The Hospital will ask you to sign a consent form that allows the Hospital to use and disclose your protected health information for treatment, payment and health care operations. You will also be asked to acknowledge receipt of this Notice.
The Hospitals are part of the Eastern Connecticut Health Network (“ECHN”). Therefore, if permitted by law, the Hospitals may share information with other affiliates of ECHN, including ECHN Health Services, Inc., ECHN ElderCare Services, Inc. and ECHN Wellness Services, Inc. for treatment, payment and certain health care operations.
The following categories describe some of the different ways that we may use or disclose your protected health information. Even if not specifically listed below, the Hospital may use and disclose your protected health information as permitted or required by law or as authorized by you. We will make reasonable efforts to limit access to your protected health information to those persons or classes of persons, as appropriate, in our workforce who need access to carry out their duties. In addition, if required, we will make reasonable efforts to limit the protected health information to the minimum amount necessary to accomplish the intended purpose of any use or disclosure and to the extent such use or law limits disclosure.
For Treatment: We may use and disclose your protected health information to provide you with medical treatment and related services. Your protected health information may be used by and disclosed to all healthcare professionals involved in your treatment. If we are permitted to do so, we may also disclose your protected health information to individuals or facilities that will be involved with your care after you leave the Hospital and for other treatment reasons. We may also use or disclose your protected health information in an emergency situation.
For Payment: We may use and disclose your protected health information so that we can bill and receive payment for the treatment and related services you receive. For billing and payment purposes, we may disclose your health information to your payment source, including an insurance or managed care company, Medicare, Medicaid, or another third party payor. For example, we may need to give your health plan information about the treatment you received so your health plan will pay us or reimburse us for the treatment, or we may contact your health plan to confirm your coverage or to request prior authorization for a proposed treatment.
For Health Care Operations: We may use and disclose your health information as necessary for operations of the Hospital, such as quality assurance and improvement activities, reviewing the competence and qualifications of health care professionals, medical review, legal services and auditing functions, and general administrative activities of the Hospital.
Medical Staff: The Hospital routinely shares health information with the Hospital’s medical staff to facilitate (i) treatment by the medical staff of patients at the Hospital, (ii) payment to the medical staff for services provided by the medical staff at the Hospital and (iii) when a member of the medical staff assists the Hospital with certain health care operations. Members of the Hospital’s medical staff are required to abide by the terms of this Notice while providing services at the Hospital.
Business Associates: There may be some services provided by our business associates, such as a billing service, transcription company or legal or accounting consultants. We may disclose your protected health information to our business associate so that they can perform the job we have asked them to do. To protect your health information, we require our business associates to enter into a written contract that requires them to appropriately safeguard your information.
Appointment Reminders: We may use and disclose protected health information to contact you as a reminder that you have an appointment at the Hospital.
Treatment Alternatives and Other Health-Related Benefits and Services: We may use and disclose protected health information to tell you about or recommend possible treatment options or alternatives and to tell you about health related benefits, services, or medical education classes that may be of interest to you.
Fundraising Activities: We may use information about you to contact you in an effort to raise money for ECHN or the Hospital and their respective operations. The information we use or release to ECHN Community HealthCare Foundation, Inc., an affiliate of the Hospital that performs fundraising for the Hospital and ECHN, will be limited to your contact information, such as your name, address and telephone number, the dates you received treatment or services at the Hospital, the department in which the service was provided and the treatment outcome. A description of how to opt out of receiving any further fundraising communications will be included with any fundraising materials you receive from the Hospital or ECHN. If you request that your information not be used or disclosed for fundraising purposes, we will make a reasonable effort to ensure that you do not receive future fundraising communications.
Facility Directory: Unless you are admitted to a hospital for psychiatric disabilities or to a substance abuse treatment program at the Hospital, unless you object, we may include limited information about you in our facility directory while you are a patient at the facility, including your name, location in the facility, your general condition (e.g. fair, stable, etc.) and your religious affiliation. The directory information, except for your religious affiliation, may be released to people who ask for you by name. Your information and religious affiliation may also be given to a member of the clergy, even if the clergy member does not ask for you by name.
Individuals Involved in Your Care or Payment of Your Care: Unless you object, we may disclose your protected health information to a family member, a relative, a close friend or any other person you identify, if the information relates to the person’s involvement in your health care to notify the person of your location or general condition or payment related to your health care. In addition, we may disclose your protected health information to a public or private entity authorized by law to assist in a disaster relief effort. If you are unable to agree or object to such a disclosure we may disclose such information if we determine that it is in your best interest based on our professional judgment or if we reasonably infer that you would not object.
Public Health Activities: We may disclose your protected health information to a public health authority that is authorized by law to collect or receive such information, such as for the purpose of preventing or controlling disease, injury, or disability; reporting births, deaths or other vital statistics; reporting child abuse or neglect; notifying individuals of recalls of products they may be using; notifying a person who may have been exposed to a disease or may be at risk of contracting or spreading a disease or condition.
Health Oversight Activities: We may disclose your protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections, accreditation, licensure and disciplinary actions.
Judicial and Administrative Proceedings: If you are involved in a lawsuit or a dispute, we may disclose your protected health information in response to your authorization or a court or administrative order. We may also disclose your protected health information in response to a subpoena, discovery request, or other lawful process if law permits such disclosure.
Law Enforcement: We may disclose your protected health information for certain law enforcement purposes if permitted or required by law. For example, to report gunshot wounds; to report emergencies or suspicious deaths; to comply with a court order, warrant, or similar legal process; or to answer certain requests for information concerning crimes.
Coroners, Medical Examiners, Funeral Directors, and Organ Procurement Organizations: We may release your protected health information to a coroner, medical examiner, funeral director, or, if you are an organ donor, to an organization involved in the donation of organs and tissues.
Research Purposes: Your protected health information may be used or disclosed for research purposes, but only if the use and disclosure of your information has been reviewed and approved by ECHN’s Institutional Review Committee, or if you provide authorization.
To Avert a Serious Threat to Health or Safety: We may use and disclose your protected health information when necessary to prevent a serious threat to your health or safety or the health or safety of the public or another person. Any disclosure, however, would be to someone able to help prevent the threat.
Military and National Security: If required by law, if you are a member of the armed forces, we may use and disclose your protected health information as required by military command authorities or the Department of Veterans Affairs. If required by law, we may disclosure your protected health information to authorized federal officials for the conduct of lawful intelligence, counter-intelligence, and other national security activities authorized by law. If required by law, we may disclose your protected health information to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
Workers’ Compensation: We may use or disclose your protected health information as permitted by laws relating to workers’ compensation or related programs.
Special Rules Regarding Disclosure of Psychiatric, Substance Abuse and HIV: For disclosures concerning protected health information relating to care for psychiatric conditions, substance abuse or HIV-related testing and treatment, special restrictions may apply. For example, we generally may not disclose this specially protected information in response to a subpoena, warrant or other legal process unless you sign a special authorization or a court orders the disclosure.
- Mental health information. Certain mental health information may be disclosed for treatment, payment and health care operations as permitted or required by law. Otherwise, we will only disclose such information pursuant to an authorization, court order or as otherwise required by law. For example, all communications between you and a psychologist, psychiatrist, social worker and certain therapists and counselors will be privileged and confidential in accordance with Connecticut and Federal law.
- Substance abuse treatment information. If you are treated in a specialized substance abuse program, Federal law and regulations protect the confidentiality of alcohol and drug abuse patient records. These records may be disclosed if:
- You consent in writing
- The disclosure is allowed by a court order
- The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research, audit, or program evaluation.
Violation of these Federal laws and regulations by us is a crime. Suspected violations may be reported to appropriate authorities in accordance with Federal regulations. Federal law and regulations do not protect any information about a crime committed by a patient either at the substance abuse program or against any person who works for the program or about any threat to commit such a crime. Federal laws and regulations do not protect any information about suspected child abuse or neglect from being reported under State law to appropriate State or local authorities.
- HIV-related information. We may disclose HIV-related information as permitted or required by Connecticut law. For example, your HIV-related information, if any, may be disclosed without your authorization for treatment purposes, certain health oversight activities, pursuant to a court order, or in the event of certain exposures to HIV by personnel of the Hospital, another person, or a known partner.
- Minors. We will comply with Connecticut law when using or disclosing protected health information of minors. For example, if you are an unemancipated minor consenting to a health care service related to HIV/AIDS, venereal disease, abortion, outpatient mental health treatment or alcohol/drug dependence, and you have not requested that another person be treated as a personal representative, you may have the authority to consent to the use and disclosure of your health information.