Notice of Patient Privacy Practices
HIPAA Notice of Patient Privacy Practices for Florida Hospital
Florida Hospital believes your health information is personal
and confidential. We are committed to keeping your health information
private, and we are legally required to respect your confidentiality.
HIPAA is the Health Insurance Portability and Accountability Act,
a Federal law that requires health providers to take certain steps
to protect the privacy and security of patient health information.
The privacy part of the law goes into effect on April 14, 2003.
HIPAA requires a health care provider to post the Notice of Patient
Privacy Practices (NPPP) on its website.
The NPPP document describes how Florida Hospital uses and protects
your health information.
If you have any questions about the Notice of Patient Privacy
Practices, please contact Florida Hospital Office of Regulatory
Administration at:
Phone: 407/303-9659
Email: fh.web@flhosp.org
FLORIDA HOSPITAL
NOTICE OF PATIENT PRIVACY PRACTICES
Effective Date: April 14, 2003
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED UNDER FEDERAL AND FLORIDA LAW AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
What type of medical information is covered by this Notice?
Medical information covered by this Notice is information that
identifies you or could be used to identify you that is collected
from you or created or received by Florida Hospital and that relates
to your past, present or future physical or mental health condition,
including health care services provided to you and payment for
such health care services.
If you have any questions about this notice, please contact Florida
Hospital Office of Regulatory Administration, 407-303-9659.
Section A: Who Will Follow This Notice?
This notice describes Florida Hospital's practices regarding the use and disclosure of your medical information, including use and disclosure by:
- Any health care professional authorized to enter information into your medical chart maintained by Florida Hospital.
- All departments and units of Florida Hospital.
- Any member of a volunteer group we allow to help you while you are receiving health care services from Florida Hospital.
- All employees, staff and other members of the Florida Hospital workforce.
This document will be used for the Florida Hospital entities as follows: Hospital Facilities, Long Term Acute Care Facilities, Ambulatory Surgical Centers, Walk-In Care Facilities, Staff and Contracted Physicians, Emergency Care Facilities, Family Health Physician Centers, Emergency Medical/Ambulance Services, and Home Care Services. All these entities, sites and locations follow the terms of this notice.
Section B: Our Pledge Regarding Medical Information.
We understand that medical information about you and your health
is personal. We are committed to protecting medical information
about you. We create a record of the care and services you receive
at the hospital. We need this record to provide you with quality
care and to comply with certain legal requirements. This notice
applies to all of the records of your care generated or maintained
by Florida Hospital, whether made by Florida Hospital 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 and
disclose medical information about you. We also describe your
rights and certain obligations we have regarding the use and disclosure
of medical information.
We are required by law to:
- Use our best efforts to keep medical information that identifies you private;
- Give you this notice of our legal duties and privacy practices with respect to medical information about you; and
- Follow the terms of the notice that is currently in effect.
Section C: How We May Use and Disclose Medical Information About You.
The following categories describe different ways in which Florida
Hospital is permitted to use and disclose medical information.
For each category of uses or disclosures we will explain what
we mean and will provide you with one or more examples. Not every
use or disclosure in a category will be listed. However, all of
the ways we are permitted to use and disclose information will
fall within one of the categories.
Within one or more of the categories identified in Section C and
Section D of this form, state and/or federal law may place restrictions
on the manner in which specific types of medical information (e.g.,
substance abuse treatment, psychiatric treatment, human immunodeficiency
virus status, etc.) may be used and/or to whom such medical information
may be disclosed. In those instances where use and/or disclosure
of specific medical information is restricted, we will seek appropriate
authorization from you, your legal representative or a court of
law/administrative tribunal before using or disclosing the restricted
medical information.
- Treatment. We may use medical information about you
to provide you with medical treatment or services. We may disclose
medical information about you to doctors, nurses, technicians,
medical students, and/or other members of the Florida Hospital
workforce who are involved in taking care of you at the hospital.
For example, a doctor treating you for a broken leg may need
to know if you have diabetes because diabetes may slow the healing
process. In addition, the doctor may need to tell the dietitian
if you have diabetes so that we can arrange for appropriate
meals. Different departments of Florida Hospital also may share
medical information about you in order to coordinate the different
things you need, such as prescriptions, lab work and x-rays.
We also may disclose medical information about you to individuals
outside of Florida Hospital, such as family members,clergy or
other health care providers, and other health care facilities,
such as assisted living facilities, nursing homes, home health
agencies, who may be involved in your medical care after you
are discharged from Florida Hospital.
- Payment. We may use and disclose medical information
about you so that the treatment and services you receive at
Florida Hospital may be billed to and payment may be collected
from you, an insurance company or a third party. For example,
we may need to give your health plan information about surgery
you received at Florida Hospital so your health plan will pay
us or reimburse you for the surgery. We may also tell your health
plan about a treatment you are going to receive to obtain prior
approval or to determine whether your plan will cover the treatment.
- Health Care Operations. We may use and disclose medical
information about you for Florida Hospital's operations. These
uses and disclosures are necessary to operate Florida Hospital
and make sure that all of our patients receive appropriate care.
For example, we may use medical information to review our treatment
and services and to evaluate the performance of our workforce
in caring for you. We may also combine medical information about
many patients to decide what additional services Florida Hospital
should offer, what services are not needed, and whether certain
new treatments are effective. We may also disclose information
to doctors, nurses, technicians, medical students, and other
members of the workforce of Florida Hospital for review and
learning purposes. We may also combine the medical information
we have with medical information from other entities to compare
how we are doing and see where we can make improvements in the
care and services we offer. We may remove information that identifies
you from this set of medical information so others may use it
to study health care and health care delivery without learning
who the specific patients are.
- Appointment Reminders. We may use and disclose medical
information to contact you as a reminder that you have an appointment
for treatment or medical care at Florida Hospital or another
entity/health care provider for whom we schedule services. For
example, if you are a patient of a medical clinic operated by
Florida Hospital, you may be notified by a hospital representative
of an appointment made on your behalf to facilitate your medical
treatment and physical well-being (e.g., scheduled appointment
for X-ray, etc.).
- Treatment Alternatives. We may use and disclose medical
information to tell you about or recommend possible treatment
options or alternatives that may be of interest to you. For
example, if you have been diagnosed with heart disease, you
may receive information regarding treatment options that may
be of interest to you.
- Health-Related Benefits and Services. We may use and
disclose medical information to tell you about health-related
benefits or services that may be of interest to you. For example,
if you have undergone open-heart surgery at Florida Hospital,
you may receive information regarding services that may be of
benefit to you in recovering from or dealing with your illness
such as structured rehabilitation exercise classes and stress
management training.
- Fundraising Activities. We may use information about
you to contact you in an effort to raise money for Florida Hospital
and its operations. We may disclose information to a business
associate of Florida Hospital, or the Florida Hospital Foundation,
a foundation related to Florida Hospital, so that they may contact
you to raise money for Florida Hospital. We would release only
contact information, such as your name, address and phone number
and the dates you received treatment or services at Florida
Hospital. If you do not want Florida Hospital to use or disclose
your contact information for fundraising efforts that will benefit
Florida Hospital, you must notify us in writing.
- Patient Directory. We may include certain limited
information about you in Florida Hospital's patient-directory
while you are a patient at Florida Hospital. Directory information
may include your name, location in Florida Hospital, your general
condition (e.g., fair, stable, etc.) and your religious affiliation.
Unless you are admitted to Florida Hospital as a non-published
patient, the directory information, except for your religious
affiliation, may also be released to people who ask for you
by name. Unless the patient is non-published, your religious
affiliation may be given to a member of the clergy, such as
a priest or rabbi, even if they don't ask for a patient by name.
This is so your family, friends and clergy can visit you in
Florida Hospital and generally know how you are doing. Non-publish
status may be elected by a patient (i.e., by requesting in writing
that his/her presence at the Hospital not be acknowledged to
family, friends, clergy, media or others not involved in the
care and treatment of the patient) or it may be conferred by
law based on the nature of the treatment sought by the patient
(e.g., mental health treatment).
- Individuals Involved in Your Care or Payment for Your
Care. Unless specifically precluded by state or federal
law or unless you otherwise object, we may release medical information
about you to a friend or family member who is involved in your
medical care, and may also give information to someone who helps
pay for your care. We may also tell your family or friends your
condition and that you are in Florida Hospital. In addition,
if you are admitted to Florida Hospital as a result of a natural
or man-made disaster, or if subsequent to your admission a natural
or man-made disaster occurs, we may disclose medical information
about you to an entity assisting in a disaster relief effort
so that your family can be notified about your condition, status
and location.
- Research. Under certain circumstances, we may use
and disclose medical information about you for research purposes.
For example, a research project may involve comparing the health
and recovery of all patients who received one medication to
those who received another, for the same condition. All research
projects, however, are subject to a special approval process.
This process evaluates a proposed research project and its use
of medical information, trying to balance the research needs
with patients' need for privacy of their medical information.
Before we use or disclose medical information for research,
the project will have been approved through this research approval
process, but we may, however, disclose medical information about
you to people preparing to conduct a research project, for example,
to help them look for patients with specific medical needs,
so long as the medical information they review does not leave
the hospital. We will generally ask for your specific permission
if the researcher will have access to your name, address or
other information that reveals who you are, or will be involved
in your care at Florida Hospital.
- As Required By Law. We will disclose medical information
about you when required to do so by federal, state or local
law.
- To Avert a Serious Threat to Health or Safety. We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.
Section D: Special Situations
- Organ and Tissue Donation. If you are an organ donor,
we may release medical information to organizations that handle
organ procurement or organ, eye or tissue transplantation, or
to an organ donation bank, as necessary to facilitate organ
or tissue donation and transplantation.
- Military and Veterans. If you are a member of the
armed forces, we may release medical information about you as
required by military command authorities. We may also release
medical information about foreign military personnel to the
appropriate foreign military authority.
- Workers' Compensation. Pursuant to Florida Law, we
may release medical information about you for workers' compensation
or similar programs. These programs provide benefits for work-related
injuries or illness.
- Public Health Risks. We may disclose medical information
about you for public health activities. These activities generally
include the following:
- To prevent or control disease, injury or disability;
- To report births and deaths;
- To report reactions to medications or problems with products;
- To notify people of recalls of products they may be using;
- To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
- To notify the appropriate government authority if we
believe a patient has been the victim of abuse (e.g., child
abuse, elder abuse, etc.), neglect or domestic violence.
We will only make this disclosure if you agree or when required
or authorized by law.
- Health Oversight Activities. We may disclose medical
information to a health oversight agency for activities authorized
by law. These oversight activities include, for example, audits,
investigations, inspections, and licensure. These activities
are necessary for the government to monitor the health care
system, government programs, and compliance with civil rights
laws.
- Lawsuits and Disputes. If you are involved in a lawsuit
or a dispute, and your medical condition is at issue in the
lawsuit or dispute, we may disclose medical information about
you if we are a party to the lawsuit or dispute and in those
instances where we are not a party to the lawsuit or dispute,
in response to a subpoena duces tecum or court or administrative
order.
- Law Enforcement. We may release medical information
to law enforcement officials:
- In response to a court order, subpoena, warrant, summons or similar process;
- To identify or locate a suspect, fugitive, material witness, or missing person unless the medical information pertains to a non-published patient;
- About an individual who seeks or receives medical treatment for a gunshot wound or life-threatening injury which indicates an act of violence;
- About a death we believe may be the result of criminal conduct at Florida Hospital; and
- About criminal conduct at Florida Hospital; and
- In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
- Coroners, Medical Examiners and Funeral Directors.
We may release medical information to a coroner or a medical
examiner. This may be necessary, for example, to identify a
deceased person or determine the cause of death. We may also
release medical information about patients of Florida Hospital
to funeral directors as necessary to carry out their duties.
- National Security and Intelligence Activities. We
may release medical information about you to authorized federal
officials for intelligence, counterintelligence, and other national
security activities authorized by law.
- Protective Services for the President and Others.
We may disclose medical information about you to authorized
federal officials so they may provide protection to the President,
other authorized persons or foreign heads of state or conduct
special investigations.
- Inmates. Inmates of a correctional institution or under the custody of a law enforcement official are not required to receive notice of Florida Hospital's practices regarding the use and disclosure of medical information. Florida Hospital may release medical information about an inmate to the correctional institutional or law enforcement official. This release would be necessary (1) for the institution to provide health care to the inmate; (2) protect the inmate's health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
Section E: Your Rights Regarding Medical Information About You
You have the following rights regarding medical information we maintain about you:
- Right to Inspect and Copy. You have the right to inspect and copy some of the medical information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request.
We may deny your request to inspect and copy medical information in certain circumstances. If you are denied access to medical information, in some cases, you may request that the denial be reviewed. Another licensed health care professional chosen by the hospital 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.
- Right to Amend. If you feel that medical information
we have about you is incorrect or incomplete, you may ask us
to amend the information. You have the right to request an amendment
for as long as the information is kept by or for Florida Hospital.
In addition, you must provide a reason that supports your request.
We may deny your request for an amendment if it is not in writing or you do not include a reason to support your request. In addition, we may deny your request if you ask us to amend information that: o Was not created by us, unless the person or entity that created the formation is no longer available to make the amendment;
- Is not part of the medical information kept by or for
Florida Hospital;
- Is not part of the information which you would be permitted
to inspect and copy; or
- Is accurate and complete.
- Is not part of the medical information kept by or for
Florida Hospital;
- Right to an Accounting of Disclosures. You have the
right to request an "accounting of disclosures." This
is a list of the disclosures Florida Hospital made of medical
information about you. Your request must state a time period
which may not be longer than six years and may not include dates
before April 14, 2003. Your request should indicate in what
form you want the list (for example, on paper, electronically).
The first list you request within a 12 month period will be
free. For additional lists, we may charge you for the costs
of providing the list. We will notify you of the cost involved
and you may choose to withdraw or modify your request at that
time before any costs are incurred.
- Right to Request Restrictions. You have the right
to request a restriction or limitation on the medical 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 medical 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.
In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
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.
- Right to 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 can ask that we only contact you at work or by
mail. We will not ask you the reason for your request. We will
accommodate all reasonable requests. Your request must specify
how or where you wish to be contacted.
- 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. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may obtain a copy of this notice at our website, www.FloridaHospital.com.
Section F: Changes To This Notice.
We reserve the right to change this notice. We reserve the right
to make the revised or changed notice effective for medical information
we already have about you as well as any information we receive
in the future. We will post a copy of the current notice in Florida
Hospital. The notice will contain the effective date.
In addition, each time you register at or are admitted to the
hospital for treatment or health care services as an inpatient
or outpatient, we will offer you a copy of the current notice
in effect.
Section G: Complaints
If you believe your privacy rights have been violated, you may
file a complaint with the hospital or with the Secretary of the
Department of Health and Human Services, Atlanta Federal Center,
Suite 3B70, 61 Forsyth Street, SW., Atlanta, GA 30303-8909. To
file a complaint with Florida Hospital, you may contact Risk Management
at 407-303-7377. All complaints must be submitted in writing to
Risk Management, 601 East Rollins Street, Orlando, FL 32803. For
Centra Care patients who feel their rights are violated, contact
407-660-8118 extension 237.
You will not be penalized for filing a complaint.
Section H: Other Uses of Medical Information
Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical 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 permission, and that we are required to retain our records of the care that we provided to you.
Section I: Organized Health Care Arrangement
Florida Hospital, the independent contractor members of its Medical Staff (including your physician), and other health care providers affiliated with Florida Hospital have agreed, as permitted by law, to share your health information among themselves for purposes of your treatment, payment or health care operations. This enables us to better address your health care needs.
