HIPAA PRIVACY NOTICE - EFFECTIVE SEPTEMBER 21, 2018
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Who Will Follow This Notice?
This notice describes the practices of Heavenly Health Care and the practices that will be followed by all of Heavenly Health Care workforce members who handle your medical information.
Our Pledge Regarding Your Protected Health Information
Heavenly Health Care understands that medical information about you and your health is personal. We are committed to protecting medical information about you. We maintain our records and conduct our treatment environment with a goal of providing the highest level of protection for your medical information while still providing you with the highest level of medical care. This notice applies to all of the records of your medical care, which are received or created by Heavenly Health Care.
Your other medical treatment providers (e.g. doctors, hospitals, home health agencies, etc.) may have different policies or notices regarding the use and disclosure of your medical information.
This notice will tell you about the ways in which Heavenly Health Care may use and disclose medical information about you. Your medical information, also referred to as “protected health information” is that information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health information and related health care services.
In this notice, we also describe your rights and certain obligations Heavenly Health Care has regarding the use and disclosure of your protected health information. We are required by name to:
- Make sure that medical and other information that identifies you (protected health information) is kept private.
- Give you this notice of our legal duties and privacy practices with respect to protected health information about you.
- Follow the terms of the notice that is currently in effect.
Uses and Disclosures for Treatment, Payment and Health Care Operations
By becoming a patient at Heavenly Health Care, you are giving consent for Heavenly Health Care to use your protected health information for certain activities, including treatment, payment, and other healthcare operations. Sometimes, you may hear these three activities referred to as “TPO” Treatment, Payment and Healthcare Operations.
First of all, we may use and disclose protected health information about you so that Heavenly Health Care and its medical professionals can treat you. For example, we may use your past medical information to diagnose your present condition or we may provide information regarding your medical condition to another doctor to whom we refer you for additional care. We may also use and disclose protected health information about you so that we may be paid for the medical treatment we provide you. For example, we will submit protected health information about you to your insurance company to receive payment for services we have provided to you. We may also use and disclose protected health information about you for Heavenly Health Care’s health care operations, in other words, those other tasks that we need to perform to make sure that you are provided the highest quality of medical care. For example, we may use your protected health information to evaluate how we can better meet your needs, or we may provide protected health information about you to an auditor who reviews our books so that we can keep our license to provide medical services in Texas.
Other uses and disclosures of your protected health information
Uses and disclosures for appointment reminders
Uses and Disclosures to others involved in your healthcare
Uses and disclosures in emergency situations
We may use or disclose your protected health information in an emergency treatment situation. If this happens, your physician will attempt to obtain your acknowledgment of this Notice as soon as reasonably practicable after the delivery of treatment.
Uses and disclosures for health-related benefits or services
From time to time, Heavenly Health Care may use, and disclosure protected health information to tell you about certain health related benefits or services that may be of interest to you.
Uses and disclosures required by law
We will use or disclose protected health information about you when required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if the law requires us to do so, of any such uses or disclosures. We must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the law.
Uses and disclosures related to communicable diseases
We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Disclosures for health oversight activities
We may disclose protected health information to a health oversight agency for activities authorized by law. These activities include, for example, audits, investigations, and inspections. These activities are necessary for the government to monitor the health care system, the delivery of healthcare, government benefit programs, other government regulatory programs and civil rights laws.
Disclosures of abuse or neglect
We may disclose your protected health information to a public health authority authorized by law to receive reports of child abuse or neglect.
In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to a governmental entity or agency authorized to receive such information. In such cases, the disclosure will be made in accordance with Texas law.
Disclosures to the food and drug administration
We may disclose your protected health information to a person or company required by the Food and Drug Administration (FDA) to report adverse events, product defects or other problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements; or to conduct post-market surveillance, as required.
Disclosures for lawsuits and disputes
Disclosures to Law Enforcement
We may release protected health information if asked to do so by a law enforcement official, in response to a court order, subpoena, warrant, summons, or similar process. Other related disclosures may include disclosures relating to individuals who are Armed Forces personnel, to national security and intelligence agencies, as well as disclosures to authorized federal officials for the protection of the President of the United States or other authorized persons or foreign heads of state.
Disclosures to Coroners, Funeral Directors, and Organ Donation
We may disclose protected health information about you to a coroner or medical examiner for identification purposes, determining the cause of death, or for the coroner or medical examiner to perform other duties required by law. We may also disclose protected health information about you to a funeral director to permit the funeral director to carry out legal duties and may do so if death is anticipated. Your protected health information may also be disclosed for certain organ donations to which you may have agreed.
Disclosures for Research
We may disclose your protected health information to researchers when their research has been approved and protocols have been established to ensure the privacy of your information. We may also disclose a limited set of your information, as allowed under the law, for research purposes.
Disclosures Related to Criminal Activity
Disclosures for Workers' Compensation
We may release protected health information about you for Workers’ Compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
Your Rights Regarding Protected Health Information About You
Right to Inspect and Copy
Right to request restrictions
You have the right to request that we restrict the use and disclosure of your protected health information for treatment, payment, and health care operations. 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 you emergency treatment.
To request restrictions, you must make your request in writing to Heavenly Health Care, 1506 E Griffin Pkwy, Mission, Suite B, Texas 78572. In your request, you must tell us:
- What information you want to limit
- Whether you want to limit our use, disclosure, or both.
- To whom you want the limits to apply.
Right to Confidential Communications
Right to Amend
If you feel that the protected health information we have about you is incorrect or incomplete; you have the right to request that your protected health information be amended. Only the health care entity (e.g., doctor, hospital, clinic, etc.) that created your protected health information is responsible for amending it. For more information regarding the procedures for submitting such a request, contact Heavenly Health Care, 1506 E Griffin Pkwy, Suite B, Mission, Texas 78572.
Right to an Accounting of Disclosures
Right to 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.
You may obtain a website http://heavenlyhc.com. To obtain a paper copy of this Notice, contact 956-271-4755.
To learn more about these procedures, or to make any of these requests, you should contact our Office Manager at 956-271-4755.
Changes to this Notice
Heavenly Health Care reserves the right to change this notice. We reserve the right to make the revised or changed Notice effective for protected health information we already have about you, as well as any information we create or receive in the future. We will post a copy of the current Notice on Heavenly Health Care website: http://heavenlyhc.com. The Notice will contain, in the top right-hand corner, the effective date.
If you believe your privacy rights have been violated and/or that Heavenly Health Care or its nursing staff has not followed this policy, you may file a complaint with José (Joe) Lara, President, Heavenly Health Care or with the Secretary of the Department of Health and Human Services.
To file a complaint with José (Joe) Lara, contact: Heavenly Health Care, President, 1506 E Griffin Pkwy, Suite B, Mission, Texas 78572. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
COMPLAINTS MAY ALSO BE FILED WITH TEXAS HEALTH AND HUMAN RESOURCES: 1-800-458-9858.