<strong>Christiana</strong> <strong>Care</strong> Visiting Nurse AssociationNotice of Privacy PracticesThis notice describes how medical information about you may be used and disclosedand how you can get access to this information. Please review it carefully.Effective Date: April 14, 2003If you have any questions about this notice, please contact <strong>Christiana</strong> <strong>Care</strong> <strong>Health</strong> <strong>System</strong>’s privacyofficer.Our promiseWe know that medical information about you and your health is private. We do our best to protectmedical information about you. We make a record of the care and treatment you receive at theagency. We need this record to give you good care and to follow certain rules and laws. This noticeapplies to all of the records of your care in the agency. Your personal doctor may have differentpolicies or notices regarding the use and sharing of your medical information created in the doctor’soffice or clinic. This notice will tell you about the ways we may use and give out medical informationabout you. It will also tell you about your rights and certain rules and laws we have to follow for theuse and sharing of medical information.ConfidentialityVNA does not release any medical information unless you tell us in writing that we can. By signing aconsent to release information statement, you allow us to discuss your condition with physicians,health care professionals, insurance representatives and health care providers involved in your care.The U.S. Department of <strong>Health</strong> and Human Services (<strong>Health</strong> <strong>Care</strong> Financing Administration) requiresthat all home health agencies collect standardized assessment information on admission, every twomonths during service and at discharge. The Outcome and Assessment Information Set (OASIS) isused to monitor and evaluate care provided by home health agencies. This information is confidentialunder the Federal Privacy Act and is disclosed only to authorized agencies listed on the consent form.Who will follow this notice:All disciplines of the agency.Any doctor who contributes information to your medical record.Any volunteer we allow to help with filing of information.All employees, staff and agency personnel.All of these people follow these rules and may share medical information with each other fortreatment, payment or running of the agency.The law requires we must:Make sure that your information is kept private;Tell you about the rules and laws we must follow; andDo what this notice says.20
How we may use and disclose medical information about you.Listed below are some examples of how we may share your medical information:To take care of you. We may use your medical information to give you care or services. Wemay give your medical information to doctors, doctors in training, nurses, therapists, aides,students or other agency personnel involved in your care. We may also share your medicalinformation to plan and manage care with a third party and those who will care for you afteryour discharge from VNA.To get paid. We may use and give out medical information about your care/services so that wecan be paid by you, your insurance company or a third party. For example: We may tell yourinsurance company/payer source about care and services you are going to receive so that wecan get approval or determine whether your plan will cover the care and services.To run the agency. We may use and give out medical information about you to run the agencyand make sure that all of our patients receive good care. We may use your medical informationto review care and services and evaluate staff. We may combine medical information frommany patients. This helps us decide when certain care and services are needed and not needed.Your medical information may be used to plan improvements in care and services. We maycombine your medical information with information from other agencies. This helps uscompare how we are doing and see where we can make improvements. For example:Information on Home <strong>Health</strong> Agency Outcome and Assessment Information Set (OASIS) iscollected on admission, resumption of care, transfer and discharge and is transmitted tostrategic healthcare programs. We may remove information that identifies you from sets ofmedical information so others may use it to study health care and healthcare delivery. We mayshare your medical information with companies that provide business services for us. If so, wewill have a written agreement requiring this company to protect the privacy of your medicalinformation.Options for care. We may use and give out medical information about you to tell you about orrecommend possible care/service options available.<strong>Health</strong>-related benefits and services. We may use and give out medical information about youto tell you about services that may be of interest to you.Fundraising activities. <strong>Christiana</strong> <strong>Care</strong> may contact you to ask for a donation or support of any<strong>Christiana</strong> <strong>Care</strong> program. <strong>Christiana</strong> <strong>Care</strong> reserves the right to access only certain information(name, address, telephone number, e-mail address, dates of service, insurance status, age andgender) for any individual using <strong>Christiana</strong> <strong>Care</strong>’s clinical and medical services. We may alsogive this information to <strong>Christiana</strong> <strong>Care</strong> Foundation for the same purpose. The funds raised willbe used to increase and improve the services and programs in the community. If you do notwish to be contacted for fund-raising efforts, please contact, in writing, the <strong>Christiana</strong> <strong>Care</strong>Foundation, P. O. Box 1668, Wilmington, DE 19899.Family and friends. We may release medical information about you to a friend or familymember whom you have identified to be informed about your care and services. This wouldinclude persons named in any durable health care power of attorney or similar documentprovided to us. We may also give information to someone who helps pay for your care. Inaddition, we may give out medical information about you to an agency helping in a disasterrelief effort so that your family can be contacted about your condition, status and location.21