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隐私

伟德平台直营私隐声明

本通知描述如何使用和披露您的医疗信息 and how you can get access to this information. 请仔细审阅. 生效日期:2018年8月. 2023年2月修订

授权使用和披露您受保护的健康信息:

York may 使用 and disclose your PHI, 未经您授权, 用于治疗目的, 付款, 以及医疗保健业务. 例如:

  • 治疗: York may 使用 or disclose your PHI to other 卫生保健提供者 for treatment and continuity of care purposes and to arrange for the provision, 协调, and man年龄ment of health care services for you. 例如, 约克可能会向您的初级保健医生披露您的住院信息，以便在您出院后为您安排适当的院后护理. 约克也可能向药剂师透露您的PHI信息以处理您的处方, or to a medical equipment supplier for supplies and equipment necessary for your care.
  • 付款: 约克可向您的健康伟德直营公司或其他第三方付款人健康计划(如Medicare或Maine护理 (Medicaid))使用或披露您的PHI信息，以获取向您提供的医疗保健服务的付款或报销, 或者决定你是否有资格获得伟德直营和福利, unless you pay in full out of pocket for services provided to you and request in writing that your PHI not be disclosed to third-party payors.
  • 保健业务: 约克可出于某些医疗保健操作目的使用或披露您的PHI, such as quality review and improvement activities, 风险管理活动, 并进行和处理患者满意度调查.
  • ORGANIZED HEALTH CARE ARRANGEMENT PURPOSES: 参与约克有组织医疗保健安排(如下所述)的约克实体可在必要时相互分享您的PHI，以开展治疗, 付款 or health care operations relating to the 器官ized health care arrangement.
  • 病人门户 约克大学提供了一个病人门户网站，供病人在线查看他们的健康信息. York currently utilizes RelayHealth and eClinical Works (eCW) for confidentially storing your personal and medical information. RelayHealth and eCW 使用 a secure, encrypted connection that meets the highest industry standards. All health data is stored on a secure server and man年龄d with the protection of your information in mind. Only you – and those you authorize – are able to see or gain access to the information in your Portal. RelayHealth的完整隐私政策可通过访问他们的网站查看 http://www.relayhealth.com/privacy 及eCW的完整私隐政策可浏览其网站 http://www.eclinicalworks. com/privacy-policy/.
  • 卫生信息交流 约克参加全州健康信息交换(HIE). The HIE helps the hospital provide higher quality, more efficient care by sharing health information across a secure system with other participating providers. This means that if you are admitted to a Maine health care facility not affiliated with 纽约医院, 卫生保健提供者

there will be able to see important health information held in our electronic medical record systems. 你不必参加HIE就能得到照顾. For more information about HealthInfoNet and your choices regarding participation, visit www.hinfonet.org or call toll-free 1-866-592-4352.

YORK MAY ALSO USE AND DISCLOSE YOUR PHI WITHOUT YOUR AUTHORIZATION IN THE FOLLOWING ADDITIONAL CIRCUMSTANCES:

  • 法律规定的: York may 使用 and disclose your PHI when required or authorized by state and federal law.
  • 公共卫生活动: York may 使用 and disclose your PHI to public health authorities for public health activities, such as to comply with mandatory communicable disease and vital statistics reporting laws.
  • ABUSE, NEGLECT, AND EXPLOITATION REPORTING: 约克可披露贵方的PHI to government authorities, 例如儿童保护服务或成人保护服务, 这是 受法律授权接受实际或疑似虐待案件的报告, 忽视, 或剥削儿童和无行为能力或依赖他人的成年人.
  • 卫生监督活动: York may 使用 and disclose your PHI to a health oversight 年龄ncy for activities authorized by law such as compliance with health oversight audits, 调查, licensure surveys and inspections, 以及合规调查. Oversight 年龄ncies authorized to receive your PHI include government 年龄ncies that oversee the health care system, 政府福利计划, and other government regulatory programs, 包括缅因州卫生与公众服务部, 联邦医疗伟德直营计划, and Maine health care professional licensing boards.
  • JUDICIAL AND ADMINISTRATIVE PROCEEDINGS: 约克可披露贵方的PHI in judicial or administrative proceedings when required or authorized by law, 例如, in response to an order of a court or pursuant to a subpoena served by a governmental entity authorized by law to have access to your PHI.
  • 执法目的: 约克可披露贵方的PHI, so long as applicable legal requirements are met, 为了某些执法目的，比如报告枪伤, crimes committed on York’s premises, or crimes committed against York personnel.
  • CORONERS AND MEDICAL EXAMINERS: York may 使用 and disclose PHI to coroners and medical examiners regarding a deceased patient for identification purposes, or for a coroner or medical examiner to determine a ca使用 of death or to perform other duties authorized by law.
  • 葬礼司仪: 如有必要，约克可根据适用法律向殡仪主管使用和披露PHI，以履行其为已故患者安排葬礼的职责. If necessary to carry out such duties, York may disclose such information prior to and in reasonable anticipation of a patient’s death.
  • BODY, ORGAN, EYE OR TISSUE DONATION PURPOSES: York may 使用 and disclose PHI to 器官 procurement 器官izations or other entities for cadaveric (body), 器官, 眼睛, 或组织捐赠目的.
  • 研究: 约克可出于研究目的使用和披露您的个人信息，前提是该研究以及与该研究相关的任何使用和披露均得到机构审查委员会(IRB)或隐私委员会的批准，且该研究产生的或与该研究相关的任何报告中未披露您的身份信息.
  • 避免危害或安全威胁的使用和披露: York may 使用 and disclose your PHI when necessary to prevent or lessen a direct threat of serious, imminent harm to health or safety.
  • SPECIALIZED GOVERNMENT FUNCTIONS: 约克可向下列专门政府披露贵方的PHI 在适用法律授权或要求披露时的职能:
  1. Armed Forces and Foreign Military Personnel: 约克可披露武装部队成员和外国军事人员的PHI，以进行适当军事指挥当局认为必要的活动，以确保适当执行军事任务.
  2. National Security and Intelligence Activities: 约克可披露贵方的PHI to authorized federal officials for the conduct of lawful intelligence, 反情报, and other national security activities authorized by the National Security Act and related Executive Orders.
  3. Protective 服务 for the President and Others: 约克可披露贵方的PHI to authorized federal officials for the provision of protective services to the President or other persons, or for the conduct of 调查, authorized under applicable federal law.
  4. 惩教机构及执法人员: York may disclose to a 修正al institution or a law enforcement official having lawful custody of an inmate or other individual, PHI about the inmate or other person when necessary (i) to provide health care to the inmate or 被羁押人, (ii) for the health and safety of the inmate or 被羁押人, (iii)为惩教人员的健康及安全, (iv) for the health and safety of persons responsible for transporting the inmate or 被羁押人,
    1. 在惩教设施内执法，以及
    2. for administering and maintaining the safety, security and good order of the 修正al institution.
  • 工人'COMPENSATION: 约克可在获得授权并遵守与工人赔偿或其他提供工伤或疾病福利而不考虑过失的类似计划相关的法律时披露您的PHI.
  • 商业伙伴: 约克可将您的PHI披露给为或代表约克提供服务的商业合作承包商，前提是该等承包商已书面同意适当保护您的PHI.
  • 个人代表: 约克可将您的PHI披露给个人代表, 比如你的监护人, health care power of attorney 年龄nt, 或者医疗保健代理, who is authorized to make health care decisions on your behalf when you lack the capacity to make your own health care decisions.
  • USES AND DISCLOSURES FOR FACILITY DIRECTORY PURPOSES: Unless you or your personal representative notify York that you object to and wish to prohibit or restrict any such 使用s and disclosures, York may 使用 and disclose the following limited PHI about you for the following facility directory purposes:
  1. 约克可使用有关您的有限PHI来维护工厂目录，即, your presence and room location in a York facility, a brief general description of your health status and condition that does not communicate specific medical information about you, and your religious affiliation.
  2. York may disclose such facility directory information about you (except for your religious affiliation) to persons who ask for you by name, 包括公众和执法人员.
  3. 约克也可能直接披露有关您的信息, including your religious affiliation, 给神职人员.
  4. 约克还可能向通过姓名询问您的媒体人员披露您的健康状况的简要概述，但不会传达有关您的具体医疗信息(但不包括您的房间号码).
  • PERSONS INVOLVED IN YOUR CARE AND USES AND DISCLOSURES FOR NOTIFICATION PURPOSES: 约克可披露贵方的PHI to family members, 亲戚, or close personal friends involved in your care, involved in securing 付款 for your care, 或用于通知目的，除非您或您的个人代表通知伟德直营您反对并希望禁止或限制此类披露.
  • 救灾: 约克可向法律授权的公共或私人实体使用并披露您的个人信息，以协助救灾工作以达到某些通知目的, provided you have been given the opportunity to agree or to object to such 使用s and disclosures.
  • 筹款活动: 纽约医院 may 使用 your information for fundraising to support the hospital’s mission of excellence, but you can tell us not to contact you again. To opt out of future fundraising communications, 伟德平台直营伟德平台直营的企业合规总监 & 隐私 at 纽约医院, 15 Hospital Drive in 约克，缅因州03909 or call (207)351-2443. Information we may 使用 is limited to demographic or other information allowed by law (such as name, address, telephone number or e-mail information, 年龄, 出生日期, 性别, 健康伟德直营状况, 服务日期, department of service information, treating physician information, 或结果信息). 伟德平台直营还可以向机构相关的基金会披露此类有限信息，以便为伟德平台直营开展筹款活动.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION REQUIRING YOUR AUTHORIZATION:

  • 书面授权: For other types of 使用s and disclosures not described in this Notice of 隐私 Practices, York将在使用或披露您的PHI之前获得您的书面授权. 例如, the following 使用s and disclosures require work to obtain your written authorization:
    • 心理治疗指出: In the event that York maintains psychotherapy notes about you 这是 kept separate from the rest of your York medical record, 约克将获得您的书面授权，以使用或披露该等心理治疗记录，除非适用法律规定的授权要求有例外情况.
    • 市场营销: York will obtain your written authorization for any 使用 or disclosure of your PHI to sell or market products or services, except in limited circumstances (例如, in face-to-face marketing communications with you).
    • PHI的销售: York will obtain your written authorization for any disclosure of your PHI that involves a sale of your PHI, unless an exception applies under applicable law.
    • Photographs and Video recordings: York will not photograph or video record you, 或使用或披露您的任何照片和录像, for non-treatment related purposes, for marketing or public relations purposes, without your written authorization, 除非创造, 使用, 或者披露 照片或录像经法律授权(例如.g., for York facility security surveillance purposes).
  • RIGHT TO REVOKE AUTHORIZATION: 贵方可随时撤销披露贵方PHI的授权, 在某种程度上，约克或其他人尚未依赖于你的授权, 向约克的隐私官发出书面撤销通知.

对某些类型的受保护健康信息的特殊保护:

  • CONFIDENTIALITY OF MENTAL 健康信息: If York maintains information about you derived from mental health services provided to you by a York psychiatrist, 心理学家, 临床专科护士, social worker or counseling professional, York will not disclose such mental health information to another health practitioner or facility outside of York or its 器官izational affiliates for a diagnostic, treatment or continuity of care purpose, without your written authorization, unless such disclosure is necessary in an emergency or is otherwise authorized or required by law. If a York licensed mental health facility, 项目或机构维护你的心理健康信息, 除非得到适用的精神健康保密法律法规的授权或要求，York将不会使用或披露有关您的该等精神健康设施PHI.
  • CONFIDENTIALITY OF HIV INFORMATION: If York maintains any information regarding your HIV status (such as HIV test results or medical records containing HIV information), 根据缅因州和约克的法律，这些信息将受到高度保护 维护此类信息的机密性和隐私性, and will not 使用 or disclose such information, 除非缅因州艾滋病毒保密法特别授权或要求.
  • 药物滥用计划信息的保密性: If a York substance ab使用 program maintains, or if York acquires from another provider or facility, 任何与您有关的药物滥用PHI信息都将受到根据42°C规定的某些药物滥用项目记录所提供的联邦保密保护.F.R. 第2部分, 约克将对该等信息保密和保密, and will not 使用 or disclose such information, except as specifically authorized or required by 42 C.F.R. 第2部分. 如果约克创建, acquires or maintains any substance ab使用 information about you that is not from a 第2部分 substance ab使用 program, York will protect the confidentiality of such information and 使用 and disclose such information in the same way York protects, 使用s and discloses your other PHI.

YOUR RIGHTS WITH RESPECT TO PROTECTED

健康信息: The following is a statement of your rights with respect to your PHI and a brief description of how you may exercise these rights.

  • YOU HAVE THE RIGHT TO ACCESS, INSPECT AND COPY YOUR PHI. 这意味着你可以在合理的时间检查并获得 a copy of your clinical records and billing records within 30 days of receipt of your written request. 如果伟德直营需要额外的时间, we may extend the time once for an additional 30 days and we will provide you written notice of the extension. You have the right to receive your health information in the form and format of your choosing, 如果这样的信息可以很容易地以这种形式和格式产生, or in a readable hardcopy form, or in another format agreed to between you and York. 如果约克将你的PHI保存在电子健康记录中, 您有权以电子格式获取您的健康信息副本，并指示约克将您的PHI电子副本直接传输给您选择的另一个明确指定的实体或个人. You may be charged reasonable costs (including labor and supplies) associated with providing copies of your records, or of preparing any summaries that you request. In certain limited circumstances, you may be denied access to your health information and records. 然而, you may request that a decision denying you access to your PHI and records be reviewed. Please contactYork’s 隐私 Officer if you have questions about your right to access your PHI.
  • YOU HAVE THE RIGHT TO REQUEST A RESTRICTION ON CERTAIN USES AND DISCLOSURES OF YOUR PHI. 例如，您可以要求不将您的PHI的任何部分披露给 family members or friends who may be involved in your care or for notification purposes as described in this Notice. If you request that York not disclose your PHI to a third-party payor health plan for purposes of carrying out 付款 or health care operations, 你已经从口袋里全额支付了约克为你提供的服务, York is required to honor your requested restriction. 否则,

York无需同意所要求的限制，并可根据具体情况自行决定是否履行所要求的限制. If York agrees to a requested restriction, York will not 使用 or disclose your PHI in violation of the agreed upon restriction, 除非为提供紧急治疗需要使用或披露. Your request for a restriction must state the

请求的特定限制以及您希望该限制应用于谁. 如本通知所述，经您授权或法律允许或要求的PHI披露可能包括York从其他医疗保健提供者和机构收到的PHI披露，除非您要求且York同意对此类信息披露的要求限制.

    • YOU HAVE THE RIGHT TO REQUEST TO RECEIVE CONFIDENTIAL COMMUNICATIONS OF PHI FROM US BY ALTERNATIVE MEANS OR AT AN ALTERNATIVE LOCATION. York will accommodate reasonable requests. York may place conditions on such accommodations, 例如, by asking you for information as to how 付款 will be handled or specification of an alternative address or other method of contact. 约克不会要求你方解释该请求的依据. 请以书面形式向约克郡的私隐专员提出此等要求.
    • YOU HAVE THE RIGHT TO SUBMIT AMENDMENTS, CORRECTIONS AND CLARIFICATIONS TO YOUR PHI. You may request amendments, 修正s and clarifications to PHI contained in your medical records. Your request must be in writing and you must provide a reason supporting your request. 如果您要求更改您的治疗记录中的PHI, we will place your requested amendment, 修正 or clarification in your record. York may add a response to your record, and will provide to you a copy of our response. If you are requesting a change in other records (这是 neither medical or billing records), 约克可能会拒绝你的请求. If your request is denied, we will notify you in writing and provide our reasons for the denial. You have the right to file a statement of disagreement with York’s 隐私 Officer and York may prepare a response to your statement. York will provide you with a copy of our response. Please contact York’s 隐私 Officer if you have any questions about modifying your PHI.
    • 你有权收到某些披露的账目. You have the right to receive an accounting of certain disclosures of your PHI made by York in the six years prior to the date of your request. 会计不包括直接向你披露的信息, 根据您的书面授权向他人披露的信息, disclosures made to carry out treatment, 付款, 以及医疗保健业务 for which your written authorization was not required, incidental 使用s and disclosures, 以及法律不要求会计处理的用途和披露. 然而, you have the right to request an accounting of disclosures made 用于治疗目的, 付款, or health care operations through an electronic health record during the three years prior to your request. To request an accounting of disclosures of your PHI, contact York’s 隐私 Officer.
    • 关于未成年人隐私权的重要通知: 如果您是法律授权代表您自己同意接受医疗保健服务的未成年人，并且您实际上代表您自己同意接受此类服务, 就您代表您自己同意的医疗保健服务而言，约克需保护您的PHI隐私，其方式与约克保护成人PHI隐私的方式相同, unless a special exception applies under 法律. 例如, 约克有法律授权通知你的父母或监护人, 根据您的约克郡医疗服务提供者的判断，未通知您的父母或监护人将严重危及您的健康，或将严重限制您的约克郡医疗服务提供者为您提供治疗的能力. 另外, 如果你想让约克为你父母提供的服务买单, your parents will receive from their insurance company an Explanation of Benefits regarding the services provided to you by York and, 结果是, the fact that you received services from York will not be confidential from your parents. 然而, 如果你不想让你的父母知道你正在接受约克大学的服务, 您必须在向您提供服务时通知约克，以便安排私人或自费支付该等服务, 或者决定你是否有资格享受免费或折扣医疗.
    • 贵方有权根据要求向我方索取本通知的纸质副本。 即使您已同意以电子方式接受本通知.
    • YOU HAVE THE RIGHT TO FILE A COMPLAINT. 你有权向约克或美国移民局秘书提出申诉.S. 部门 of Health and Human 服务 if you believe your privacy rights have been violated by York. You may file a complaint with York by notifying York’s 隐私 Officer using the contact information provided below. 约克不会因为你的投诉而报复你.

纽约医院

仁爱之道, 约克，缅因州03909 ❖ 207.363.4321 ❖ 免费电话877.363.4321 ❖ careers.eur.mtpropertycaretaker.com

LIST OF YORK ENTITIES AND SERVICE DELIVERY SITE LOCATION/ADDRESS OF PRIVACY PRACTICES

伯威克:

      • 贝里克的伟德平台直营: 4 Dana Dr, 贝里克，缅因州03901 [贝里克免预约护理中心, 实验室, x射线, 伯威克 药店] 暂时关闭
      • 纽约医院 in 南伯威克: 波特兰街57号, 南伯威克, ME 03908 [Great Works Family Practice, 实验室, x射线, 物理治疗 – 南伯威克, 小儿物理治疗]

KITTERY:

      • 基特里的伟德平台直营: 步行者街35号, 基特里，邮编03904 [猫咪步入式护理，实验室，x光，猫咪家庭诊所]
      • 肿瘤学 & 物理治疗: 75 US Route 1 Bypass, 基特里，邮编03904

新罕布什尔州:

      • NH的心血管护理 & 纽约医院: 2064年伍德伯里 纽灵顿大街，NH 03802

桑福德:

      • 桑福德的伟德平台直营: 正街1474号, 桑福德，缅因州04073 桑福德免预约护理实验室 & x射线, 纽约医院 Family Medicine in 桑福德]

井/喜怒无常:

      • 威尔斯的伟德平台直营: 112 & 114 桑福德 Rd, 井, ME 04090 [心血管保健, 威尔斯免上门护理, 威尔斯急救中心, 实验室, 成像, 伤口愈合, 乳房护理-水井, 物理治疗-井, 职业井, 儿科-威尔斯, 肿瘤学-井, 《伟德直营》
      • Webhannet内科: 邮编04054穆迪邮政路277号

纽约:

      • 长沙伟德平台直营: 美国纽约州龙沙路127号(7A、7B、9、11、12座)03909 [心血管保健 of 纽约医院, 肿瘤学 & 输液-约克，家庭护理 & 临终关怀，约克家庭护理，物理治疗-约克]
      • 纽约医院 Prescription Assistance Program & Psychiatry Associates of 纽约医院: 纽约州约克街32号邮编03909
      • Urology Associates of 纽约医院: 16 长金沙 Rd, 约克，缅因州03909
      • 约克免上门护理: 343 US Rt.1，约克，缅因州03909 [Walk-In Visits, Pediatric Therapy]