私隐实务通知

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

请仔细审阅.

我们理解您的健康信息很重要, 我们致力于保护您的隐私. This HIPAA 私隐实务通知 (“Notice”) describes the ways we may use and disclose your information. It also describes your rights and our obligations regarding the use and disclosure of your information.

1. 我们是谁

在本公告中, “FMCNA”和代词“我们”,” “us” and “our” refer to subsidiaries and affiliates of Fresenius Medical Care Holdings, 公司. d/b/a费森尤斯医疗北美公司, 当它们作为HIPAA定义的受保护实体时. FMCNA’s covered entities have been designated as a single affiliated covered entity for purposes of HIPAA.

The HIPAA privacy practices in this Notice are followed by our employees and other workforce members who provide health care in our facilities or who access information in your medical or billing records. This Notice may not apply to independent facilities or 卫生保健提供者 who are not employed by FMCNA but provide services to you in FMCNA facilities. 请参阅他们的私隐措施通知.

In some cases, an FMCNA affiliate may issue its own Notice that describes its privacy practices. Should there be a difference between this FMCNA Notice and any affiliate’s notice, 联属公司通知的条款将适用于该联属公司.

This Notice also does not apply to health information that is not subject to HIPAA although it may be protected by other federal or state laws. 例如:

• Health information maintained by our affiliates that are not acting as covered entities or business
  associates, such as information collected for certain medical products, post-market surveillance
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• Employers and health information contained in our employment files.
• Health information that has been “de-identified” 符合HIPAA so that it does not
  识别你.

2. 我们的隐私义务

Medical information that identifies you is known as Protected Health Information (PHI). φ包括
demographic, clinical, and financial information that relates to treatment or 付款 for treatment.

法律要求我们:

• 确保你的PHI是保密的;
• 向您提供本通知，说明我们的法律责任和隐私惯例;
• 遵守当前有效的通知条款;
• Use or share your information only as described in this Notice, unless we obtain your consent; and
• 如果有违反您的不安全PHI的情况，通知您.

3. How We May Use and Disclose PHI Without Your Written Authorization

本节描述我们如何使用您的PHI进行治疗, 付款 以及医疗保健业务 purposes without your written authorization.

治疗

We may use and disclose your PHI to provide treatment and other services to you. 例如, we may consult with other 卫生保健提供者 to coordinate your care. 我们可能会推荐其他治疗方法, 治疗方法, 卫生保健提供者, 或者护理环境, 或者描述一个健康相关的产品或服务. We may also contact you as a reminder that you have an appointment.

付款

We may use or disclose your PHI to obtain 付款 for our services. 例如, 我们可能会向Medicare披露您的PHI, 医疗补助计划, 你的健康保险公司, HMO, or other company or program that arranges or pays the cost of your health care. We may also share PHI with your other 卫生保健提供者 if they need this information to receive 付款 for services they provide to you.

医疗保健业务

我们可能会在我们的医疗保健业务中使用或披露您的个人健康信息, which include internal administration and planning and activities that improve the 质量 and cost effectiveness of care. 例如, we may use your PHI to evaluate the 质量 and competence of our staff and other health care professionals.

向亲戚、密友和其他照顾者披露

我们可能会向您的家庭成员使用或披露您的个人健康信息, 其他相关, close friend or other person identified by you if we: 1) obtain your agreement; 2) provide you with the opportunity to object and you do not object; or 3) reasonably infer that you do not object to the disclosure.

如果你不在场或不能同意(例如, if we receive a telephone call from a family member or other caregiver), we may exercise our professional judgment to determine whether a disclosure is in your best interests. 如果我们在这种情况下披露信息, we will disclose only information that is relevant to the person’s involvement with your care.

健康资讯交流

健康信息交换(HIE)允许医生, 护士, 药剂师, other 卫生保健提供者 or authorized users to access and share medical information electronically to improve the speed, 质量, 病人护理的安全性和成本. We may participate in a HIE through which we may receive or disclose your health information, 法律允许的.

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作为我们改善治疗方法的一部分, we conduct and participate in clinical trials and research activities. We may use and disclose your PHI for research purposes without your authorization if an institutional review board (IRB) or privacy board has waived the authorization requirement. 在某些情况下, your PHI may also be disclosed without your authorization to researchers preparing to conduct a research project, 对死者的博艺堂娱乐在线bet98, or as part of a data set that omits your name and other information that can directly 识别你.

按法律规定

We will disclose your PHI if we are required to do so by federal, state, or local law.

公共卫生活动

We may disclose your PHI to public health authorities to prevent or control disease, 受伤或残疾, such as reporting immunizations or exposure to contagious diseases. We may also alert a person who may have been exposed to a communicable disease or may be at risk of contracting or spreading a disease or condition.

We may also disclose your PHI to government agencies as required to report child abuse and 忽视, 或者我们有理由相信你是虐待的受害者, 忽视, 或者家庭暴力.

除了, we may report information about medical devices and medications to the manufacturer or the U.S. 美国食品药品监督管理局, 比如报告不良事件, 产品缺陷或参与产品召回.

对健康和安全的威胁

We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety, 或者公众或其他人的健康和安全. 例如, we may give your PHI to an entity assisting in a disaster relief effort.

卫生监督活动

We may disclose your PHI to an agency that oversees the health care system and is responsible for ensuring compliance with the rules of government health programs, 比如医疗保险或医疗补助.

De-Identification

We may use your health information to create “de identified” information that is not identifiable to any individual, 符合HIPAA. We may also disclose your health information to a business associate for the purpose of creating de-identified information, 无论我们是否会使用识别信息.

雇佣或工人补偿

We may disclose your PHI to comply with laws relating to workers’ compensation or other similar programs that provide benefits for work related injuries or illness. 在有限的情况下, we may disclose PHI to your employer for purposes of workplace medical surveillance, if your employer provides notice to you and requires this information to comply with the Occupational, 安全 & 健康管理局(OSHA)规定或类似的州法律.

诉讼、争议和行政诉讼

We may disclose your PHI in response to a court or administrative order, 传票, 保证, 披露请求或其他合法正当程序.

执法人员

We may disclose your PHI to the police or other law enforcement officials as required by law or to comply with a court order.

军方官员

如果你是美国或外国武装部队的一员, 我们可能会根据法律要求披露您的个人信息.

惩教机构

If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose PHI to the institution or officials 法律允许的 so that the institution may provide you with health care, 保护您的健康和安全, 保护他人的健康和安全.

器官及组织捐赠

我们可能会将您的个人健康信息披露给协助机构, 眼或组织采购, 器官库或移植.

验尸官，验尸官和葬礼主管

We may release PHI to a coroner or medical examiner to identify a deceased person or to determine the cause of death. We may also release PHI to funeral directors as necessary to carry out their duties.

4. Uses and Disclosures of Your PHI that Require Your Written Authorization

This Section 4 describes how we may use your PHI only if we have your written authorization. If you give us authorization, you may revoke it, in writing, at any time. 然而, your revocation will not affect any actions that we took in reliance on your authorization before it was revoked.

PHI的市场营销和销售

未经您的授权，我们不会出售您的PHI, 或将您的PHI用于营销目的, 这些术语是由HIPAA定义的, 除非法律允许. 然而, 我们可能会与您沟通其他治疗方法, 治疗方法, 卫生保健提供者, 护理设置, products or services provided by other organizations or individuals, if that information is relevant to your treatment or to help coordinate your health care. We also may tell you about their products or services when we see you in person.

We also may communicate with you about our health related products or services that may be of interest to you. 例如, we may inform you about health care programs we offer.

心理治疗的笔记

除非在有限的情况下, we will not use or disclose any psychotherapy notes about you without your written authorization.

高度机密资料

Federal and applicable state law may require special privacy protections for certain health information about you, 例如, 有关艾滋病毒检测的信息, 心理/行为健康, 遗传信息. If required by law, we will obtain your authorization before disclosing this information.

5. 个人权利

如何行使你的权利

You may exercise your rights by making a request in writing to the facility manager where you receive treatment or to the FMCNA Privacy Officer at the address found at the end of this Notice. You may obtain request forms at your facility or from the Privacy Officer.

查阅及复制权

You may ask to see or get a copy of your medical and billing records. 如果您要求副本，我们可以向您收取合理的费用. 如果我们不能满足你的要求，我们会通知你.

要求限制的权利

You may ask us not to use or disclose certain PHI for treatment, 付款 以及医疗保健业务. You may also ask us to not share information with individuals who are involved in your care or 付款 for care, 例如, 家庭成员或朋友.

我们不必同意你的要求, and we may say “no” if it would affect your care or if we are legally required to share the information. 然而, we will agree to a request to restrict disclosure to a health plan for an item or service for which you (or someone on your behalf other than the health plan) have paid out-of-pocket in full, 法律并没有要求披露.

要求保密通信的权利

You have the right to ask us to communicate with you about your PHI in a certain way or at a certain location. 例如, 您可以要求我们拨打您的家庭或办公室电话号码与您联系, 或者把邮件发送到另一个地址. 我们会对所有合理的要求说“是”.

修改权

If you think that information in your medical or billing records is incorrect or incomplete, 你可以要求我们修改该信息. 我们不必同意你的要求, 如果信息准确完整，我们可能会说“不”. We may also say “no” if we do not maintain the information or in certain other circumstances.

对披露进行会计处理的权利

You may ask us for a list (accounting) of disclosures of your PHI during the past six years. 我们将包括HIPAA要求的所有披露. 这些不包括治疗的披露, 付款, 以及医疗保健业务, and certain other disclosures (such as those you asked us to make). 我们每年免费提供一次会计服务, 但可能收费合理, cost-based fee for additional requests you make within twelve months.

个人代表

If someone is your legally authorized personal representative as defined by state law, 然后那个人就可以行使你的权利. We will ask the person to provide evidence or documentation of their authority before we take any action.

有权获得本通知书的书面副本

你可随时索取本通知书的书面副本.

6. 本公告的更改

我们可随时更改本通知的条款, 这些变化将适用于我们所有关于你的PHI. The new Notice will be available upon request, in our office, and on our website.

7. 了解更多信息或提出投诉

如果您想进一步了解您的隐私权, are concerned that we have violated your privacy rights or disagree with a decision that we made about access to your PHI, 你可透过以下方式联络我们的私隐主任:

费森尤斯医疗北美公司
收件人:FMCNA隐私官
冬季街920号
沃尔瑟姆，马萨诸塞州02451-1457

1-800-662-1237 ext. 1007100

Privacy@fmc-na.com

You may also file a written complaint with the Office for Civil Rights of the U.S. 卫生与公众服务部:

南独立大道200号.W.
华盛顿特区.C. 20201

1-877-696-6775

www.美国卫生和公众服务部.gov / ocr /隐私/ hipaa /投诉

我们不会因为你的投诉而报复你.