Notice of Privacy Practice (Including OASIS Confidentiality)
NOTICE OF PRIVACY PRACTICES FOR PROTECTED
“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”.
Wellness at Home is required by law to maintain the privacy of protected health information and to provide you adequate choice of your rights and our legal duties and privacy practices with respect to the uses and disclosures of protected health information. [45 CFR §165.520]. We will use or disclose protected health information in a manner that is consistent with this notice.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION:
Wellness at Home may release health information without authorization for the purpose of treatment, payment and health care operations using the minimum health information necessary. Examples of information that may be disclosed are, but not limited to:
WITHOUT YOUR SIGNED CONSENT:
- TREATMENT: Your health information may be disclosed for the purpose of treatment such as coordinating care, consultations between health care facilities or providers relating to a client or referral of a client.
- PAYMENT: We may use and or disclose your health information for the purpose of determining plan eligibility/coverage, billing or collection, utilization/medical review to determine medical necessity.
- HEALTHCARE OPERATIONS: Wellness at Home Health may use your health information to support administrative and business program activities such as, quality assurance/improvement, auditing functions to ensure operational compliance, survey/accreditation activities, to outside assisting in operations and completing a task on the behalf of Wellness at Home Health as “Business Associates” and medical review.
The following uses and disclosures do not require your consent include, but is not limited to a release of information containing medical or financial records with information concerning communicable diseases, HIV/AIDS, drug/alcohol abuse, psychiatric diagnosis and or treatment records and/or laboratory test results, medical history, treatment progress and/or any other related information as permitted by state law to:
- Your insurance company, Medicare, Medicaid or any other person or entity that may be responsible for payment or processing of payment for any portion of your bill for home health services.
- Any person or entity affiliates with or representing us for purpose of administration, billing, quality or risk management.
- Any hospital, nursing home or health care facility to which you have been admitted.
- Any assisted living or care facility of which you are a resident.
- Any physician providing care to you.
- Licensing and accrediting bodies, including items contained within the OASIS Data Set to the state agency acting as a representative to Medicare/Medicaid.
- Any business associate(s)
- Pharmacies to refill medication or biologicals that have already been prescribed to you.
We are permitted to uses and disclose information about you without your consent/authorization in the following situations:
- Emergency situations
- Substantial communication barriers
- Where we are required by law to provide treatment, but we are unable to obtain consent
- To provide information to state or federal public health authorities, as required by law to: prevent or control disease, injury, or disability; report deaths; report child abuse or neglect; report reactions to medications or problems with products; notify persons of recalls of products they may be suing; notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and notify the appropriate government authority if we believe a client has been the victim of abuse, neglect, or domestic violence (if you agree or when required or authorized by law);
- Health care oversight activities such as audits, investigations, inspections, and licensure by a government health oversight agency as authorized by law to monitor the health care system, government programs, and compliance with civil rights laws;
- Certain judicial administrative proceedings if you are involved in a lawsuit or a dispute. We may disclose medical information about you in response to a court or administrative order, a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested;
- Certain law enforcement purposes such as helping to identify or locate a suspect, fugitive, material witness or missing person, or to comply with a court order or subpoena and other law enforcement purposes;
- To coroners, medical examiners, and funeral directors, in certain circumstances, for example, to identify a deceased person, determine the cause of death, or to assist in carrying out their duties;
- For cadaveric organ, eye, or tissue donation purposes to communicate to organizations involved in procuring, banking, or transplanting organs and tissues (if you are an organ donor);
- For certain research purposes under very select circumstances. We may use your health information for research. Before we disclose any of your health information for such research purposes, the project will be subject to an extensive approval process. We will usually request your written authorization before granting access to your individually identifiable health information;
- To avert serious threat to health and safety: To prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public, such as when a person admits to participation in a violent crime or serious harm to a victim or is an escaped convict. Any disclosure, however, would only be to someone able to help prevent the threat;
- For specialized government functions, including military and veterans’ activities, national security and intelligence activities, protective services for the President and others, medical suitability determinations, correctional institution and custodial situations;
- For Workers’ Compensation purposes: Workers’ Compensation or similar programs provide benefits for work-related injuries or illness.
We are permitted to use or disclose information about you without consent or authorization if you are informed in advance and given the opportunity to agree to or restrict the disclosure in the following circumstances:
- To a family member, friend, or other identified person, the information relevant to an individual’s involvement in your care or payment for care; to notify the individual of your general location, condition or death.
Other uses and disclosures will be made only with your written authorization. That authorization may be revoked, in writing, at any time, except in limited situations.
YOUR RIGHTS – you have the right, subject to certain conditions, to:
- “Opt out” of receiving fundraising communications
Outcome and Assessment Information Set (OASIS) Confidentiality:
- Be informed of the purpose of OASIS information collection
- Have OASIS information kept secure & confidential
- Be informed that OASIS information will not be disclosed except for legitimate purposes allowed by the Federal Privacy Act
- Refuse to answer OASIS questions
- To review and request chances on your OASIS assessment.
- Confidential communication of protected health information. We will attempt to honor reasonable requests for confidential communications.
- Request restrictions on uses and disclosures of your protected health information for treatment, payment, or health care operations.
- Inspect and obtain copies of protected health information which is maintained in a designated record set. If you request a copy of your health information we will provide it for you. If we deny access to any protected health information, you will receive a written documentation of such denial that explains the basis for the denial, your rights, and an explanation to how to exercise those rights.
- Receive an accounting of disclosures of protected health information made by our agency for up to six (6) years prior to the date on which the accounting is requested for any reason other than for treatment, payment, or health operations, and other applicable exceptions. Requests must be submitted to the Wellness at Home Privacy Officer.
- Request to amend protected health information for as long as the protected health information is maintained in the designated record set. A request to amend your record must be in writing. We will act on your request timely. We may extend the time for such action by up to thirty (30) days, if we provide you with a written explanation of the reasons for the delay and the date by which we will complete action on the request. We may deny the request for amendment if the information was not created by or still employed by our organization; is not part of the designated medical record set. If we deny your request for amendment, you will receive a timely, written denial that explains the basis for the denial, your rights to submit a statement disagreeing with the denial.
- Notification of a breach following a breach of your unsecure protected health information in accordance with applicable state and federal laws.
COMPLAINTS – If you believe that your privacy rights have been violated, you may contact us or the Secretary of the U.S. Department of Health and Human Services. There will be no retaliation against you for filing a complaint. The complaint should be filed in writing, and should state the specific incident(s) in terms of subject, date, and other relevant matters. A complaint to the Secretary must describe the acts or omissions believed to be in violation of applicable requirements. [45 CFR 160.306] For further information regarding filing a complaint, contact:
Wellness at Home Privacy Officer
1914 Willamette Falls Dr. #230
West Linn, OR 97068
Office for Civil Rights
EFFECTIVE DATE – This notice is effective August 16, 2017.
You can generally visit our Site without revealing any personally identifiable information about yourself. However, in certain sections of this Site, we may require you to submit your personally identifiable information to us and we may invite you to submit questions, comments and request information.
Due to the nature of some of our services, you may provide us with personally identifiable information such as your name, email address, username, password, address, phone number, and other contact information that you voluntarily transmit with your communication to us.
We may use your personally identifiable information to deliver our services or information you have requested, verify your authority to enter certain password protected areas of the Site, verify that you are a customer or prospective customer, send you information that you have signed up to receive, notices about our products and/or services that you have used or that may be of interest to you and notices about events, and improve the content and general administration of the Site and our services.
If you are a user of our services, we may use your personally identifiable information to provide the services to you.
Wellness at Home recognizes the privacy interests of children and we encourage parents and guardians to take an active role in their children's online activities and interests. Neither our Site nor our services are intended for children under the age of 13. Wellness at Home does not target its services or this Site to children under 13. Wellness at Home does not knowingly collect personally identifiable information from children under the age of 13.
We use both session ID cookies and persistent cookies. A session ID cookie expires when you close your browser. A persistent cookie remains on your hard drive for an extended period of time. You can remove persistent cookies by following directions provided in your Internet browser's "help" file.
On our Site, we use session cookies to make it easier for you to navigate the Site by remembering your locale preferences and to improve and track the overall Site experience. For our Site, we set a persistent cookie to authenticate your login and authorization to use the services. Persistent cookies enable us to track, store and target the interests of our users to enhance the experience on our Site. If you reject cookies, you may still use our Site, but your ability to use some areas of our Site may be limited.
Third Party Analytics Tools
Beyond the personally identifiable information you voluntarily provide to us, Wellness at Home utilizes analytics tools including third party technologies, such as Google Analytics, to collect non-personally identifiable information utilizing cookies. Certain types of information, including geolocation, device type, onsite website usage and behavior, demographic data, and purchase history, is collected and aggregated across Wellness at Home Site users for our analysis and advertising efforts.
Wellness at Home uses Remarketing with Google Analytics and Google Adwords to display relevant advertisements to users who have previously visited our Site. Referred to as remarketing or retargeting, Ridgeline Management Company may utilize previous session information to serve display advertisements to you on the Site and based on such session information Google may set a cookie and serve ads to you on third party websites on the Google Display Network. Third party vendors such as Google may display Ridgeline Management Company ads on websites across the Internet. Aggregated user data may be utilized to create remarketing/retargeting “lists,” or groups of users with similar onsite behaviors or demographics.
Wellness at Home also uses Google Display Network Impression Reporting and Google Analytics Demographics and Interest Reporting and Interest-Based Advertising to display advertisements to users based on their inferred interests and demographics. Wellness at Home does not run interest-based advertising campaigns that collect personally identifiable information.
The Site may track the total number of visitors to our Site, the number of visitors to each page of our Site, browser type, IP addresses, External Web Sites (defined below) linked to and other aggregated data collected through our services and we may analyze this data for trends and statistics in the aggregate but such information will be maintained, used and disclosed in aggregate form only and it will not contain personally identifiable information. We may use such aggregate information to analyze trends, administer the Site, track users' movement, and gather broad demographic information for aggregate use.
Disclosure of Personally Identifiable Information
We may provide your personally identifiable information and the data generated by cookies and third party analytics tools and the aggregate information to the vendors and service agencies that we may engage to assist us in providing our services to you. For example, we engage with G5 Search Marketing, Inc. to assist us in creating and hosting this Site.
Links to Third Party Sites
We may employ industry standard procedural and technological measures that are reasonably designed to help protect your personally identifiable information from loss, unauthorized access, disclosure, alteration or destruction. Wellness at Home may use, without limitation, firewalls, password protection, secure socket layer, and other security measures to help prevent unauthorized access to your personally identifiable information.
Notice to European Users