted to our organization for care, treatment or health care services as an inpatient or outpatient, we will offer you a copy of the current notice in effect.
If you believe your privacy rights have been violated, you may file a complaint with the organization by following the process outlined in the organization’s Patient’s Rights documentation. You may also file a complaint with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing.
You will not be penalized for filing a complaint.
OTHER USES OF HEALTH INFORMATION
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose health information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose health 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 authorization, and that we are required to retain our records of the care that we provided to you.
Telephone Number: 316-866-2929 and ask for the Privacy Official.
The word "hospice" was once used to describe a place of refuge for people on a difficult journey. Our excellent care and deep compassion for patients and families offer a place of comfort on the end-of-life journey. Recognizing that in hospice care, the main guardians are the family caregiver and the hospice team, care is most often provided in the home setting rather than in hospitals and hospice care facilities. The Serenity Hospice Care team will support the patient and family wherever they are.
Complete the form below to inquire about our hospice services in Wichita, Kansas, and surrounding areas.
11 South Main Street
Hutchinson, Kansas 67501
Fax: (620) 899-2202