This notice describes how information about you may be used and disclosed and how you can get access to this in formation. Please review it carefully.
MedSource Health Care System uses the medical record that we create in the course of providing quality home health care and services to you so that we may comply with certain legal requirements. MedSource Health Care System understands that medical information about you and your health is personal. We are committed to protecting your medical information.
This Notice applies to all records of your care generated by MedSource Health Care System, whether made by MedSource Health Care System personnel or by your personal doctor. Your personal doctor may have different policies or notices regarding the doctor’s use and disclosure of your medical information which was or is created in the doctor’s office or clinic.
MedSource Health Care System is required by law to:
The following categories describe different ways that MedSource Health Care System uses and discloses medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment. We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, or other home health agency personnel who are involved in taking care of you in the home. For example, a doctor referring you for home care for a non-healing wound would need to communicate to your nurse if you have diabetes because diabetes may slow the healing process. In addition, the nurse may need to tell the dietitian or home health aide if you have diabetes so that we can arrange for appropriate meals.
4. Health Oversight Activities: We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system government programs, and compliance with civil rights laws.
5. Lawsuits and Disputes: State laws vary as to what is required before we may release your medical information when you are involved in a lawsuit or a dispute. In many states, we may disclose medical information about you in response to a court or administrative order.
We may also disclose medical information about you in response to a lawful subpoena, discovery request or other lawful process by someone else involved in the dispute, but only if adequate notice has been provided to you about the request for release or disclosure of your records.
You may also request that the denial be reviewed. Another licensed health care professional chosen by MedSource Health Care System will review your request and the denial. The person conducting the review will not be the person who denied your request. MedSource Health Care System will comply with the outcome of the review.
To request this list or accounting of disclosures, you must submit your request in writing to MedSource Health Care System. Your request must state a time period which may not be longer than six years. Your request should indicate in what format you want the list. The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list.
We are not required to agree to your request. If we agree, we will comply with your request unless the information is needed to provide you emergency treatment
If you believe our privacy rights have been violated, you may file a complaint with the home health agency or with the Secretary of the Department of Health and Human Services. To file a complaint with MedSource Health Care System, you may call 1-800-458-9858 for information about the handling of complaints. The same persons are listed on the first page as contacts for more information about this Notice.
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Written complaints may be faxed to :972-572-9782 or mailed to:MedSource Health Care System1350 E. Arapaho Rd Ste 238, Richardson, TX. 75081ATTN: HIPAA COMPLAINTS