Patient Privacy at Sullivan
Regarding patient privacy, your health information is used primarily to provide appointment reminders; however, we may share your health information with certain others for specific purposes, as described below:
- To facilitate your care or payment for your care: A plastic surgeon may disclose Protected Health Information, subject to a valid authorization, in conjunction with a research study, journal article, or educational program.
- For marketing purposes: Sullivan Centre is only permitted to use de-identified Protected Health Information for marketing purposes after obtaining an individual’s specific authorization for the information to be used for marketing purposes.
Patient Rights with Respect to Personal Health Information
You have the following Rights:
- Right to Confidentiality: A patient has the right to have medical records and other communications about their care to be treated confidentiality, with respect to the patient’s privacy.
- Right to Request Restrictions: A patient has the right to request restrictions on certain uses and disclosures of Protected Health Information. The surgeon, however, is not required to agree to a requested restriction. With this in mind, please discuss any restriction you wish to request with your physician.
- Right to Request Confidential Communications: A patient may request that the plastic surgeon only communicate with him or her in a certain manner (i.e., only by mail or only at work). We will accommodate reasonable requests. You are required to make this request in writing to the Privacy Contact.
- Right to Inspect and Copy: A patient has the right to inspect and copy information that may be used in treatment decisions, including medical and billing records, and any other records that your physician and the practice uses for making decisions about you. Depending on state law, the plastic surgeon may be permitted to charge a reasonable fee for copies. Under federal law, however, you may not inspect or copy certain records. Depending on the circumstances, a decision to deny access may be reviewable.
- Right to Amend: A patient has the right to make a written request to amend medical information believed to be inaccurate and incomplete. The patient must provide a reason for the request. Your physician may deny the request under certain circumstances.
- Right to an Accounting of Disclosures: A patient has the right to request an accounting of all disclosures of Protected Health Information for purposes other than treatment, payment, or health care operations that the physician made or related to the patient over a reasonable period. Depending on state law, the surgeon may charge a reasonable fee for each list requested.
- Right to Obtain a Paper Copy of the Privacy Rights: This posted Notice of Privacy establishes the following.
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY.
The complete Notice of Privacy Practices describes how we may use and disclose your Protected Health Information to carry out treatment, payment, or health care operations, and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information that may identify you and relates to your past, present, or future physical or mental health condition and related health care services. We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. The notice serves as a summary of Privacy Practices at Sullivan Centre. All patients shall be furnished with a copy of the complete Notice of Privacy Practices on the date they first receive medical services. Upon your request, we will provide you with any revised Notice of Privacy Practices. Make this request by calling the office and requesting that a revised copy be sent to you in the mail, by contacting us via email at firstname.lastname@example.org, or asking for one at the time of your appointment.
Uses and Disclosures
Protected Health Information may be used for the purposes of carrying out treatment, payment, and health care operations. The surgeons are obligated to make a reasonable effort to disclose or use only the “minimum necessary” amount of Protected Health Information to perform their jobs. The following categories are some examples of how your Protected Health Information may be used or disclosed:
Without Your Consent
- For Treatment: Sullivan Centre may disclose Protected Health Information about a patient to nurses, lab technicians, pharmacists, and other individuals to coordinate different aspects of health care.
- For Payment: A medical practice may use or disclose Protected Health Care Information to third-party payers to receive payment or treatment.
- For Health Care Operations: A medical practice may disclose Protected Health Information to others in connection with quality assurance/reviews, although most often, this information will be sufficiently “de-identified” to remove it from the definition of Protected Health Information. The possibility that it might be disclosed with identifiers should be addressed so as not to preclude a subsequent disclosure.
As Required by Law
- As Required By Law or to Avert a Serious Threat to Health or Safety: A plastic surgeon may be required to disclose Protected Health Information. Such disclosures will be made consistent with the requirements of applicable federal and state laws.
- Legal Proceedings: We may disclose Protected Health Information in the course of any judicial or administrative proceedings, such as in response to a subpoena, delivery request, or other lawful process.
- Law Enforcement: We may also disclose Protected Health Information, so long as applicable legal requirements are met, for law enforcement purposes.
- Criminal Activity: Consistent with applicable federal and state laws, we may disclose Protected Health Information if we believe that the use or disclosure is necessary to prevent or lessen a serious imminent threat to the health or safety of a person or the public.
All Other Situations, With Your Specific Authorization
- Appointment Reminders: Although somewhat obvious, a medical practice may disclose Sullivan Centre’s Protected Privacy Practices. Copies of the complete Privacy Practices may be obtained directly from Sullivan Centre or requested from the plastic surgeon’s website. Sullivan Centre shall furnish a copy of the Privacy Notice to all new patients on the date that they first receive medical services, and to all patients within 60 days after a material revision to the Privacy Notice. Patients may request an updated copy of the Privacy Notice at any time.
Right to File a Complaint
The patient has the right to file a complaint directly to Sullivan Centre Privacy Officer (Cyndy Winters, RN, CNOR) by telephone at (614) 436-8888 or by email at email@example.com. The patient may also file a complaint directly to the Secretary of Health and Human Services about the privacy practices and/or suspected violations of HIPAA’s privacy regulations.