Clearfield-Jefferson County MH/MR Program

1200 Wood Street, Suite U-110

Brockway, PA 15824

NOTICE OF PRIVACY PRACTICES

 

Notice of Information 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.

 

Understanding Your Health Record/Information

 

Each time you receive service from the MH/MR Program a record of the service you received is made. Typically, this record contains any requests for services you have and case management service provided to meet your requests. This information may contain some of your personal case management information.  The information, often referred to as your case management record, serves as a:

 

·         basis for planning your service

·         means of communication among the human service professionals who contribute to your care

·         legal documentation of the care you received

·         means by which you or a third-party payer can verify that services billed were actually provided

·         source of information for public health officials and the Pennsylvania Department of Public Welfare who oversee the delivery of health care in Pennsylvania and the United States

·         quality improvement 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 case management information is used helps you to: ensure its accuracy; better understand who, what, when, where, and why others may access your case management information; and make more informed decisions when authorizing disclosure to others.

 

Our Responsibilities

 

The MH/MR Program is required to:

 

·         maintain the privacy of your case management 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

·         accommodate reasonable requests you may have to communicate case management information by alternative means or at alternative locations.

·         Maintain your record for seven years after discharge from MH/MR Program services.

 

We reserve the right to change our practices and to make the new provisions effective for all protected case management information we maintain. Should our information practices change, we will mail you a revised notice.

 

We will not use or disclose your case management information without your authorization, except as described in this Notice.

 

How We Will Use or Disclose Your Case management information

 

 

(1)            Service Planning.  We will use your case management information for service planning. For example, information obtained by a case manager, or other member of your case management service team will be recorded in your record and used to determine the supports and services you choose to utilize. Your case manager or other professional will document in your record his or her expectations of the members of your service team.  Members of your case management service team will monitor progress and determine your satisfaction with the services and supports. In that way your case manager will know how you are responding to a service. With your consent we will also provide other professionals helping you or a subsequent professional with copies of various reports that should assist him or her in serving you once you are discharged from our MH/MR Program.

 

(2)            Payment.  When there is a charge for service and with your consent, we will use your case management information for payment from the third party payor you designate, including Medicare and Medicaid. The information on or accompanying the bill will be limited to that information necessary to establish the claims for which reimbursement is sought.  For example, the bill may include information of the dates, types and costs services, and a general description of the general purpose of each service.

 

(3)            Quality Assurance. We will use your case management information in an effort to continually improve the quality and effectiveness of the service we provide.

 

(4)            Notification.  With your written consent, or without your consent in a crisis situation, we may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, of your location, and general condition.

 

(5)            Communication with family.  With your consent, we may disclose to a family member, other relative, close personal friend or any other person you identify, case management information relevant to that person's involvement in your care or payment related to your service.

 

(6)            Case Management Operations. Case management services include the following activities: assessment of needs, service planning, referral to services, problem solving, monitoring of service, advocacy and discharge planning. To accomplish the goals of case management, case managers will contact providers of service, family members, and other significant people in the lives of the person being served on an ongoing basis.  Case managers will make contact by the use of the telephone, mail, facsimile, and in person. Except in a crisis situation, your prior written permission to make these contacts is obtained.

 

(7)            Commitment Proceedings.  During the course of an involuntary commitment proceeding, the court may direct that it or a mental health review officer, as allowed under the Mental Health Procedures Act have access without your consent to your personal health information for purposes of conducting the hearing.  Also without your consent, information may be disclosed to attorneys assigned to represent you if you are the subject of an involuntary commitment proceeding.    Act 77, approved July 2, 1996, amends the Mental Health Procedures Act to require Judges, Mental Health Review Officers and County MH/MR Administrators to notify the Pennsylvania State Police when an individual has been involuntary committed to a psychiatric facility for inpatient care and treatment.

 

(8)            Public health. As required by law, we may be required to disclose your case management information without your consent to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

 

(9)            Correctional institution. Should you be an inmate of a correctional institution, or state mental hospital we may be required to disclose to the health care professionals at the institution, without your consent, case management information necessary for your treatment.

 

(10)        Crisis Situation. Without your consent we may release information in response to crisis or an emergency medical situation when release of information is necessary to prevent serious risk of bodily harm or death.  Only specific information pertinent to the relief of the emergency may be released on a nonconsensual basis.  Program staff have the responsibility to warn a third party when a specific threat has been made against that person without the consent of the person making the treat.

 

(11)        Reporting of Child Abuse and Geriatric Abuse.  Program staff are required by law to report a person who is suspected of child abuse and abuse of a person over the age of 60 to State authorities without the consent of the individual suspected of committing the abuse.

 

(12)        In response to a court order.  Your case management information may be released without your consent in response to a court order, when production of the documents is ordered by a court.

 

Your Case management information Rights

 

Although your record is the physical property of the MH/MR Program, the information in your record belongs to you. You have the following rights regarding your record:

 

·         You may request that we not use or disclose your case management information for a particular reason related to treatment, payment, or general health care operations, and/or to a personal representative or guardian. We ask that such requests be made in writing. Although we will consider your request, please be aware that we are under no obligation to accept it or to abide by it.

 

·         If you are dissatisfied with the manner in which or the location where you are receiving communications from us that are related to your case management information, you may request that we provide you with such information by alternative means or at alternative locations. Such a request must be made in writing, and submitted to your case manager or his or her supervisor.

 

·         You may request to inspect and/or obtain copies of case management information we have about you, which will be provided to you up to seven years after your discharge from service. If you request copies we may charge you a reasonable fee for retrieval and copying costs. 

 

·         If you believe that any case management information in your record is incorrect or if you believe that important information is missing, you may request that we correct the existing information or add the missing information. Such requests must be made in writing, and must provide a reason to support the request. We ask that you use the form provided by the MH/MR Program to make such requests. For a request form, please contact your case manager or the Medical Records Department at 814-265-1060 ext 300 or 814-765-1820 ext 300. 

 

·         You may request that we provide you with a written accounting of all disclosures made by us during the time period for which you request (not to exceed 6 years). We ask that such requests be made in writing on a form provided by the MH/MR Program. Please note that an accounting will not apply to any of the following types of disclosures: disclosures made for reasons of treatment, payment or health care operations; disclosures made to you or your legal representative, or any other individual involved with your care; disclosures to correctional institutions or law enforcement officials; and disclosures for national security purposes. You will not be charged for your first accounting request in any 12-month period. However, for any requests that you make thereafter, you may be charged a reasonable, cost-based fee. 

 

·         You have the right to obtain a paper copy of this Notice of Information Practices upon request.

 

·         You may revoke an authorization to use or disclose case management information, except to the extent that action has already been taken. Such a request must be made in writing.

 

For More Information or to Report a Problem

 

If have questions and would like additional information, you may contact our facility/agency's Privacy Officer at 814-265-1060 ext. 300, 814-765-1820 ext. 315.

 

If you believe that your privacy rights have been violated, you may file a complaint with us. These complaints must be filed in writing on a form provided by the MH/MR Program. The complaint form may be obtained from your case manager or the Medical Records Department by calling 814-265-1060 ext 300 or 814-765-1820 ext 300 and when completed should be returned to the Privacy Officer by mail or hand delivered to the MH/MR Program, 1200 Wood Street, Suite U-110, Brockway, PA 15824 or given to any MH/MR Program staff. You may also file a complaint with the secretary of the Federal Department of Health and Human Services (HHS). The HHS Office for Civil Rights (OCR) may be contacted by calling 1-866-OCR-Priv or 1-866-788-4989 (TTY).  There will be no retaliation for filing a complaint.

Effective Date: April 15, 2003