Chen Neighborhood Medical Centers' Notice of Privacy Practices

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PRIVACY NOTICE

CHEN NEIGHBORHOOD MEDICAL CENTERS

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.

This page describes the type of information we gather about you, with whom that information may be shared and the safeguards we have in place to protect it.

You have the right to the confidentiality of your medical information and the right to approve or refuse the release of specific information, except when law requires the release.

If you prefer that we not share information, we may honor your written request in certain circumstances described below.

If you have any questions about this notice, please contact the office manager at your individual Chen Neighborhood Medical Center location or, if not available, the Operations Director for your market.

WHO WILL FOLLOW THIS NOTICE
This notice describes Chen Neighborhood Medical Centers’ practice regarding the use of your medical information and that of: 

  • Any health care professional authorized to enter information into your electronic medical record.  
  • All departments and units of the Chen Neighborhood Medical Centers you may visit at any time.  
  • All employees, staff and other personnel who may need access to your information.  
  • All entities, sites and locations of Chen Neighborhood Medical Centers follow the terms of this notice. In addition, these entities, sites and locations may share medical information with each other for treatment, payment or health care purposes described in this notice.

OUR PLEDGE REGARDING MEDICAL INFORMATION
Medical information about you and your health is personal. Protecting medical information about you is important. We create a record of the care and services you receive. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Chen Neighborhood Medical Centers, whether made by health care professionals or other personnel.

This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information. We are required by law to: 

  • Keep medical information that identifies you private;  
  • Give you this notice of our legal duties and privacy practices with respect to medical information about you; and 
  • Follow the terms of the notice that is currently in effect.

USES AND DISCLOSURES OF MEDICAL INFORMATION
The following categories describe different ways that we may use and disclose medical information. For each category of uses or disclosures we will try to give some examples. Not every use or disclosure in a category will be listed.

Treatment
Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your electronic medical record to all health professionals who may provide treatment or who may be consulted by staff members.

Payment
We may use and disclose medical information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company or a third party. For example, your insurance may need to know about surgery you received so they will pay the specialist, or we may also disclose medical information about you to obtain prior approval or to determine whether your insurance will cover the treatment. If you pay for your care through your insurer, you have the right to limit the information we disclose to your insurer, but if you pay for your care in full, you have the right to instruct that we withhold all information relating to that care from your insurer.

Health care operations
Your health information may be used as necessary to support the day-to-day activities and management of Chen Neighborhood Medical Centers. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.

Law enforcement
Your health information may be disclosed to law enforcement agencies, without your permission, to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government mandated reporting.

Public health reporting
Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state's public health department.

Other uses and disclosures of your health information require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization, including but not limited to, disclosure of psychotherapy notes, the use of your health information in marketing and the sale of any of your identifiable health information. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.

ADDITIONAL USES OF INFORMATION

Appointment reminders
Your health information will be used by our staff to send you appointment reminders or to contact you via the telephone number you provided.

Information about treatments
Your health information may be used to send you information on the treatment and management of your medical condition that you may find to be of interest. We may also send you information describing other health-related goods and service that we believe may interest you. You may opt out of receiving communications regarding fundraisers, appointment reminders, treatment alternatives, and other health-related benefits and services

HIPAA PRIVACY NOTICE ABOUT YOUR PROTECTED HEALTH INFORMATION

Individual Rights
You have certain rights under the federal privacy standards. These include: 

  • The right to request restrictions on the use and disclosure of your protected health information.  
  • The right to receive confidential communications concerning your medical condition and treatment.  
  • The right to inspect and copy your protected health information, including any electronic copies if readily producible, within 30 days of making the request.  
  • The right to amend or submit corrections to your protected health information. 
  • The right to receive an accounting of how and to whom your protected health information has been disclosed. 
  • The right to receive a printed copy of this notice.

Chen Neighborhood Medical Centers' Duties
We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We also are required to abide by the privacy policies and practices that are outlined in this notice.

Right to Revise Privacy Practices
As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Whatever the reason for these revisions, we will provide you with a revised notice on your next office visit. The revised policies and practices will be applied to all protected health information that we maintain.

Requests to Inspect Protected Health Information
As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting the Privacy Officer.

Complaints
If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns. If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the Privacy Officer at the address below. You will not be penalized or otherwise retaliated against for filing a complaint.

Unauthorized Use or Disclosure
As required by Federal privacy laws, Chen Neighborhood Medical Center will notify you of any unauthorized use or disclosure of your protected health information. Chen Neighborhood Medical Center will notify you of any breach of unsecured protected health information.

Contact Person
The name and address of the person you can contact for further information concerning our privacy practice is:

Sarah Peix, Director of Compliance

Chen Med Family of Companies

1395 NW 167th Street

Miami, Fl 33169

Tel: 305-842-2828

Fax: 305-509-6959

Secondary Contact: 

HIPPA Privacy Officer Chen Neighborhood Medical Center

1000 park Centre Blvd. Suite 100 Miami,

FL 33169

Tel: 305-621-0023

Fax: 305-623-9188