Summary of Privacy Practices
DuBois Regional Medical Center (DRMC), our employees, doctors and administration are committed to protecting the privacy of your medical information, as Federal and state laws require. The “information,” we protect includes your health information, treatment and payment information and all personal information that identifies you.Our Notice of Privacy Practices explains how your health (medical) information may be used and disclosed to others and how you may review or receive a copy of your Health Information. This Summary is not a complete listing of how we use and disclose (share) your health information. Please review both the Summary and DRMC’s complete Notice of Privacy Practice carefully.
DRMC may use and share your health information, without your consent, to:
• Provide you with medical treatment and other related services
• Receive payment from you, an insurance company, or someone else for services we provide to you
• Conduct daily business at DRMC, which includes such things as giving you appointment reminders, telling you about other treatment options, monitoring the quality of care you receive and contacting you for certain marketing and fund-raising activities
• Comply with Federal and State laws
• Meet special situations as described in the Notice of Privacy Practices, such as public health, safety, and research
• Receive payment from you, an insurance company, or someone else for services we provide to you
• Conduct daily business at DRMC, which includes such things as giving you appointment reminders, telling you about other treatment options, monitoring the quality of care you receive and contacting you for certain marketing and fund-raising activities
• Comply with Federal and State laws
• Meet special situations as described in the Notice of Privacy Practices, such as public health, safety, and research
Exception: This does not include behavioral health, alcohol and chemical treatment, and AIDS/HIV related information.
With your verbal consent, DRMC may:
• Include your name and other information in the hospital directory
• Share your health information with the family and friends you agree may have this information All other uses and disclosures of your health information will be done only with your specific written permission (authorization) or as required by law.
• Share your health information with the family and friends you agree may have this information All other uses and disclosures of your health information will be done only with your specific written permission (authorization) or as required by law.
Your legal rights about your health information are the
• Right to ask to see and receive a copy your medical record
• Right to ask that incorrect or incomplete information in your medical record be corrected
• Right to ask for a list of all individuals and agencies with whom we have shared your health information. This right does not include health information (1) used to carry out treatment, payment, and healthcare operations, (2) covered by laws for security and law enforcement, (3) that you authorized in writing to share the information.
• Right to ask DRMC to limit how we use and share your health information without your consent.
• Right to ask for confidential communications
• Right to ask for a paper copy of the Notice of Privacy Practices
• Right to file a complaint if you believe your privacy rights have been violated
• Right to ask that incorrect or incomplete information in your medical record be corrected
• Right to ask for a list of all individuals and agencies with whom we have shared your health information. This right does not include health information (1) used to carry out treatment, payment, and healthcare operations, (2) covered by laws for security and law enforcement, (3) that you authorized in writing to share the information.
• Right to ask DRMC to limit how we use and share your health information without your consent.
• Right to ask for confidential communications
• Right to ask for a paper copy of the Notice of Privacy Practices
• Right to file a complaint if you believe your privacy rights have been violated
DRMC’s complete “Notice of Privacy Practices” follows this summary. The complete Notice provides detailed information regarding your privacy rights under the Health Insurance Portability and Accountability Act (HIPAA) privacy regulations and our rights to use and disclose protected health information to provide quality healthcare.
If You Have Questions About This Notice Please Contact
Compliance & Privacy Officer at 814.375.6160
Health Information Management 814.375.3246