Notice of Hospice 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 REVIEW IT CAREFULLY.

USE AND DISCLOSURE OF HEALTH INFORMATION

Texas Hospice may use your information, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. Texas Hospice has established policies to guard against unnecessary disclosure of your health information.

THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:

To Provide Treatment. Texas Hospice may use your health information to coordinate care within Texas Hospice and with others involved in your care, such as your attending physician and other health care professionals who have agreed to assist Texas Hospice in coordinating care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications. Texas Hospice also may disclose your health care information to individuals outside of Texas Hospice involved in your care including family members, pharmacists, suppliers of medical equipment or other health care professionals.

To Obtain Payment. Texas Hospice may include your health information in invoices to collect payment from third parties for the care you receive from Texas Hospice. For example, Texas Hospice may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse you or Texas Hospice. Texas Hospice also may need to obtain prior approval from your insurer and may need to explain to the insurer your need for home care and the services that will be provided to you.

To Conduct Health Care Operations. Texas Hospice may use and disclose health information for its own operations in order to facilitate the function of Texas Hospice as necessary to provide quality care to all of Texas Hospice’s patients. Health care operations includes such activities as:

Quality assessment and improvement activities.
Activities designed to improve health or reduce health care costs.
Protocol development, case management and care coordination.
Contact health care providers and patients with information about treatment alternatives and other related functions that do not include treatment.
Professional review and performance evaluation.
Training programs including those in which students, trainees or practitioners in health care learn under supervision.
Training of non-health care professionals.
Accreditation, certification, licensing or credentialing activities.
Review and auditing, including compliance reviews, medical review, legal services and compliance programs.
Business planning and development including cost management and planning related analyses and formulary development.
Business management and general administrative activities of Texas Hospice.
Fundraising for the benefit of Texas Hospice.

For example, Texas Hospice may use your health information to evaluate its staff performance, combine your health information with other Texas Hospice patients in evaluating how to serve more effectively all Texas Hospice patients, disclose your health information to Texas Hospice staff and contracted personnel for training purposes, use your health information to contact you as a reminder regarding a visit to you, or contact you as part of general fundraising and community information mailings (unless you tell us you do not want to be contacted).

For Fundraising Activities. Texas Hospice may use information about you including your name, address, phone number and the dates you received care in order to contact you to raise money for Texas Hospice. Texas Hospice may also release this information to a related Texas Hospice foundation. If you do not want Texas Hospice to contact you, notify our Compliance Officer that you do not wish to be contacted.

For Appointment Reminders. Texas Hospice may use and disclose your health information to contact you as a reminder that you have an appointment for a home visit.

For Treatment Alternatives. Texas Hospice may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY ALSO BE USED AND DISCLOSED.

When Legally Required. Texas Hospice will disclose your health information when it is required to do so by any federal, state or local law.
When There Are Risks to Public Health. Texas Hospice may disclose your health information for public activities and purposes in order to:

Prevent or control disease, injury or disability, report disease, injury, vital events such as birth or death and the conduct of public health surveillance, investigations and interventions.
Report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.
Notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease.
Notify an employer about an individual who is a member of the workforce as legally required.

To Report Abuse, Neglect or Domestic Violence. Texas Hospice is allowed to notify government authorities if Texas Hospice believes a patient is the victim of abuse, neglect or domestic violence. Texas Hospice will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure.

To Conduct Health Oversight Activities. Texas Hospice may disclose your health information to a health oversight agency for activities including audits, civil administrative or criminal investigations, inspections, licensure or disciplinary action. Texas Hospice, however, may not disclose your health information if you are the subject of an investigation not directly related to your receipt of health care or public benefits.
In Connection with Judicial and Administrative Proceedings. Texas Hospice may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process, but only when Texas Hospice makes reasonable efforts either to notify you about the request or to obtain an order protecting your health information.

For Law Enforcement Purposes. As permitted or required by state law, Texas Hospice may disclose your health information to a law enforcement official for certain law enforcement purposes as follows:

As required by law for reporting of certain types of wounds or other physical injuries pursuant to the court order, warrant subpoena or summons or similar process.
For the purpose of identifying or locating a suspect, fugitive, material witness or missing person.
Under certain limited circumstances, when you are the victim of a crime.
To a law enforcement official if Texas Hospice has a suspicion that your death was the result of criminal conduct including criminal conduct at Texas Hospice.
In an emergency in order to report a crime.

To Coroners and Medical Examiners. Texas Hospice may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties, as authorized by law.

To Funeral Directors. Texas Hospice may disclose your health information to funeral directors consistent with applicable law and if necessary, to carry out their duties with respect to your funeral arrangements. If necessary to carry out their duties, Texas Hospice may disclose your health information prior to and in reasonable anticipation of your death.

For Organ, Eye or Tissue Donation. Texas Hospice may use or disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs, eyes, or tissue for the purpose of facilitating the donation and transplantation.

For Research Purposes. Texas Hospice may, under very select circumstances, use your health information for research. Before Texas Hospice discloses any of your health information for such research purposes, the project will be subject to an extensive approval process.

In the Event of a Serious Threat to Health or Safety. Texas Hospice may, consistent with applicable law and ethical standards of conduct, disclose your health information if Texas Hospice, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.

For Specified Government Functions. In certain circumstances, the federal regulations authorize Texas Hospice to use or disclose your health information to facilitate specified government functions relating to military and veterans, national security and intelligence activities, protective services for the President and others, medical suitability determinations and inmates and law enforcement custody.

For Worker’s Compensation. Texas Hospice may release your health information for worker’s compensation or similar programs.

AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION

Other than is stated above, Texas Hospice will not disclose your health information other than with your written authorization. If you or you representative authorizes Texas Hospice to use or disclose your health information, you may revoke that authorization in writing at any time.

YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION

You have the following rights regarding your health information that Texas Hospice maintains:

Right to request restrictions. You may request restrictions on certain uses and disclosures of your health information. You have the right to request a limit on Texas Hospice’s disclosure of your health information to someone who is involved in your care or the payment of your care. However, Texas Hospice is not required to agree to your request. If you wish to make a request for restrictions, please contact the Compliance Officer.
Right to receive communications. You have the right to request that Texas Hospice communicate with you in a certain way. For example, you may ask that Texas Hospice only conduct communications pertaining to your health information with you privately with no other family members present. If you wish to receive confidential communications, please contact the Compliance Officer. Texas Hospice will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications.
Right to inspect and copy your health information. You have the right to inspect and copy your health information including billing records. A request to inspect and copy records containing your health information may be made to the Compliance Officer. If you request a copy of your health information, Texas Hospice may charge a reasonable fee for copying and assembling costs associated with your request.
Right to amend health care information. You or your representative have the right to request that Texas Hospice amend your records, if you believe that your health information is incorrect or incomplete. That request may be made as long as the information is maintained by Texas Hospice. A request for an amendment of records must be made in writing to the Compliance Officer. Texas Hospice may deny the request if it is not in writing or does not include a reason for the amendment. The request also may be denied if your health information records were not created by Texas Hospice, if the records you are requesting are not part of Texas Hospice’s records, if the health information you wish to amend is not part of the health information you or your representative are permitted to inspect and copy, or if, in the opinion of Texas Hospice, the records containing your health information are accurate and complete.
Right to an accounting. You or your representative have the right to request an accounting of disclosures of your health information made by Texas Hospice for certain reasons, including reasons related to public purposes authorized by law and certain research. The request for an accounting must be made in writing to the Compliance Officer. The request should specify the time period for the accounting starting on or after April 14, 2003. Accounting requests may not be made for periods of time in excess of six (6) years. Texas Hospice would provide the first accounting you request during any 12-month period without charge. Subsequent accounting requests may be subject to a reasonable cost-based fee.
Right to a paper copy of this notice. You or your representative have a right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact the Compliance Officer.

DUTIES OF THE AGENCY

Texas Hospice is required by law to maintain the privacy of your health information and to provide to you and your representative this Notice of its duties and privacy practices. Texas Hospice is required to abide by the terms of this Notice of its duties and privacy practices, as is and as it may be amended from time to time. Texas Hospice reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If Texas Hospice changes its Notice, Texas Hospice will provide a copy of the revised Notice to you or your appointed representative. You or your personal representative have the right to express complaints to Texas Hospice and to the Secretary of the U.S. Department of Health and Human Services if you or your representative believe that your privacy rights have been violated. Any complaints to Texas Hospice should be made in writing to the Compliance Officer. Texas Hospice encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.

CONTACT PERSON

Texas Hospice has designated Sharon Moore, its Compliance Officer, as its contact person for all issues regarding patient privacy and your rights under the federal privacy standards. Sharon Moore can be reached at

Texas Hospice
1067 Foch St.
Ft. Worth, TX 76107
866-770-7773
smoore@secure.texashospice.com.

EFFECTIVE DATE

This Notice is effective November 28, 2011.