NOTICE OF PRIVACY PRACTICES OF HIGH POINT REGIONAL HEALTH
SYSTEM
and other health care providers, as noted below, that are
subject to federal privacy protections
and that provide treatment and services to patients at our
facilities:
High Point Surgery Center*
Advanced Home Care*
Spectrum Laboratory Network*
The medical, dental, and other professional practices of
the Physicians, Dentists, and Allied Health Professionals
who comprise the Medical/Dental Staff at High Point Regional
Health System
*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.
Effective: April 14, 2003
If you have any questions or requests, please contact High
Point Regional Health Systems’ Privacy Office at 336-878-6550.
*This notice applies to health care providers who have agreed
to abide by this Joint Notice of Privacy Practices with
respect to medical information that they create or receive
while providing treatment and services to patients in the
inpatient and outpatient programs at High Point Regional
Health System. The health care providers listed on this
page may share health information with each other to carry
out treatment, payment and health care operations as explained
in this Notice.
NOTICE OF PRIVACY PRACTICES SUMMARY
A federal law, known as the "HIPAA Privacy Rule,"
requires that we explain how we may use and release health
information about you. This summary is being provided only
to give you a basic understanding of what our Privacy Notice
contains. For more information, you may read the full Notice
that follows this summary or contact our Privacy Office.
HOW WE MAY USE AND DISCLOSE PROTECTED
HEALTH INFORMATION ABOUT YOU
We may use and disclose protected health information ("PHI")
to you, to your personal representative, and for treatment,
payment, and certain business activities called "health
care operations."
If we first give you a chance to agree or object/opt-out,
we may disclose PHI to individuals involved in your care
or payment for your care. We may also include some information
about you in our facility directory and we may disclose
PHI for facility inspections.
Some examples of how we may also use and disclose PHI without
your authorization include
when we disclose for public health reasons; to report abuse,
neglect, or domestic violence; for health oversight activities;
for lawsuits and other legal proceedings; for research;
to avert a serious threat to health or safety; for specialized
government functions such as military or national security
purposes; and for workers’ compensation.
All other uses and disclosures of protected health information
require your authorization.
We will also follow North Carolina law and other federal
law that give you more protection of your PHI. For example,
North Carolina law gives you more protection of some kinds
of PHI including information about communicable diseases,
mental health, developmental disability, substance abuse,
and pharmacy prescriptions.
YOUR RIGHTS
You have the following rights as described in our Notice:
• Right to ask us to agree to more restrictions on
our use or disclosure of PHI about you;
• Right to receive confidential communications from
us;
• Right to inspect and copy PHI about you;
• Right to amend PHI about you;
• Right to receive a report about certain disclosures
of PHI about you; and
• Right to a paper copy of this Notice.
If you believe your privacy rights have been violated, you
may file a complaint with us or with the Secretary of the
United States Department of Health and Human Services. If
you have any questions about this Notice, you may contact
our Privacy Office at the address and telephone number listed
at the end of the Notice.
You may contact our Privacy Office at
the following address and phone number:
Privacy Office
High Point Regional Health System
601 N. Elm Street
High Point, NC 27262
Telephone: 336-878-6550
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