The Central Community Health Board of Hamilton County, Inc.

office (513) 559-2000
fax (513) 559-2020

CENTRAL COMMUNITY HEALTH BOARD, INC

PRIVACY NOTICE

 

Effective:  April 14, 2003

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU MAY GAIN ACCESS TO THIS INFORMATION.   PLEASE READ CAREFULLY.

 

I.   CCHB’s DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION

 

Personal health information about your past present, or future health or condition, the provision of health care to you, or payment for health care is considered “Protected Health Information” (PHI).  CCHB is required by law to maintain the privacy of your personal health information and to give you this Notice about CCHB’s privacy practices that explains how, when and why we may use or disclose your PHI.  Except in special circumstances, we must use or disclose only the minimum necessary PHI to accomplish the intended purpose of the use or disclosure.

 

The following privacy practices described in this Notice represent CCHB’s current practices.  CCHB reserves the right to change these privacy practices and the terms of this Notice at any time.  You may request a copy of the new notice from CCHB’s Privacy Officer, Client Rights Officer or any other staff.

 

II.  HOW CCHB USES AND DISCLOSES YOUR PERSONAL HEALTH INFORMATION

 

CCHB uses and discloses your Protected Health Information (PHI) for a number of reasons.  We have a restricted right to use and/or disclose your PHI for treatment, payment and for CCHB’s health care operations.  Beyond those uses, CCHB must have your written authorization unless the law permits or requires CCHB to make the use or disclosure without your authorization.  The law provides that CCHB is permitted to make some uses/disclosures without your consent or authorization.  The following describes and provides examples of our potential uses/disclosures of your PHI.

 

Treatment: CCHB may disclose your PHI to doctors, nurses, social workers, counselors and other health care providers who are involved in providing your health care.  For example your PHI will be shared among members of your treatment team, various pharmacies and community support personnel.  Your PHI may be shared with pharmacies, and other community mental health agencies involved in the provision or coordination of your care.

 

Payment:  CCHB may use/disclose your PHI in order to bill and collect payment for services provided.  For example, we may release portions of your PHI to Medicaid, Medicare, the Ohio Department of Mental Health, the Ohio Department of Job and Family Services, the local Community Mental Health Board through the MACSIS, and/or a private insurer to get paid for services that CCHB delivers to you. 

 

Health Care Operations: CCHB may use/disclose your PHI in the course of operating CCHB.  For example CCHB may also release your PHI to the MACISIS and /or state agencies, Job and Family Services to determine your eligibility for publicly funded services.

 

Appointment reminders:  Unless you provide us with alternative instructions, we may send appointment reminders and other similar materials to your home or place of residence.

 

III.  USES AND DISCLOSURES OF

PHI REQUIRING AUTHORIZATION

 

For uses and disclosures beyond treatment, payment and operations purposes CCHB is required to have your written authorization unless the use falls within one of the following  exceptions.  Your authorization may be revoked at any time to stop future uses/disclosures except to the extent that CCHB’s staff has already taken an action in reliance upon your authorization.

Exceptions:

1)    When required by law.  For example child abuse reporting laws, abuse, domestic violence, or relating to suspected criminal activity, or in response to a court order.  We must also disclose PHI to authorities that monitor compliance with these privacy requirements.

1)       Public Health Activities:

2)       Health oversight activities:

3)       Relating to decedents: CCHB may disclose PHI related to death to coroners, medical examiners or funeral directors.

4)       Research:  Presently, CCHB does not participate in any research program.

5)       To stop a threat to health or safety: CCHB may disclose PHI to law enforcement or other persons to prevent or reduce the threat of harm.

6)       For specific government functions: CCHB may disclose PHI to military personnel and veterans in certain situations, to correctional facilities in certain situations, to government benefit programs relating to eligibility and enrollment, and for national security reasons.

 

IV.  USES AND DISCLOSURES REQUIRING YOU TO HAVE AN OPPORTUNITY TO OBJECT

 

To families, friends or others involved in your care.  CCHB may share with these people information to assist in your care, or to payment for your care such as group home operators.  CCHB may also share PHI with these people to notify them about your location, general condition, or death.  Generally this information would be limited to diagnosis and prognosis, list of services and personnel available to assist you and your family or group home operator.

 

V. YOUR RIGHTS

 

TO REQUEST RESTRICTIONS ON USES/ DISCLOSURES: You have the right to ask that CCHB limit how it uses or discloses your PHI.  CCHB will consider your request, but is not legally bound to agree to your requested restriction.  CCHB cannot

limit uses/disclosures that are required by law.

 

TO CHOOSE HOW CCHB CONTACTS YOU: You have the right to ask CCHB to send you information at an alternative address or by another means.  CCHB will agree to your request as long as it is reasonably easy or possible for CCHB to do so.

 

TO INSPECT AND REQUEST A COPY OF YOUR PHI: You may have access to your records, by your written request, unless a licensed health care professional has determined that the access requested is reasonably likely to endanger the life or physical safety of you or another person.   CCHB will respond to your request in 30 days. You have a right to choose what portions of your information you want copied and to have prior information on the cost of copying.

 

TO REQUEST AMENDMENT OF YOUR PHI:

If you believe that there is a mistake or missing information in CCHB’s record of you, you may request, in writing, that CCHB correct or add to the record.  CCHB will respond within 60 days of receiving your request.   CCHB may deny the request if it determines that the PHI is (1) correct and complete; (2) not created by us and/or not part of our records, or; (3) not permitted to be disclosed.

 

TO FIND OUT WHAT DISCLOSURES HAVE BEEN MADE: You have a right to obtain a list of when, to whom, for what purpose, and what content of your PHI has been released other than instances of disclosure for treatment, payment and operations; to you, your family, or the pursuant to your written authorization.  This accounting will not apply to disclosures for national security purposes, to law enforcement officials or correctional facilities, or disclosures made before April 14, 2003.  CCHB will respond to your written request for such a list within 60 days of receiving it.  Your request can relate to disclosures going as far back as six years.  There will be no charge for up to one such list each year.  There will be a charge for more than one request per twelve month period.

 

 

VI.   USES AND DISCLOSURES OF PHI FROM ALCOHOL AND OTHER DRUG RECORDS NOT REQUIRING CONSENT OR AUTHORIZATION

 

The law grants CCHB the right to use/disclose your PHI from alcohol and other drug records without consent or authorization in the following circumstances:

1)       When required by law:

2)       Relating to decedents

3)       For research, audit or evaluation purposes

4)       To stop a  threat to health or safety:

 

VII. HOW TO COMPLAIN ABOUT CCHB’s PRIVACY PRACTICES

 

If you think CCHB may have violated your privacy rights, or you disagree with a decision CCHB made about access to your PHI, you may file a complaint with CCHB's Privacy Officer or Client Rights Officer:

Ms. Charlene Davis, CRO

Central Community Health Board

532 Maxwell Avenue

Cincinnati, Ohio 45219

(513) 559-2015

(513) 559-2013

 

You may also file a written complaint with the Secretary of the U.S. Department of Health and Human Services at 200 Independence Avenue SW, Washington D.C. 20201 or call 1-877-896-6775.   No staff at CCHB will take retaliatory action against you if you make such complaint.