The Prosser Public Hospital District Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATON. PLEASE REVIEW IT CAREFULLY.
We are committed to protecting the confidentiality of your medical information, and are required by law to do so. This notice describes how we may use your medical information within the Hospital and how we may disclose it to others outside the Hospital. This notice also describes the rights you have concerning your own medical information.
For the sake of clarity we refer to the Hospital in this notice and throughout our policies. You should understand, however, that our privacy practices, policies and your rights and responsibilities apply to all services provided by the PROSSER PUBLIC HOSPITAL DISTRICT regardless of the service you receive or location. Please review this notice carefully and let us know if you have questions.
How will we use and disclose your medical information?
Treatment: We may use your medical information to provide you with medical services and supplies. We may also disclose your medical information to others who need that information to treat you, such as doctors, physician assistants, nurses, medical and nursing students, technicians, therapists, emergency service and medical transportation providers, medical equipment providers, and others involved in your care. For example, we will allow your physician to have access to your Hospital medical record to assist in your treatment at the Hospital and for follow-up care.
We also may use and disclose your medical information to contact you to remind you of an upcoming appointment, to inform you about possible treatment options or alternatives, or to tell you about health-related services available to you.
Patient Directory: In order to assist family members and other visitors in locating you while you are in the Hospital, the Hospital maintains a patient directory. This directory includes your name, room number or location in the facility and your general condition (such as fair, stable, or critical). We will disclose this information to someone who asks for you by name. If you do not want to be included in the Hospital’s patient directory, please let the Admitting Department or your care giver know in writing.
Family Members and Others Involved in Your Care: We may disclose your medical information to immediate family members or another person with whom you have a close personal relationship. We also may disclose your medical information to disaster relief organizations to help locate a family member or friend in a disaster. If you do not want the Hospital to disclose your medical information to family members or others as outlined here, please in form your care giver or our Medical Records Department. You will be provided with an opportunity to request, in writing, that your medical information be specifically restricted.
Payment: We may use and disclose your medical information to get paid for the medical services and supplies we provide to you. For example, your health plan or health insurance company may ask to see parts of your medical record before they will pay us for your treatment. We may provide this information to them according to the term set in your prior authorization.
Hospital Operations: We may use and disclose your medical information if it is necessary to improve the quality of care we provide to patients or to run the Hospital. We may use your medical information to conduct quality improvement activities, to obtain audit, accounting or legal services, or to conduct business management and planning. For example, we may look at your medical record to evaluate whether Hospital personnel, your doctors, or other health care professionals did a good job.
Many of our patients like to make contributions to the Hospital. The Hospital or its foundation may contact you in the future to raise money for the Hospital. If you do not want the Hospital or its foundation to contact you for fundraising, please notify your care giver or our Medical Records Department. You will be provided with an opportunity to request, in writing, that your medical information be specifically restricted.
Research: We may use or disclose your medical information for research projects, such as studying the effectiveness of a treatment you received. These research projects must go through a special process that protects the confidentiality of your medical information.
Required by Law: Federal, state, or local laws sometimes require us to disclose patients’ medical information. For instance, we are required to report the abuse or neglect of children or vulnerable adults. We also are required to give information to the State Workers’ Compensation Program for work-related injuries.
Public Health: We also may report certain medical information for public health purposes. For instance, we report communicable diseases to the State. We also may need to report patient problems with medications or medical products to the FDA, or may notify patients of recalls of products they are using.
Public Safety: We may disclose medical information for public safety purposes in limited circumstances. We may disclose medical information to law enforcement officials in response to a search warrant or a grand jury subpoena. We also may disclose your medical information to law enforcement officials and others to prevent an imminent threat to health or safety.
Health Oversight Activities: We may disclose medical information to a government agency that oversees the Hospital or its personnel, such as the Washington State Department of Health, the federal agencies that oversee Medicare, the Medical Quality Assurance Commission, or the Nursing Quality Assurance Commission. These agencies need medical information to monitor the Hospital’s compliance with state and federal laws.
Coroners, Medical Examiners and Funeral Directors: We may disclose medical information concerning deceased patients to coroners, medical examiners and funeral directors to assist them in carrying out their duties.
Organ and Tissue Donation: If you are an organ donor, we may disclose medical information to organizations that handle organ, eye or tissue donation or transplantation.
Judicial Proceedings: The Hospital may disclose medical information if the Hospital is ordered to do so by a court or if the Hospital receives a subpoena or a search warrant. You will receive advance notice about this disclosure in most situations so that you will have a chance to object to sharing your medical information.
Information with Additional Protection: Certain types of medical information have additional protection under state and federal law. For instance, medical information about HIV and sexually transmitted diseases, mental health, and alcohol and drug abuse treatment receive special protection. For those types of information, the Hospital is required to get your permission before disclosing that information to others in many circumstances.
Other Uses and Disclosures: If the Hospital wishes to use or disclose your medical information for a purpose that is not discussed in this Notice, the Hospital will seek your permission. If you give your permission to the Hospital, you may take back that permission any time, unless we or others have already taken substantial action in reliance on your permission to use or disclose the information. If you ever would like to revoke your permission, please notify our Medical Records Department in writing.
What are your rights?
Right to Request Your Medical Information: You have the right to look at your own medical information and to get a copy of that information. (The law requires us to keep the original record.) This includes your medical record, your billing record, and other records we use to make decisions about your care. To request your medical information, write to our Medical Records Department. If you request a copy of your information, we will charge you for our costs to copy the information. We will tell you in advance what this copying will cost. You can look at your record at no cost.
Right to Request Amendment of Medical Information You Believe Is Erroneous or Incomplete: If you examine your medical information and believe that some of the information is wrong or incomplete, you may ask us to amend your record. To ask us to amend your medical information, write to our Medical Records Department.
Right to Get a List of Certain Disclosures of Your Medical Information: You have the right to request a list of many of the disclosures we make of your medical information. If you would like to receive such a list, write to our Medical Records Department. We will provide the first list to you free, but we may charge you for any additional lists you request during the same year. We will tell you in advance what this list will cost.
Right to Request Restrictions on How the Hospital Will Use or Disclose Your Medical Information for Treatment, Payment, or Health Care Operations: You have the right to ask us not to make uses or disclosures of your medical information to treat you, to seek payment for care, or to operate the Hospital. We will grant your request that we not disclose your medical information to a physician who previously treated you. We are not required to agree to other requests for restrictions, but if we do agree, we will comply with that agreement. If you want to request a restriction, submit your request in writing to our Medical Records Department and describe your request in detail.
Right to Request Confidential Communications: You have the right to ask us to communicate with you in a way that you feel is more confidential. For example, you can ask us not to call your home, but to communicate only by mail. To do this, write to our Medical Records Department. You can also ask to speak with your health care providers in private outside the presence of other patients—just ask them!
Right to a Paper Copy: If you have received this notice electronically, you have the right to a paper copy at any time. You may download a paper copy of the notice (click here) or you may obtain a paper copy of the notice at PMH Medical Center, 723 Memorial Street, Prosser, WA 99350.
Changes to this Notice
From time to time, we may change our practices concerning how we use or disclose patient medical information, or how we will implement patient rights concerning their information. We reserve the right to change this Notice and to make the provisions in our new Notice effective for all medical information we maintain. If we change these practices, we will publish a revised Notice of Privacy Practices. You can get a copy of our current Notice of Privacy Practices at any time by writing to us at PMH Medical Center, 723 Memorial Street, Prosser, WA 99350; or by looking it up on our web site at www.pphdwa.org or by calling the Hospital and asking for the Medical Records Department.
Which health care providers are covered by this notice?
This Notice of Privacy Practices applies to the Hospital District and its personnel, volunteers, students, and trainees. The Notice also applies to other health care providers that come to the Hospital to care for patients, such as physicians, physician assistants, therapists, and other health care providers who are not employed by the Hospital, unless those other providers give you their own Notice that describes how they will protect your medical information. The Hospital may share your medical information with these providers for their treatment, payment, and operations. This arrangement is only for purposes of sharing information and not for any other purpose.
Do you have concerns or complaints?
Please tell us about any problems or concerns you have with your privacy rights or how the Hospital uses or discloses your medical information. If you have a concern, please contact PMH Medical Center, Care of Corporate Compliance, 723 Memorial Street, Prosser, WA 99350.
If for some reason the Hospital cannot resolve your concern, you may also file a complaint with the federal government at Centers for Medicare & Medicaid Services (CMS) Region X, 2201 Sixth Avenue., Suite 911, Seattle, WA 98121. We will not penalize you or retaliate against you in any way for filing a complaint with the federal government.
Do you have questions?
The Hospital is required by law to give you this Notice and to follow the terms of the Notice that is currently in effect. If you have any questions about this Notice, or have further questions about how the Hospital may use and disclose your medical information, please contact PMH Medical Center at (509) 786-2222 and ask for the Manager of the Medical Records Department.