At Baton Rouge Urology Group we are committed to
treating and using protected health information about you
responsibly. This Notice of Health Information Practices
describes the personal information we collect, and how and
when we use or disclose that information. It also describes
your rights as they relate to your protected health
information. This Notice is effective April 14, 2003, and
applies to all protected health information as defined by
federal regulations.
Each time you visit Baton Rouge Urology Group a record of
your visit is made. Typically, this record contains your
symptoms, examination and test results, diagnoses,
treatment, and a plan for future care or treatment. This
information, often referred to as your health or medical
record, serves as a:
Accommodate reasonable requests you may have to
communicate health information by alternative means
or at alternative locations.
We reserve the right to change our practices and to make the
new provisions effective for all protected health information
we maintain. Should our information practices change, we
will mail a revised notice to the address you’ve supplied us.
We will not use or disclose your health information without
your authorization, except as described in this notice. We
will also discontinue to use or disclose your health
information after we have received a written revocation of
the authorization according to the procedures included in the
authorization.
For More Information or to Report a Problem
If you have questions and would like additional
information, you may contact the practice’s Privacy
Officer at 225-769-2500.
If you believe your privacy rights have been violated, you
can file a complaint with the practice’s Privacy Officer, or
with the Office for Civil Rights, U.S. Department of Health
and Human Services. There will be no retaliation for filing a
complaint with either the Privacy Officer or the Office for
Civil Rights. The address for the OCR is listed below:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F, HHH Building
Washington, D.C. 20201
Examples of Disclosures for Treatment, Payment and Health Operations
We will use your health information for treatment.
For example: Information obtained by a nurse, physician or
other member of your health care team will be recorded in
your record and used to determine the course of treatment
that should work best for you. Your physician will
document in your record his or her expectations of the
members of your health care team. Members of your health
care team will then record the actions they took and their
observations. In that way, the physician will know how you
are responding to treatment.
We will also provide your physician or a subsequent health
care provider with copies of various reports that should
assist him or her in treating you once you’re discharged
from this hospital.
We will use your health information for payment.
For example: A bill may be sent to you or a third-party
payer. The information on or accompanying the bill may
include information that identifies you, as well as your
diagnosis, procedures, and supplies used.
We will use your health information for payment.
For example: A bill may be sent to you or a third-party
payer. The information on or accompanying the bill may
include information that identifies you, as well as your
diagnosis, procedures, and supplies used.
Funeral directors: We may disclose health information to
funeral directors consistent with applicable law to carry out
their duties.
Organ procurement organizations: Consistent with
applicable law, we may disclose health information to organ
procurement organizations or other entities engaged in the
procurement, banking, or transplantation of organs for the
purpose of tissue donation and transplant.
Marketing: We may contact you to provide appointment
reminders or information about treatment alternatives or
other health-related benefits and services that may be of
interest to you.
Fund raising: We may contact you as part of a fund-raising
effort.
Food and Drug Administration (FDA): We may disclose to
the FDA health information relative to adverse events with
respect to food, supplements, product and product defects,
or post-marketing surveillance information to enable
product recalls, repairs, or replacement.
Workers’ compensation: We may disclose health information
to the extent authorized by and to the extent necessary to
comply with laws relating to workers’ compensation or other
similar programs established by law.
Public health: As required by law, we may disclose your
health information to public health or legal authorities
charged with preventing or controlling disease, injury, or
disability.
Law enforcement: We may disclose health information for
law enforcement purposes as required by law or in response
to a valid subpoena.
Federal law makes provisions for your health information to
be released to an appropriate health oversight agency, public
health authority or attorney, provided that a work force
member or business associate believes in good faith that we
have engaged in unlawful conduct or have otherwise
violated professional or clinical standards and are potentially
endangering one or more patients, workers or the public.
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