Care Center - Dayton
2200 Miami Valley Drive
Dayton, OH 45459
Notice of Privacy Practices
This privacy notice discloses the privacy practices for Pure Healthcare’s website. This privacy notice applies solely to information collected by this website. It will notify you of the following:
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone.
We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request.
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website:
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline.
Wherever we collect sensitive information (such as credit card data), that information is encrypted and transmitted to us in a secure way. You can verify this by looking for a lock icon in the address bar and looking for “https” at the beginning of the address of the Web page.
While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only staff members who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment.
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.
Pure Healthcare has established a policy to protect against unnecessary disclosure of your health information. As defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, Pure Healthcare may use your health information for the purposes explained below, including provision of your treatment, obtaining payment for your care and conducting its health operations.
Pure Healthcare may use or disclose your health information:
The following is a summary of the circumstances under which, and purposes for which your health information may also be used and disclosed:
Authorization to use or disclose health information
Other than stated above, Pure Healthcare will not disclose your health information other than with your written authorization. If you or your representative authorizes Pure Healthcare to use or disclose your health information, you may revoke that authorization in writing at any time.
Your right with respect to your health information
Your choices in the way that we use and share information as we
– Answer coverage question from your family and friends
– Share information in a disaster relief situation
– Market our services and sell your information
Following is a summary of the circumstances under which, and purposes for which, your health information may be used and disclosed:
Treatment. Pure Healthcare may use your health information to coordinate care within the agency and with others involved in your care, such as your attending physician, members of the hospice interdisciplinary team and other health care professionals who have agreed to assist in your care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications. Pure Healthcare may also disclose your health care information to individuals outside of Pure Healthcare who are involved in your care including family members, clergy whom you have designated, pharmacists, suppliers of medical equipment or other health care professionals that hospice uses to coordinate your care.
Payment. Your protected health information will be used, as needed, to obtain payment for your healthcare services. This may include certain activities that your health insurance plan may undertake before it approves or pays for healthcare services we recommend for you such as: making a determination of eligibility or coverage of your benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, Pure Healthcare may be required by your health insurer to provide information regarding your healthcare status to the insurer, and may need to explain to the insurer your need for care and the services that will be provided to you.
Healthcare Operations. Pure Healthcare may use and disclose healthcare information for its own operations in order to facilitate the function of hospice, and as necessary, to provide quality care to all patients. Healthcare operations include such activities as:
For Fundraising Activities. Pure Healthcare and its affiliates may use information about you including your name, address, phone number and the dates you received care in order to contact you or your family to raise money. Pure Healthcare and its affiliates may also release this information to a related foundation. If you do not want Pure Healthcare and its affiliates to contact you or your family, please notify the HIPAA Privacy Officer at 937.256.4490 and indicate that you do not wish to be contacted.
For Appointment Reminders. Pure Healthcare may use and disclose your health information to contact you as a reminder that you have an appointment for a home visit.
For Treatment Alternatives. Pure Healthcare may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that might be of interest to you.
When Legally Required. Pure Healthcare will disclose your health information when it is required to do so by any Federal, State or local law.
When there are risks to Public Health. Pure Healthcare may disclose your health information for public activities and purposes in order to:
For Law Enforcement Purposes. Pure Healthcare may disclose your health information to a law enforcement official for law enforcement purposes as follows:
To Coroners and Medical Examiners. Pure Healthcare may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties as authorized by law.
To Funeral Directors. Pure Healthcare may disclose your health information to funeral directors consistent with applicable laws and if necessary, to carry out their duties with respect to your funeral arrangements. If necessary to carry out their duties, Pure Healthcare may disclose your health information prior to, or in reasonable anticipation of your death.
For Organ, Eye or Tissue Donation. Pure Healthcare may disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs, eyes or tissue for the purpose of facilitating the donation or transplantation.
For Research Purposes. Pure Healthcare may, under very select circumstances, use your health information for research. Before Pure Healthcare discloses any of your health information for such research purposes, the project will be subject to an extensive approval process. Pure Healthcare will ask your permission if any researcher will be granted access to your individually identifiable health information.
In the Event of a Serious Threat to Health or Safety. Pure Healthcare may, consistent with applicable law and ethical standards of conduct, disclose your health information if Pure Healthcare, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health or safety of the public.
For Specified Government Functions. In certain circumstances, the Federal regulations authorize the Pure Healthcare to use or disclose your health information to facilitate specified government functions relating to military and veterans, national security and intelligence activities, protective services for the President and others.
For Worker’s Compensation. Pure Healthcare may release your health information for worker’s compensation or similar programs.
Other than is stated above, Pure Healthcare will not disclose your health information other than with your written authorization. If you or your representative authorizes Pure Healthcare to use or disclose your health information, you may revoke that authorization in writing at any time.
You have the following rights regarding your health information that Pure Healthcare maintains:
Right to request restrictions. You may request restrictions on certain uses and disclosures of your health information. You have the right to request a limit on the disclosure of your health information to someone who is involved in your care or the payment of your care. However, Pure Healthcare is not required to agree with your request.
Right to inspect and copy your health information. You have the right to inspect and copy your health information, including billing records. A request to inspect and copy records containing your health information may be made to the Privacy Officer. If you request a copy of your health information, Pure Healthcare may charge a reasonable fee for copying and assembling costs associated with your request.
Right to amend health care information. If you or your representative believes that your health information records are incorrect or incomplete, you may request an amendment of the records. That request may be made as long as the information is maintained by Pure Healthcare. A request for an amendment of records must be made in writing to the Privacy Officer. Pure Healthcare may deny the request if it is not in writing or does not include a reason for the amendment. The request also may be denied if your health information records were not created by Pure Healthcare, if the records you are requesting are not part of Ohio’s Hospice and its affiliates’ records, if the health information you wish to amend is not part of the health information you or your representative are permitted to inspect and copy, or if, in the opinion of Pure Healthcare, the records containing your health information are accurate and complete.
Right to an accounting. You or your representative have the right to request an accounting of disclosures of your health information made by Pure Healthcare for any reasons other than for treatment, payment or health operations. The request for an accounting must be made in writing to the Privacy Officer. The request should specify the time period for the accounting, which should not exceed six years from the date of the request. Pure Healthcare would provide the first accounting you request during a 12-month period without charge. Subsequent accounting requests may be subject to a reasonable cost-based fee.
Right to a paper copy of this notice. You or your representative have a right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact the Privacy Officer
Duties of Pure Healthcare
Pure Healthcare is required by law to maintain the privacy of your health information and to provide to you and your representative this notice of its duties and privacy practices. Pure Healthcare is required to abide by terms of this Notice of Privacy Practices as may be amended from time to time. Pure Healthcare reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If Pure Healthcare changes its Notice, you will be provided a copy of the revised Notice. You, or your representative, have the right to express complaints to Pure Healthcare and to the Secretary of Health and Human Services if you believe that your privacy rights have been violated. Any complaints to Pure Healthcare should be made in writing to the Privacy Officer. Pure Healthcare encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
Pure Healthcare’s contact person for all issues regarding patient privacy and your rights under the Federal privacy standards is:
HIPAA Privacy Officer
7575 Paragon Rd.
Dayton, OH 45459