隐私政策

本通知描述如何使用和披露您的医疗信息，以及您如何获得这些信息.

Hospitals make and keep records of 医疗 information. While you are a patient here, we will use and disclose your 医疗 information:

To provide treatment to you and to keep a record describing your care
To receive 付款 for the care we provide
To administer the hospital properly
遵守法律

本通知概述了我们可能使用和披露您的医疗信息的方式. 它还描述了您在使用和披露您的医疗信息方面的权利和我们的义务. This notice applies to all records of your care at Garfield Medical Center, whether made by hospital personnel or by your personal doctor. 您的医生和其他医疗保健提供者可能会在他们的办公室使用和披露您的医疗信息时使用不同的通知和政策.

When we use the word "we" or "Hospital" we mean Garfield Medical Center, the Medical Staff of Garfield Medical Center, 医疗 professionals and other parties who assist us in our business.

We are required by law:

To keep your 医疗 information confidential in accordance with legal requirements
向您提供本通知，说明我们对您的医疗信息的法律责任和隐私做法
To follow the terms of the notice that is currently in effect

Persons covered by this notice

All employees, staff and other Hospital personnel
根据包含隐私保护的协议或法律允许披露医疗信息的协议为医院提供服务的个人或实体
Persons or entities with whom 医院 participates in managed care arrangements
Our volunteers and 医疗, nursing and other health care students
参与您的护理或进行同行评议的医院医务人员和其他医疗专业人员, 质量改进, 医疗 education and other services for 医院

Uses and disclosures of your 医疗 informatio

We use and disclose 医疗 information in the ways described below.

治疗. We may use your 医疗 information to provide 医疗 treatment or services to you. We may disclose 医疗 information about you to doctors, 护士, 技术人员, 医疗, nursing or other health care students, or other personnel taking care of you. 例如, 为你治疗断腿的医生可能需要知道你是否患有糖尿病，因为糖尿病可能会减缓愈合过程. 除了, 医生可能需要告诉营养师你是否患有糖尿病，这样你才能有适当的饮食. 医院各部门可能会共享您的医疗信息，以便安排您需要的检查和程序, such as prescriptions, laboratory tests and x-rays. 如果您需要从本医院转到另一家医院，我们也可能向医疗机构披露您的医疗信息, 养老院, a home health provider or a rehabilitation center. 我们也可能会将您的医疗信息披露给医院以外在您离开医院后参与您护理的人员，如家庭成员或药剂师.

付款. 我们可能会使用和披露您的医疗信息，以便向您收取您接受的治疗和服务的费用, an insurance company or another third party. 例如, 我们可能会向您提供您接受手术的健康计划信息，以便您的健康计划支付我们手术费用. 我们也可能会告诉您的健康计划您将要接受的治疗，以便获得您的计划的事先批准，以支付治疗费用.

Health Care Operations. We may use and disclose your 医疗 information for Hospital operations, such as for peer review, performance improvement, 风险管理, and our compliance with licensure, accreditation or certification requirements. 例如, 我们可能会将您的医疗信息透露给负责检查患者治疗情况的医务人员. We may disclose information to doctors, 护士, 技术人员, 医疗, nursing or other health care students, and Hospital personnel for teaching. 我们可以综合很多病人的医疗信息来决定医院应该提供什么样的服务, and whether new services are cost effective and how we compare with other hospitals. 有时, 我们可能会从此医疗信息中删除识别信息，以便其他人可以在不了解您是谁的情况下使用它来研究医疗保健和医疗保健服务. 我们可能会向参与您治疗的其他医疗保健提供者披露信息，以允许他们开展其设施的工作或获得报酬. 例如, 我们可能会向将您送到医院的救护车公司提供有关您的治疗信息，以便救护车公司可以获得服务报酬.

Activities of Organized Health Care Arrangements in Which We Participate. For certain activities, 医院, 其医务人员和其他独立专业人员的成员被称为有组织的卫生保健安排. 我们可能会向参与我们有组织医疗保健安排的医疗保健提供者披露有关您的信息, such as a managed care or physician hospital organization. Such disclosures would be made in connection with our services, your treatment under a health plan arrangement, and other activities of the Organized Health Care Arrangement.

重要的通知

医院可能会与医院医务人员和其他独立医疗专业人员共享您的医疗信息，以便提供治疗和执行其他活动，如同行评审, 质量改进, 医疗 education and other services for 医院. 虽然这些专业人员可以遵循本通知并以其他方式参与医院的隐私计划, 他们是独立的专业人士，医院明确拒绝对他们的作为或不作为承担任何责任.

Health 服务, 治疗 Alternatives and Health Related Benefits. 我们可能会使用和披露您的医疗信息来告知您(i)我们提供的与健康相关的产品或服务, (ii) other providers participating in a health care network that we participate in, (iii) possible treatment options or alternatives, or (iv) health related benefits or services that may be of interest to you. We also may use that information to communicate with you to coordinate your care. 我们可能会使用和披露您的医疗信息来联系您并提醒您预约治疗或医疗护理.

筹款. We may use your 医疗 information to raise money for 医院. We may disclose information such as your name, address, 电话号码, 性别, 年龄和您在医院接受治疗的日期，以便医院基金会与您联系. If you do not want 医院 to contact you for fundraising, please notify the Contact Person listed below 以书面形式.

医院目录. 当您是医院的病人时，我们可能会在医院目录中包含您的某些信息. 这些信息可能包括您的姓名、房间号、您的一般情况(公平、稳定等).) and your religious affiliation. 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 you by name. 透露你的房间不会暴露你在医院的特定单位或区域, 如果这些信息显示你在医院接受强奸或强奸未遂治疗, 艾滋病毒/艾滋病, or alcohol/drug abuse. Directory information, except for your religious affiliation, may be released to people who ask for you by name. This is so your family, 朋友和神职人员可以到医院探望你，大致了解你的近况. If you do not want this information given out, please tell the Admissions Clerk.

Individuals Involved in Your Care or 付款 for Your Care. 我们可能会将您的医疗信息发布给您在医疗保健持久委托书中指定的人(如果您有的话)。, or to a friend or family member who is your personal representative (i.e., empowered under state or other law to make health-related decisions for you). We may give information to someone who helps pay for your care. 除了, 我们可能会向协助救灾工作的实体披露您的医疗信息，以便通知您的家人您的病情.

研究. We may use and disclose your 医疗 information for research purposes. Most research projects, however, are subject to a special approval process. 大多数研究项目都需要你的许可，如果研究人员将参与你的护理或可以访问你的名字, address or other information that identifies you. 然而, 法律允许使用你的医疗信息进行一些研究，而不需要你的授权.

法律规定. 当联邦、州或地方法律要求时，我们将披露您的医疗信息. 例如, 医院必须遵守虐待儿童报告法律以及要求我们向州或联邦机构报告某些疾病或伤害的法律.

Serious Threat to Health or Safety. 我们可能会在必要时使用和披露您的医疗信息，以防止对您的健康和安全、公众或其他人的健康和安全造成严重威胁.

注意: Georgia and Federal Law provide protection for certain types of health information, including information about alcohol or drug abuse, mental health and AIDS/HIV, and may limit whether and how we may disclose information about you to others.

特殊情况

Organ and Tissue Donation. If you are an organ donor, 我们可能会将您的医疗信息发布给器官采购或器官管理机构, eye or tissue transplantation or to an organ donation bank, as necessary to aid in its organ or tissue donation and transplantation process.

Military and Veterans. If you are a member of the U.S. or foreign armed forces, we may release your 医疗 information as required by military command authorities.

Workers' Compensation. 我们可能会公布您的医疗信息，用于工伤赔偿或类似的计划. These programs provide benefits for work related injuries or illness.

未成年人. 如果您是未成年人(18岁以下)，医院将遵守乔治亚州关于未成年人的法律. We may release certain types of your 医疗 information to your parent or guardian, if such release is required or permitted by law.

Public Health Risks. We may disclose your 医疗 information for public health purposes

To prevent or control disease, injury or disability
To report births and deaths
To report child or adult abuse, neglect or violence
To report reactions to medications or problems with products
To notify people of recalls of products they may be using
通知可能接触过某种疾病或可能有感染或传播某种疾病或状况的危险的人

Health Oversight Activities. 我们可能会向联邦或州机构披露您的医疗信息，以进行健康监督活动，如审计, 调查, 检查, and licensure of 医院 and of the providers who treated you at 医院. These activities are necessary for the government to monitor the health care system, 政府项目, and compliance with laws.

Lawsuits and Disputes. 我们可能会根据法院、行政命令或搜查令披露您的医疗信息. We also may disclose your 医疗 information in response to a subpoena, 发现请求, or other lawful process by someone else involved in a dispute, 但前提是已作出努力告知您有关要求，并且您有机会提出反对或获得适当的法院命令来保护所要求的信息.

执法. Subject to certain conditions, 应执法人员的要求，我们可能会出于执法目的披露您的医疗信息.

Medical Examiners and Funeral Directors. 我们可能会将您的医疗信息透露给法医或丧葬承办人，以便他们履行职责.

国家安全. 我们可能会为法律授权的国家安全活动向授权的联邦官员披露您的医疗信息.
Protective 服务. 我们可能会向授权的联邦官员披露您的医疗信息，以便他们为总统和其他人提供保护.


犯人. 如果你是惩教机构的囚犯或被执法人员拘留, 我们可能会向惩教机构或执法人员公布您的医疗信息. This release would be necessary for 医院 to provide you with health care, to protect your health and safety or the health and safety of others, 或者是为了执法人员或惩教机构的安全.

YOUR PRIVACY RIGHTS

Right to Review and Right to Request a Copy. 您有权查看和复制您的医疗和账单记录中的医疗信息. 医疗记录部门有一张表格，你可以填写来要求查看或复制你的医疗信息, and to tell you how much will it cost. The Hospital will tell you if it cannot fulfill your request. If you are denied the right to see or copy your 医疗 information, you may ask us to reconsider our decision. Depending on the reason for the decision, we may ask a licensed health care professional to review your request and its denial. We will comply with this person's decision.

修改权. If you feel your 医疗 information in our records is incorrect or incomplete, you may ask us 以书面形式 to amend the information. You must provide a reason to support your requested amendment. We will tell you if we cannot fulfill your request. The Contact Person listed below can help you with your request.

Right to an Accounting of Disclosures. 您有权书面要求医院披露您的医疗信息. This list is not required to include all disclosures we make. Disclosure for treatment, 付款, or Hospital administrative purposes, disclosures made before April 14, 2003, disclosures made to you or which you authorized, and other disclosures are not required to be listed. The Contact Person listed below can help you with this process, 如果需要, and can tell you how much it will cost.

Right to Request Restrictions on Disclosures. 您有权提出书面要求，限制或限制我们为治疗使用或披露您的医疗信息, 付款 or health care operations. 您还有权要求限制我们向参与您护理的人员披露您的医疗信息或支付您的护理费用, like a family member or friend.

We are not required to agree to your request. 然而, 如果我们同意, 我们将遵守您的要求，除非您需要提供紧急处理或根据法律要求进行披露. 在你的请求中, 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, 例如, disclosures to your adult children.

Right to Request Confidential Communications. 您有权书面要求我们以某种方式或在特定地点与您沟通医疗事宜. 例如, you can ask that we contact you only 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. The Contact Person listed below can help you with these requests 如果需要.

Right to a Paper Copy of This Notice. 即使您同意以电子方式接收本通知，您也有权随时收到本通知的纸质副本. You may receive a paper copy of this Notice from the Contact Person listed below.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice. 对于我们已经掌握的关于您的医疗信息以及我们将来收到的任何信息，我们保留修改或更改通知的权利. We will post the current Notice in 医院.

投诉

If you believe your privacy rights have been violated, 您可以向医院或卫生与公众服务部(HHS)秘书提出书面投诉. 一般, 投诉必须在行为或不行为发生后180天内向卫生与公众服务部提出, or within 180 days of when you knew or should have known of the action or omission. 要向医院投诉，请致电626-457-7400与医疗记录主任联系. 您不会因为提出投诉而被医院拒绝治疗或歧视.

OTHER USES OF MEDICAL INFORMATION

本通知或适用于本院的法律法规未涵盖您的医疗信息的其他使用和披露，仅在您书面许可的情况下进行. If you give us permission to use or disclose 医疗 information about you, you may revoke that permission, 以书面形式, 在任何时候. If you revoke your permission, 出于您书面授权的原因，我们将不再使用或披露您的医疗信息, 但撤销不会影响我们根据您的许可所采取的行动. 你明白，我们无法收回我们已经在你的许可下披露的任何信息, we still must continue to comply with laws that require certain disclosures, and we are required to retain our records of the care that we provided to you.

If you have any questions about this Notice, please contact the 医疗记录 Director, by calling 626-457-7400.

Effective Date: 04/14/2003