The document is a privacy notice from Dr. Heather Smith that describes how patients' medical information may be used, disclosed, and accessed. It informs patients of their privacy rights regarding their medical records and gives examples of how their information could be shared for treatment, payment, health care operations, and other purposes. The notice also outlines Dr. Smith's responsibilities to maintain privacy and security of patients' protected health information.
This document provides training on privacy and security as required by HIPAA regulations. It covers several topics:
1. It outlines different types of privacy and security training provided, including for direct service staff, supervisors, executives, and volunteers.
2. The course objectives are to educate on the requirements of HIPAA and state privacy laws, how these affect jobs and responsibilities, what information must be protected, how to protect information, and how to report breaches.
3. Key aspects of privacy and security covered include protected health information, access and use of patient data, disposal of documents, computer security practices, and reporting breaches. The document provides scenarios to demonstrate proper privacy and security procedures.
This document provides an overview of mandatory reporting responsibilities. It defines mandatory reporters as professionals like teachers, medical providers, and social workers who are required by law to report suspected child abuse. The responsibilities of mandatory reporters are described, including making a report to child services or law enforcement if abuse is suspected. Different types of child abuse - physical, sexual, mental, and neglect - are defined. The steps for making an abuse report are outlined, including information to provide and what to expect during the reporting process.
1. The document is a notice of privacy practices from Fort Lauderdale Pain Medicine that explains how patient health information is used and disclosed.
2. It informs patients that their health information is protected and outlines how it may be used for treatment, payment, and healthcare operations.
3. The notice also describes situations where patient information can be disclosed without authorization, such as for health and safety reasons. It provides patients with their rights regarding their health information and contact information.
Maiden name change is a privilege available to every adult in the US. It can be done at any age and for any reason as long as you are not escaping the law or intending to commit a crime. Here are straightforward answers to common questions asked about the process.
For more information visit www.hitchswitch.com
This document outlines resources and options for students at Bryant University who have experienced harassment, stalking, relationship violence, or sexual assault. It provides contact information for on-campus and off-campus confidential resources such as the Women on Call and the Hochberg Women's Center, as well as legal resources like the Smithfield Police Department and Women and Infants Hospital. The document also describes informal complaint options through the university as well as formal complaint and criminal processes.
Dr. Heather Smith provides licensed psychological services. She holds a Ph.D. in Counseling Psychology and is licensed in Colorado. Her practice policies include maintaining client confidentiality, charging $150 per 50-55 minute session, and offering a sliding scale for clients with financial need. She uses secure electronic systems and informed consent is required to address legal, ethical, and privacy issues regarding treatment and payment.
HIPAA requires healthcare providers, health plans, and clearinghouses to protect patients' privacy and confidentiality. It applies to individually identifiable health information in electronic, paper, or spoken form. HIPAA protects patients' health information, including medical records, insurance information, and other personal details. Violations can result in civil penalties up to $250,000 and jail time up to 10 years, depending on the nature and intent of the violation. Healthcare workers must only access health information as authorized and keep all patient information private and confidential.
HIPAA requires all healthcare providers to protect patients' privacy, confidentiality, and security of their health information. It applies to doctors, hospitals, insurance companies, and any organization that handles protected health information (PHI). PHI includes information about a person's health, treatments, payments and identifying details. Violations of HIPAA can result in civil penalties up to $250,000 and jail time of up to 10 years, depending on the type of violation. Healthcare workers must only access health records they are authorized to see and keep all PHI private and confidential.
This document provides training on privacy and security as required by HIPAA regulations. It covers several topics:
1. It outlines different types of privacy and security training provided, including for direct service staff, supervisors, executives, and volunteers.
2. The course objectives are to educate on the requirements of HIPAA and state privacy laws, how these affect jobs and responsibilities, what information must be protected, how to protect information, and how to report breaches.
3. Key aspects of privacy and security covered include protected health information, access and use of patient data, disposal of documents, computer security practices, and reporting breaches. The document provides scenarios to demonstrate proper privacy and security procedures.
This document provides an overview of mandatory reporting responsibilities. It defines mandatory reporters as professionals like teachers, medical providers, and social workers who are required by law to report suspected child abuse. The responsibilities of mandatory reporters are described, including making a report to child services or law enforcement if abuse is suspected. Different types of child abuse - physical, sexual, mental, and neglect - are defined. The steps for making an abuse report are outlined, including information to provide and what to expect during the reporting process.
1. The document is a notice of privacy practices from Fort Lauderdale Pain Medicine that explains how patient health information is used and disclosed.
2. It informs patients that their health information is protected and outlines how it may be used for treatment, payment, and healthcare operations.
3. The notice also describes situations where patient information can be disclosed without authorization, such as for health and safety reasons. It provides patients with their rights regarding their health information and contact information.
Maiden name change is a privilege available to every adult in the US. It can be done at any age and for any reason as long as you are not escaping the law or intending to commit a crime. Here are straightforward answers to common questions asked about the process.
For more information visit www.hitchswitch.com
This document outlines resources and options for students at Bryant University who have experienced harassment, stalking, relationship violence, or sexual assault. It provides contact information for on-campus and off-campus confidential resources such as the Women on Call and the Hochberg Women's Center, as well as legal resources like the Smithfield Police Department and Women and Infants Hospital. The document also describes informal complaint options through the university as well as formal complaint and criminal processes.
Dr. Heather Smith provides licensed psychological services. She holds a Ph.D. in Counseling Psychology and is licensed in Colorado. Her practice policies include maintaining client confidentiality, charging $150 per 50-55 minute session, and offering a sliding scale for clients with financial need. She uses secure electronic systems and informed consent is required to address legal, ethical, and privacy issues regarding treatment and payment.
HIPAA requires healthcare providers, health plans, and clearinghouses to protect patients' privacy and confidentiality. It applies to individually identifiable health information in electronic, paper, or spoken form. HIPAA protects patients' health information, including medical records, insurance information, and other personal details. Violations can result in civil penalties up to $250,000 and jail time up to 10 years, depending on the nature and intent of the violation. Healthcare workers must only access health information as authorized and keep all patient information private and confidential.
HIPAA requires all healthcare providers to protect patients' privacy, confidentiality, and security of their health information. It applies to doctors, hospitals, insurance companies, and any organization that handles protected health information (PHI). PHI includes information about a person's health, treatments, payments and identifying details. Violations of HIPAA can result in civil penalties up to $250,000 and jail time of up to 10 years, depending on the type of violation. Healthcare workers must only access health records they are authorized to see and keep all PHI private and confidential.
This notice describes the privacy practices of Oakwood Lakes Podiatry Group regarding protected patient health information. It explains that patient information will only be used or disclosed for treatment, payment, or healthcare operations. It provides patients with rights regarding their health information, such as requesting restrictions on uses/disclosures, inspecting and copying records, and complaining about privacy violations. The notice takes effect on April 14, 2003.
Wondering what your rights are under the Health Insurance Portability and Accountability Act? Check out the new Notice of Privacy Practices effective 1 OCT 13.
This document summarizes a sample HIPAA Notice of Privacy Practices. It explains that the notice describes how health information is used and disclosed, how individuals can access this information, and their privacy rights. It outlines the organization's commitment to maintaining privacy and lists how health information may be used, such as for treatment, payment, and health care operations. It also lists special situations where information may be disclosed, such as for health oversight activities, law enforcement, or public health risks. The notice aims to inform individuals of their privacy rights regarding their personal health information.
This notice of privacy practices from Acupuncture by Troy Sammons summarizes how patient health information is used, disclosed, and protected. It outlines patients' rights to access and amend their records and request confidential communications. The notice also provides examples of how information may be shared with family, for treatment, payment activities, research, or as required by law. Patients can complain about privacy violations and the clinic must safeguard health data.
1. This notice describes how SLP Counseling, Inc. may use and disclose a patient's personal health information and the patient's rights regarding their health information.
2. SLP Counseling will use health information to provide treatment, arrange payment for services, and for business operations like insurance claims. Information may also be shared if the patient poses a serious threat to themselves or others or in cases of child or elder abuse.
3. Patients have rights to request confidential communication, access their health records, request changes to their health information, and file a privacy complaint.
This notice summarizes the privacy practices of Asthma & Allergy Care of DE, P.A. regarding protected health information. It explains how the practice may use and disclose patient information for treatment, payment, and operations. It also outlines patient rights to access and restrict the use of their information and the practice's obligations to maintain privacy and security. Contact information is provided for any questions about the notice or privacy rights.
This document is a notice of privacy practices from Rafia Dental. It summarizes how the dental practice may use and disclose patient health information, as well as patients' rights regarding their health information. The notice explains that Rafia Dental will use patient health information to provide treatment, obtain payment, and conduct healthcare operations like quality improvement. It also describes circumstances under which the practice is permitted or required by law to disclose patient health information without authorization.
The document provides information about various topics in a newsletter from UCare, a health insurance provider:
- It features a message from the CEO about receiving an "Excellent" rating from NCQA.
- An article profiles the Senior Companion program which provides volunteers to visit seniors.
- It provides details about UCare's privacy practices and members' rights.
- It encourages members to go paperless to reduce environmental impact and lists new online services.
- An article urges members to schedule colorectal cancer screenings for early detection of abnormalities.
The document outlines the rights and responsibilities of patients and their families at Hospital Changkat Melintang. It states that patients have the right to considerate, respectful care without discrimination. They also have the right to effective communication, involvement in decisions about their care, privacy and confidentiality, and freedom from abuse. The document provides specific details about the consent process, medical records, organizational contacts for concerns, and other rights.
This document introduces Five Wishes, a living will form that allows a person to specify their medical treatment preferences and appoint a healthcare agent if they become unable to make decisions. It describes the key features of Five Wishes, including specifying a healthcare agent, communicating treatment wishes, and ensuring wishes are followed. It also provides information on who should use Five Wishes, how it works in different states, and how to change from a previous living will or healthcare directive to using Five Wishes instead.
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 23 languages
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right form is used, please do the following:
Five Wishes is for any.
FIVEWISHES®12345M Y W I S H F O R .docxAKHIL969626
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
SA
M
PL
E
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 26 languages.
SA
M
PL
E
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right fo ...
The document provides information about New York State's Health Care Proxy Law, which allows a person to appoint a health care agent to make medical decisions on their behalf if they become unable to do so. It explains that the agent can be a family member or friend and has the authority to decide on treatments based on the patient's wishes. The document also answers frequently asked questions about the health care proxy, such as who can serve as an agent, when the agent's authority takes effect, what decisions they can make, and how the patient's wishes should be communicated to the agent.
This document discusses ethics, confidentiality, and end-of-life decisions in healthcare. It outlines the Hippocratic Oath, GMC guidelines on doctors' duties, and principles of ethics like beneficence and autonomy. It covers data protection laws, the role of Caldicott Guardians, and exceptions to confidentiality for issues like safeguarding, serious crimes, or notifiable diseases. Guidelines are provided on consent, driving fitness, death certificates, and end-of-life decisions around prolonging life or refusing treatment.
This document provides information about obtaining medical records, including rights to records, procedures for requesting records, and potential rejections. It discusses who can request and access various types of records according to HIPAA, including one's own records, a designated representative's records, a legal guardian's records, and deceased individuals' records. It also outlines timelines for providers to fulfill record requests and options for appealing rejections. The document marketing Choice Legal, a company that assists with nationwide medical record retrieval for law firms and insurance companies using online systems.
This document discusses the history and principles of confidentiality in healthcare, as well as HIPAA regulations regarding protected health information. Confidentiality has been a core principle since the Hippocratic Oath. HIPAA was passed in 1996 to standardize electronic health transactions and protect privacy. It applies to health providers, plans, and clearinghouses. Violations can result in civil penalties up to $25,000 per year or criminal penalties such as fines and imprisonment. The document outlines specific guidelines medical professionals must follow to ensure confidentiality.
This document outlines the rights of patients receiving mental health services in an inpatient psychiatric facility. It states that patients have rights to a patients' rights advocate, to file complaints, and certain rights that cannot be denied. It also details specific rights including the right to humane care, freedom from abuse, social activities, freedom from discrimination, and religious freedom. Some rights like clothing, money, visitors and personal items may be denied for good cause to prevent harm.
The document discusses HIPAA privacy and security requirements. It defines what protected health information (PHI) is and explains that the Privacy Rule establishes regulations for use and disclosure of PHI. Covered entities like health plans, providers, and clearinghouses must comply with HIPAA and face penalties for violations. The Security Rule also requires administrative, physical and technical safeguards to protect electronic PHI. The document reviews examples of PHI and provides guidance on complying with HIPAA privacy standards.
The document outlines the rights and responsibilities of patients receiving care at Agnesian HealthCare, including the right to privacy, informed consent, and participation in treatment decisions, as well as the responsibility to provide accurate medical information and fulfill financial obligations. It also provides information on patient safety, communicating with healthcare providers, and how to voice any concerns about the quality of care received.
This document provides an overview of HIPAA training for Rotterdam Emergency Medical Services. It defines what HIPAA is, outlines requirements for covered entities like REMS, and discusses protected health information and permissible disclosures of PHI. Key points covered include defining PHI, requirements for privacy practices, training and safeguards for handling sensitive patient information, and guidelines for permissible disclosures to medical providers, law enforcement, or in cases of public health emergencies. The training stresses properly protecting patient privacy while still allowing necessary information sharing for treatment, payment, and operations.
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.
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This notice describes the privacy practices of Oakwood Lakes Podiatry Group regarding protected patient health information. It explains that patient information will only be used or disclosed for treatment, payment, or healthcare operations. It provides patients with rights regarding their health information, such as requesting restrictions on uses/disclosures, inspecting and copying records, and complaining about privacy violations. The notice takes effect on April 14, 2003.
Wondering what your rights are under the Health Insurance Portability and Accountability Act? Check out the new Notice of Privacy Practices effective 1 OCT 13.
This document summarizes a sample HIPAA Notice of Privacy Practices. It explains that the notice describes how health information is used and disclosed, how individuals can access this information, and their privacy rights. It outlines the organization's commitment to maintaining privacy and lists how health information may be used, such as for treatment, payment, and health care operations. It also lists special situations where information may be disclosed, such as for health oversight activities, law enforcement, or public health risks. The notice aims to inform individuals of their privacy rights regarding their personal health information.
This notice of privacy practices from Acupuncture by Troy Sammons summarizes how patient health information is used, disclosed, and protected. It outlines patients' rights to access and amend their records and request confidential communications. The notice also provides examples of how information may be shared with family, for treatment, payment activities, research, or as required by law. Patients can complain about privacy violations and the clinic must safeguard health data.
1. This notice describes how SLP Counseling, Inc. may use and disclose a patient's personal health information and the patient's rights regarding their health information.
2. SLP Counseling will use health information to provide treatment, arrange payment for services, and for business operations like insurance claims. Information may also be shared if the patient poses a serious threat to themselves or others or in cases of child or elder abuse.
3. Patients have rights to request confidential communication, access their health records, request changes to their health information, and file a privacy complaint.
This notice summarizes the privacy practices of Asthma & Allergy Care of DE, P.A. regarding protected health information. It explains how the practice may use and disclose patient information for treatment, payment, and operations. It also outlines patient rights to access and restrict the use of their information and the practice's obligations to maintain privacy and security. Contact information is provided for any questions about the notice or privacy rights.
This document is a notice of privacy practices from Rafia Dental. It summarizes how the dental practice may use and disclose patient health information, as well as patients' rights regarding their health information. The notice explains that Rafia Dental will use patient health information to provide treatment, obtain payment, and conduct healthcare operations like quality improvement. It also describes circumstances under which the practice is permitted or required by law to disclose patient health information without authorization.
The document provides information about various topics in a newsletter from UCare, a health insurance provider:
- It features a message from the CEO about receiving an "Excellent" rating from NCQA.
- An article profiles the Senior Companion program which provides volunteers to visit seniors.
- It provides details about UCare's privacy practices and members' rights.
- It encourages members to go paperless to reduce environmental impact and lists new online services.
- An article urges members to schedule colorectal cancer screenings for early detection of abnormalities.
The document outlines the rights and responsibilities of patients and their families at Hospital Changkat Melintang. It states that patients have the right to considerate, respectful care without discrimination. They also have the right to effective communication, involvement in decisions about their care, privacy and confidentiality, and freedom from abuse. The document provides specific details about the consent process, medical records, organizational contacts for concerns, and other rights.
This document introduces Five Wishes, a living will form that allows a person to specify their medical treatment preferences and appoint a healthcare agent if they become unable to make decisions. It describes the key features of Five Wishes, including specifying a healthcare agent, communicating treatment wishes, and ensuring wishes are followed. It also provides information on who should use Five Wishes, how it works in different states, and how to change from a previous living will or healthcare directive to using Five Wishes instead.
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 23 languages
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right form is used, please do the following:
Five Wishes is for any.
FIVEWISHES®12345M Y W I S H F O R .docxAKHIL969626
FIVE
WISHES
®
1
2
3
4
5
M Y W I S H F O R :
The Person I Want to Make Care Decisions for Me When I Can’t
The Kind of Medical Treatment I Want or Don’t Want
How Comfortable I Want to Be
How I Want People to Treat Me
What I Want My Loved Ones to Know
print your name
birthdate
SA
M
PL
E
2
T here are many things in life that are out of our hands. This Five Wishes document gives you a way to control something very
important—how you are treated if you get seriously ill. It is an easy-to-
complete form that lets you say exactly what you want. Once it is filled out
and properly signed it is valid under the laws of most states.
Five Wishes
Five Wishes is the first living will that talks
about your personal, emotional and spiritual
needs as well as your medical wishes. It lets
you choose the person you want to make
health care decisions for you if you are not
able to make them for yourself. Five Wishes
lets you say exactly how you wish to be
treated if you get seriously ill. It was
written with the help of The American Bar
Association’s Commission on Law and Aging,
and the nation’s leading experts in end-of-life
care. It’s also easy to use. All you have to do is
check a box, circle a direction, or write a few
sentences.
What Is Five Wishes?
• It lets you talk with your family,
friends and doctor about how you
want to be treated if you become
seriously ill.
• Your family members will not have to
guess what you want. It protects them
if you become seriously ill, because
they won’t have to make hard choices
without knowing your wishes.
• You can know what your mom, dad,
spouse, or friend wants. You can be
there for them when they need you
most. You will understand what they
really want.
How Five Wishes Can Help You And Your Family
How Five Wishes Began
For 12 years, Jim Towey worked closely with
Mother Teresa, and, for one year, he lived in a
hospice she ran in Washington, DC. Inspired by
this first-hand experience, Mr. Towey sought a
way for patients and their families to plan ahead
and to cope with serious illness. The result is
Five Wishes and the response to it has been
overwhelming. It has been featured on CNN
and NBC’s Today Show and in the pages of
Time and Money magazines. Newspapers have
called Five Wishes the first “living will with a
heart and soul.” Today, Five Wishes is available
in 26 languages.
SA
M
PL
E
3
If you live in the District of Columbia or one of the 42 states listed below, you can use
Five Wishes and have the peace of mind to know that it substantially meets your state’s
requirements under the law:
You may already have a living will or a durable power of attorney for health care. If you
want to use Five Wishes instead, all you need to do is fill out and sign a new Five Wishes
as directed. As soon as you sign it, it takes away any advance directive you had before. To
make sure the right fo ...
The document provides information about New York State's Health Care Proxy Law, which allows a person to appoint a health care agent to make medical decisions on their behalf if they become unable to do so. It explains that the agent can be a family member or friend and has the authority to decide on treatments based on the patient's wishes. The document also answers frequently asked questions about the health care proxy, such as who can serve as an agent, when the agent's authority takes effect, what decisions they can make, and how the patient's wishes should be communicated to the agent.
This document discusses ethics, confidentiality, and end-of-life decisions in healthcare. It outlines the Hippocratic Oath, GMC guidelines on doctors' duties, and principles of ethics like beneficence and autonomy. It covers data protection laws, the role of Caldicott Guardians, and exceptions to confidentiality for issues like safeguarding, serious crimes, or notifiable diseases. Guidelines are provided on consent, driving fitness, death certificates, and end-of-life decisions around prolonging life or refusing treatment.
This document provides information about obtaining medical records, including rights to records, procedures for requesting records, and potential rejections. It discusses who can request and access various types of records according to HIPAA, including one's own records, a designated representative's records, a legal guardian's records, and deceased individuals' records. It also outlines timelines for providers to fulfill record requests and options for appealing rejections. The document marketing Choice Legal, a company that assists with nationwide medical record retrieval for law firms and insurance companies using online systems.
This document discusses the history and principles of confidentiality in healthcare, as well as HIPAA regulations regarding protected health information. Confidentiality has been a core principle since the Hippocratic Oath. HIPAA was passed in 1996 to standardize electronic health transactions and protect privacy. It applies to health providers, plans, and clearinghouses. Violations can result in civil penalties up to $25,000 per year or criminal penalties such as fines and imprisonment. The document outlines specific guidelines medical professionals must follow to ensure confidentiality.
This document outlines the rights of patients receiving mental health services in an inpatient psychiatric facility. It states that patients have rights to a patients' rights advocate, to file complaints, and certain rights that cannot be denied. It also details specific rights including the right to humane care, freedom from abuse, social activities, freedom from discrimination, and religious freedom. Some rights like clothing, money, visitors and personal items may be denied for good cause to prevent harm.
The document discusses HIPAA privacy and security requirements. It defines what protected health information (PHI) is and explains that the Privacy Rule establishes regulations for use and disclosure of PHI. Covered entities like health plans, providers, and clearinghouses must comply with HIPAA and face penalties for violations. The Security Rule also requires administrative, physical and technical safeguards to protect electronic PHI. The document reviews examples of PHI and provides guidance on complying with HIPAA privacy standards.
The document outlines the rights and responsibilities of patients receiving care at Agnesian HealthCare, including the right to privacy, informed consent, and participation in treatment decisions, as well as the responsibility to provide accurate medical information and fulfill financial obligations. It also provides information on patient safety, communicating with healthcare providers, and how to voice any concerns about the quality of care received.
This document provides an overview of HIPAA training for Rotterdam Emergency Medical Services. It defines what HIPAA is, outlines requirements for covered entities like REMS, and discusses protected health information and permissible disclosures of PHI. Key points covered include defining PHI, requirements for privacy practices, training and safeguards for handling sensitive patient information, and guidelines for permissible disclosures to medical providers, law enforcement, or in cases of public health emergencies. The training stresses properly protecting patient privacy while still allowing necessary information sharing for treatment, payment, and operations.
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Hipaa Notice for Psychotherapy Private Practice
1. Heather Smith, Ph.D.
Your Information.
Your Rights.
Our Responsibilities.
12021 Pennsylvania Street, Suite 203
Thornton, CO 80241
(720)263-1185
www.drheathersmith.com
This notice describes how medical information about
you may be used and disclosed and how you can get
access to this information. Please review it carefully.
You have the right to:
Your
Rights
Your
Choices
Our
Uses and
Disclosures
• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• et a list of those with whom we’ve shared
G
your information
• Get a copy of this privacy notice
• Choose someone to act for you
• ile a complaint if you believe your privacy
F
rights have been violated
You have some choices in the way that we
use and share information as we:
• Tell family and friends about your condition
• Provide disaster relief
• Include you in a hospital directory
• Provide mental health care
• Market our services and sell your information
• Raise funds
We may use and share your information as we:
• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• omply with the law
C
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• ddress workers’ compensation, law enforcement,
A
and other government requests
• espond to lawsuits and legal actions
R
Notice of Privacy Practices • Page 1
➤ See page 2 for
more information on
these rights and how
to exercise them
➤ See page 3 for
more information on
these choices and
how to exercise them
➤ See pages 3 and 4
for more information
on these uses and
disclosures
2. Your
Rights
When it comes to your health information, you have certain rights.
This section explains your rights and some of our responsibilities to help you.
Get an electronic or
paper copy of your
medical record
•• You can ask to see or get an electronic or paper copy of your medical record and
other health information we have about you. Ask us how to do this.
Ask us to correct
your medical record
•• You can ask us to correct health information about you that you think is incorrect
or incomplete. Ask us how to do this.
•• We will provide a copy or a summary of your health information, usually within 30
days of your request. We may charge a reasonable, cost-based fee.
•• We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential
communications
•• You can ask us to contact you in a specific way (for example, home or office phone)
or to send mail to a different address.
•• We will say “yes” to all reasonable requests.
Ask us to limit what
we use or share
•• You can ask us not to use or share certain health information for treatment,
payment, or our operations. We are not required to agree to your request, and we
may say “no” if it would affect your care.
•• If you pay for a service or health care item out-of-pocket in full, you can ask us not to
share that information for the purpose of payment or our operations with your health
insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those
with whom we’ve
shared information
•• You can ask for a list (accounting) of the times we’ve shared your health information
for six years prior to the date you ask, who we shared it with, and why.
Get a copy of this
privacy notice
•• You can ask for a paper copy of this notice at any time, even if you have agreed to
receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone
to act for you
•• If you have given someone medical power of attorney or if someone is your legal
guardian, that person can exercise your rights and make choices about your health
information.
•• We will include all the disclosures except for those about treatment, payment, and
health care operations, and certain other disclosures (such as any you asked us to
make). We’ll provide one accounting a year for free but will charge a reasonable,
cost-based fee if you ask for another one within 12 months.
•• We will make sure the person has this authority and can act for you before we take
any action.
File a complaint if
you feel your rights
are violated
•• You can complain if you feel we have violated your rights by contacting us using the
information on page 1.
•• You can file a complaint with the U.S. Department of Health and Human Services
Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W.,
Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/
privacy/hipaa/complaints/.
•• We will not retaliate against you for filing a complaint.
Notice of Privacy Practices • Page 2
3. Your
Choices
For certain health information, you can tell us your choices about what
we share. If you have a clear preference for how we share your information in the
situations described below, talk to us. Tell us what you want us to do, and we will follow
your instructions.
In these cases, you have
both the right and choice
to tell us to:
• hare information with your family, close friends, or others involved in your care
S
• Share information in a disaster relief situation
• Include your information in a hospital directory
If you are not able to tell us your preference, for example if you are unconscious,
we may go ahead and share your information if we believe it is in your best interest.
We may also share your information when needed to lessen a serious and imminent
threat to health or safety.
In these cases we never
share your information
unless you give us
written permission:
• Marketing purposes
In the case of fundraising:
• e may contact you for fundraising efforts, but you can tell us not to
W
contact you again.
Our
Uses and
Disclosures
• Sale of your information
• Most sharing of psychotherapy notes
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
•• We can use your health information and
share it with other professionals who are
treating you.
Example: A doctor treating you for an
injury asks another doctor about your
overall health condition.
Run our
organization
•• We can use and share your health
information to run our practice, improve
your care, and contact you when necessary.
Example: We use health information
about you to manage your treatment and
services.
Bill for your
services
•• We can use and share your health
information to bill and get payment from
health plans or other entities.
Example: We give information about you
to your health insurance plan so it will pay
for your services.
continued on next page
Notice of Privacy Practices • Page 3
4. How else can we use or share your health information? We are allowed or required to share your
information in other ways – usually in ways that contribute to the public good, such as public health and research.
We have to meet many conditions in the law before we can share your information for these purposes. For more
information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health
and safety issues
• We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety
Do research
• We can use or share your information for health research.
Comply with the law
•• We will share information about you if state or federal laws require it,
including with the Department of Health and Human Services if it wants to
see that we’re complying with federal privacy law.
Respond to organ and
tissue donation requests
W
• e can share health information about you with organ procurement
organizations.
Work with a medical
examiner or funeral director
• e can share health information with a coroner, medical examiner, or funeral
W
director when an individual dies.
Address workers’
compensation, law
enforcement, and other
government requests
• We can use or share health information about you:
• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
•• For special government functions such as military, national security, and
presidential protective services
Respond to lawsuits and
legal actions
W
• e can share health information about you in response to a court or
administrative order, or in response to a subpoena.
Special Notes for the Practice of Dr. Heather Smith:
Psychotherapy treatment records are protected by law and will never be shared without your permission with
anyone except in the case of legal exceptions such as those covered in section 12-43-218 of the Colorado
Revised Statutes.
We do not share your information for any marketing purpose, or for other purposes listed in this notice but
not relevant to psychotherapy (such as maintaining a hospital directory).
Notice of Privacy Practices • Page 4
5. Our Responsibilities
• We are required by law to maintain the privacy and security of your protected health information.
• e will let you know promptly if a breach occurs that may have compromised the privacy or security
W
of your information.
• e must follow the duties and privacy practices described in this notice and give you a copy of it.
W
• e will not use or share your information other than as described here unless you tell us we can in
W
writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you
change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you.
The new notice will be available upon request, in our office, and on our web site.
October 1, 2013
This Notice of Privacy Practices applies to the following organizations.
Dr Heather Smith
If you have questions, please contact Dr. Heather Smith, (720)263-1185, heather @drheathersmith.com
Notice of Privacy Practices • Page 5