Your privacy

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed, and how you can get access to that information. Please review it carefully.

Version: 3.0
Effective: 1 August 2017
Applies to: Heart Health Center, LLC, 1848 E. Thomas Road, Suite 200

Under federal law, your patient health information is protected and confidential. Patient health information includes information about your symptoms, test results, diagnosis, treatment, and related medical information. Your health information also includes payment, billing, and insurance information. Your information may be stored electronically and, if so, is subject to electronic disclosure.

How we use and disclose your health information

Treatment: We will use and disclose your health information to provide you with medical treatment or services. For example, nurses, physicians, and other members of your treatment team will record information in your record and use it to determine the most appropriate course of care. They may also disclose the information to other health care providers who are participating in your treatment, to pharmacists who are filling your prescriptions, and to family members who are helping with your care.
Payment: We will use and disclose your health information for payment purposes. For example, we may need to obtain authorization from your insurance company before providing certain types of treatment, or disclose your information to payors to determine whether you are enrolled or eligible for benefits. We will submit bills and maintain records of payments from your health plan.
Health care operations: We will use and disclose your health information to conduct our standard internal operations, including proper administration of records, evaluation of the quality of treatment, arranging for legal services, and to assess the care and outcomes of your case and others like it.

Special uses and disclosures

Following a procedure, we will disclose your discharge instructions and information related to your care to the individual who is driving you home from the Center or who is otherwise identified as assisting in your post-procedure care. We may also disclose relevant health information to a family member, friend, or others involved in your care or payment for your care, and disclose information to those assisting in disaster relief efforts.

Other uses and disclosures

We may be required or permitted to use or disclose the information even without your permission, as described below.

Required by law: We may be required by law to disclose your information, such as to report gunshot wounds, suspected abuse or neglect, or similar injuries and events.
Research: We may use or disclose information for approved medical research.
Public health activities: We may disclose vital statistics, diseases, information related to recalls of dangerous products, and similar information to public health authorities.
Health oversight: We may disclose information to assist in investigations and audits, eligibility for government programs, and similar activities.
Judicial and administrative proceedings: We may disclose information in response to an appropriate subpoena, discovery request, or court order.
Law enforcement purposes: We may disclose information needed or requested by law enforcement officials, or to report a crime on our premises.
Deaths: We may disclose information regarding deaths to coroners, medical examiners, funeral directors, and organ donation agencies.
Serious threat to health or safety: We may use and disclose information when necessary to prevent a serious threat to your health and safety, or the health and safety of the public or another person.
Military and special government functions: If you are a member of the armed forces, we may release information as required by military command authorities. We may also disclose information to correctional institutions or for national security purposes.
Workers' compensation: We may release information about you for workers' compensation or similar programs providing benefits for work-related injuries or illness.
Business associates: We may disclose your health information to business associates — individuals or entities that perform functions on our behalf — provided they agree to safeguard the information.
Messages: We may contact you to provide appointment reminders or for billing or collections, and may leave messages on your answering machine, voice mail, or through other methods.

Everything else requires your authorization

In any other situation, we will ask for your written authorization before using or disclosing identifiable health information about you. If you choose to sign an authorization to disclose information, you can later revoke that authorization to stop any future uses and disclosures.

Subject to compliance with limited exceptions, we will not use or disclose psychotherapy notes, use or disclose your health information for marketing purposes, or sell your health information unless you have signed an authorization.

Your rights over your health information

You have the following rights regarding your health information. Please contact the privacy contact below to obtain the appropriate form for exercising these rights.

You may request restrictions on certain uses and disclosures. We are not required to agree to a requested restriction, except for requests to limit disclosures to your health plan for purposes of payment or health care operations when you have paid in full, out of pocket, for the item or service covered by the request, and when the uses or disclosures are not required by law.
You may ask us to communicate with you confidentially — by, for example, sending notices to a special address, or not using postcards to remind you of appointments.
In most cases, you have the right to look at or get a copy of your health information. There may be a small charge for copies.
You have the right to request that we amend your information.
You may request a list of disclosures of information about you for reasons other than treatment, payment, or health care operations, and except for other exceptions.
You have the right to obtain a paper copy of the current version of this Notice upon request, even if you have previously agreed to receive it electronically.

Our legal duty

We are required by law to protect and maintain the privacy of your health information, to provide this Notice about our legal duties and privacy practices regarding protected health information, and to abide by the terms of the Notice currently in effect.

We are required to notify affected individuals in the event of a breach involving unsecured protected health information.

Changes to this Notice

We may change this Notice at any time and make the new terms effective for all health information we hold. The effective date of this Notice is shown at the top of this page. If we change our Notice, we will post the new Notice in the waiting area. For more information about our privacy practices, contact the person listed below.

Complaints

If you are concerned that we have violated your privacy rights, you may contact the person listed below. You also may send a written complaint to the U.S. Department of Health and Human Services. The person listed below will provide you with the appropriate address upon request. You will not be penalized in any way for filing a complaint.

Privacy contact

If you have any questions, requests, or complaints about your health information, please contact:

Anthony SebastianoAdministrator, Heart Health Center

(602) 456-2342, ext. 3000

1848 E. Thomas Road

Suite 200

Phoenix, AZ 85016

You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized in any way for filing a complaint. Concerns about your care rather than your privacy go through the grievance procedure.

This page reproduces the Notice of Privacy Practices in the center’s ASC information packet. You have the right to a paper copy of the current version on request, even if you have previously agreed to receive it electronically.