Notice of Privacy Practices
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.
We make a record of the health care we provide and may receive such records from others. We use these
records to provide or help other health care providers to provide quality health care, to obtain payment for
services provided, and for administrative and operational purposes. The health record is the property of the
agency. This notice covers records from North Rock Medication Clinic, Red Rock Behavioral Health
Services, and Oklahoma Behavioral Health Pharmacy.
HOW WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION
For Treatment. We use health information about you to provide your health care. We
may disclose health information to our employees and others who are involved in
providing the care you need. For example, we may share your health information with
physicians or other healthcare providers who will provide services. We may share your
health information with a pharmacist who needs it to fill a prescription for you or a
laboratory that performs testing. We may also disclose health information to members of
your family or others who can help you when you are sick or injured.
We may disclose health information related to your treatment at Red Rock to any other health care providers or health information exchanges. You have the right
to request in writing a restriction on certain uses and disclosures of your information as provided by law. Such requests restrict your Protected Health Information
from being sent to a health exchange. For example, (1) we may send your health information to a physician who needs it to consult in your care or provide follow-up care.
(2) We may send your health information to a health information exchange for use by other providers in your medical diagnosis and treatment.
For Payment. We use and disclose health information about you to obtain payment for the
services you receive. For example, a bill may be sent to you and/or to a third-party payor,
such as an insurance company, health plan or the State.
For Health Care Operations. We may use and disclose health information about you to
operate this agency. For example, we may use and disclose this information to review and
improve the quality of care we provide, or the competence and qualifications of our
professional staff. We may use and disclose health information about you to get your
health plan to authorize services or referrals. We may also share your health information
with our business associates, such as a billing service, that perform administrative services
for us. We have a written contract with each business associate that contains terms
requiring them to protect the confidentiality of your health information.
Appointment Reminders. We may use and disclose health information to contact and
remind you about appointments. We may phone your home. If you are not home, we may
leave the date and time of your appointment on your answering machine or in a message
left with the person answering the phone.
Sign-in Sheet. We may use information about you by having you sign in when you arrive
at our office. We may also call out your name when we are ready to see you.
Notification and Communication with Family. We may disclose your health information
to notify or assist in notifying a family member, your personal representative, or another
person responsible for your care about your location, your general condition, or in the
event of your death. In the event of a disaster, we may disclose information to a relief
organization so they may coordinate these notification efforts. We may also disclose
information to someone who is involved with your care. If you are able and available to
agree or object, we will give you the opportunity to object prior to making these
disclosures, although we may disclose health information in a disaster even over your
objection if we believe it is necessary to respond to the emergency circumstances. If you
are unable and unavailable to agree or object, our health professionals will use their best
judgment in communication with your family and others.
Required by Law. We may use and disclose health information about you as required by
law. For example, in certain circumstances, we may be required to disclose information
for the following purposes:
To report information related to victims of abuse, neglect or domestic violence;
To assist law enforcement officials in their duties;
To respond to judicial and administrative proceedings or, in the course of judicial proceedings,
if you have waived your rights to confidentiality under Oklahoma law; and,
To help health oversight agencies during the course of audits, investigations, inspections,
licensure, and other proceedings, subject to the limitations imposed by federal and Oklahoma law.
Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose
health information about you in response to a court or administrative order. If the lawsuit
is a health negligence action, your health information may be disclosed without a court
order. We may also disclose health information about you in response to a subpoena,
discovery request, or other lawsuit process by someone else involved in the dispute, but
only if efforts have been made to tell you about the request or to obtain an order protecting
the information requested.
Public Health and Safety. Your health information may be used or disclosed for public
health activities such as assisting public health authorities or other legal authorities prevent
or control disease, injury, or disability, or for other health oversight activities. Your health
information may be disclosed to appropriate persons in order to prevent or lessen a serious
and imminent threat to the health and safety of a particular person or the general public.
Specialized Government Functions. We may disclose your health information for military
or national security purposes or to correctional institutions or law enforcement officers that
have you in their lawful custody.
Coroners/Funeral Directors. We may disclose your health information to coroners in
connection with their investigations of death or to funeral directors to enable them to carry
out their lawful duties.
Workers? Compensation. Your health information may be used or disclosed as necessary
in order to comply with laws and regulations related to workers? compensation.
Change of Ownership. In the event that this agency is sold or merged with another
organization, your health information will become the property of the new owner, although
you will maintain the right to request that copies of your health information be transferred
to another provider.
Marketing. We may contact you to give you information about products or services
related to your treatment, case management or care coordination, or to direct or
recommend other treatments or health-related benefits and services that may be of interest
to you. We may also encourage you to purchase a product or service when we see you.
We will not use or disclose your health information for marketing purposes without your
written authorization.
Research. We may use your health information for research purposes when an
institutional review board or privacy board has reviewed the research proposal and
established protocols to ensure the privacy of your health information and has approved
the research.
By Oklahoma law we are required to notify you . . . that your health information used or
disclosed as described in this Notice of Privacy Practices may include records which may
indicate the presence of a communicable or venereal disease which may include, but are
not limited to, diseases such as hepatitis, syphilis, gonorrhea and the human
immunodeficiency virus, also known as Acquired Immune Deficiency Syndrome (AIDS).
WHEN WE MAY NOT USE OR DISCLOSE YOUR HEALTH INFORMATION
Except as described in this Notice of Privacy Practices, this agency will not use or disclose
health information that identifies you without your written authorization. If you do
authorize this agency to use or disclose your health information for another purpose, you
may revoke your authorization in writing at any time.
YOUR HEALTH INFORMATION RIGHTS
You have the right:
To a paper copy of this Notice of Privacy Practices.
To request restrictions on certain uses and disclosures of your health information by
written request specifying what information you want to limit and what limitations on our
use or disclosure of that information you wish to have imposed. We reserve the right to
accept or reject your request and will notify you of our decision.
To request that you receive health information in a specific way or at a specific location.
For example, you may ask that we send information to your work address. We will
comply with all reasonable requests submitted.
To obtain access to or a copy of your health information, with limited exceptions. A
reasonable fee may be charged for making copies. Under current Oklahoma law, fees of
25› per page are allowed. We may also charge for postage if the copies are to be mailed.
If we deny your request for access or copies, you will be informed of your rights to appeal
our decision.
To request that we amend your health information you believe is incorrect or incomplete.
Your request to amend must be in writing and include the reasons you believe the
information is inaccurate or incomplete. We are not required to change your health
information and if we do not, we will provide you with information about this agency?s
denial and how you can disagree with the denial. You also have the right to request that
we add to your record a statement of up to two hundred and fifty (250) words concerning
any statement or item you believe to be incomplete or incorrect.
To receive an accounting of disclosures made of your health information by this agency
unless the disclosures were for purposes of treatment, payment, health care operations,
certain government functions, or pursuant to your written authorization. You have the
right to revoke your authorization to use or disclose health information except to the extent
that this use or disclosure has already occurred.
IF YOU WOULD LIKE TO HAVE A MORE DETAILED EXPLANATION OF THESE RIGHTS, OR IF
YOU WOULD LIKE TO EXERCISE ONE OR MORE OF THESE RIGHTS, CONTACT OUR PRIVACY
OFFICER AT THE NUMBER LISTED BELOW.
OBLIGATIONS OF THIS AGENCY
We are required to maintain the privacy of your confidential health information, provide
you with this notice of our legal duties and privacy practices with respect to your health
information, abide by the terms of this notice, notify you if we are unable to agree with a
requested restriction on how your information is used or disclosed, accommodate
reasonable requests you make to communicate health information by alternative means or
alternative locations and obtain your written authorization to use or disclose your health
information for reasons other than those listed above and permitted under law. We reserve
the right to change or amend this Notice of Privacy Practices at any time in the future.
After an amendment is made, the revised Notice of Privacy Practiceswill apply to all
health information that we maintain. A copy of any Revised Notice of Privacy Practices
will be made available to you at each appointment.
CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE CLIENT RECORDS
The confidentiality of alcohol and drug abuse client records maintained by this program is
protected by Federal law and regulations. Generally, the program may not say to a person
outside the program that a client attends the program, or disclose any information
identifying a client as an alcohol or drug abuser Unless:
(1) The client consents in writing:
(2) The disclosure is allowed by a court order; or
(3) The disclosure is made to healthcare personnel in a healthcare emergency or to
qualified personnel for research, audit, or program evaluation.
Violation of the Federal law and regulations by a program is a crime. Suspected violations
may be reported to appropriate authorities in accordance with Federal regulations. Federal
law and regulations do not protect any information about a crime committed by a client
either at the program or against any person who works for the program or about any threat
to commit such a crime. Federal laws and regulations do not protect any information
about suspected child abuse or neglect from being reported under State law to appropriate
State or local authorities.
COMPLAINTS
You will not be penalized for filing a complaint. Complaints about this Notice of Privacy
Practices or how this agency handles your health information should be directed to:
Red Rock Behavioral Health Services
Attn: Privacy Officer
4400 North Lincoln Blvd.
Oklahoma City, OK 73105
(405) 424-7711
If you are not satisfied with the manner in which this office handles a complaint, you may
submit a formal complaint to:
The Department of Health and Human Services
Office of Civil Rights
Herbert H. Humphrey Building, Room 509 F
200 Independence Avenue, S.W.
Washington, D.C. 20201