Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE READ IT CAREFULLY.
Effective Date of This Revision: February 1, 2011
Catholic Medical Partners may collect information about you to provide specific services. Catholic Medical Partners knows that information we collect about you and your health is private and is protected by federal and state laws. This information is called “Protected Health Information” (PHI).
This notice of privacy practices tells you how Catholic Medical Partners may use or disclose information about you. Not all situations will be described. Catholic Medical Partners is required to give you notice of our privacy practices for the information we collect and keep about you. Catholic Medical Partners is required to follow the terms of the notice currently in effect.
Use and disclose of information without your authorization
For Treatment. Catholic Medical Partners may use or disclose information with health care providers who are involved in your health care. For example, information may be shared to create and carry out a plan for your treatment.
For Health Care Operations. Catholic Medical Partners may use or disclose information in order to manage its programs and activities. For example, we may use PHI to review the quality of services you receive.
Appointments and Other Health Information. Catholic Medical Partners may send you reminders for medical care checkups. We may send you information about health services that may be of interest to you.
For Public Health Activities. Catholic Medical Partners may disclose PHI to certain public health authorities and others according to specific rules that apply to public health
For Health Oversight Activities. Catholic Medical Partners may use or disclose information to inspect or investigate health care providers.
As Required by Law and For Law Enforcement. Catholic Medical Partners will use and disclose information when required or permitted by federal or state law, or by court order.
For Government Programs. Catholic Medical Partners may use and disclose information for public benefits under other government programs. For example, we may disclose information for the determination of Supplemental Security Income (SSI) benefits.
To Avoid Harm. Catholic Medical Partners may disclose PHI to law enforcement in order to avoid a serious threat to the health and safety of a person or the public.
For Research. Catholic Medical Partners uses information for studies and to develop reports. These reports do not identify specific people.
Disclosures to Family, Friends and Others Who Are Involved In Your Medical Care. Catholic Medical Partners may disclose information to your family or other persons who are involved in your medical care. You have the right to object to the sharing of this information.
Other Uses and Disclosures Require Your Written Authorization. For other situations, Catholic Medical Partners will ask for your written authorization before using or disclosing information. You may cancel this authorization at any time in writing.
You have the following rights regarding health information Catholic Medical Partners maintains about you:
- Right to See and Get Copies of Your Records. In most cases, you have the right to look at or get copies of your records. You must make the request in writing. You may be charged a fee for the cost of copying your records.
- Right to Request a Correction or Update of Your Records. You may ask Catholic Medical Partners to change or add missing information to your records if you think there is a mistake. You must make the request in writing, and provide a reason for your request.
- Right to Get a List of Disclosures. You have the right to ask Catholic Medical Partners for a list of disclosures made after February 22, 2010. You must make the request in writing. This list will not include the times that information was disclosed for treatment, payment, or health care operations. The list will not include information provided directly to you or your family, or information that was sent with your authorization.
- Right to Request Limits on Uses or Disclosures of PHI. You have the right to ask that Catholic Medical Partners limit how your information is used or disclosed. Your must make the request in writing and tell us what information you want to limit and to whom you want the limits to apply. Catholic Medical Partners is not required to agree to the restriction. You can request that the restrictions be terminated in writing or verbally.
- Right to Revoke Permission. If you are asked to sign an authorization to use or disclose information, you can cancel that authorization at any time. You must make the request in writing. This will not affect information that has already been shared.
- Right to Choose How We Communicate with You. You have the right to ask that Catholic Medical Partners share information with you in a certain way or in a certain place. For example, you may ask us to send information to your work address instead of your home address. You must make this request in writing. You do not have to explain the basis for your request.
- Right to File a Complaint. You have the right to file a complaint if you do not agree with how Catholic Medical Partners has used or disclosed information about you.
- Right to Get a Paper Copy of this Notice. You have the right to ask for a paper copy of this notice at any time.
How to Contact Catholic Medical Partners to Review, Correct, or Limit Your Protected Health Information
You may contact Catholic Medical Partners or the Catholic Medical Partners Privacy Officer at the address listed at the end of this notice to:
- Ask to look at or copy your records
- Ask to limit how information about you is used or disclosed
- Ask to cancel your authorization
- Ask to correct or change your records
- Ask for a list of the times Catholic Medical Partners disclosed information about you
Catholic Medical Partners may deny your request to look at, copy or change your records. If Catholic Medical Partners denies your request, we will send you a letter that tells you why the request is being denied and how you can ask for a review of the denial. You will also receive information about how to file a complaint with Catholic Medical Partners or with the U.S. Department of Health and Human Services, Office for Civil Rights.
How to File a Complaint or Report a Problem
You may contact Catholic Medical Partners at the address, phone numbers or email listed below, or The U.S. Department of Health and Human Services, Office for Civil Rights at (206) 615-2290 or at 800-368-1019 if you want to file a complaint or to report a problem with how Catholic Medical Partners has used or disclosed information about you. Your benefits will not be affected by any complaints you make. Catholic Medical Partners cannot retaliate against you for filing a complaint, cooperating in an investigation, or refusing to agree to something that you believe to be unlawful.
Catholic Medical Partners
144 Genesee St - 5th Floor
Buffalo, NY 14203
For More Information
If you have any questions about this notice, require a translation of this notice or would like specific information on how we protect your medical information, please contact the Catholic Medical Partners Privacy Officer.
In the future, Catholic Medical Partners may change its Notice of Privacy Practices. Any changes will apply to information Catholic Medical Partners already has, as well as information Catholic Medical Partners receives in the future. A copy of the new notice will be posted at Catholic Medical Partners as required by law. You may ask for a copy of the current notice anytime you visit or contact Catholic Medical Partners.
In cases where Federal and New York State laws differ on the release of information, Catholic Medical Partners will follow the more stringent law and release less information.