Department for Persons with Disabilities
A Catholic Charities Agency in the Diocese of Paterson
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Notice of Privacy Practices

Below is Notice of Privacy Practices for the individuals served by DPD.  Please call us with any questions at (973) 406-1100.

 


 

NOTICE OF PRIVACY PRACTICES

 

Catholic Charities, Diocese of Paterson                                          1 Catholic Charities Way, P.O. Box 2539

Department for Persons with Disabilities (DPD)                            Oak Ridge, New Jersey  07438

                                                                                                                Telephone: (973) 406-1100

                                                                                                                E-mail:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

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.

                                                               

Your Information.  Your Rights.  Our Responsibilities.

                                                                                                                                                           

YOUR RIGHTS

You have the right to:

  • Get a copy of your paper or electronic medical record                                     See page 2 for more
  • Correct your paper or electronic medical record                                            information on these
  • Request confidential communication                                                               rights and how to
  • Ask us to limit the information we share                                                         exercise them
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

YOUR CHOICES

You have some choices in the way that we

use and share information as we:

  • Tell family and friends about your condition                                             See page 3 for more
  • Provide disaster relief                                                                                    information on these
  • Market our services                                                                                       choices and how to
  • Raise funds                                                                                                      exercise them

OUR USES AND DISCLOSURES

We may use and share your information as we:

  • Treat you                                                                                                          See pages 3 and 4 for
  • Run our organization                                                                                     more information on these
  • Bill for your services                                                                                       uses and disclosures
  • Help with public health and safety issues
  • Do research
  • Comply with the law
  • Respond to organ and tissue donation requests
  • Work with a medical examiner or funeral director
  • Address worker’s compensation, law enforcement, and other government requests
  • Respond to lawsuits and legal actions                                                                                          

YOUR RIGHTSWhen 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 paper                ●             You can ask to see or get an electronic or paper copy of your

copy of your medical                                     medical record and other health information we have about you.

record                                                                   Ask us how to do this. 

●             We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

                                                                                                                                                           

Ask us to correct your                    ●             You can ask us to correct health information about you that you

medical record                                                  think is incorrect or incomplete.  Ask us how to do this.

                                                                ●             We may say “no” to your request, but we’ll tell you why in writing

                                                                                within 60 days.

                                                                                                                                                           

Request confidential                     ●             You can ask us to contact you in a specific way (for example,

communications                                              home or office phone) or to send mail to a different address.

                                                                ●             We will say “yes” to all reasonable requests.

                                                                                                                                                           

Ask us to limit what we                 ●             You can ask us not to use or share certain health information for

use or share                                                       treatment, payment, or our operations.  We are not required to

agree to your request, and we may say “no” if it would affect your care.

●             If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.  We will say “yes” unless a law requires us to share that information.

                                                                                                                                                           

Get a list of those with                  ●             You can ask for a list (accounting) of the times we’ve shared your

whom we’ve shared                                       health information for six years prior to the date you ask, who we

information                                                       shared it with, and why.

●             We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make).  We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

                                                                                                                                                           

Get a copy of this privacy             ●             You can ask for a paper copy of this notice at any time, even if notice                                                                       you have agreed to receive the notice electronically.  We will

                                                                                provide you with a paper copy promptly.

                                                                                                                                                           

Choose someone to act                 ●             If you have given someone medical power of attorney or if

for you                                                                 someone is your legal guardian, that person can exercise your

rights and make choices about your health information.

●             We will make sure the person has this authority and can act for you before we take any action.

                                                                                                                                                           

File a complaint if you feel          ●             You can complain if you feel we have violated your rights by

your rights are violated                                 contacting us using the information on page 1.

●             You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling

1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/ complaints/.

                                                                ●             We will not retaliate against you for filing a complaint.

                                                                                                                                                           

 

YOUR CHOICESFor certain health information, you can 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                    ●             Share information with your family, close friends, or

the right and choice to tell us                                     others involved in your care.     

to:                                                                          ●             Share information in a disaster relief situation.

●             If you are not able to tell us your preference, for example  if you are unconscious, we may go ahead and 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 these cases we never share                    ●             Marketing purposes

your information unless you                       ●             Sale of your information

give us written permission:                        ●             Most sharing of psychotherapy notes.   

                                                                                                                                                           

In the case of fundraising:                           ●             We may contact you for fundraising efforts, but you can

                                                                                                tell us not to contact you again.

                                                                                                                                                           

 

OUR USES AND DISCLOSURESHow do we typically use or share your health information?  We typically use or share your health information in the following ways.

                                                                                                                                               

Treat You                            ●           We can use your health information          Example: A doctor treating you

                                                              and share it with other professionals         for an injury asks another doctor

                                                              who are treating you.                                       about your overall health

                                                                                                                                                condition.

                                                                                                                                                           

Run our organization     ●             We can use and share your health            Example: We use health

                                                                information to run our practice,                 information about you to

                                                                improve your care, and contact                  manage your treatment and

                                                                you when necessary.                                      services.

                                                                                                                                                           

Bill for your services      ●             We can use and share your                          Example: We give information

                                                                health information to bill                              about you to your health

                                                                and get payment from                                   insurance plan so it will pay for

                                                                health plans or other entities.                    your services.

                                                                                                                                                           

 

 

How else can 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 many conditions in the law before we can share your information for these purposes. For more information see:

www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

                                                                                                                                                           

Help with public health                                 ●             We can share health information about you for certain

and safety issues                                                             situations such as:

-          Preventing disease

-          Helping with product recalls

-          Reporting adverse reactions to medications

-          Reporting suspected abuse, neglect, or domestic violence

-          Preventing or reducing a serious threat to anyone’s health or safety

                                                                                                                                                           

Do research                                                        ●             We can use or share your information for health

                                                                                                research.

                                                                                                                                                           

Comply with the law                                      ●             We will share information about you if state or federal laws

require it, including with the Department of Health and Human                 Services if it wants to see that we are complying with federal privacy law.

                                                                                                                                                           

Respond to organ and tissue                      ●             We can share health information about you with organ

donor requests                                                                 procurement organizations.

                                                                                                                                                           

Work with a medical examiner                 ●             We can share health information with a coroner, medical

or funeral director                                                          examiner, or funeral director when an individual dies.

                                                                                                                                                           

Address worker’s compensation,             ●             We can use or share health information about you:

law enforcement,                                                           -      For worker’s compensation claims

and other government requests                               -      For law enforcement purposes or with a law

       enforcement official

-          With health oversight agencies for activities authorized by law

-          For special government functions such as military, national security, and presidential protective services

                                                                                                                                                           

Respond to lawsuits and legal                   ●             We can share health information about you in response

actions                                                                                 to a court or administrative order, or in response to a subpoena.

                                                                                                                                                           

 

OUR RESPONSIBILITIES

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing.  If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/hoticepp.html.

 

 

CHANGES TO THE TERMS OF THIS NOTICE

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Effective December 21, 2016

This Notice of Privacy Practices applies to the following organization:

Catholic Charities, Diocese of Paterson

Department for Persons with Disabilities

1 Catholic Charities Way, P.O. Box 2539

Oak Ridge, New Jersey  07438

Privacy Officer – Scott Milliken

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Telephone: (973) 406-1100