This notice describes how medical information about you may be used and disclosed as well as how you can get access to this information. Please review it carefully.

How we use and protect Resident’s and Prospective Resident’s personal health information

  • At The Culpeper protecting your privacy is very important to us.
  • We value your trust and want you to understand what health information we collect, how we protect it and how we may use it.
  • We treat personal health information with respect and in accordance with this privacy policy.
  • Private health information is essential in meeting our goal to provide excellent health care for all residents.
  • Some of our business relationships with third party healthcare providers (physicians, laboratories, pharmacies, professional practitioners, associations, research organizations, third party payors and others) may restrict disclosure of your health information.

If you have obtained a product or service through one of these relationships and we have agreed not to share information about you, we will follow those privacy and data sharing restrictions.

Our Privacy Policy

  • We will provide residents our privacy policy on admission and ask for a signed acknowledgement of receipt.
  • Whenever we modify our privacy policy we will provide residents a revised notice.
  • We will maintain physical, electronic and procedural safeguards to protect personal health information we obtain about our residents.
  • We will not disclose personal health information that can be used to identify a resident except in the purposes of payment, treatment and operations as necessary to provide excellent healthcare for that resident.
  • Residents may “opt out” or direct us not to disclose personal health information, except as required by law.
  • We will maintain agreements with business associates that establish a “chain of trust” to adhere to our privacy policies.
  • We will keep personal health information confidential.
  • We will not disclose health information to outside parties without your authorization except as permitted by law and for the purposes of payment, treatment and operations.
  • We will comply with any additional state requirements that relate to the use of personal health information.

Information we may collect

  • We may collect personal, financial and health information from you, healthcare providers, pharmacies, outside companies and governmental agencies.
  • Self assessment health profile from residents.
  • Hospitals, doctors, laboratories, pharmacies and other companies that maintain information about your past or present health condition.
  • Insurance company and other third party payors records and reports.

 Information we may disclose and to whom we may disclose health information

  • To provide residents with the appropriate health care, and as permitted by law we may, in due course and emergency situations, disclose personal and health information for purposes of payment, treatment and operations.

Disclosures to healthcare service providers

  • To physicians and therapists we may disclose orders, notes, test reports, medications, and advanced directives.
  • To laboratories we may disclose name, ICD 9 code, Insurance, Social Security Number, Date of Birth and Physician.
  • To ambulance services we may disclose medication, diagnostic and advanced directives.
  • To hospitals we may disclose medications, advanced directives, and transfer forms containing insurance, social security, date of birth and physician.
  • To insurance providers we may disclose name, ICD 9 code, Insurance, Social Security Number, Date of Birth and Physician.

Disclosures to healthcare research organizations

  • We may disclose de-identified health information for scientific research.

Disclosures to marketing firms

  • We do not disclose resident information to third party marketing firms.
  • We may seek your authorization to participate in community brochures and marketing materials.

Third-Party Payers

  • We may disclose health information to third-party payors as required for payment.

Other disclosures required by law

Resident’s rights to notices, information, disclosures and retention of health information

  • Residents may access records containing their medical and billing information used to make decisions regarding their care while they are a resident and for as long as the record sets are retained.
  • If a resident believes their records have not been protected or have been disclosed inappropriately, they may submit (in writing) to the community’s Privacy Officer a description of the disclosure.
  • Residents may request access to or receive a marked copy of their records for audit purposes and to obtain an accounting of disclosures of protected health information.
  • Residents may amend protected health information as appropriate
    • If access is denied, the resident may have the denial reviewed by a licensed health care professional who is designated by the Community to act as a reviewing official and who did not participate in the original decision to deny.
  • The Community must provide or deny access in accordance with the determination of the reviewing official.
  • If the Community denies the request, in whole or in part, it must provide the Resident with a written denial.
  • Residents may file a written complaint with the U.S. Office of Civil Rights within 180 days of when the complainant knew or should have known the disclosure occurred.

Changes in Privacy Policies

  • We reserve the right to modify or supplement our Privacy Policy at any time
  • We will provide residents with a revised notice that describes material changes to our privacy practices within 60 days.
  • We will give residents a reasonable opportunity to “opt out,” where permitted, of the disclosure of information under the revised policy.

Our Security Procedures

  • We maintain procedures and technology designed to prevent unauthorized access to personal information.
  • Access to personal health information is only made available to employees and other practitioners who have a health care relationship with you and require the information for the purposes of your health.
  • We meet all applicable Federal and State standards regarding the security of electronic transmission of health information.
  • Employees who violate our Privacy Policies are subject to disciplinary action.
  • Business associates who violate our Privacy Policies are subject to termination of contract.

“Opting Out” residents selection regarding health information disclosure

  • Residents have the right to request restrictions on how their protected health information is used or disclosed to carry out treatment, payment or health care operations.
  • The Community is not required to agree to requested restrictions.
  • If the Community agrees to a requested restriction, the restriction is binding on the Community.
  • Residents have the right to revoke the consent in writing, except to the extent that the covered entity has taken action in reliance thereon.
    • Disclosures of protected health information for purposes other than payment, treatment and operations require a specific authorization by the resident that the information be de-identified prior to disclosure.

Residents may notify us by contacting the Privacy Officer in the administrative office of the Community.

Disclaimer

This privacy policy will not apply to your relationship with other healthcare providers. Their privacy policies will govern how they collect, use and disclose health information that you allow them to access.