
NOTICE OF PRIVACY PRACTICES
Alaye Rẹ. Awọn ẹtọ Rẹ. Awọn ojuse wa.
Akiyesi yii wulo ni Oṣu kọkanla ọjọ 27th, ọdun 2015 ati ṣe apejuwe bi alaye iṣoogun nipa rẹ ṣe le lo ati ṣafihan ati bii o ṣe le ni iraye si alaye yii. Jọwọ ṣe ayẹwo daradara.
Awọn ibeere eyikeyi nipa Akiyesi yii yẹ ki o tọka si Awọn Onisegun Iṣọpọ, Oṣiṣẹ Asiri LLP, Terri Carufel-Wert , ẹniti o le de ọdọ ni:
Awọn Onisegun ti o somọ, LLP
4410 Street Regent
Madison, WI 53705
P; 608-233-9746
F: (608)233-0026
Patient Rights & Responsibilities
Confidentiality
Awọn ẹtọ Rẹ
O ni ẹtọ lati:
Gba ẹda ti iwe rẹ tabi igbasilẹ iṣoogun itanna
Ṣe atunṣe iwe rẹ tabi igbasilẹ iṣoogun itanna
Beere ibaraẹnisọrọ igbekele
Beere lọwọ wa lati fi opin si alaye ti a pin
Gba atokọ ti awọn ti a ti pin alaye rẹ pẹlu
Gba ẹda ti akiyesi ikọkọ yii
Yan ẹnikan lati ṣe fun ọ
Fa ẹdun kan ti o ba gbagbọ pe o ti ru awọn ẹtọ aṣiri rẹ
Awọn aṣayan rẹ
O ni awọn yiyan diẹ ni ọna ti a lo ati pin alaye bi awa:
Sọ fun ẹbi ati awọn ọrẹ nipa ipo rẹ
Pese iderun ajalu
Pẹlu ọ ninu ilana ile -iwosan (a ko ṣetọju tabi ṣe alabapin si itọsọna ile -iwosan ni Awọn Onisegun Alabaṣepọ.)
Pese itọju ilera ọpọlọ (a ko ṣe agbekalẹ awọn akọsilẹ itọju aarun -ara ni Awọn Onisegun Iṣọpọ.)
Ṣe ọja awọn iṣẹ wa ki o ta alaye rẹ (a ko ta ọja tabi ta alaye ti ara ẹni ni Awọn Onisegun Iṣọpọ.)
Gbe owo soke
Awọn lilo wa ati Awọn ifihan
A le lo ati pin alaye rẹ bi awa:
Toju o
Ṣiṣe agbari wa
Gba owo fun awọn iṣẹ rẹ
Iranlọwọ pẹlu ilera gbogbogbo ati awọn ọran aabo
Ṣe ìwádìí
Ṣe ibamu pẹlu ofin
Dahun si awọn ibeere ifunni ti ara ati ti ara
Ṣiṣẹ pẹlu oluyẹwo iṣoogun tabi oludari isinku
Sọ biinu awọn oṣiṣẹ, agbofinro, ati awọn ibeere ijọba miiran
Dahun si awọn ẹjọ ati awọn iṣe ofin
Awọn ẹtọ Rẹ
Nigbati o ba de alaye ilera rẹ, o ni awọn ẹtọ kan. Abala yii ṣalaye awọn ẹtọ rẹ ati diẹ ninu awọn ojuse wa lati ṣe iranlọwọ fun ọ:
Gba itanna tabi iwe ẹda ti igbasilẹ iṣoogun rẹ
O le beere lati rii tabi gba ẹda itanna tabi ẹda iwe ti igbasilẹ iṣoogun rẹ ati alaye ilera miiran ti a ni nipa rẹ. Beere lọwọ wa bi a ṣe le ṣe eyi.
A yoo pese ẹda kan tabi akopọ ti alaye ilera rẹ, nigbagbogbo laarin awọn ọjọ 30 ti ibeere rẹ. A le gba owo idiyele ti o peye, ti o da lori idiyele.
Beere lọwọ wa lati ṣe atunṣe igbasilẹ iṣoogun rẹ
O le beere lọwọ wa lati ṣe atunṣe alaye ilera nipa rẹ ti o ro pe ko pe tabi pe. Beere lọwọ wa bi a ṣe le ṣe eyi.
A le sọ “rara” si ibeere rẹ, ṣugbọn a yoo sọ fun ọ idi ni kikọ laarin awọn ọjọ 60.
Beere awọn ibaraẹnisọrọ igbekele
O le beere lọwọ wa lati kan si ọ ni ọna kan pato (fun apẹẹrẹ, ile tabi foonu ọfiisi) tabi lati fi meeli ranṣẹ si adirẹsi miiran.
A yoo sọ “bẹẹni” si gbogbo awọn ibeere ti o peye.
Beere lọwọ wa lati fi opin si ohun ti a lo tabi pin
O le beere lọwọ wa lati ma lo tabi pin alaye ilera kan fun itọju, isanwo, tabi awọn iṣẹ wa. A ko nilo lati gba si ibeere rẹ, ati pe a le sọ “rara” ti yoo ba kan itọju rẹ.
Ti o ba sanwo fun iṣẹ kan tabi ohun itọju ilera jade ninu apo ni kikun, o le beere lọwọ wa lati ma pin alaye yẹn fun idi isanwo tabi awọn iṣẹ wa pẹlu olutọju ilera rẹ. A yoo sọ “bẹẹni” ayafi ti ofin ba beere fun wa lati pin alaye yẹn.
G et atokọ ti awọn ti a ti pin alaye pẹlu
O le beere fun atokọ (iṣiro) ti awọn akoko ti a ti pin alaye ilera rẹ fun ọdun mẹfa ṣaaju ọjọ ti o beere, tani a pin pẹlu, ati idi.
A yoo pẹlu gbogbo awọn ifihan ayafi fun awọn ti nipa itọju, isanwo, ati awọn iṣẹ itọju ilera, ati awọn ifihan miiran kan (bii eyikeyi ti o beere fun wa lati ṣe). A yoo pese iṣiro ọkan ni ọdun kan fun ọfẹ ṣugbọn yoo gba idiyele ti o peye, idiyele ti o da lori idiyele ti o ba beere fun omiiran laarin oṣu 12.
Gba ẹda ti akiyesi ikọkọ yii
O le beere fun ẹda iwe kan ti akiyesi yii nigbakugba, paapaa ti o ba ti gba lati gba akiyesi naa ni itanna. A yoo fun ọ ni ẹda iwe ni kiakia.
Yan ẹnikan lati ṣe fun ọ
Ti o ba ti fun ẹnikan ni agbara iṣofin ti aṣoju tabi ti ẹnikan ba jẹ olutọju ofin rẹ, eniyan yẹn le lo awọn ẹtọ rẹ ati ṣe awọn yiyan nipa alaye ilera rẹ.
A yoo rii daju pe eniyan ni aṣẹ yii ati pe o le ṣe fun ọ ṣaaju ki a to ṣe eyikeyi igbese.
Fi ẹdun kan silẹ ti o ba lero pe awọn ẹtọ rẹ ti ṣẹ
O le kerora ti o ba lero pe a ti ṣẹ awọn ẹtọ rẹ nipa kikan si Oṣiṣẹ Asiri ti a damọ ni oju -iwe 1.
O le fi ẹdun kan ranṣẹ pẹlu Ẹka Ilera ti AMẸRIKA ati Ọfiisi Awọn Iṣẹ Eniyan fun Awọn ẹtọ Ilu nipa fifi lẹta ranṣẹ si 200 Independence Avenue, SW, Washington, DC 20201, pipe 1-877-696-6775, tabi ṣabẹwo www.hhs.gov /ocr/ìpamọ/hipaa/ẹdun/.
A kii yoo gbẹsan fun ọ fun kikojọ ẹdun kan.
Awọn aṣayan rẹ
Fun alaye ilera kan, o le sọ awọn yiyan rẹ nipa ohun ti a pin. Ti o ba ni ààyò ti o han gbangba fun bii a ṣe pin alaye rẹ ni awọn ipo ti a ṣalaye ni isalẹ, ba wa sọrọ. Sọ fun wa ohun ti o fẹ ki a ṣe, ati pe awa yoo tẹle awọn ilana rẹ.
Ni awọn ọran wọnyi, o ni ẹtọ ati yiyan lati sọ fun wa si:
Pin alaye pẹlu ẹbi rẹ, awọn ọrẹ to sunmọ, tabi awọn miiran ti o kopa ninu itọju rẹ
Pin alaye ni ipo iderun ajalu
Ṣafikun alaye rẹ ninu itọsọna ile -iwosan kan
Ti o ko ba ni anfani lati sọ ayanfẹ rẹ fun wa, fun apẹẹrẹ, ti o ba daku, a le lọ siwaju ati pin alaye rẹ ti a ba gbagbọ pe o wa ninu iwulo rẹ ti o dara julọ. A tun le pin alaye rẹ nigba ti o nilo lati dinku irokeke to ṣe pataki ti o sunmọ si ilera tabi ailewu.
Ni awọn ọran wọnyi a ko pin alaye rẹ ayafi ti o ba fun wa ni igbanilaaye kikọ:
Awọn idi tita
Tita ti alaye rẹ
Pupọ julọ pinpin awọn akọsilẹ psychotherapy
Ni ọran ti ikowojo:
A le kan si ọ fun awọn akitiyan ikowojo, ṣugbọn o le sọ fun wa pe ki a ma kan si ọ lẹẹkansi.
Awọn lilo wa ati Awọn ifihan
Bawo ni a ṣe lo deede tabi pin alaye ilera rẹ?
Toju o
A le lo alaye ilera rẹ ki o pin pẹlu awọn alamọja miiran ti o nṣe itọju rẹ. Fun apẹẹrẹ, dokita ti nṣe itọju rẹ fun ipalara kan beere dokita miiran nipa ipo ilera gbogbogbo rẹ.
Ṣiṣe agbari wa
A le lo ati pin alaye ilera rẹ lati ṣiṣẹ iṣe wa, mu itọju rẹ dara, ati kan si ọ nigbati o ba wulo. Fun apẹẹrẹ, a lo alaye ilera nipa rẹ lati ṣakoso itọju ati awọn iṣẹ rẹ.
Gba owo fun awọn iṣẹ rẹ
A le lo ati pin alaye ilera rẹ lati ṣowo ati gba isanwo lati awọn ero ilera tabi awọn nkan miiran. Fun apẹẹrẹ, a fun alaye nipa rẹ si eto iṣeduro ilera rẹ nitorinaa yoo sanwo fun awọn iṣẹ rẹ.
Bawo ni miiran ti a le lo tabi pin alaye ilera rẹ?
A gba wa laaye tabi nilo lati pin alaye rẹ ni awọn ọna miiran - nigbagbogbo ni awọn ọna ti o ṣe alabapin si ire gbogbogbo, gẹgẹbi ilera gbogbogbo ati iwadii. A ni lati pade ọpọlọpọ awọn ipo ninu ofin ṣaaju ki a to le pin alaye rẹ fun awọn idi wọnyi. Fun alaye diẹ sii wo: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html .
Iranlọwọ pẹlu ilera gbogbogbo ati awọn ọran aabo
A le pin alaye ilera nipa rẹ fun awọn ipo kan bii:
Idena arun
Iranlọwọ pẹlu awọn iranti ọja
Ijabọ awọn aati ikolu si awọn oogun
Ijabọ ilokulo ifura, aibikita, tabi iwa -ipa ile
Idilọwọ tabi dinku irokeke ewu si ilera tabi ailewu ẹnikẹni
Ṣe ìwádìí
A le lo tabi pin alaye rẹ fun iwadii ilera.
Ṣe ibamu pẹlu ofin
A yoo pin alaye nipa rẹ ti awọn ipinlẹ tabi awọn ofin ijọba ba nilo rẹ, pẹlu pẹlu Ẹka Ilera ati Awọn Iṣẹ Eniyan ti o ba fẹ lati rii pe a ni ibamu pẹlu ofin aṣiri ijọba apapọ.
Dahun si awọn ibeere ifunni ti ara ati ti ara
A le pin alaye ilera nipa rẹ pẹlu awọn ẹgbẹ rira ohun ara.
Ṣiṣẹ pẹlu oluyẹwo iṣoogun tabi oludari isinku
A le pin alaye ilera pẹlu oluṣewadii, oluyẹwo iṣoogun, tabi oludari isinku nigbati ẹni kọọkan ba ku.
Sọ biinu awọn oṣiṣẹ, agbofinro, ati awọn ibeere ijọba miiran
A le lo tabi pin alaye ilera nipa rẹ:
Fun awọn ẹtọ isanpada awọn oṣiṣẹ
Fun awọn idi agbofinro tabi pẹlu oṣiṣẹ agbofinro kan
Pẹlu awọn ile ibẹwẹ abojuto ilera fun awọn iṣẹ ti a fun ni aṣẹ nipasẹ ofin
Fun awọn iṣẹ ijọba pataki bii ologun, aabo orilẹ -ede, ati awọn iṣẹ aabo alaga
Dahun si awọn ẹjọ ati awọn iṣe ofin
A le pin alaye ilera nipa rẹ ni idahun si ile -ẹjọ tabi aṣẹ iṣakoso, tabi ni idahun si iwe -ipe.
Awọn ojuse wa
A nilo ofin lati ṣetọju aṣiri ati aabo ti alaye ilera ti o ni aabo.
A yoo jẹ ki o mọ ni kiakia ti irufin kan ba waye ti o le ti gbogun ikọkọ tabi aabo alaye rẹ.
A gbọdọ tẹle awọn iṣẹ ati awọn iṣe aṣiri ti a ṣalaye ninu akiyesi yii ati fun ọ ni ẹda kan.
A kii yoo lo tabi pin alaye rẹ yatọ si bi a ti ṣalaye nibi ayafi ti o ba sọ fun wa pe a le ni kikọ. Ti o ba sọ fun wa pe a le, o le yi ọkan rẹ pada nigbakugba. Jẹ ki a mọ ni kikọ ti o ba yi ọkan rẹ pada.
Awọn iyipada si Awọn ofin ti Akiyesi yii
A le yi awọn ofin ti akiyesi yii pada, ati awọn ayipada yoo waye si gbogbo alaye ti a ni nipa rẹ. Akiyesi tuntun yoo wa lori ibeere, ni ọfiisi wa, ati lori oju opo wẹẹbu wa.
Fun alaye diẹ sii wo: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html .
Ọjọ ti o munadoko: Akiyesi yii ti Iwa Asiri n ṣiṣẹ bi Oṣu Kẹsan ọjọ 23, ọdun 2013.
Patient Rights
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The patient has the right to receive information from health providers and to discuss the benefits, risks, and costs of appropriate treatment alternatives. Patients should receive guidance from their health providers as to the optimal course of action. Patients are also entitled to obtain copies or summaries of their medical records, to have their questions answered, to be advised of potential conflicts of interest that their health providers might have, and to receive independent professional opinions.
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The patient has the right to make decisions regarding the health care that is recommended by his or her health provider. Accordingly, patients may accept or refuse any recommended medical treatment.
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The patient has the right to courtesy, respect, dignity, responsiveness, and timely attention to his or her needs, regardless of race, religion, ethnic or national origin, gender, age, sexual orientation, or disability.
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The patient has the right to confidentiality. The health provider should not reveal confidential communications or information without the consent of the patient, unless provided for by law or by the need to protect the welfare of the individual or the public interest.
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The patient has the right to continuity of health care. The health provider has an obligation to cooperate in the coordination of medically indicated care with other health providers treating the patient. The health provider may discontinue care provided they give the patient reasonable assistance and direction, and sufficient opportunity to make alternative arrangements.
Patient Responsibilities
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Complete and respectful communication is essential to a successful health provider-patient relationship. To the extent possible, patients have a responsibility to be truthful and respectful when expressing their concerns to the healthcare team. Patients have a responsibility to provide a complete medical history, to the extent possible, including information about past illnesses, medications, hospitalizations, family history of illness and other matters relating to present health.
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Patients have a responsibility to request information or clarification about their health status or treatment when they do not fully understand what has been described.
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Once patients and health providers agree upon the goals of therapy, patients have a responsibility to cooperate with the treatment plan. Compliance with health provider instructions is often essential to public and individual safety. Patients also have a responsibility to disclose whether previously agreed-upon treatments are being followed and to indicate when they would like to reconsider the treatment plan.
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Patients should also have an active interest in the effects of their conduct on others and refrain from behavior that unreasonably places the health of others at risk. Patients should also be considerate of the healthcare team and other patients by arriving at their previously appointed time.
