Your Information. Your Rights. Our Responsibilities.
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.
You have the right to:
- Get a copy of your paper or electronic medical record
- You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
- 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.
- Correct your paper or electronic medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
- Request confidential communication
- You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
- We will say “yes” to all reasonable requests.
- Ask us to limit the information we share
- You can ask us not to use or share certain health information for 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 whom we’ve shared your information
- You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we 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 notice
- You can 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
- If you have given someone medical power of attorney or if 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 believe your privacy rights have been violated
- You can voice your complaint by contacting us at 860 Iwilei Road, Honolulu, HI 96817-5018, (808) 791-8072, firstname.lastname@example.org.
- 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.
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 the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your care
- 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 your information unless you give us written permission:
- Marketing purposes
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
We typically use or share your health information in the following ways:
- Treat you
- We can 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 can 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 can 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 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. But, we have to meet many conditions in the law before we can share your information for these purposes.
- Help with public health and safety issues
- We can share health information about you for certain 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
- We can share health information about you for certain situations such as:
- 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’re complying with federal privacy law.
- Respond to organ and tissue donation requests
- We can share health information about you with organ procurement organizations.
- Work with a medical examiner or funeral director
- We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
- We can use or share health information about you
- For workers’ compensation claims
- 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 actions
- We can share health information about you in response 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.
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 Website.
Effective Date of Notice: 9/23/2013
Hospice Hawaii is interested in improving our Website and may develop and offer new features and services. We monitor aggregated data regarding use of the site for marketing purposes and to continue to improve and promote use of Hospice Hawaii’s Website. Hospice Hawaii may share aggregated data with third parties collectively and anonymously. No personal information will be revealed which would identify the site user in any way.
Hospice Hawaii has two exceptions to these limits on use of personal information: Hospice Hawaii may monitor and, when we believe in good faith that disclosure is required, disclose information to protect the security, property, assets and/or rights of Hospice Hawaii from unauthorized use, or misuse, of the site or anything found at the site. Hospice Hawaii may disclose information when required by law; however, only to the extent necessary and in a manner that seeks to maintain the privacy of the individual.
LINKS TO OTHER SITES
Correspondence via email is not secure, unless clearly noted otherwise. There is always a risk when sending sensitive information via email. Please take this into consideration when emailing Hospice Hawaii.
LICENSE AND USE OF SITE
Hospice Hawaii grants you a limited license to access and make personal use of this site. This license does not include any resale or commercial use of this site or its contents; any collection and use of any product listings, prices or descriptions; any copying or downloading of account information for the benefit of another merchant; any use of data mining, robots or similar data gathering and extraction tools; or any derivative use of this site or its contents. This site or any portion of this site may not be duplicated, copied, reproduced, visited, sold, resold or otherwise exploited for any commercial purpose without express written consent of Hospice Hawaii. You may not use any meta tags or any other “hidden text” utilizing Hospice Hawaii’s name or trademarks without the express written consent of Hospice Hawaii. You may not frame or utilize framing techniques to enclose any trademark, logo or other proprietary information (including images, text, page layout, or form) of Hospice Hawaii without its express written consent. Any unauthorized use terminates the license granted by Hospice Hawaii.
ERRORS AND INACCURACIES
The goal of Hospice Hawaii is to provide complete, accurate, up-to-date information on its site. Unfortunately, it is not possible to ensure that any site is completely free of human or technological errors. This site may contain typographical mistakes, inaccuracies or omissions, and some information may not be complete or current. Hospice Hawaii reserves the right to correct any errors, inaccuracies or omissions, including after an order has been submitted, and to change or update information at any time without prior notice.
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All trademarks, service marks and trade names employed by Hospice Hawaii are proprietary to Hospice Hawaii or other respective owners that have granted Hospice Hawaii the right and license to use such trademarks, service marks and trade names, and are protected by U.S. and international trademark laws.