NOTICE OF INFORMATION OF PRIVACY PRACTICES
A. OUR LEGAL RESPONSIBILITY
Federal, State and Local laws require us to keep Protected Health Information about you. These laws also require us to tell you how we achieve this and how, when and why we use PHI about you.
B. USE AND DISCLOSURE OF PHI WITHOUT RECOURSE TO YOU
1. We may use and disclose your PHI in order to provide you professional service and treatment
2. We may use and disclose your PHI in order for us to be paid services / treatments rendered to you.
3. We may use and disclose your PHI for healthcare operations carried out for and on your behalf.
4. We may disclose your PHI as part of health activities such as death records and controlling communicable disease
5. We may disclose your PHI to coroners, medical examiners and funeral directors in pursuit of their legitimate duties
6. We may disclose your PHI when ordered by a competent court in lawsuits and disputes
7. We may disclose your PHI concerning military personnel and veterans as required by command authorities
8. We may disclose your PHI concerning inmate for their health and the health and safety of other inmates
9. We many contact you and remind you of an appointment
10. We may send you materials about our services and providers
11. We may include you in our client directory
12. We may disclose you PHI as a requirement by Federal, State or Local law under competent jurisdiction
13. We may disclose your PHI as part of health oversight activities (audits, monitoring investigations, licensures, etc)
14. We may disclose your PHI as part of workers’ compensation or similar program
15. We may disclose your PHI for research purposes if approved by a competent board that authorization be waived.
C. YOUR RIGHTS
1. You have a right to a copy of this notice
2. You have a right to see and copy of your PHI
3. You have a right to request different and other ways to communicate with you
4. You have a right to request amendment of your PHI so long as a legitimate error can be identified
5. You have a right to impose restriction on the use and disclosure of PHI about you.
6. You have a right to ask for list of all or part of disclosures made to you
D. COMPLAINTS
If you believe your privacy rights have been violated, you may call 443-405-3333 or you may file a written complaint to:
The privacy Officer, Good Shepherd Healthcare Services
8319 Liberty Road,
Windsor, MD 21244
Tel: 443-405-3333 / 443-621-6235
E-Mail: goodshepherdhealths@gmail.com
COMPLIANCE
At Good Shepherd Healthcare Services, we comply with Federal, State and Local laws, regulations and requirements. We practice in full compliance with the regulations and standards set by the Maryland Board of Nursing, Maryland Department of Health and Mental Hygiene, OSHA, HIPPA, OCR, HHS, JCAHO and ANA. Compliance with applicable laws and regulations is at the foundation of ethical business practices. The high standards of operational excellence that we have set for ourselves contribute immensely to our success. To this end, we have established a Business Ethnics and Corporate Compliance Program which consists of a Corporate Compliance Plan; Education and Training; and Monitoring. The most valuable element of our Business Ethics and Corporate Compliance Program is the commitment of our staff whose continued effort to support our high ethical standards ensure the ongoing success of the organization.
If you believe your privacy rights have been violated, you may call (443)405-3333 or you may file a written complaint to:
The Privacy Officer, Good Shepherd Healthcare Services
8319 Liberty Road
Windsor, MD 21244
Tel: 443-405-3333 / 443-621-6235
E-Mail: goodshepherdhealths@gmail.com
www.goodshepherdhealths.com
You also have the choice to call:
The Residential Agency Hotline: 1-800-492-6005
Or send written complaints to:
Barbara Fagan, Survey Coordinator, Office of Health Care Quality
Bland Bryant Building, spring Grove Hospital Center,
55 Wade Avenue, Catonsville, MD 21228