Surgery Center at Corporate Way, LLc
HIPAA Policy and Privacy
In order to comply with state and federal regulations concerning how sensitive information about your medical care is being handled, Surgery Center at Corporate Way, LLC is adopting the following HIPAA Policy and Privacy practice. This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice is effective January 1st, 2016, and applies to all protected health information as defined by federal regulations. The patient's rights and responsibilities form, as posted in our waiting room can be found here: pt_rts_resp.pdf
Your Health Information Rights
Although your health record is the physical property of Surgery Center at Corporate Way, LLC, the information belongs to you. You have the right to obtain a paper copy of this notice of information practices upon request, to inspect and copy your health record as provided for in 45 CFR 164.524 (at a reasonable fee), to request amendments to your health record that you believe to be inaccurate as provided in 45 CFR 164.528, to obtain an accounting of our uses and disclosures of your health information subject to certain exceptions as provided in 45 CFR 164.528, to request communications of your health information by alternative means or at alternative locations, to request restrictions on certain uses and disclosures of your information, although we are not obligated to honor this request, as provided by 45 CFR 164.522, to revoke your authorization to use or disclose health information except to the extent that action has already been taken.
For More Information or to Report a Problem
If you believe your privacy rights have been violated, you can file a complaint with the practice’s Privacy Officer or with the Office for Civil Rights (OCR), U.S. Department of Health and Human Services. If you have questions and would like additional information, you may contact the practice’s Practice Manager at (937) 434-4111. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights. The address for the OCR is listed below:
Office for Civil Rights
U.S. Department of Health and Human Services 200 Independence Avenue, S.W.,Room 509F, HHS Building Washington, D.C. 20201 OCRMail@hhs.gov
In addition, there is a pre-recorded message with useful information about OCR: Toll free: (800) 368-1019
Surgery Center at Corporate Way, LLC is required to maintain the privacy of your health information, to provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you, to abide by the terms of this notice, to notify you if we are unable to agree to a requested restriction, and to accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will have you read and ask questions about the agreement and its changes before proceeding with medical care. We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.