Dear Health Care Consumer:
NOTICE OF PRIVACY PRACTICES
Attached is a Privacy Notice that provides the details of a new regulation that is
intended to protect the privacy of your health information. Staten Island University
Hospital is required by law to provide you a copy of this notice. The Privacy Notice
tells you how your Protected Health Information (PHI) may be used or disclosed,
and about your right to access and control your health information.
We are committed to protecting the privacy of information gathered about you while
providing your health care, and to that end have policies and procedures in place
that comply with the confidentiality and privacy laws of the State of New York and
the Federal Government, including the Health Insurance Portability and Accountability
Act (HIPAA).
Staten Island University Hospital wants you to feel that your privacy is being respected
in all aspects of our relationship with you. We hope that the attached
Privacy Notice will help you understand how we use your health information within
the SIUH system to better care for you, and under what circumstances we may
disclose your information to others. If you have any questions, please call 1-888-
586-2950.
Very truly yours,
Anthony C. Ferreri
President & Chief Executive Officer
Effective Date:
April 14, 2003
Revised:
September 2006
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.
This
Notice of our privacy practices explains:
How we may use and
disclose your health information in the course of providing treatment and
services to you.
What rights you have
with respect to your health information.
These include the right:
To inspect and obtain a copy of your health
information.
To request that we amend health information in our
records.
To receive an accounting of certain disclosures we
have made of your health information.
To request that we restrict the use and disclosure
of your health information.
To request how and where we contact you about
medical matters.
To receive a paper copy of this Notice.
How to file a
complaint if you believe your privacy rights have been violated.
If
you have any questions about this document or any other questions regarding the
privacy of your medical information, please contact the Privacy Officer at
888-586-2950.
WHO
WILL FOLLOW THIS NOTICE?
Staten Island University Hospital (SIUH) provides health care to patients jointly with physicians and other health care professionals and organizations. The privacy practices described in this notice will be followed by:
Any
health care professional who treats you at any of our locations whether
inpatient or outpatient;
All
employees, medical staff, trainees, students or volunteers at any of our
locations;
Any business associates of our hospital. (As defined in this notice)
PROTECTED HEALTH INFORMATION OR PHI
We
are committed to protecting the privacy of information we gather about you while
providing health-related services. This includes any information that may
identify you in connection with your health care. Some examples of protected
health information are:
Information
about your health condition (such as medical conditions and test results you
may have);
Information
about health care services you have received or may receive in the future
(such as an a surgical procedure);
Information about your health care benefits under an insurance plan (such as whether a prescription is covered);
Geographic
information (such as where you live or work)
Demographic
information (such as your race, gender, ethnicity, or marital status);
Unique
numbers that may identify you (such as your social security number, your
phone number, or your driver’s license number);
Biometric
identifiers (such as fingerprints);
Full face photographs
USE AND DISCLOSURE OF YOUR HEALTH INFORMATION
1. Treatment, Payment And Health Care Operations
SIUH and its medical staff, other health care
professionals and professional trainees may use your PHI or share it with others
to the extent that such information is necessary in order to treat your medical
condition, obtain payment for that treatment, and carry out the hospitals normal
health care operations.
Treatment. We may share your PHI with caregivers at the hospital, who
are involved in your care, and they may in turn use that information or share it
with others outside the hospital in order to diagnose or treat you.
In addition, with your consent the hospital may share your PHI with other
health care providers or facilities that need to know with respect to your
treatment outside of the hospital. Also, we may contact you to provide you with
appointment reminders and may also provide information about treatment
alternatives or health care related benefits or services, which may be of
interest to you. While we take reasonable steps to safeguard the privacy of your
PHI, certain disclosures may occur during or as an unavoidable result of our
otherwise permissible uses or disclosures. This is known as an incidental
disclosure and is permissible. For example, during the course of a treatment
session other patients in the treatment area may see or overhear discussion of
your PHI.
Communication
Barriers. SIUH
may use and disclose your PHI if we are unable to obtain your consent because of
substantial communication barriers, and we believe you would want us to treat
you if we could communicate with you.
Payment. We may use your PHI or share it with others so that we may
obtain payment for your health care services the hospital provides to you. For
example, we may share information about you with your health insurance company
in order to obtain reimbursement after we have treated you. We might also need
to inform your health insurance company about your health condition in order to
obtain pre-approval for your treatment, such as admission to the provider for a
particular type of surgery. In addition, we may share your PHI with other health
care providers so that they can obtain payment for services they provide to you.
HealthCare
Operations.
We may use or disclose your PHI in order to conduct our health care operations,
which include internal administration and planning and various activities to
improve the quality and cost effectiveness of the care that we deliver to you.
For example, we may use your PHI to evaluate the quality and competence of our
physicians, nurses and other health care workers. We may also use your PHI to
educate students and trainees in health related professions. Other examples of
health care operations include legal, accounting and transcription services
which may be performed through contracts with outside organizations designated
as Business Associates. All such contracts will include assurances that
the Business Associate also protects the privacy of your PHI. In
addition, we may share your PHI with other health care providers who have
provided services to you in order for them to conduct certain business
activities such as activities designed to improve the quality of care or reduce
health care costs, to conduct clinical training programs, and to evaluate the
experience and performance of its medical staff.
Fundraising.
We may use demographic information, for example, your name, where you live or
work and the dates that you received treatment, in order to contact you to raise
money to help support our operations. We may also share this information with a
charitable foundation that will contact you to raise money for our organization.
2.
Hospital Directory
We may include certain limited
information about you in the hospital directory while you are a patient at the
hospital so your family, friends and clergy can visit you in the hospital and
generally know how you are doing. This information may include your name,
location in the hospital, your general condition (e.g., undetermined, fair,
good, etc.) and your religious affiliation. The information in the directory,
except for your religious affiliation, may be released to people who ask for you
by name. This information, including your religious affiliation, may be given to
a member of the clergy, such as a priest or rabbi, even if they do not ask for
you by name. You may specifically request that we not include you in the
directory when you register and in the case it is a medical emergency we will
discuss your preference as soon as the emergency is over.
3. Family and Friends Involved In Your Care
We
may disclose your PHI to a family member, personal friend or any other person
identified by you provided that you are present for, or otherwise available
prior to the disclosure, you have the capacity to make your own health care
decisions, you have been given an opportunity to object to the disclosure and
have not done so. If you are not
present, you are incapacitated, or in an emergency circumstance, we may exercise
our professional judgment to determine whether a disclosure is in your best
interests, provided that we only disclose information that is directly relevant
to the person’s involvement with your health care or payment related to your
health care. We may also disclose
PHI to disaster relief organization in order to notify (or assist in notifying)
such family members or friends of your location, general condition or death.
Information may also be shared with a legally authorized Personal
Representative, such as the parent or guardian of a minor, a health care agent,
DNR surrogate, or court appointed guardian with health care decision making
authority. However, portions of the medical record relating to sexual
activity, sexual conduct, tests for sexually transmitted diseases,
contraception, family planning, abortion or mental health services may not be
accessible to the parent or guardian of a minor unless specific written
authorization from the minor patient is received, except as otherwise provided
in this Notice. Moreover, we will
not share PHI with third parties, including parents or legally appointed
guardians of children or adults if the attending physician determines that
access to the information requested would pose a serious risk to the mental or
physical well-being of the patient or third party, or be detrimental to the
relationship between the parents or guardians and the patient.
4.
As Permitted or Required By Law
We
may use your PHI and share it with others, as required by law.
For example, the Provider will disclose information if required to do so
pursuant to a court order. In
addition we may use or share PHI concerning mental health services patients as
noted below:
Pursuant
to a Court Order. We may disclose your PHI pursuant to an order of a court of record
requiring disclosure upon a finding by the court that the interest of justice
significantly outweighs the need for confidentiality.
Mental
Hygiene Legal Service. We may disclose your PHI
to the mental hygiene legal service if they are acting as your personal
representative.
Involuntary
Hospitalization Proceedings. We may
disclose your PHI to the attorney(s) who may represent you in any involuntary
hospitalization proceeding if the attorney has made a good faith attempt to
provide you with a written notice that explains the proceeding and gives you the
opportunity to object to the proceeding.
Medical
Review Board of the State Commission of Correction. We may disclose your PHI to the medical review board of the
New York State Commission of Correction when the board has requested such
information in the event of your death.
Endangered
Individuals and Law Enforcement Agencies. If
your treating psychiatrist or psychologist has determined that you may present a
serious and imminent danger to an individual we may disclose your PHI to that
individual and a law enforcement agency.
As
Authorized by the Department of Mental Health. We may disclose your PHI to:
Persons
and agencies needing information to locate missing persons or to a law
enforcement agency in connection with criminal investigations, provided that
such information will be limited to identifying data;
Appropriate
persons and entities when necessary to prevent imminent serious harm to you
or another person;
A
district attorney in connection with and necessary to conduct a criminal
investigation of patient abuse.
Director
of Community Services. We may disclose your PHI
to a director of community services or his or her designee in order to provide
post-providerization oversight of your care.
5.
Public Health Activities
Public
Health Activities. We may disclose your PHI to authorized public health officials (or a
foreign government agency collaborating with such officials) so they may carry
out their public health activities. For
example, we may share your health information with government officials that are
responsible for controlling disease, injury or disability.
We may also disclose your PHI to a person who may have been exposed to a
communicable disease or be at risk for contracting or spreading the disease if a
law permits us to do so.
Reports
to Employers Regarding Work Related Illness or Injuries. Excluding
mental health services patients, we may disclose relevant PHI to your employer
if we provide health care services to you at the request of your employer
related to medical surveillance of the workplace or to evaluate whether you have
a work related illness or injury and the employer is required by law (such as
Workers Compensation rules) to obtain such information.
Reports to School Districts.
We may disclose PHI for a psychiatric patient under the age of 21 years
who has been discharged from an inpatient psychiatric unit to the patient’s
school district in order for the school to continue to provide or arrange for
appropriate services to the patient.
Victims
Of Abuse, Neglect Or Domestic Violence. We
may release your PHI to a public health authority that is authorized to receive
reports of abuse, neglect or domestic violence. For example, we may report your information to government
officials if we reasonably believe that you have been a victim of such abuse,
neglect or domestic violence. We
will make every effort to obtain your permission before releasing this
information, but in some cases we may be required or authorized to act without
your permission.
Health
Oversight Activities. We may release your PHI to
government agencies authorized to conduct audits, investigations, and
inspections of our facility. These
government agencies monitor the operation of the health care system, government
benefit programs such as Medicare and Medicaid, and compliance with government
regulatory programs and civil rights laws.
Product
Monitoring, Repair And Recall.
We
may disclose your PHI to a person or company that is required by the Food and
Drug Administration to: (1) report or track product defects or problems; (2)
repair, replace, or recall defective or dangerous products; or (3) monitor the
performance of a product after it has been approved for use by the general
public.
Judicial
and Administrative Proceedings.
Excluding mental health services patients; we may disclose your PHI in
the course of a judicial or administrative proceeding in response to a legal
order or other lawful process.
Law
Enforcement. Excluding
mental health services patient’s, we may disclose your PHI to law enforcement
officials for the following reasons:
To
comply with a court order, grand jury subpoena or administrative subpoena
that is legally enforceable;
To
report certain types of wounds or physical injuries if required to do so by
law;
To
assist law enforcement officers with identifying or locating a suspect,
fugitive, witness, or missing person, provided that only limited PHI will be
disclosed;
You
are a victim of a crime and: (1) we have been unable to obtain your consent
because of an emergency or your incapacity;
(2) law enforcement officials represent that they need this
information immediately to carry out their law enforcement duties; and (3)
in our professional judgment disclosure to these officers is in your best
interests;
In
the event of your death, we suspect that your death resulted from criminal
conduct;
It
is necessary to report a crime that occurred on our property; or
It
is necessary to report a crime discovered during an offsite medical
emergency (for example, by emergency medical technicians at the scene of a
crime).
To
Avert A Serious And Imminent Threat To Health Or Safety. We may use your PHI or share it with others as necessary to
prevent a serious threat to your health or safety, or the health or safety of
another person or the public. We may also disclose your PHI to law enforcement
officers if you tell us that you participated in a violent crime that may have
caused serious physical harm to another person (unless you admitted that fact
while in counseling), or if we determine that you escaped from lawful custody
(such as a prison or mental health institution).
National
Security And Intelligence Activities Or Protective Services. Excluding mental health services patients, we may
disclose your PHI to authorized federal officials who are conducting national
security and intelligence activities or providing protective services to the
President or other important officials.
Military
And Veterans.
Excluding mental health services patients, if you are in the Armed
Forces, we may disclose PHI to appropriate military command authorities for
activities the military deems necessary to carry out their military mission. We
may also release PHI about foreign military personnel to the appropriate foreign
military authority.
Inmates
And Correctional Institutions. If you
are an inmate or a law enforcement officer detains you, we may disclose your PHI
to the prison officers or law enforcement officers if necessary to provide you
with health care, or to maintain safety, security and good order at the place
where you are confined. This
includes sharing information that is necessary to protect the health and safety
of other inmates or persons involved in supervising or transporting inmates.
Workers’
Compensation.
We may disclose your PHI to the extent legally required for workers’
compensation or similar programs that provide benefits for work-related
injuries.
Coroners,
Medical Examiners And Funeral Directors. In
the event of your death, we may disclose your PHI to a coroner or medical
examiner. This may be necessary,
for example, to determine the cause of death.
We may also release this information to funeral directors as necessary to
carry out their duties.
Organ
And Tissue Donation. In the event of your
death, we may disclose your PHI to organizations that procure or store organs,
eyes or other tissues so that these organizations may investigate whether you
are a candidate for organ or tissue donation under applicable laws.
Research. In most cases, we will ask for your written authorization
before using your PHI or sharing it with others in order to conduct research.
However, under some circumstances, we may use and disclose your PHI
without your authorization if we obtain approval through a special process to
ensure, among other things, that research without your written authorization
poses minimal risk to your privacy and could not reasonably be performed without
waiving your consent. Under no circumstances, however, would we allow researchers
to use PHI publicly. We may also
release your PHI without your written authorization to people who are preparing
a future research project, so long as any information identifying you does not
leave the facility. In the event of your death, we may share your
PHI with people who are conducting research using the information of deceased
persons, as long as they agree not to remove from the facility any information
that identifies you.
We
may use and disclose your PHI if we have removed any information that has the
potential to identify you so that the health information is “completely
de-identified.” We may also use
and disclose “partially de-identified” PHI about you if the person who will
receive the information signs an agreement to protect the privacy of the
information as required by federal and state law.
Partially de-identified PHI will not contain any information that would
directly identify you (such as your name, street address, social security
number, phone number, fax number, electronic mail address, website address, or
license number).
USE AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION
1. Use or
Disclosure with Your Authorization. For any purposes other than the ones described in
this Notice we may only use or disclose PHI when you give us your authorization
on our authorization form. For
instance, you will need to execute an authorization form before we can send your
PHI to your life insurance company or to the attorney representing the other
party in litigation in which you are involved.
2. Special
Authorization. Confidential
HIV-related information (for example, information regarding whether you have
ever been the subject of an HIV test, have HIV infection, HIV-related illness or
AIDS, or any information which could indicate that you have ever been
potentially exposed to HIV) will not be used or disclosed to any person without
your specific written authorization, except to certain other persons who need to
know such information in connection with your medical care, and, in certain
limited circumstances, to public health or other government officials (as
required by law), to persons specified in a court order, to insurers as
necessary for payment for your care or treatment, or to public authorities in
order to contact persons with whom you have had sexual contact or have shared
needles or syringes (in accordance with a specified process set forth in New
York State law). Federal regulation
requires special authorization with respect to the disclosure of substance abuse
treatment records.
3. Marketing
Communications. We must
obtain your written authorization prior to using your PHI to engage in marketing
activities. We can, however,
provide you with marketing materials in a face-to-face encounter, without
obtaining your authorization. We
may also give you a promotional gift of nominal value.
In addition, we may communicate with you about products or services
relating to your treatment, case management or care coordination, or alternative
treatments, therapies, providers or care settings.
Further, we may use or disclose your PHI to identify health-related
services and products that may be beneficial to your health and then contact you
about the services and products, or we may describe to you the products,
services or staff.
1.
Right To Inspect And Copy Records
You,
or your legally authorized representative, have the right to inspect and obtain
a copy of any records that are used to make decisions about your care and
treatment, and any billing records, for as long as we maintain this information.
To inspect or obtain a copy of these records, your must submit a request in
writing to the Staten Island University Hospital Director of Health Information
Management, 475 Seaview Avenue, Staten Island, New York 10305.
If you request a copy of the information, we may charge a fee for the
costs of copying, mailing or other supplies we use to fulfill your request.
The fee at the time of the publication of this notice is $0.75 per page
and must generally be paid before or at the time we give the copies to you.
We
will respond to your request for inspection of records within 10 days.
We ordinarily will respond to requests for copies within 30 days if the
information is located in our facility and within 60 days if it is located
off-site. If we need additional
time to respond to a request for copies, we will notify you in writing within
the time frame above to explain the reason for and the expected duration of the
delay.
Note.
Under 415.3(c)(IV), residents of nursing homes may request to inspect
their records orally or in writing. This
request must be honored within 24 hours of the time of the request.
After inspection, residents can request copies of these records at a
cost, which is the lower of the cost incurred by the facility in production of
the record or 75 cents per page.
Under
certain very limited circumstances, we may deny your request to inspect or
obtain a copy of your record. If we
do, we will provide you with a summary of the information instead; or if we have
a reason to deny only part of your request we will provide to you access or
copies of the other parts of the record. We will provide a written notice that
explains our reasons for providing only a summary or limited portions of the
records requested, and a description of your rights to have that decision
reviewed and how you can exercise those rights. The notice will also include information on how to file a
complaint about these issues with us or with the Secretary of the Department of
Health and Human Services.
Note.
A parent or legal guardian of a minor may be denied access to certain
portions of the minor’s medical record (for example, records relating to
mental health services, venereal disease, abortion, or care and treatment to
which the minor is permitted to consent himself, such as HIV testing, sexually
transmitted disease diagnosis and treatment, chemical dependence treatment,
prenatal care, contraception and/or family planning services).
2.
Right To Amend Records
If you believe that the health 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 in our records. To request an amendment, please write to the Staten Island University Hospital Director of Health Information Management, 475 Seaview Avenue, Staten Island, New York 10305. Your request should include the reasons why you think we should make the amendment. Ordinarily we will respond to your request within 60 days. If we need additional time to respond, we will notify you in writing within 60 days to explain the reason for the delay and when you can expect to have a final answer to your request.
If
we deny part of or your entire request, we will provide a written notice that
explains the reasons for doing so. You
will have the right to have certain information related to your requested
amendment included in your records. For
example, if you disagree with our decision, you will have an opportunity to
submit a statement explaining your disagreement, which we will include in your
records. The written denial notice
also will include information on how to file a complaint with us or with the
Secretary of the Department of Health and Human Services.
3.
Right To An Accounting Of Disclosures
You
have a right to request an “accounting of disclosures” made within the last
6 years but not prior to April 14, 2003, which is a list with information about
certain disclosures of your PHI that we have made to others. An accounting of
disclosures will not include:
Disclosures
we made to you or your personal representative;
Disclosures
we made pursuant to your written authorization;
Disclosures
we made for treatment, payment or health care operations;
Disclosures
made from the Patient Directory;
Disclosures
made to your friends and family involved in your care or payment for your
care;
Disclosures
that were incidental to permissible uses and disclosures of your PHI
Disclosures
that do not directly identify you;
Disclosures
made to federal officials for national security and intelligence activities;
Disclosures
about inmates to correctional institutions or law enforcement officers; or
Disclosures
made before April 14, 2003
The
accounting of disclosures may be obtained by writing to the Staten Island
University Hospital Director of Health
Information Management, 475 Seaview Avenue, Staten Island, New York 10305. Your
request must state a time period for the disclosures you want included. You have
a right to receive one accounting within every 12-month period at no charge to
you. However, we may charge you for the cost of providing more than one
accounting of disclosures in any 12-month period. We will always notify you of any such charge prior to
fulfilling your request.
Ordinarily
we will respond to your request for an accounting within 60 days.
If we need additional time to prepare the accounting you have requested,
we will notify you in writing about the reason for the delay and the date when
you can expect to receive the accounting. In
rare cases, we may have to delay providing you with the accounting without
notifying you because a law enforcement official or government agency has asked
us to do so.
4.
Right To Request Additional Privacy
Protections
You
have the right to request that we restrict our use and disclosure of your PHI
for purpose related to treatment, payment or health care operations. You may
also request that we limit how we disclose information about you to family or
friends involved in your care. For
example, you may request that we withhold information about services you
received. Request for restrictions must be in writing and should include (1)
what information you want to limit; (2) whether you want to limit how we may use
the information, how we share it with others, or both; and (3) to whom you want
the limits to apply.
We
are not required to agree to your request for a restriction, and in some cases
the restriction you request may not be permitted under law.
However, if we do agree, we will be bound by our agreement unless the
information is needed to provide you with emergency treatment or comply with the
law. Once we have agreed to a
restriction, you have the right to revoke the restriction at any time.
Under some circumstances, we will also have the right to revoke the
restriction as long as we notify you before doing so; in other cases, we will
need your permission before we can revoke the restriction.
5.
Right To Request Confidential Communication
You have the right to request
that you receive PHI by alternative means of communication or at alternative
locations. For example, you may ask
that we contact you at work instead of at home. Such requests must be in
writing. We will not ask you the reason for your request, and we will try to
accommodate all reasonable requests.
6.
How to File a Privacy Complaint
You may register a privacy
complaint with the Staten Island University Hospital Privacy Officer. Complaints to the Privacy Officer must be in writing and
submitted to:
Staten
Island University Hospital Privacy Officer
One
Edgewater Plaza, 6th Floor
You will not be retaliated
against or denied any health services if you file a complaint.
If you are not satisfied with the
our response to your privacy complaint or otherwise wish to file a privacy
complaint with the Secretary of Health and Human Services (“HHS”), the HIPAA
privacy regulations require your complaint to:
Be in writing, either on paper or electronically;
Name the person or organization that is the
subject of the complaint, and describe the acts or omissions that you
believe violate the HIPAA privacy regulations; and
Be filed within 180 days of when you knew or
should have known that the act or omission you are complaining of occurred
(unless you show good cause why the Secretary of HHS should waive the time
limit and the Secretary does waive it).
Send your complaint to either the
Office for Civil Rights (“OCR”) regional office listed below or to the OCR
headquarters. The addresses are:
Region II - New York
Michael
Carter, Regional Manager
Office for Civil Rights
U.S. Department of Health and Human Services
Jacob Javits Federal Building
26 Federal Plaza - Suite 3312
New York, NY 10278
Voice Phone (212) 264-3313
FAX (212) 264-3039
TDD (212) 264-2355
OCR
Headquarters
Winston
A. Wilkinson, Director
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg.
Washington, D.C. 20201