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Surgical Specialists, P. C.

Notice of Privacy Policies

THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.

Introduction

At Surgical Specialists, we are committed to treating and using protected health information about you responsibly.  This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose that information.  It also describes your rights as they relate to your protected health information.  This Notice is effective April 14, 2003, and applies to all protected health information as defined by federal regulations.

Understanding Your Health Record/Information

Each time you visit Surgical Specialists, P. C. a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:

•      Basis for planning your care and treatment;

•      Means of communication among the many health professionals who contribute to your care;

•      Legal document describing the care you received;

•      Means by which you or a third-party payer can verify that services billed were actually provided;

•      A tool in educating heath professionals;

•      A source of data for medical research;

•      A source of information for public health officials charged with improving the health of this state and the nation;

•      A source of data for our planning and marketing;

•      A tool with which we can assess and continually work to improve the care we render and the outcomes we achieve.

Your Health Information Rights

Although your health record is the physical property of Surgical Specialists P. C., the information belongs to you. You have the right to:

•      Obtain a paper copy of this notice of information practices upon request;

•      Inspect and copy your health record as provided for in 45 CFR 164.524;

•      Amend your health record as provided in 45 CFR 164.528;

•      Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528;

•      Request communications of your health information by alternative means or at alternative locations;

•      Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522, and

•      Revoke your authorization to use or disclose health information except to the extent that action has already been taken.

Our Responsibilities

Surgical Specialists, P. C. is required to:

•      Maintain the privacy of your health information;

•      Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you;

•      Abide by the terms of this notice;

•      Notify you if we are unable to agree to a requested restriction, and

•      Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain.  Should our privacy notice change, we will mail a revised notice to the address you’ve supplied us, or if you agree, we will email the revised notice to you.

We will not use or disclose your health information without your authorization, except as described in this notice.  We will also discontinue to use or disclose your health information after we have received a written revocation of the authorization according to the procedures included in the authorization.

For More Information or to Report a Problem

If you have questions and would like additional information, you may contact the practice’s Privacy Officer, who is the Director of Operations at (610) 527-8757, or the office manager at the site you were seen: at the Bryn Mawr office - (610) 527- 1185; at the Paoli and Collegeville offices - (610) 647-3077, and (610) 436-6696 or  (610) 436-6529 at our West Chester and West Grove locations.

If you believe your privacy rights have been violated, you can file a complaint with the practice’s Privacy Officer, or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the Privacy Officer or the Office for Civil Rights.  The address for the OCR is: Office for Civil Rights ,U.S. Department of Health and Human Services, 200 Independence Avenue, S.W. , Room 509F, HHH Building, Washington, D.C. 20201.

Examples of Disclosures for Treatment, Payment and Health Operations

We will use your health information for treatment.

For example: Information obtained by a nurse, physician, or other member of your health care team will be recorded in your record and used to determine the course of treatment that should work best for you. Your physician will document in your record his or her expectations of the members of your health care team. Members of your health care team will then record the actions they took and their observations. In that way, the physician will know how you are responding to treatment. We will also provide your physician or a subsequent health care provider with copies of various reports that should assist him or her in treating you once you are discharged from our care.

We will use your health information for payment.

For example: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis and procedures performed.

We will use your health information for regular health operations.

For example: Members of the risk or quality improvement team may access your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide.

Business associates: There are some services provided in our organization through contacts with business associates. Examples include radiological technicians, transcriptionists, records’ management services, etc. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we’ve asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.

Communication with family: Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.

Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.

Marketing: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Workers compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

Public health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

Law enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Notice of Privacy Policies:  Effective April 14, 2003, Revised January 15, 2005, Revised January 15, 2007, Revised October 1, 2009, Revised January 26, 2010,Revised February 18, 2011.