Notice of Privacy Practices
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. This version is effective 9/23/13.
Download a printable copy of the Centura Health Privacy Practices.
Privacy Practices (English)
Notificación de Prácticas de Privacidad (Spanish)
Your personal medical information is private Centura Health understands
how important your personal medical information is to you. We know you
are concerned with how that information might be used, the way in which
it is disclosed and how you can access that information. That is why we've
put this document in your hands. It's why the "Privacy Practices"
outlined here are so important and why we want to pledge our commitment,
at the outset, to respect your personal medical information.
Our pledge to you
We understand that your medical information is personal and confidential.
We create a medical record of the care you receive because it's our
legal obligation, but more importantly because we want to provide you
with quality care. Please know we are committed to protecting your personal
medical information from any use for which it was not intended. In short,
the law requires us to:
◦Keep your medical information private.
◦Notify you of our legal duties and privacy practices with respect to
your medical information.
◦Follow the terms of the most current notice.
What this notice is all about
The information in this document applies to all of your medical records.
Please understand that a non-Centura doctor may have different policies
or notices regarding the use and disclosure of the medical information
created in his or her office. This notice will tell you about the specific
ways Centura Health and our facilities may use and disclose your medical
information. This notice also describes your rights and the duties we
have regarding the use and disclosure of your medical information.
Adhering to privacy practices
The U.S. Department of Health and Human Services sponsored the Health
Insurance Portability and Accountability Act (HIPAA). HIPAA dictates the
medical information privacy practices that health care organizations and
their partners are obligated to follow. Centura Health provides health
care to our patients, residents, and clients in partnership with many
physicians and other professionals and organizations. This notice describes
Centura Health practices and that of:
◦Any health care professional who treats you at any of our locations.
◦All departments and units of our organization.
◦All employed associates, staff or volunteers of our organization. This
includes staff at our sponsor organizations with which we may share information.
◦Any business associate or partner with whom we share health information.
Be assured that all these individuals and organizations understand that
the privacy of your medical information is important, and will be following
HIPAA guidelines to ensure that your information is used only as it is intended.
How your health information can be used & disclosed
The following is a list of ways in which your personal medical information
can be used and disclosed as allowed under HIPAA provisions. Be assured
that we will use your information in the most discreet manner.
Disclosure for health care related purposes
We may use and disclose your medical information for health care related
◦Treatment, such as sending your medical information to a specialist as
part of a referral.
◦Obtaining payment for treatment, such as sending billing information
to your insurance company or Medicare.
◦Supporting our health care operations, such as comparing patient data
to improve treatment methods.
◦Communication with business partners so they may help us to do our jobs.
These business partners are required by contract and by law to comply
with the provisions of HIPAA and protect your rights as we do.
Centura Health, the members of its medical staff, and other affiliated
health care providers participate in an Organized Health Care Arrangement
(OCHA). Participation in an OCHA allows covered entities to, among other
things, exchange protected health information with other OCHA participants
to provide patient care in a more effective and efficient manner.
Additionally, Centura Health participates in a health information exchange
(HIE) network. HIE provides a way to securely and electronically share
patients' clinical information with other physicians and other health
care providers participating in the HIE network to provide safer, more
timely, efficient, and higher quality care.
Disclosure to other organizations
Subject to certain requirements, we may give out your medical information
to other organizations without prior authorization for:
◦Public health purposes
◦Abuse or neglect reporting
◦Workers' compensation purposes
◦Health oversight audits or inspections
Disclosure to legal agencies
We also disclose medical information when required by law in response to:
◦Requests from law enforcement agencies in specific circumstances
◦Valid judicial or administrative orders
◦The government, if you are in the military or a veteran
◦National security and intelligence activities
◦Protective services for the President and others
Disclosure for contact with you
We also may use your medical information for contact with you, for:
◦Possible treatment options and alternatives ◦Health-related benefits
or services that may be of interest to you
Disclosure for fundraising purposes
We may use your name, address, age, date of birth, gender,dates of service,
department of service, treating physician, outcome information, and health
◦To raise funds for Centura Health or one of our facilities
◦To raise funds for one of our institutionally related foundations
Please know that our institutionally related foundations are required by
law to comply with HIPAA regulations and state confidentiality laws. If
you do not wish to be contacted for these efforts please notify the facility
according to instructions contained in the materials you may receive.
Disclosure when you are a patient or resident
If admitted as a patient or resident, we may list the following information
in our facility directory, unless you tell us otherwise:
◦Your location in the facility
◦Your general condition (good, fair, etc.)
◦Your religious affiliation
We will release all but your religious affiliation to anyone who asks about
you by name. Your religious affiliation may be disclosed only to a clergy
member, even if they do not ask for you by name.
Disclosure to friends, family and others
We may disclose medical information about you to:
◦A friend or family member who is involved in your medical care ◦Someone
who helps pay for your care ◦Disaster relief authorities to notify your
family of your location and condition
Disclosure in special circumstances
Most uses and disclosures of psychotherapy notes, uses and disclosures
of your medical information for marketing purposes, and disclosures that
constitute a sale of your medical information require authorization. In
any other situation not covered by this notice, we will ask for your written
authorization before using or disclosing your medical information. If
you chose to authorize use or disclosure you can later revoke that authorization
by notifying us in writing of your decision.
Can you see a copy of your medical information?
In most cases, you have the right to review and obtain a copy of the medical
information we use to make decisions about your care by submitting a written
request. If you request a paper or electronic copy, we may charge a fee
for the cost of copying or electronically scanning, and for mailing or
other related supplies. If we deny your request to review or obtain a
copy you may submit a written request for a review of that decision.
What if your medical records are inaccurate?
If you believe that information in your record is incorrect or if important
information is missing, you have the right to request correction of the
records by submitting a request in writing along with your reason for
requesting the amendment. We could deny your request to amend a record
if the information was not created by us; if it is not part of the medical
information we maintained; if it is not part of the information you would
be permitted to review or copy; or if we determine that the record is
accurate. You may appeal, in writing, a decision by us not to amend a record.
Can you know with whom we've shared your records?
You have the right to a list of those instances where we have disclosed
your medical information, other than for treatment, payment, health care
operations or where you specifically authorized a disclosure, by submitting
a written request. The request must state the time period desired for
the accounting, which must be less than a 6-year period and start after
April 14, 2003. You may receive the list in paper or electronic form.
The first disclosure list request in a 12-month period is free; other
requests will be charged according to our production cost. We will inform
you of the cost before you incur any expenses.
Can you specify the way in which we communicate your medical records to you?
You have the right to request that your medical information be communicated
to you in a confidential manner, such as sending mail to an address other
than your home. Your request must specify how or where you wish to be
contacted. We will attempt to honor all reasonable requests.
Can you request your medical information only be released with your permission?
You may request in writing that we not use or disclose your medical information
for treatment, payment and health care operations, or to persons involved
in your care except when specifically authorized by you, or when required
by law or in an emergency. All written requests must tell us (1) what
information you want to limit; (2) whether you want to limit our use or
disclosure; and (3) to whom you want the limits to apply. Unless your
request is to restrict disclosing your medical information to your health
plan for health care services for which you pay out of pocket in full,
we will consider your request but are not legally required to agree to
it. We will inform you of our decision on your request.
Will you be notified if there has been a breach of your medical information?
You have the right to, and will, be notified following a breach of your
medical information in the event it has not been rendered unusable, unreadable,
or indecipherable to unauthorized individuals.
If you've received this notice electronically, can you receive a paper copy?
You have the right to a paper copy of this notice. You may ask us to give
you a copy of this notice at any time. Even if you have agreed to receive
this notice electronically, you are still entitled to a paper copy of
this notice. You may view or print a copy of the notice at Centura Health website.
Where can you express a concern?
If you are concerned that your privacy rights may have been violated or
disagree with a decision we made about access to your records, you may
contact the Centura Health Integrity Helpline toll-free: 1-888-424-2458.
You also may send a written complaint to the U.S. Department of Health
and Human Services Office for Civil Rights. Under no circumstance will
you be penalized or retaliated against for filing a complaint.
Will the policies in this notice change?
We may change our policies at any time. Changes will apply to medical
information we already hold, as well as new information after the change
occurs. When we make a significant change to our policies, we will change
this notice and post the current notice in our facility and on our website.
The notice will contain the effective date. In addition, you will be offered
a copy of the current notice each time you register at one of our facilities
If you have any questions regarding the contents of this Notice of Privacy
Practices, please contact the facility main number, ask for the designated
privacy officer or call the Centura Health Integrity Helpline toll-free: