Notice of Privacy Policy & Practices
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.
Carmel Hills is required by law to maintain the privacy of your
health information and to provide you with notice of its legal
duties and privacy practices with respect to your health information.
To help you understand how we protect your personal information,
this notice describes our current privacy policy and practices.
If you have questions about any part of this notice or if you
want more information about the privacy practices at Carmel Hills
please contact:
Administrative Secretary
Carmel Hills
2801 Carmel Road
Charlotte, NC 28226
704-364-8302
CONFIDENTIALITY AND SECURITY
For many years we have maintained the confidentiality and security
of personal information. We have and maintain strict policies
and procedures to protect the confidentiality of your information
during all stages of your relationship with us. To protect your
personal information from unauthorized access and anticipated
threats or hazards, we maintain administrative, technical and
physical safeguards that meet or exceed all applicable legal standards.
Access to your information by employees and other representatives
is restricted to those individuals having a business need for
such information.
Effective Date of This Notice: April 14, 2003
I. How Carmel Hills may Use or Disclose Your Health Information
For those of you who are Independent residents, Carmel Hills collects
some limited health information from you on our emergency form
that you have posted on the back of your apartment door. We keep
a copy in a Resident Emergency notebook in the main office.
For those of you who are residents of the Care Center, Carmel
Hills collects health information from you and stores it in a
chart. This is your medical record. The medical record is the
property of Carmel Hills, but the information in the medical record
belongs to you. Carmel Hills protects the privacy of your health
information. The law permits Carmel Hills to use or disclose your
health information for the following purposes:
1. Treatment. We may disclose information to doctors, dentists,
pharmacies, hospitals, hospice and other health care providers
who take care of you. For example: We share health information
about you in emergency situations (such as with EMTs prior to
emergency transport) and we share health information about you
for your regular medical care (such as an outside health agency
for physical therapy).
2. Payment. If you are covered by health insurance we may disclose
diagnostic and treatment details to your insurance provider in
order that you may obtain payment for services rendered.
3. Regular Health Care Operations. We may use or disclose personal
health information during the course of running our business:
that is licensing, performance measurement, disease management
and care coordination planning. For example: Your medical records
may be randomly inspected by people who conduct quality assurance
review to ensure that high standards of care are being maintained.
4. Information provided to you.
5. Directory. We may list your name, where you are located in
our facility and your phone number. This information may be provided
to other people who ask for you by name. If you do not want us
to list this information in our directory and provide it to others,
you must tell us that you object.
6. Notification and communication with family. As required by
law, we will notify your responsible person in case of serious
injury or illness. We are required by law to record if family
or responsible person were notified. We may disclose your health
information to notify or assist in notifying a family member,
your personal representative or another person responsible for
your care about your location, your general condition or in the
event of your death. If you are able and available to agree or
object, we will give you the opportunity to object prior to making
this notification. If you are unable or unavailable to agree or
object, our staff will use their best judgment in communication
with your family and others.
7. Required by law. As required by law, we may use and disclose
your health information.
8. Public health. As required by law, we may disclose your health
information to public health authorities for purposes related
to: preventing or controlling disease, injury or disability; reporting
child abuse or neglect; reporting domestic violence; reporting
to the Food and Drug Administration problems with products and
reactions to medications; and reporting disease or infection exposure.
9. Health oversight activities. We may disclose your health information
to health agencies during the course of audits, investigations,
inspections, licensure and other proceedings.
10. Judicial and administrative proceedings. We may disclose
your health information in the course of any administrative or
judicial proceeding.
11. Law enforcement. We may disclose your health information
to a law enforcement official for purposes such as identifying
or locating a suspect, fugitive, material witness or missing person,
complying with a court order or subpoena and other law enforcement
purposes.
12. Deceased person information. We may disclose your health
information to coroners, medical examiners and funeral directors.
13. Organ donation. We may disclose your health information to
organizations involved in procuring, banking or transplanting
organs and tissues.
14. Public safety. We may disclose your health information to
appropriate persons in order to prevent or lessen a serious and
imminent threat to the health or safety of a particular person
or the general public.
15. Worker’s compensation. We may disclose your health
information as necessary to comply with worker’s compensation
laws.
16. Marketing. We may contact you to provide appointment reminders
or to give you information about other treatments or health-related
benefits and services that may be of interest to you.
17. Fund-raising. We may contact you to participate in fund-raising
activities for Carmel Hills.
18. Change of Ownership. In the event that Carmel Hills is sold
or merged with another organization, your health information/record
will become the property of the new owner.
II. When Carmel Hills May Not Use or Disclose Your Health Information
Except as described in this Notice of Privacy Practices, Carmel
Hills will not use or disclose your health information without
your written authorization. If you do authorize Carmel Hills to
use or disclose your health information for another purpose, you
may revoke your authorization in writing at any time.
III. Your Health Information Rights
[Note: Each right is not absolute and is subject to some limitations
and conditions. While some of these rights have been expanded
to include the basic limitations provided under the law, each
should be considered in light of the permitted conditions under
the law and Carmel Hills actual practices.]
1. You have the right to request restrictions on certain uses
and disclosures of your health information. Carmel Hills is not
required to agree to the restriction that you requested.
2. You have the right to inspect and copy your health information.
3. You have a right to request that Carmel Hills amend your health
information that is incorrect or incomplete. Carmel Hills is not
required to change your health information and will provide you
with information about Carmel Hills denial and how you can disagree
with the denial.
4. You have a right to receive an accounting of disclosures of
your health information made by Carmel Hills, except that Carmel
Hills does not have to account for the disclosures described in
parts 1 (treatment), 2 (payment), 3 (health care operations),
4 (information provided to you), 5 (directory listings) of section
I of this Notice of Privacy Practices.
5. You have a right to a paper copy of this Notice of Privacy
Practices.
If you would like to have a more detailed explanation of these
rights or if you would like to exercise one or more of these rights,
contact
Administrative Secretary
Carmel Hills
2801 Carmel Road
Charlotte, NC 28226
704-364-8302
IV. Changes to this Notice of Privacy Practices
Carmel Hills reserves the right to amend this Notice of Privacy
Practices at any time in the future, and to make the new provisions
effective for all information that it maintains, including information
that was created or received prior to the date of such amendment.
Until such amendment is made, Carmel Hills is required by law
to comply with this Notice.
During the continuation of your relationship with Carmel Hills,
we will advise you of our privacy policy and practices in written
form at least once annually, as required by law.
V. Complaints
Complaints about this Notice of Privacy Practices or how Carmel
Hills handles your health information should be directed to:
Administrative Secretary
Carmel Hills
2801 Carmel Road
Charlotte, NC 28226
704-364-8302
If you are not satisfied with the manner in which this office
handles a complaint, you may submit a formal complaint to:
Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Bldg.
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC 20201
You may also address your complaint to one of the regional Offices
for Civil Rights. A list of these offices can be found online
at http://www.hhs.gov/ocr/regmail.html.
Privacy Statement for Carmel Hills
Carmel Hills has created this privacy statement in
order to demonstrate our firm commitment to privacy. The following
discloses the information gathering and dissemination practices
for this Web site.
Information Automatically Logged
We use your IP address to help diagnose problems with our
server and to administer our Web site. Such logging of information
is standard practice among most Web sites.
Contact Us Form
Our site's contact form requires users to give us contact
information if they wish to be contacted or leave comments or
suggestions (like their name, email, and postal address).
Contact information from the contact form is used to provide
you with information about Carmel Hills. This contact
information is also used to get in touch with you, the inquirer,
if requested and is under no circumstances given to any third
parties.
External Links
This site contains links to and provides content from other
sites. Carmel Hills is not responsible for the privacy
practices or the content of such Web sites.
Security
This site has security measures in place to protect the loss,
misuse, and alteration of the information under our control.
Great care is taken in making sure information you submit to
us is kept closely protected.
Data Quality/Access
This site gives users the following options for changing and
modifying information previously provided using the contact
us page by sending an e-mail to:
Contacting the Web Site / About Web Site
If you have any questions about this privacy statement, the
practices of this site, or your dealings with this Web site, you
can contact:
webmaster@carmelhills.com
For all other inquires regarding Carmel Hills, please click here.
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