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John C. Lincoln Health Network cares about the privacy of your medical information. The Notice of Privacy Practices (the "Notice"), listed below, explains John C. Lincoln Health Network (the Network) may use and disclose your medical information.
The Network may use and disclose your medical information:
- To provide treatment to you.
- To get paid for services we provide to you.
- To include in the Patient Directory.
- To our family members and others involved in your care.
- For our business decisions and to improve the quality of our services.
- For fundraising.
- For research.
- As required by law.
- For public health, public safety, and health oversight purposes.
- To coroners, medical examiners and funeral directors.
- For organ and tissue donation.
- For military, veterans, national security, other governmental purposes.
- In judicial proceedings.
- Additional protection for certain medical information.
- Other uses and disclosures that require your authorization.
The Notice also describes your rights regarding your medical information, including your right to:
- Review or copy your records.
- Request an amendment to your records.
- Get a list of certain disclosures of your medical information.
- Request restrictions on use and disclosure of your medical information.
- Request confidential communications.
- Get a paper copy of the notice if you received this electronically.
Please read the Notice and feel free to ask questions.
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 INFORMATON. PLEASE REVIEW IT CAREFULLY.
This notice describes how John C. Lincoln Network (the "Network") may use your Medical Information and how the Network may disclose it to others. This notice also describes the rights you have concerning your Medical Information. Please review it carefully and let us know if you have questions.
Medical Information includes the contents of your medical record, your billing record, and other records we use to make decisions about your care or payment for your care.
HOW DOES THE NETWORK USE AND DISCLOSE YOUR MEDICAL INFORMATION?
Treatment: Treatment includes the medical services and supplies provided to you. We will use and disclose your medical information to others who need it to treat you, such as doctors, nurses, clinical students, technicians, and others involved in your care. For example, your treating providers will have access to your Medical Information to assist in your treatment and for follow-up care. We may use or disclose your Medical Information to notify you of an upcoming appointment, to inform you about possible treatment options or alternatives, or to tell you about health-related services available to you.
Payment: The Network will use and disclose your medical information to be paid for the services you receive. For example, your health plan or health insurance company may need to see parts of your medical record before paying for your treatment.
Business Operations: The Network may use and disclose your Medical Information to improve the care and service we provide and to run our business. For example, we may use your Medical Information to assist in quality improvement activities, billing audits, or accounting or legal services to determine whether Network personnel or other health care professionals did a good job.
Patient Directory: Our hospitals maintain a list of inpatients so that family members and other visitors can locate you or call you or get information about you while you are in the hospital. The list, called a patient directory, will include your name, room number, general condition (such as fair, stable, or critical), and your religion (if any). We will disclose this information to anyone who asks for you by name including family, friends or members of the press. Your religious affiliation will be disclosed only to clergy members. If you do not want this information included in the hospital's patient directory, please notify the hospital Admitting Department at the time of your admission.
Family Members and Others Involved in Your Care: The Network may disclose your medical Information to your family members or friends who are involved in your care, or to someone who helps to pay for your care. The Network may leave information regarding your upcoming office visits and appointments as messages at your home or on an answering machine. The Network may also disclose your medical information to disaster relief organizations to help locate individuals during a disaster. If you do not want the Network to disclose your medical information to family members or others in these circumstances, please notify the hospital nursing staff during your next hospital admission, and/or our practice office staff at your Lincoln physician practice.
Charitable Contributions: Since John C Lincoln is a non-profit organization, many of our patients like to make contributions. The John C. Lincoln Health Foundation may contact you in the future to raise donations for the Network or its programs. If you do not want the Foundation to contact you for fundraising please notify them by phone at (602) 331-7860, or by e-mail to firstname.lastname@example.org.
Research: The Network may use or disclose your Medical Information for research, such as studying the effectiveness of a drug or treatment you received. Such research projects must go through a special process that assures that your confidentiality and privacy will be protected.
Required by Law: Federal, state, or local laws sometimes require us to disclose your Medical Information. For instance, we are required to report child abuse or neglect and must provide information to law enforcement officials in domestic violence cases. We are also required to report information to the Arizona Workers' Compensation Program regarding work-related injuries.
Public Health: Arizona law requires us to report births, deaths, and communicable diseases to the State of Arizona. We also may need to report patient problems with medications or medical products to the FDA. We may also need to report problems to suppliers so that patients may be notified about product recalls.
Public Safety: In some circumstances, we may need to disclose Medical Information to law enforcement officials. For example, we may disclose Medical Information in response to a search warrant or a grand jury subpoena, or to assist law enforcement officials in identifying or locating a missing person, to report deaths that may have resulted from criminal conduct, and to report criminal conduct at the Hospital.
Health Oversight Activities: We may disclose Medical Information to a government agency that oversees the Network or its personnel, such as the Arizona Department of Health Services, the federal agencies that oversee Medicare, the Arizona Medical Board or the Board of Nursing. These agencies need Medical Information to monitor the Network's compliance with state and federal laws.
Coroners, Medical Examiners and Funeral Directors: We may disclose Medical Information concerning deceased patients to coroners, medical examiners and funeral directors to assist them in carrying out their duties.
Organ and Tissue Donation: We may disclose Medical Information to organizations that handle organ, eye or tissue donation or transplantation if you have previously agreed to organ donation.
Military, Veterans, National Security and Other Government Purposes: We may disclose Medical Information about members of the armed forces, as required by military command authorities or to the Department of Veterans Affairs. If requested to do so, we will also provide information to federal officials for intelligence and national security purposes or for presidential Protective Services.
Judicial Proceedings: We may be ordered to disclose information by a court or in response to a subpoena. You will receive advance notice about this disclosure in most situations so that you will have a chance to object to sharing your Medical Information.
Information with Additional Protection: Certain types of medical information have additional protection under Arizona law. In some circumstances, the Network will require your consent to disclose information about communicable disease and HIV/AIDS, drug and alcohol abuse treatment, genetic testing, and mental health treatment.
Other Uses and Disclosures: If the Network wishes to use or disclose your Medical Information for a purpose that is not discussed in this Notice, the Network will seek your permission. You may take back your permission at any time, unless we have already acted on your permission to use or disclose the Medical Information. To revoke your permission, please write to the Medical Records Department of the appropriate Network location.
WHAT ARE YOUR RIGHTS?
To Request Your Medical Information: You have the right to look at and obtain a copy of your Medical Information. To request a copy of your Medical Information, contact the Medical Records Department at the appropriate Network location. Before we send you the copies, we will notify you of any cost to copy the information. You can look at your record at no charge in the Medical Records Department where you received services.
To Request Amendment of Medical Information: If you believe that your Medical Information is wrong or incomplete, you may ask us to change it. To do so, send a written request to the Medical Records Department of the appropriate Network location. Your written request must include the change requested and the reason for the request.
To Get a List of Certain Disclosures of Your Medical Information: You have the right to obtain a list of some disclosures of your Medical Information. To receive this list, write to the Medical Records Department of the appropriate Network location. The first list will be free. We will charge for additional lists requested during the same year. We will tell you in advance what this list will cost.
To Request Restrictions on How the Network Will Use or Disclose Your Medical Information: You have the right to ask us not to use or disclosure your Medical Information as described in this notice. We are not required to agree to your request, but if we do agree, we will follow that agreement. If you want to request a restriction, write to the Medical Records Department of the appropriate Network location and describe your request in detail.
To Request Confidential Communications: You have the right to ask us to communicate with you in a way that you feel is more private. For example, you may ask us not to call your home, but to communicate only by mail. To do this, notify the Admitting Department at the time of your hospital admission or notify the office staff at your Lincoln physician practice. You can also ask to speak with your health care providers in private outside the presence of other patients.
To Receive a Paper Copy: If you have received this notice electronically, you have the right to a paper copy at any time. You may download a paper copy of the notice from our Web site, at www.JCL.com or you may get a paper copy of the notice at the hospital Admitting Departments or our physician practice locations.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice and to make the new provisions effective for all medical information we maintain. If we change these practices, we will publish a revised Notice of Privacy Practices. A copy of the current Notice of Privacy Practices is available from the hospital Admitting Departments, our physician practice locations, or the web site, www.JCL.com.
WHICH HEALTH CARE PROVIDERS ARE COVERED BY THIS NOTICE?
This Notice of Privacy Practices applies to health care providers in the Network. This includes John C. Lincoln North Mountain Hospital, John C. Lincoln Deer Valley Hospital, and the physician practices of the John C. Lincoln Physician Network.
The notice also applies to other health care providers that come to Network facilities and locations to care for patients, such as physicians, physician assistants, therapists, and other health care providers who are not employed by the Network. We may share your Medical Information with these providers for treatment purposes, to get paid for treatment, or to conduct health care operations. This notice will not apply if these other health care providers give you their own Notice of Privacy Practices that describes how they will protect your medical information.
DO YOU HAVE CONCERNS OR COMPLAINTS?
Please tell us about any problems or concerns you have with your privacy rights or how the Network uses or discloses your Medical Information. Contact the Lincoln Privacy Officer at (602) 331-5888.
If for some reason the Network cannot resolve your concern, you may also file a complaint with the Department of Health and Human Services. We will not penalize you or retaliate against you in any way for filing a complaint with the federal government.
DO YOU HAVE QUESTIONS?
The Network is required by law to protect the privacy of medical information, to give you this Notice and to follow the terms of the Notice currently in effect. If you have any questions about this Notice, or have further questions about how the Network may use and disclose your Medical Information, please contact the Privacy Officer at (602) 331-5888.
Effective date: July 2012