NOTICE of PRIVACY PRACTICES
Grady Memorial Hospital  ~  Five Oaks Medical Group  ~  Rush Springs Family Medical Clinic

THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.

Introduction  ~  At Grady Memorial Hospital and Clinics, we are committed to treating and using protected health information about you responsibly.  This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information.  It also describes your rights as they relate to your protected health information.  This Notice is effective April 2, 2003 and applies to all protected health information as defined by federal regulations.

Understanding Your Health Record/Information  ~  Each time you visit Grady Memorial Hospital or one of the  Clinics, a record of your visit is made.  Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment.  This information, often referred to as your health or medical record, serves as a :

•     Basis for planning your care and treatment,

•     Means of communication among the many health professionals who contribute to your care,

•     Legal document describing the care you received,

•     Means by which you or a third-party payer can verify that services billed were actually provided,

•     A tool in educating health professionals,

•     A source of data for medical research,

•     A source of information for public health officials charged with improving the health of this state and the nation,

•     A source of data for our planning and marketing,

•     A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve.

Understanding what is in your record and how your health information is used helps you to:  ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make more informed decisions when authorizing disclosure to others.

Your Health Information Rights  ~  Although your health record is the physical property of Grady Memorial, the information belongs to you.  You have the right to:

•     Inspect and copy your health record as provided for in (Federal Law) 45 CFR 164.524,

•     Amend your health record as provided in (Federal Law) 45 CFR 164.526,

•     Obtain an accounting of disclosures of your health information as provided in(Federal Law)  45
                     CFR 164.528,

•     Request communications of your health information by alternative means or at alternative locations,

•     Request a restriction on certain uses and disclosures of your information as provided by (Federal Law) 45
                     CFR 164.522, and

•     Revoke your authorization to use or disclose health information except to the extent that action has
                      already been taken.

Our Responsibilities  ~  Grady Memorial Hospital and the Clinics are required to:

•         Maintain the privacy of your health information,

•         Provide you with this notice as to our legal duties and privacy practices with respect to information
                             we collect and maintain about you,

•         Abide by the terms of this notice,

•         Notify you if we are unable to agree to a requested restriction, and

•         Accommodate reasonable requests you may have to communicate health information by alternative
                                means or at alternative locations.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain.  Revisions will be posted and available upon request.  Except as described in this notice and in Hospital Policies related to Privacy Practices we will not use or disclose your health information without your authorization.

For More Information or to Report a Problem  ~  If you have questions and would like additional information, or if you believe your privacy rights have been violated, you may contact the local privacy officer

Privacy Officer
Grady Memorial Hospital
2220 Iowa Ave
Chickasha, OK 73018
(405) 224-2300

 or the Office for Civil Rights, U.S. Department of Health and Human Services.                                                             

Office for Civil Rights

U.S. Department of Health and Human Services

200 Independence Avenue S.W.

Room 509F, HHH Building

Washington, D.C.  20201

There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights. 

Examples of Disclosures for Treatment, Payment and Health Operations  ~ 

We will use your health information for treatment.  For example:  Information obtained by a nurse, physician, or other member of your health care team will be recorded in your record and used to determine the course of treatment that should work best for you.  Your physician will document in your record his or her expectations of the members of your health care team.  Members of your health care team will then record the actions they took and their observations.  In that way, the physician will know how you are responding to treatment. When appropriate, we will also provide your physician or a subsequent health care provider with copies of various reports that should assist him or her in treating you once you are discharged from this hospital or clinic.

We will use your health information for payment.  ~  For example:  A bill may be sent to you or a third-party payer.  The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used. 

We will use your health information for regular health operations.  For example:  Members of the medical staff, the risk or quality improvement manager, or members of a quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it.  This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide.

     ·      Business associates:  There are some services provided in our organization through contracts with business associates. 
             Examples include physician services in the emergency department, radiology and certain laboratory tests.  When these
             services are contracted, we may disclose your health information to our business associate so that they can perform the job
             we’ve asked them to do and bill you or your third-party payer for services rendered.  To protect your health information,
             however, we require by contract that the business associate appropriately safeguard your information.

·        Hospital Directory: If you are a patient of the Hospital, unless you notify us that you object, we will use your name, location in the facility, general condition, and religious affiliation for directory purposes.  This information may be provided to members of the clergy and except for religious affiliation, to other people who ask for you by name.

·        Notification:  We may use or disclose information to notify a family member, personal representative, or person responsible for your care of your location and general condition.

·        Communication with family:  Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.

·        Research:  We may disclose information to researchers when their research has been approved by an institutional review board and protocols have been established to ensure the privacy of your health information.

·        Funeral directors:  We may disclose health information to funeral directors consistent with applicable law.

·        Organ procurement organizations:  Consistent with applicable law, we may disclose health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.

·        Marketing:  We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

·        Fund-raising:  We may contact you as part of our fund-raising effort.

·        Food and Drug Administration (FDA):  We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.

·        Workers compensation:  We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

·        Public health:  As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

·        Law-enforcement:  We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.  Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.