We care about your privacy
For information on how Daniels Memorial Healthcare Center may use and disclose your health information and how you can get access to this information, see the Daniels Memorial Healthcare Center Notice of Privacy Practice. Click here for printable version.
Daniels Memorial Healthcare Center is the sole owner of information provided and/or collected on this site. We will not sell, share, or rent this information to others in any way different from what is disclosed in this statement.
Sharing and Usage
We will never share, sell, or rent your personal or business information with third parties for their promotional use. We may disclose or report information in limited circumstances where we believe in good faith that disclosure is required under the law.
Use of Web Technologies
We use a variety of technologies on our web site. Among these are cookies; a piece of information that our website provides to your browser when you visit our site. Cookies allow us to verify the login status of customers using products or services linked directly with our website, track point of entry to point of registration for those users participating in our online program. Cookies also allow us to track overall site usage and determine areas users prefer, enabling us to make your visit to our website easier by recognizing you when you return and helping to provide you with a customized experience. Usage of a cookie is in no way linked to any personally identifiable information. If you choose to disable cookies, you may still use our site; however, you may have limited access to some areas within it.
We take every precaution to protect the confidentiality and security of your information by using industry-recognized security safeguards such as firewalls, coupled with carefully developed security procedures to protect your information from loss, misuse or unauthorized alteration.
Notification of Changes
NOTICE OF PRIVACY PRACTICES
Effective Date: April 14, 2003; Revised: September 20, 2013
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVEW IT CAREFULLY.
If you have any questions about this notice, please contact:
DMHC Privacy Officer
PO Box 400
Scobey, MT 59263
WHO WILL FOLLOW THIS NOTICE
This notice describes our organization’s practices and that of:
any health care professional authorized to enter information into your medical
Daniels Memorial Healthcare Center.
♦ all departments and units of the organization.
♦ any member of a volunteer group we allow to help you while you are in the organization.
♦ all employees, staff, and other Daniels Memorial Healthcare Center personnel.
OUR PLEDGE REGARDING MEDICAL
We understand that medical information about you and your health is personal. We are committed to protecting the confidentiality of that information, wherever generated or used. For that reason, in most cases, your health care information may not be disclosed without your written authorization or permission. There are, however, reasons we may use or disclose information about you, without your authorization, but in ways that protect your privacy and are required by state and federal law. We want you to understand these practices. This notice tells you about the ways in which we may use and disclose “protected health information” about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
“Protected health information” is patient-identifiable information, whether oral, electronic, or paper, which is created or received by Daniels Memorial and relates to a patient’s health care or payment for the provisions of health care. In this notice we will also refer to “protected health information” as “medical information” or simply “information”.
We are required by law to:
maintain the privacy of your protected health information.
♦ give you this notice of our legal duties and privacy practices with respect to medical
information about you.
♦ abide by the terms of the privacy notice currently in effect.
How We May Use and Disclose Protected
Health Information About You
The following categories describe different ways that we use and disclose protected health information, with an explanation and examples in some cases. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment We may use medical information about you to provide, coordinate, or manage your health care and related services, including coordination or management with a third party, consultation between health care providers, and the referral of patient both within and outside of Daniels Memorial Healthcare Center. At Daniels Memorial Healthcare Center we maintain an integrated medical record for many of our patients. Portions of this record are maintained electronically and are accessible from computer workstations to assist health care professionals throughout Daniels Memorial Healthcare Center in caring for you. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of you. For example, your physician may share information regarding your diabetes with the orthopedic surgeon treating your for a broken leg because diabetes may slow the healing process. You may also be referred for rehabilitation either within or outside Daniels Memorial Healthcare Center and information will be shared to facilitate that referral.
For Payment We may use and disclose medical information about you related to obtaining payment for the provision of health care. For example, we may need to give your health plan or other third party payer information about treatment you received at the hospital so your health plan will pay us or reimburse you for the treatment. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment. We may also disclose information to another health care provider or entity eligible to receive such information for its own payment activities. For instance, if you are brought to a hospital by an ambulance we may share information with the ambulance to allow it to bill you or your insurer. We may also disclose certain limited information to consumer reporting agencies relating to collection of reimbursement.
For Health Care Operations We may use and disclose medical information about you for our organizational operations. As an organization committed to providing high quality and efficient care, we use information to conduct quality assessment and improvement activities, to review the competence or qualifications of health care professionals and to conduct training and education programs so health care providers improve their skills and all personnel comply with applicable professional, licensure, safety, and accreditation standards. We may also use and disclose information to conduct or arrange for legal services or for auditing and monitoring, including fraud and abuse detection and compliance programs. Business planning and development, management and general administrative activities, customer service activities, and grievance and complaint resolution are all routine operational activities that may require use and disclosure of certain protected information. We may also use and disclose medical information as part of any reorganization of operations, including one that results in a new or reorganized entity that is subject to privacy protections. Often we track information over time on patient care issues or combine medical information about many patients in order to engage in these operational activities. Use and disclosure of protected health care for health care operations is limited to the minimum reasonably necessary to achieve that purpose, subject to reasonable safeguards to assure the security of such information.
Our Electronic Medical Record System Daniels Memorial Healthcare Center and certain affiliated hospitals and providers participate in an Organized Health Care Arrangement where we share protected health information with each other as necessary to carry out related treatment, payment and health care options. The electronic medical record helps primary care physicians, specialists and hospitals know a patient’s entire health history, drugs that have been prescribed, and test results. To improve the overall quality, safety and cost of care, we may share the same electronic medical record hospitals, clinics and physicians.
For Research Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another for the same condition. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its use of medical information, trying to balance the research needs with patients’ need for privacy of their medical information. Before we use or disclose medical information for research, the project will have been approved through this research approval process, but we may, however, disclose medical information about you to people preparing to conduct a research project, for example, to help them look for patients with specific medical needs, so long as the medical information they review does not leave the organization. We will almost always ask for your specific permission if the researcher will have access to your name, address, or other information that reveals who you are, or will be involved in your care anywhere at Daniels Memorial Healthcare Center unless we have received approval from an Institutional Review Board waiving authorization requirements.
Appointment Reminders We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care at Daniels Memorial Healthcare Center.
Treatment Alternatives We may use and disclose medical information to contact you about possible treatment options or alternatives.
Health-Related Benefits and Services We may use and disclose medical information to tell you about health-related benefits and services we provide that may be of interest to you.
Fundraising Activities We may use medical information about you, or disclose information to DMH Foundation or a business associate, in an effort to raise funds for Daniels Memorial Healthcare Center and its operations. We will only release contact information such as your name, address, and phone number, and the dates you received treatment or services at Daniels Memorial Healthcare Center. If you do not want DMH or DMH Foundation to contact you for fundraising efforts, you may “opt out” of future fundraising efforts by notifying DMH Foundation or DMH’s Privacy Officer in writing.
Directory information Unless you request that such information not be released, we may disclose limited “directory information” about you while you are a patient in the hospital or nursing home. Specifically, we may disclose your presence and general heath condition to people who ask for you by name. If you authorize it, Daniels Memorial Healthcare Center may also disclose your religious affiliation to a member of the clergy even if they do not ask for you by name. This is so your family, friends, and clergy can visit you in the hospital or nursing home and generally know how you are doing.
Individuals Involved in Your Case or Payment for Your Care Unless you object, we may disclose to a family member, other relative, or a close personal friend, or any other person you identify, protected health information directly relevant to that person’s involvement with your care or payment related to your care. We will also disclose protected health information to an individual if we reasonably infer from the circumstances, based on the exercise of professional judgment that you do not object to the disclosure. 164.510(b)(1)(2)
Limited Uses When You Are Not Present or Are Incapacitated If you are not present or cannot object to disclosure of information because of incapacity or an emergency circumstance we will, in the exercise of professional judgment, disclose protected information in your best interests. We may use professional judgment and experiences to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of protected health information on your behalf. In addition, we may disclose medical information about you to an entity assisting in a disaster relief effort. 164.510(b)(3)(4)
In the Event of a Disaster We may disclose medical information about you to other health care providers and to an entity assisting in a disaster relief effort to coordinate care and so your family can be notified about your condition and location.
Business Associates We may disclose medical information to business associates with whom we may contract so they may provide services on behalf of Daniels Memorial Healthcare Center. We require all business associates to implement safeguards to protect medical information.
As Required By Law We will disclose medical information about you when required to do so by federal, state, or local law. 164.512(a)(1)
To Avert a Serious Threat to Health or Safety We may use and disclose medical information about you when necessary to prevent or lessen a serious threat to your health and safety or the health and safety of the public or another person, unless that information is learned during counseling, therapy, or treatment to affect the propensity to engage in criminal conduct. Any disclosure, however, would only be to someone able to help prevent the threat. 164.512(j)
Cancer Registry and Other Registries If you have been diagnosed with cancer we may release medical information about you to authorized cancer registries. We may also be required by law to release information to other registries. This information is aggregated with other information and is used to monitor current treatment practices and develop new protocols to treat cancer and other medical conditions.
Military and Veterans If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority. 164.512(k)
Workers’ Compensation We may release medical information about you for workers’ compensation or similar programs, in accordance with state law.
Public Health Risks We may disclose medical information about you for public health activities and purposes described below:
To a public health authority authorized to collect information for the purpose
of preventing or controlling disease, injury or disability, including but not
limited to the reporting of disease, injury, vital events such as births and
deaths, conducting public health surveillance, investigations and
interventions, or, at the direction of a public health authority, disclosing information
to an official of a foreign government agency that is collaborating with a
public health authority.
♦ To a public health authority or other appropriate government agency authorized to receive reports of actuation or suspected child abuse or neglect.
♦ To a person responsible for federal Food and Drug Administration activities for purposed related to the quality, safety, or effectiveness of FDA-regulated products or activities.
♦ To a person who may have been exposed to a communicable disease or may be at risk for contracting or spreading a disease or condition, as authorized by law.
♦ To an employer, when required by federal or state law, to conduct medical surveillance of the workplace or to evaluate whether an individual has a work-related illness or injury. 164.512(b)
Victims of Abuse, Neglect, or Domestic Violence We may disclose protected health information about an individual we reasonably believe to be the victim of abuse, neglect, or domestic violence to a person authorized by law to receive such reports. We will make this disclosure if you agree, or if the disclosure is required or authorized by law and we believe the disclosure is necessary to prevent harm to the victim or other potential victims. Also, if the patient is incapacitated, we may disclose information to a person authorized to receive such reports if that person represents that the protected health information is not intended to be used against the patient and that an immediate enforcement activity depends upon the disclosure. 162.512(c)
Health Oversight Activities We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure or disciplinary activities; legal proceedings or actions; or other activities necessary for appropriate oversight of the health care system, government benefit programs, and compliance with government regulatory programs or civil rights laws for which health information is necessary for determining compliance. 164.512(d)
Judicial and Administrative Proceedings If you are involved in a lawsuit or dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or obtain an order protecting the information requested, in the manner required by state or federal law, whichever is more stringent under the circumstances. 164.512(e)
Law Enforcement We may release medical information if asked to do so by a law enforcement official:
as required by law that mandates reporting of certain types of wounds or
♦ in response to a court order, subpoena, warrant, summons, or similar process
♦ to identify or locate a suspect, fugitive, material witness, or missing person
♦ about the victim of a crime if we obtain the individual’s agreement or we receive certain representations from a law enforcement official and the disclosure is in the individual’s best interest, in the exercise of professional judgment
♦ about a death we believe may be the result of criminal conduct
♦ about criminal conduct at our organization, and
♦ in emergency circumstances to report a crime, the location of the crime or victims, or the identity, description, or location of the person who committed the crime. 164.512(f)
Coroners, Medical Examiners, and Funeral Directors We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or to determine the cause of death. We may also release medical information about patients of the hospital or nursing home to funeral directors as necessary to carry out their duties. 164.512(g)
Organ and Tissue Donation If you are an organ donor, we may release medical information to organizations that handle procurement or organ, eye, or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation. 164.512(h)
National Security and Intelligence Activities We may release medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law. 164.512(k)(2)
Protective Services for Government Officials We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state or conduct special investigations authorized by law. 164.512(k)(3)
Inmates If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to authorities for those facilities if the correctional institution or law enforcement official represents that such information is necessary in order to provide you with health care, to protect your health and safety or the health and safety of others, for law enforcement on the premises of the correctional institution, or for the safety and security of the correctional institution. 164.512(k)(5)
Specially Protected Health Information Unless otherwise required or permitted under law, use and disclosure of the following information is subject to additional privacy protections: AIDS/HIV/ARC information, mental health and mental illness records, drug addiction, alcoholism, and other substance abuse treatment records, developmental disability records, and genetic information.
Incidental Disclosures Certain incidental disclosures of your medical information may occur as a by-product of permitted uses and disclosures. For example, a visitor may inadvertently overhear a discussion about your care occurring at the nurses’ station.
Limited Data Sets We may disclose limited medical information to third parties for research, public health, and health care operations. Before disclosing such information, we will enter into an agreement that limits the recipient’s use and disclosure of the information and prohibits the recipient from attempting to re-identify the data or contact you.
Other Uses of Medical Information
There are specific uses and disclosures that require your authorization including those related to marketing, the sale of protected health information, and psychotherapy notes (other than for treatment, payment or health care operations). Aside from the uses and disclosures outlined in this document, all other uses and disclosures of your health information will be made only with your written permission or authorization. If you provide Daniels Memorial Healthcare Center with an authorization, you may revoke it at any time. However, the revocation must be made in writing and presented to the Daniels Memorial Healthcare Center Health Information Management Department and you cannot revoke authorization for information that has already been released in response to your original authorization.
Your Rights Regarding Medical Information About You
You have the following rights regarding medical information we maintain about you:
Right to Inspect and Copy You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually this includes medical and billing records but does not include psychotherapy notes.
To inspect and copy medical information, you must submit your request in writing to Daniels Memorial Healthcare Center Medical Records Director. If you request a copy of this information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request.
We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by Daniels Memorial Healthcare Center will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcomes of the review. 164.524
Right to Amend If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for Daniels Memorial Healthcare Center in any of its locations. 164.526
To request an amendment, your request must be made in writing and submitted to Daniels Memorial Healthcare Center Medical Records Director. In addition, you must provide a reason that supports your request.
We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
was not created by us, unless the person or entity that created the
information is no
longer available to make the amendment
♦ is not part of the medical information kept by or for Daniels Memorial Healthcare Center
♦ is not part of the information which you would be permitted to inspect and copy, or
♦ is accurate and complete.
If you disagree with our denial, you may submit a statement of disagreement or ask that your request become part of your record. In response, we may prepare a rebuttal as part of your record.
Right to an Accounting of Disclosures You have the right to request an “accounting of disclosures” about your medical information. This accounting will not include disclosures for treatment, payment, or health care operations; for facility directory purposes, to persons involved in your care, or for notification purposes; incidental to an otherwise permitted use or disclosure; to correctional institutions or other custodial law enforcement officials; as part of a limited data set; for national security or intelligence purposes; for other reasons allowed by law; or for disclosures that you authorized or requested.
To request this list of accounting of disclosures, you must submit your request in writing to Daniels Memorial Healthcare Center, Attention Privacy Officer. Your request must state a time period which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper, electronically, etc). The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred. 164.528
Right to Request Restrictions You have a right to request a restriction or limitation on our use or disclosure of your protected health information. You have the right to request a restriction to your health plan if you have paid for the services out-of-pocket and in full. Such requests must be in writing. Because of the integrated nature of Daniels Memorial Healthcare Center’s delivery of health care, and the technical limitations of our electronic medical records, Daniels Memorial Healthcare Center may not be able to agree with your request. If we do agree to a restriction, we will comply with your request unless information is needed to provide you emergency treatment.
To request restrictions, you must make your request in writing to Daniels Memorial Healthcare Center Attention Privacy Officer. 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 spouse.
Right to Request Confidential Communications You have the right to 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 only contact you at work or by mail. To request confidential communications, you must make your request in writing to Daniels Memorial Healthcare Center, Attention Privacy Officer. 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. 164.522(b)
Right to Breach Notification You have the right to be notified in the event of a breach in the privacy or security of your protected health information.
Right to a Paper Copy of This Notice You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.
To obtain a paper copy of this notice, you may receive one at any registration desk for by submitting your request in writing to:
Daniels Memorial Healthcare Center
Attention: Privacy Officer
PO Box 400
Scobey, MT 59263
CHANGES TO THIS NOTICE
Daniels Memorial Healthcare Center reserves the right to change the terms of and to make the new notice provisions effective for all protected health information Daniels Memorial Healthcare Center maintains, including information we already have about you. We will post a copy of the current notice in each facility within our organization as well as on our website. The notice will contain, on the first page, the effective date.
If you believe your privacy rights have been violated, you may file a complaint with Daniels Memorial Healthcare Center or with the Secretary of the Department of Health and Human Services. To file a complaint with Daniels Memorial Healthcare contact:
Daniels Memorial Healthcare Center
Attention: Privacy Officer
PO Box 400
Scobey, MT 59263
To file a complaint with the Department of Health and Human Services:
Office of the Regional Manager
Office of Civil Rights
999 18th Street, Suite 417
Denver, CO 80202
All complaints must be submitted in writing. Daniels Memorial Healthcare Center will not threaten, coerce, harass, discriminate against, or take any other retaliatory action against any individual or other person for filing of a complaint, testifying, assisting, or participating in an investigation, compliance review, proceeding, or hearing; or for opposing any unlawful act or practice, provided the individual or person has a good faith belief that the practice opposed is unlawful, and the manner of opposition is reasonable and does not involve a disclosure of protected health information in violation of HIPAA.
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- Related Information
This web site, established by MHA, An Association of Montana Health Care Providers, allows consumers to compare hospital prices and quality of care measurements and helps them ask the right questions about their treatment options and insurance questions. The site is designed to give consumers tools to navigate an increasingly-complex health care system.