Hospitals make and keep records of medical information.
While you are a patient here, we will use and disclose your medical information
- To provide treatment to you and to keep a record describing your
care
- To receive payment for the care we provide
- To administer the hospital properly
- To comply with the law
This Notice summarizes the ways we may use and disclose medical information
about you. It also describes your rights and our duties regarding the
use and disclosure of your medical information. This Notice applies to
all records of your care at the Hospital, whether made by Hospital personnel
or by your personal doctor. Your doctor and other health care providers
may use a different Notice and policy regarding the use and disclosure
of your medical information in their offices.
We are required by law
- To keep your medical information confidential in accordance with legal
requirements
- To give you this Notice of our legal duties and privacy practices with
respect to your medical information
- To follow the terms of the Notice that is currently in effect
Persons covered by this Notice
- All employees, staff, physicians, residents, and other Hospital personnel
- The following entities, sites and locations:
Grady Memorial Hospital, 80 Jesse Hill, Jr., Drive, S.E., Atlanta, GA 30303
Crestview Health and Rehabilitation Facility, 2800 Springdale Road, S.W.,
Atlanta, GA 30315
Center Hill Health Center, 3201 Atlanta Industrial Parkway, Atlanta, GA 30331
Dekalb Grady Health Center, 30 Warren Street, S.E., Atlanta, GA 30317
Asa G. Yancey, M.D. Health Center, 1247 Bankhead Hwy. N.W., Atlanta, GA 30318
Grady Health Center, South Dekalb Health Center, 2626 Rainbow Way S.E., Decatur,
GA 30034
Otis W. Smith, M.D., Health Center, 2600 Martin Luther King, Jr. Drive, Atlanta,
GA 30311
Lindbergh Women's and Children's Center, 2581 Piedmont Road, N.E., Atlanta,
GA 30324
North Dekalb Health Center, 3807 Clairmont Road, N.E., Chamblee, GA 30341
North Fulton Health Center, 1143 Alpharetta Street, Roswell, GA 30075
Grady Health Center, East Point, 1595 West Cleveland Avenue, East Point,
GA 30344
Infectious Disease Program, 341 Ponce De Leon, Atlanta, GA 30308
Grady Hospice Program, 80 Jesse Hill, Jr., Drive, S.E., Atlanta, GA 30303
- In addition, these entities, sites and locations may share medical information
with each other for the treatment, payment and administrative purposes described
in this Notice
- Persons or entities performing services for the Hospital under agreements
containing privacy protections or to which disclosure of medical information
is permitted by law
- Persons or entities with whom the Hospital participates in managed care
arrangements
- Our volunteers and medical, nursing and other health care students
- Members of the Hospital Medical Staff and other medical professionals involved
in your care or performing peer review, quality improvement, medical education
and other services for the Hospital
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Uses and Disclosures of your medical information
We use and disclose medical information in the ways described below.
Treatment. We may use your medical information to provide medical treatment
or services to you. We may disclose medical information about you to doctors,
nurses, technicians, medical, nursing or other health care students, or other
personnel taking care of you. For example, a doctor treating you for a broken
leg may need to know if you have diabetes because diabetes may slow the healing
process. In addition, the doctor may need to tell the dietitian if you have diabetes
so you can have appropriate meals. Departments of the Hospital may share your
medical information to schedule the tests and procedures you need, such as prescriptions,
laboratory tests and x-rays. We also may disclose your medical information to
health care facilities if you need to be transferred from the Hospital to another
hospital, a nursing home, a home health provider or a rehabilitation center.
We also may disclose your medical information to people outside the Hospital
who are involved in your care after you leave the Hospital such as family members
or pharmacists.
Payment. We may use and disclose your medical information so that
the treatment and services you receive can be billed and collected from
you, an insurance company or another third party. For example, we may give
your health plan information about surgery you received so your health
plan will pay us for the surgery. We also may tell your health plan about
a treatment you are going to receive in order to obtain prior approval
from your plan to cover payment for the treatment.
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Health Care Operations. We may use and disclose your medical information
for Hospital operations, such as for peer review, performance improvement,
risk management, and our compliance with licensure, accreditation or certification
requirements. For example, we may disclose your medical information to
physicians on our Medical Staff who review treatment of patients. We may
disclose information to doctors, nurses, technicians, medical, nursing
or other health care students, and Hospital personnel for teaching. We
may combine medical information about many patients to decide what services
the Hospital should offer, and whether new services are cost-effective
and how we compare with other hospitals. Sometimes, we may remove identifying
information from this medical information so others may use it to study
health care and health care delivery without learning who you are. We may
disclose information to other health care providers involved in your treatment
to permit them to carry out the work of their facility or to get paid.
For example, we may provide information about your treatment to an ambulance
company that brought you to the Hospital so that the ambulance company
can get paid for their services.
Activities of Our Affiliates. We may disclose your medical information
to our affiliates in connection with your treatment or other hospital activities.
Activities of Organized Health Care Arrangements in Which We Participate. For
certain activities, the Hospital, members of its Medical Staff and other
independent professionals are called an Organized Health Care Arrangement.
We may disclose information about you to health care providers participating
in our Organized Health Care Arrangements, such as a managed care or physician-hospital
organization. Such disclosures would be made in connection with our services,
your treatment under a health plan arrangement, and other activities of
the Organized Health Care Arrangement.
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Important Notice
The Hospital may share your medical information with members of the
Hospital Medical Staff and other independent medical professionals in order
to provide treatment and perform other activities such as peer review,
quality improvement, medical education and other services for the Hospital.
While those professionals may follow this Notice and otherwise participate
in the privacy program of the Hospital, they are independent professionals
and the Hospital and those independent professionals each expressly disclaim
any responsibility or liability for their acts or omissions of the other
with regard to violations of your privacy rights as described in this notice.
Health Services, Treatment Alternatives and Health-Related Benefits.
We may use and disclose your medical information to tell you about (i) health-related
products or services that we offer, (ii) other providers participating in a health
care network that we participate in, (iii) possible treatment options or alternatives,
or (iv) health-related benefits or services that may be of interest to you. We
also may use that information to communicate with you to coordinate your care.
We may use and disclose your medical information to contact and remind you of
an appointment for treatment or medical care.
Fundraising. We may use your medical information to raise money
for the Hospital. We may disclose information such as your name, address,
telephone number, gender, age and the dates you received treatment at the
Hospital to a Hospital foundation so it can contact you. If you do not
want the Hospital to contact you for fundraising, please notify the Contact
Person listed below in writing.
Hospital Directory. We may include certain information about you
in the Hospital Directory while you are a patient in the Hospital. This
information may include your name, your room number, your general condition
(fair, stable, etc.) and your religious affiliation. Your religious affiliation
may be given to a member of the clergy, such as a priest or rabbi, even
if they don't ask for you by name. Disclosure of your room will not reveal
that you are in a specific unit or area of the Hospital, if such information
would reveal that you are at the Hospital for treatment of rape or attempted
rape, HIV/AIDS, or alcohol/drug abuse. Directory information, except for
your religious affiliation, may be released to people who ask for you by
name. This is so your family, friends and clergy can visit you in the Hospital
and generally know how you are doing. If you do not want this information
given out, please tell the Patient Access Employee (i.e. Registration Clerk,
Financial Counselor, Admitting Representative, ECC patient Representative).
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Individuals Involved in Your Care or Payment for Your Care. We may
release your medical information to the person you named in your Durable
Power of Attorney for Health Care (if you have one), or to a friend or
family member who is your personal representative (i.e., empowered under
state or other law to make health-related decisions for you). We may give
information to someone who helps pay for your care. In addition, we may
disclose your medical information to an entity assisting in disaster relief
efforts so that your family can be notified about your condition. We may
disclose information to pharmaceutical companies and/or their agents to
confirm your eligibility and support applications for manufacturer sponsored
drug assistance programs.
Research. We may use and disclose your medical information for research
purposes. Most research projects, however, are subject to a special approval
process. Most research projects require your permission if a researcher
will be involved in your care or will have access to your name, address
or other information that identifies you. However, the law allows some
research to be done using your medical information without requiring your
authorization.
Required By Law. We will disclose your medical information when
federal, state or local law requires it. For example, the Hospital must
comply with child abuse reporting laws and laws requiring us to report
certain diseases or injuries to state or federal agencies.
Serious Threat to Health or Safety. We may use and disclose your
medical information when necessary to prevent a serious threat to your
health and safety or the health and safety of the public or another person.
Note: Georgia and Federal Law provide protection for certain types of
health information, including information about alcohol or drug abuse,
mental health and AIDS/HIV, and may limit whether and how we may disclose
information about you to others.
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Special Situations
Organ and Tissue Donation. If you are an organ donor, we may release your medical
information to organizations that handle organ procurement or organ, eye or tissue
transplantation or to an organ donation bank, as necessary to aid in its organ
or tissue donation and transplantation process.
Military and Veterans. If you are a member of the U.S. or foreign
armed forces, we may release your medical information as required by military
command authorities.
Workers' Compensation. We may release medical information about
you for workers' compensation or similar programs. These programs provide
benefits for work-related injuries or illness.
Minors. If you are a minor (under 18 years old), the Hospital will
comply with Georgia law regarding minors. We may release certain types
of your medical information to your parent or guardian, if such release
is required or permitted by law.
Public Health Risks. We may disclose your medical information for
public health purposes
- To prevent or control disease, injury or disability
- To report births and deaths
- To report child or adult abuse, neglect or violence
- To report reactions to medications or problems with products
- To notify people of recalls of products they may be using
- To notify a person who may have been exposed to a disease or may
be at risk for getting or spreading a disease or condition
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Health Oversight Activities. We may disclose your medical information
to a federal or state agency for health oversight activities such as audits,
investigations, inspections, and licensure of the Hospital and of the providers
who treated you at the Hospital. These activities are necessary for the
government to monitor the health care system, government programs, and
compliance with laws.
Lawsuits and Disputes. We may disclose your medical information
to respond to a court or administrative order or a search warrant. We also
may disclose your medical information in response to a subpoena, discovery
request, or other lawful process by someone else involved in a dispute,
but only if efforts have been made to tell you about the request and you
have been provided an opportunity to object or to obtain an appropriate
court order protecting the information requested.
Law Enforcement. Subject to certain conditions, we may disclose
your medical information for a law enforcement purpose upon the request
of a law enforcement official.
Medical Examiners and Funeral Directors. We may disclose your medical
information to a medical examiner or funeral director so they may carry
out their duties.
National Security. We may disclose your medical information to authorized
federal officials for national security activities authorized by law.
Protective Services. We may disclose your medical information to
authorized federal officials so they may provide protection to the President
and other persons.
Inmates. If you are an inmate of a correctional institution or under
the custody of a law enforcement officer, we may release your medical information
to the correctional institution or a law enforcement officer. This release
would be necessary for the Hospital to provide you with health care, to
protect your health and safety or the health and safety of others, or for
the safety and security of the law enforcement officer or the correctional
institution.
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Your Privacy Rights
Right to Review and Right to Request a Copy. You have the right
to review and copy medical information in your medical and billing records.
The Information Management Department, sometimes called the Medical Records
Department has a form you can fill out to request to review or copy your
medical information, and to tell you how much will it cost. The Hospital
will tell you if it cannot fulfill your request. If you are denied the
right to see or copy your medical information, you may ask us to reconsider
our decision. Depending on the reason for the decision, we may ask a licensed
health care professional to review your request and its denial. We will
comply with this person's decision.
Right to Amend. If you feel your medical information in our records
is incorrect or incomplete, you may ask us in writing to amend the information.
You must provide a reason to support your requested amendment. We will
tell you if we cannot fulfill your request. The Contact Person listed below
can help you with your request.
Right to an Accounting of Disclosures. You have the right to make
a written request for a list of certain disclosures the Hospital has made
of your medical information. This list is not required to include all disclosures
we make. Disclosure for treatment, payment, or Hospital administrative
purposes, disclosures made before April 14, 2003, disclosures made to you
or which you authorized, and other disclosures are not required to be listed.
The Contact Person listed below can help you with this process, if needed,
and can tell you how much it will cost.
Right to Request Restrictions on Disclosures. You have the right
to make a written request to restrict or put a limitation on the medical
information we use or disclose about you for treatment, payment or health
care operations. You also have the right to request a limit on your medical
information that we disclose to someone involved in your care or the payment
for your care, like a family member or friend. We are not required to agree
to your request. However, if we do agree, we will comply with your request
unless the information is needed to provide you with emergency treatment
or to make a disclosure that is required under law. In your request, you
must tell us (1) what information you want to limit; (2) whether you want
to limit our use, disclosure or both; and (3) to whom you want the limits
to apply, for example, disclosures to your adult children.
Right to Request Confidential Communications. You have the right
to make a written request that we communicate with you about medical matters
in a certain way or at a certain location. For example, you can ask that
we contact you only at work or by mail. We will not ask you the reason
for your request. We will accommodate all reasonable requests. Your request
must specify how or where you wish to be contacted. The Contact Person
listed below can help you with these requests if needed.
Right to a Paper Copy of This Notice. You have the right to receive
a paper copy of this Notice at any time even if you have agreed to receive
this Notice electronically. You may obtain a copy of this Notice at our
website, http://www.gradyhealthsystem.org or
a paper copy from the Contact Person listed below.
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Changes to this Notice
We reserve the right to change this Notice. We reserve the right to make the
revised or changed Notice effective for medical information we already have about
you as well as for any information we receive in the future. We will post the
current Notice in the Hospital.
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Complaints
If you believe your privacy rights have been violated, you may file a written
complaint with the Hospital or with the Secretary of the Department of Health
and Human Services or HHS. Generally, a complaint must be filed with HHS within
180 days after the act or omission occurred, or within 180 days of when you knew
or should have known of the action or omission. To file a complaint with the
Grady Health System, contact the Privacy Office at telephone number 404-616-2118.
You will not be denied care or discriminated against by the Hospital for filing
a complaint.
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Other uses of Medical Information
Other uses and disclosures of your medical information not covered by this Notice
or the laws and regulations that apply to Grady Health System will be made only
with your written permission. If you give us permission to use or disclose medical
information about you, you may revoke that permission, in writing, at any time.
If you revoke your permission, we will no longer use or disclose your medical
information for the reasons covered by your written authorization, but the revocation
will not affect actions we have taken in reliance on your permission. You understand
that we are unable to take back any disclosures we have already made with your
permission, we still must continue to comply with laws that require certain disclosures,
and we are required to retain our records of the care that we provided to you.
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If you have any questions about this Notice, please contact the Privacy
Office at (404) 616-2118.
Effective Date: April 14, 2003
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