This notice tells how medical information about you
may be used and disclosed and how you get access to this information. Please review it carefully.
The Way You Should Be Treated
ProHealth Care is committed to treating our patients the way they should be treated. We are committed to safeguarding your private health information and to following state and federal privacy laws. The federal law and regulations commonly known as “HIPAA” (the Health Insurance Portability and Accountability Act of 1996) require that we provide you this notice of our obligations concerning health information.
Who UsesThis Notice to Meet HIPAA Requirements
This notice applies to ProHealth Care’s affiliated entities, including ProHealth Waukesha Memorial Hospital, ProHealth Oconomowoc Memorial Hospital, ProHealth Care Home Care (including hospice services), ProHealth Medical Group and Waukesha Health System. The following persons and entities have also agreed to use this notice: all employees, staff, of and volunteers of ProHealth Care affiliated entities; and providers affiliated with ProHealth Solutions, ProHealth Care’s accountable care organization.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
Ask us to correct your medical record
Request confidential communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared information
Get a copy of this privacy notice
You may ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
File a complaint if you believe your rights are violated
For certain health information, you may tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In the following situations we will not share your information unless you give us written permission:
In the case of fundraising, we may contact you for fundraising efforts, but you may tell us not to contact you again.
Our Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
We may use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization
We may use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for your services
We may use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
How else may we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet certain conditions in the law before we may share your information for these purposes. For more information see: hhs.gov/ocr/privacy/hipaa/understanding/ consumers/index.html.
Help with public health and safety issues
We may share health information about you in certain situations such as:
In limited circumstances we may use or share your information for health research. For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another, for the same condition. If your specific permission is not obtained, a special approval process is followed to protect your privacy.
Comply with the law
We will share information about you if state or federal laws require us to do so, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We may share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We may share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We may use or share health information about you:
Respond to lawsuits and legal actions
We may share health information about you in response to a court or administrative order, or in response to a subpoena.
Communications with you
We may use and disclose your health information to communicate with you. We may contact you at the phone numbers and addresses you give us. For example, we may contact you concerning appointments, insurance, billing and payment, treatment, care instructions, and other benefits and services. We may leave messages at your home or voicemail. We may send you text and email messages at numbers and addresses you give to us.
Joint Electronic Medical Record
We participate in an arrangement of health care organizations who have agreed to work with each other to facilitate access to health information
that may be relevant to your care. For example, if you are admitted to a hospital on an emergency basis and cannot provide important information about your health condition, this arrangement will allow us to make your health information from other participants available to those who need it to treat you at the hospital. When it is needed, ready access to your health information means better care for you. We store health information about our patients in a joint electronic medical record with other health care providers and their employees who participate in this arrangement. Providers who participate in the joint electronic medical record include practicing medical staff at ProHealth Care facilities, members of ProHealth Solutions, and certain other providers with which we share electronic medical record capabilities. The privacy obligations and health information rights set forth in this notice also apply to information stored in the joint electronic medical record.
Organized Health Care Arrangement
We participate in one or more organized health care arrangements (OHCA). An OHCA is an organized system of health care in which more than one covered entity participates in the joint arrangement. The purpose of the participation includes conducting quality assessment and improvement activities and utilization review, and performing other clinically integrated network activities. One OHCA in which we participate is known as About Health. Your health information may be shared with other About Health and other OHCA participants for these purposes.
Note on Other Restrictions
Please be aware that state and federal law may have more requirements than HIPAA on how we use and disclose your health information. If there are specific, more restrictive requirements, even for some of the purposes listed above, we may not disclose your health information without your written permission as required by such laws.
For example, we will not disclose your HIV test results without obtaining your written permission, except as permitted by state law. We may also be required by law in some circumstances to obtain your written permission to use and disclose your information related to treatment for a mental illness, developmental disability, or alcohol or drug abuse.
Changes to this Notice
We reserve the right to change the privacy practices described in this notice in the event that the practices need to be changed to reflect changes in our practices and to be in compliance with the law. We will make the new notice provisions effective for all the protected health information that we maintain. If we change our privacy practices, we will have the new notice available upon request. The notice will also be posted at the location of service and on our website, prohealthcare.org.
Effective Date and Contact Information
This revised notice was effective October 31, 2018. If you have questions about this notice, you may contact our Privacy Officer at Privacy@ phci.org or call 262-928-2415.
AVAILABLE LANGUAGE ASSISTANCE SERVICES
ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-262-928-4465 (VRS: 1-866-327-8877).