Notice of Privacy Practices
Effective date: September 1, 2013
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.
Texas Children’s, which includes Texas Children’s Hospital, Texas Children’s Pediatrics, Texas Children’s Physician Services Organization, Texas Children’s Women’s Specialists, and Texas Children’s Health Plan, and its professional staff, employees, volunteers, and Medical Staff follow the privacy practices described in this Notice. This Notice, which was developed to comply with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), describes the general ways your protected health information (“PHI”) may be used and disclosed in order for Texas Children’s to provide you with medical treatment, to collect payment for the services rendered to you by Texas Children’s, and to facilitate Texas Children’s health care operations.
Notice of Privacy PracticesNotice of Privacy Practices in SpanishMedical Records RequestRequest for Amendment Restriction of Protected Health Information Revocation of Authorization Request for Confidential Communication of Protected Health InformationPHI, as defined by HIPAA, means your personal health information, including genetic information, which is found in your medical and billing records and which relates to your past, present, or future physical or mental health conditions or the provision of payment for services related to those health conditions. During the course of treatment, payment, and health care operations activities, this may include information created or received by health care providers, insurance companies, and/or your employer.
You have the following rights regarding your PHI. Forms are available on our website (www.texaschildrens.org), or by contacting Texas Children’s Privacy Office at 832-824-2091.
Texas Children’s is required by law to ensure your PHI is kept private in accordance with federal and state law and provide you with notice of Texas Children’s legal duties and privacy practices with respect to your PHI. Texas Children’s will notify you if there is a breach of your unsecured PHI. Texas Children’s is required to abide by the terms of this Notice as long as it is in effect. If Texas Children’s revises this Notice, Texas Children’s will follow the terms of the revised Notice as long as it is in effect.
The following is a list of ways Texas Children’s may use and disclose your PHI. Not every possible use or disclosure in any given section is listed. However, all of the ways Texas Children’s is permitted to use and disclose your PHI will fall within one of the bold-faced print sections below. Your PHI may be disclosed electronically.
Except as described above, Texas Children’s will not use or disclose your PHI unless you authorize Texas Children’s to do so, using a valid, written authorization. Most uses and disclosures of psychotherapy notes, which are kept separate from the rest of your medical record, will only occur with your written authorization. Texas Children’s will not use or disclose your PHI for marketing purposes, including subsidized treatment communications, without a written authorization. Texas Children’s will not sell your protected health information without a written authorization. If you wish to revoke a prior authorization, you must do so in writing. A written revocation will not apply to any previous use or disclosure of PHI made in good faith under a prior authorization. An Authorization form and Revocation of Authorization form are available on our website www.texaschildrens.org, or by contacting the Texas Children’s Privacy Office at 832-824-2091.
Texas Children’s reserves the right to change this Notice and to make the revised Notice effective for PHI Texas Children’s already has about you as well as any information Texas Children’s receives in the future. A copy of the current Notice or a summary of the current Notice will be posted at patient service locations throughout Texas Children’s and on our website. The effective date of the Notice will appear on the first page of the Notice or summary. In addition, each time you register at or are admitted to any Texas Children’s entity for treatment or health care services as an inpatient or outpatient, Texas Children’s will have available for you, at your request, a copy of the current Notice in effect.
If you believe your privacy rights have been violated, you may file a complaint with the Texas Children’s Family Advocacy Office at 832-824-1919. You may also file a complaint with the Secretary of the United States Department of Health and Human Services. You will not be penalized or retaliated against in any way for making a complaint. Texas Children’s may not require you to waive your right to file a complaint as a condition of the provision of treatment, payment, enrollment in a health plan, or eligibility for benefits.
If you have any questions about this Notice or your privacy rights, or wish to obtain a form to exercise your rights as described above, you may contact Texas Children’s Privacy Office at 832-824-2091.
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