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.
Via Christi ministries provide healthcare services and products to those we serve in cooperation with physicians and other professionals and organizations involved in your care. Our privacy practices govern the following:
- Healthcare providers and professionals at our ministries;
- Workforce, students, and volunteers at our ministries; and
- Business Associates with whom we share your protected health information (“PHI”).
Via Christi responsibilities
We are required by law to:
- Maintain the privacy of your PHI;
- Notify you in the event of a breach of your unsecured PHI;
- Provide you this notice of our legal duties and privacy practices with respect to PHI;
- Abide by our current Notice of Privacy Practices (“NPP”); and
- Follow the more stringent state law or federal law.
We must obtain your written authorization prior to:
- Selling your PHI, except when permitted by law;
- Use or disclosure of your PHI for marketing purposes that involve financial remuneration to us, except for face-to-face communications made by us to you or a promotional gift of nominal value provided by us to you;
- Use or disclosure of any psychotherapy notes, except for: use by the originator of the psychotherapy notes for treatment; use or disclosure for our own mental health training programs; or use or disclosure to defend ourselves in a legal action or other proceeding; and/or
- Other uses and disclosures not described in this NPP.
Permissible uses and disclosures of PHI
- We are permitted to use and disclose PHI for treatment. For example, we may provide PHI to another provider such as a specialist as part of a referral or another provider who has been asked to be involved in your care.
- We are permitted to use and disclose PHI to obtain payment for treatment. For example, we may send PHI as part of the billing information to your insurance company or payer.
- We are permitted to use and disclose PHI for use in healthcare operations. For example, we may use PHI to improve quality of our care or operations or to evaluate our staff’s performance while
caring for you.
- Subject to certain limitations, we are permitted to use and disclose PHI without your prior authorization for: public health purposes; reporting on abuse, neglect, or domestic violence;
health oversight activities; coroner and funeral arrangements; organ donations; law enforcement activities; research purposes; workers' compensation purposes; healthcare services provided at
the request of an employer; student immunization reporting; specialized government functions;
prevention of serious threats to health or safety; judicial and administrative proceedings; or when required by federal, state or local law.
- We are permitted to contact you for appointment reminders or to inform you about treatment options, alternatives, health-related benefits, or services that may be of interest to you.
- Unless you object, we list your name, room number, location, general condition (good, fair, etc.), and religious affiliation in the ministry directory and your religious affiliation may be disclosed to
a clergy member.
- We are permitted to disclose PHI to a friend, family member, or other individual who you identify as being involved in your medical care or payment for care. In situations where you are
incapacitated or unable to make this decision, we will use our professional judgment in making such disclosures.
- We are permitted to disclose PHI to disaster relief authorities, so that your family may be notified of your location and condition.
Your rights and responsibilities regarding PHI
- In most cases, you have the right to review or obtain a copy of your PHI by submitting a written request. If you request a copy, either paper or electronic, we may charge a reasonable fee for this service. If your request is denied, you may submit a written request for review of that decision.
- If you believe information in your record is incorrect or missing, you may request an amendment to the record by submitting a written request. If your request is denied, you may appeal, in
writing, the decision not to amend a record. You may also ask that your written statement requesting an amendment be placed in your medical record.
- You have the right to request an accounting of the disclosures of your PHI made outside of our
ministries. This does not include the permitted disclosures for treatment, payment, and healthcare operations. The request must state the time period desired for the accounting of disclosure, but no more than six years prior to the current date. You may request the accounting be provided in paper or electronic form. You may request that we transmit a copy to a third party designated by you. One accounting of disclosure in a 12-month period is free; additional requests are billed based on the cost of production. We will inform you of the fee for this service before any charges occur.
- You have the right to request restrictions on how we use and disclose your PHI. We are not required to comply with these requests. However, we are required to comply with any request to
restrict PHI disclosed to a health plan about a healthcare service or product for which you, or
someone other than the health plan, paid us out of pocket and in full prior to the involved healthcare service or product being rendered. If we accept a restriction request, we abide by it except when a use or disclosure is necessary for emergency treatment or is required by law.
- You have the right to revoke any previous authorizations, except to disclosures made prior to the date of revocation, by notifying us in writing of your decision.
- You may request that we communicate with you in a specific manner.
- You may opt-out of any current and future fundraising communications as explained in those communications or by completing the Fundraising Opt-Out form. We do not condition treatment
or payment on your acceptance of fundraising communications.
- If you obtained this NPP electronically, you have the right to a paper copy.
Electronic health information exchange
Certain Via Christi ministries participate in the electronic exchange of health information with other healthcare providers and health plans in the State of Kansas through an approved health information exchange organization. Through our participation, your PHI may be accessed by other providers and health plans for the purposes of treatment, payment, or healthcare operations. This health information exchange organization maintains appropriate safeguards to protect your PHI.
Under Kansas law, you have the right to decide whether providers and health plans can access your health information maintained at a health information exchange (“HIE”). You have two choices. You can permit authorized individuals to access your PHI maintained at an HIE for treatment, payment, or healthcare operations. If you choose this option, you do not have to do anything.
You can choose to restrict access to your PHI maintained at an HIE by submitting the required form to the Kansas Health Information Exchange at www.khie.org. Your restriction does not prevent access by authorized individuals to your PHI maintained by an HIE for purposes of obtaining information about certain communicable diseases, suspected incidents of abuse, or in an emergency. Your decision to restrict access of your PHI maintained at an HIE does not prevent permissible uses and disclosures of your PHI, outside of an HIE, by Via Christi as outlined in this notice. Additional information regarding electronic health information exchanges is available at www.khie.org.
Shared health information
In addition to the HIE, Via Christi participates in Organized Health Care Arrangements and acts as an Affiliated Covered Entity with healthcare providers, who have agreed to work with each other to facilitate access to health information that may be relevant to your care. For example, if you are admitted to a hospital on an emergency basis and cannot provide important information about your health condition, these arrangements will allow us to make your health information available to those who need it to treat you. When it is necessary, ready access to your health information means better care for you. We store health information about our patients in an electronic medical record with other healthcare providers who participate in the arrangement. You may contact the Privacy Officer for a list of healthcare providers who participate in these arrangements.
Privacy practices notice
Via Christi reserves the right to change its NPP at any time. Changes apply to PHI we already maintain. When we make a significant change to our policies or privacy practices, we post the new NPP in clear and prominent locations in our ministries and on our website at www.viachristiclinic.org. You may request a copy of the current NPP at any time. The NPP is provided no later than date of first
service. Via Christi may request that you provide written acknowledgement that you received this NPP.
Who to contact
- Written requests or appeals should be submitted to the Privacy Officer listed below.
- If you wish to file a complaint because you believe that your privacy rights may have been violated, please contact the Privacy Officer.
- You also may send a written complaint to the U.S. Department of Health and Human Services
Office of Civil Rights.
- Retaliation and retribution for making complaints or raising concerns are prohibited.
Coquette O’Rourke, Privacy Officer
Via Christi Clinic
3311 E. Murdock
Wichita, KS 67208
U.S. Dept of Health & Human Services
Office of Civil Rights
200 Independence Ave., S.W.
Washington, DC 20201
Effective Date: September 23, 2013
Via Christi Clinic offers urgent care on a walk-in basis to treat minor emergencies.
3311 E. Murdock – 316-689-9107
Mon – Fri 8 am – 8 pm
Sat 9 am – 5 pm
Sun Noon – 5 pm
Holidays – See Immediate Care page
13213 W. 21st St. N – 316-946-1789
Mon – Fri 5 pm – 8 pm
Sat 9 am – 5 pm
Sun Noon – 5 pm
Holidays – See Immediate Care page
700 Medical Center Dr. – 316-284-5011
Mon – Fri 5 pm – 8 pm
Sat 9 am – 1 pm
Diabetes Education Classes
Via Christi Clinic Diabetes Education Classes are offered on selected days of the week from 8:30 am to 5 pm.
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