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
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.
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
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 RIGHTS: 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 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 CHOICES: For 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 DISCLOSURES: How 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
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:
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
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
- 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.
- 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
Telephone: (973) 406-1100