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本通知描述如何使用您的医疗信息 disclosed and how you can get access to this information. Please review it carefully.

您将被询问是否已收到当前隐私声明的副本 每次你在医院登记住院或门诊澳门金沙官方APP 麦肯齐卫生系统(MHS)(医院或其提供机构之一). 澳门金博官方APP使用你的健康信息进行治疗, 为管理目的而获得治疗费用并进行评估 the quality of care that you receive. We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. Therefore, most uses and disclosures of psychotherapy notes will require an authorization by you. This notice 适用于MHS生成的所有您的护理记录,无论是 made by MHS personnel or your personal doctor. 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 or clinic. This notice will tell you about the ways in which we may use 并披露你的医疗信息,描述你的权利和某些 澳门金沙官方APP在使用和披露医疗信息方面的义务.

We are required by law to:

  • 确保识别您的医疗信息(称为“受保护”) Health Information or PHI) is kept private;
  • 出于尊重,向您提供本通知,告知您澳门金沙官方APP的法律责任和隐私惯例 to medical information about you;
  • Explain your rights with regard to your medical information;
  • Follow the terms of the notice that is currently in effect.

澳门金沙官方APP保留更改本通知条款和澳门金沙官方APP的隐私的权利 practices at any time as allowed by law. Any changes will apply to the PHI we already have. Before we make any important change to our practices, 澳门金沙官方APP将及时更改本通知,并在主页面发布新的通知 lobby and the outpatient lobby. You can request a copy of this notice ,并可在澳门金沙官方APP的网页(网址 www.rebook-instock.com.

澳门金博官方APP如何使用或披露您的健康信息:

  1. 治疗:澳门金沙官方APP可能会向医生、护士、医务人员透露您的PHI 学生和其他为您提供医疗保健的医护人员 treatment or services. For example, if you’re being treated for 膝部受伤时,澳门金沙官方APP可能会向体能康复科披露PHI in order to coordinate your care.
  2. 获取治疗费用:澳门金沙官方APP可能会使用和披露您的PHI,以便 您在MHS接受的治疗和澳门金沙官方APP可能需要付费 may be collected from you, an insurance company, or a third party. For 例如,澳门金沙官方APP可能会向您提供有关您所做手术的健康计划信息 已收到,或将在医院收到,努力报销 for the surgery. We may also contact your health plan for prior treatment authorizations and referrals.
  3. 对于医疗保健业务:澳门金沙官方APP可能会出于必要的目的使用您的个人健康信息 的日常运作,并确保澳门金沙官方APP的病人得到 the highest quality of care. For example, we may use your PHI in order 评估您收到或收到的医疗保健澳门金沙官方APP的质量 评估提供澳门金沙官方APP的卫生保健专业人员的表现 your care or services. We may also provide your PHI to our accountants, 律师,顾问和其他人,以确保澳门金沙官方APP遵守 with the laws that affect us.
  4. 预约提醒和健康相关福利或澳门金沙官方APP:澳门金沙官方APP可能会使用 提供有关替代治疗方案的提醒或信息 或您可能感兴趣的与健康相关的福利和澳门金沙官方APP.
  5. 医院目录:澳门金沙官方APP可能会包括某些有限的信息 you in the hospital directory while you are a patient here. For example, 澳门金沙官方APP可能会提供您的姓名,在设施中的位置,一般情况, 以及宗教信仰,供神职人员和访客使用 by name. You may request not to be included in the hospital directory (known as anonymity). If you request anonymity, it is your responsibility to notify family members or clergy of your hospital stay. No hospital employee will acknowledge that you are a patient at the hospital, nor will any cards, flowers, etc. be sent to your room. If you are incapacitated 由于紧急情况,你无法用语言表达 your desire to be included or to “opt” out of the hospital directory, hospital staff will decide, and based on the best interest 对病人的信息一般会使用和披露到病人知道为止 或者近亲可以选择是否退出医院名录.
  6. 筹款活动:澳门金沙官方APP可以使用PHI为澳门金沙官方APP的组织筹集资金. 通过这些活动筹集的资金用于扩大和支持 澳门金沙官方APP为社区提供的医疗澳门金沙官方APP和教育项目. 例如,澳门金沙官方APP可能会通知您MHS相关的澳门金沙官方APP、产品或事件. 澳门金沙官方APP不会向外界透露您的健康信息,除非 your prior authorization. You have the right to opt out of fundraising communications.
  7. 营销活动:如果营销涉及财务报酬 意指从第三方或代表第三方直接或间接付款 描述谁的产品或澳门金沙官方APP需要授权 and must state that such remuneration is involved. Direct or indirect payment does not include any payment for treatment of an individual. Disclosures 构成销售受保护的健康信息也将被要求 an authorization.
  8. 用于研究目的:在某些情况下,澳门金沙官方APP可能会使用和披露 关于你的PHI的研究目的,当一个机构审查委员会 或私隐委员会,该委员会已审阅研究建议并成立 确保您的健康信息隐私的协议已获批准 the research. For example, a research project may involve comparing the 所有接受一种药物治疗的病人的健康和康复情况 who received another, for the same condition.

澳门金博官方APP可能使用或披露的特殊情况 your health information:

  1. 器官和组织捐赠:作为参与医疗保险的条件,麦肯齐 法律要求卫生系统公布所有人的健康信息 为方便器官或组织捐赠予有需要的死者 an organ procurement organization. For example, if organ donation is an 选择一个器官采购组织,比如生命的礼物或密歇根 眼库会联络您的近亲安排器官或组织捐赠.
  2. 为了避免对健康和安全的严重威胁:为了避免严重的 威胁到个人或公众的健康或安全,澳门金沙官方APP可以提供 PHI指执法人员或能够预防或减轻的人员 such harm. For example, a circumstance in which a threat to public safety has been made and is reasonably thought to be valid.
  3. 根据法律要求:澳门金沙官方APP可能会根据需要使用和披露有关您的信息 by law. For example, we make disclosures when a law requires that we report 向政府机构和执法人员提供有关信息 victims of abuse, neglect, or domestic violence; when dealing with gunshot and other wounds or assaults; or when ordered in a judicial or administrative proceeding. Patient authorization is not required when submitting health information as mandated by law.
  4. 国家安全和情报活动:澳门金沙官方APP可能会发布信息 关于你的情报,反情报授权联邦官员, and other national security activities authorized by law. For example, 如果美国总统正在访问密歇根州的桑达斯基, 澳门金沙官方APP将被要求允许特勤局特工查看病人的记录, as needed, for purposes of ensuring the President’s safety.
  5. 军人和退伍军人:如果你是武装部队的一员,澳门金沙官方APP可以 release PHI about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority. For example, the Billing 部门可以调用军队健康计划来确定医疗需要 and obtain authorization for treatment.
  6. 出于公共卫生目的:澳门金沙官方APP可能会向法律当局披露您的个人健康信息 为公共卫生活动预防或控制疾病、伤害或 disability. We also provide coroners, medical examiners, and funeral directors necessary information relating to an individual’s death.
  7. 对于健康监督活动:澳门金沙官方APP可能会向健康监督机构披露PHI agency for activities authorized by law. For example, information required 进行必要的审计、调查、检查和许可 government to monitor our compliance with government programs.
  8. Workers’ Compensation: We may disclose your PHI as authorized to the extent necessary to comply with worker’s compensation laws. For example, if your employer’s worker’s compensation insurance 承运商要求您提供医疗信息时,澳门金沙官方APP将提供具体信息 information requested as required by law.
  9. 第三方和/或业务伙伴:澳门金沙官方APP可能会向第三方披露您的PHI 与澳门金沙官方APP签订合同以代表澳门金沙官方APP履行澳门金沙官方APP的各方 whom we have an agreement in place to ensure your information will be protected. For example, the Michigan Health and Hospital Association (MHA) 是否可以要求医院提交健康信息以努力进行研究 health trends across the state.
  10. 囚犯:如果你是惩教机构的囚犯或在 在执法人员的监护下,澳门金沙官方APP可以公布医疗信息 about you to the correctional institution or law enforcement official 当有必要(1)为机构提供健康时 care; (2) to protect your health and safety or the health and safety of others; (3) for the safety and security of the correctional institution.

本通知未包括的其他医疗信息的使用和披露; 或者,适用于法律问题的法律将只与你的书面 授权可随时撤销,除非我方已采取行动 in reliance upon it.

如果您撤销许可,澳门金沙官方APP将不再使用或披露医疗信息 根据您的书面授权提供有关您的信息.

Your rights regarding medical information about you.

  1. 查阅和复制权:您有权查阅和接收一份文件 受保护的运行状况信息的副本,该信息是指定的 record set. You have the right to receive your PHI in an electronic form if it is readily producible by this facility. Usually, this includes medical and billing records, but does not include psychotherapy notes. We may 在某些非常有限的情况下,拒绝你的检查和复制请求. 如果你被拒绝获取医疗信息,你可以提出请求 the denial be reviewed. Please contact the HIM department at 810-648-6158 if you have any questions about access to your medical record.
  2. 要求修改的权利:如果您觉得健康信息在 您的病历不正确或不完整,您可以要求澳门金沙官方APP修改 this information. To request an amendment, you must obtain an Amendment Request form from the HIM Department; provide in writing the reasons for your request. We may deny your request if it is not in writing or:
    1. 不是由MHS创建的,除非是创建该信息的个人或实体 is no longer available to make the amendment.
    2. 部分医疗信息是否由澳门金博官方APP保留或为其保留.
    3. 不是你可以查看和复制的信息的一部分吗.
    4. Is accurate and/or complete.
  3. Right to Request a Restriction on Uses & Disclosures of Your PHI: You have the right to ask that we limit how we use and disclose your PHI. 澳门金沙官方APP会考虑你的请求,但法律上没有要求澳门金沙官方APP接受你的请求. 你的要求必须以书面说明所要求的限制及 to whom you want the restrictions applied. For example, you may request 澳门金沙官方APP不能向你的配偶透露健康信息,因为你是 separated; or ask us to restrict information from your private insurance 因为承运人要承担澳门金沙官方APP的经济责任 received. If professional judgment determines that it is not in your best 限制使用和披露有关医疗保健信息的兴趣 you, the request will be denied. If we do agree to the requested restriction, 澳门金沙官方APP将尽合理努力遵从您的要求,除非 information is needed for emergency treatment. You must make your written request for restriction to the Privacy Officer.
  4. 要求收到披露账目的权利:您可以提出要求 收到一份关于你健康状况披露的书面报告 为治疗、付款、保健以外的目的向他人提供的信息 operations, or disclosures made with your authorization. You must submit your written request to the Privacy Officer. The request must state a 期间不得超过6年且不得包括日期 before April 14, 2003.
  5. 要求接收保密通信的权利:您有此权利 要求澳门金沙官方APP在某一时间与您沟通医疗事宜 format or at a certain location. For example, you may request that we 在工作中与您联系,而不是在家里或通过邮寄健康信息与您联系 to an alternate address. We will make reasonable efforts to accommodate your request. Your request must be in writing, submitted to the Privacy Officer and must specify how or where you wish to be contacted.
  6. 被告知任何违反受保护健康信息的权利:您 是否有权并将收到违反您的担保的通知 protected health information.
  7. 获得本通知纸质副本的权利:您有权收到 a paper copy of this notice. We have copies available at our Registration sites, or you may request a copy from our Privacy Officer. A copy of the Privacy Notice is also available at our website at www.rebook-instock.com.

如果您认为您的隐私权受到了侵犯,您可以提出投诉 与卫生与公众澳门金沙官方APP部,或卫生与公众澳门金沙官方APP部部长,无所畏惧 of retaliation.

要向澳门金博官方APP投诉,请发送一份详细的书面 notification to the Privacy Officer at:
McKenzie Health System (MHS)
ATTN: HIPAA Privacy Officer
120 Delaware Street
Sandusky, MI 48471 810-648-6157

要向民权办公室投诉,请发送一份详细的书面 notification to:
Office for Civil Rights, DHHS
233 N. Michigan Ave. – Suite 240
Chicago, Ill. 60601 312-886-2359; 312-353-5693(TDD); 312-886-1807 Fax

Effective date of this notice is March 2014. F-2071