At Adventist Health, we are
committed to maintaining your privacy and delivering a website that provides
you with quality, timely information about our organization. Please read the
site is handled.
To find out how your protected
health information may be used or disclosed, we invite you to read the
applicable Notice of Privacy Practices (NPP). These documents also describe
your rights with regard to this information. If you have further questions
about either NPP, please contact our Corporate Privacy Official at
Adventist Health will not collect
any personally identifiable information (e.g. name, phone number, e-mail
address) without your knowledge. Like most organizations, we regularly monitor
trends, traffic patterns, number of visits, etc. on our site, so we can better
meet the needs of our customers. This does not entail collecting any personally
Any online job applications we
receive are shared only within our health system for the purpose of
hiring/recruiting. Under no circumstances is any information contained therein
shared with or sold to anyone outside Adventist Health. If you have set up a
user profile, you may update your online application at any time using your
established username and password. Applications are stored in our database for
24 months from the time of initial creation.
If you e-mail us via our website,
your message may be routed within Adventist Health for the purpose of
responding to your question or request. In addition, a hard copy of your
message may be retained for up to one year for the purpose of quality
improvement. Under no circumstances will your e-mail address be shared with or
sold to anyone outside Adventist Health.
This website is solely owned and
operated by Adventist Health. No revenue, including advertising revenue, is
received from any other source. If you have questions about this policy or any
other aspect of our website, please contact us and we will respond promptly.
Notice of Privacy Practices:
EFFECTIVE AUGUST 29, 2013, THIS
NOTICE OF PRIVACY PRACTICES DESCRIBES HOW MEDICAL/BEHAVIORAL HEALTH INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
If you have any questions about
this notice, please contact the Adventist Health Corporate Privacy Official at
WHO WILL FOLLOW THIS NOTICE
This notice describes Adventist Health Providers' practices and that of:
• Any health care professional authorized to enter information into your
• All departments and units of the healthcare system.
• Any volunteer in our organizations.
• All employees, staff and other designated personnel (e.g., students,
contracted agency staff).
• All these Providers, sites and locations follow the terms of this notice. In
addition, these Providers, sites and locations may share medical information
with each other for treatment, payment or healthcare operations purposes
described in this notice.
OUR PLEDGE REGARDING MEDICAL
We understand that medical
information about you and your health is personal. We are committed to
protecting medical information about you. We create a record of the care and
services you receive in our facilities. We need this record to provide you with
quality care and to comply with certain legal requirements. Physicians
(personal, consultants, specialists) involved in your care may have different
policies or notices regarding the doctor’s use and disclosure of your medical
information created and/or maintained in the doctor’s office or clinic.
This notice will tell you about
the ways in which we may use and disclose medical information about you, via
any medium (written, oral, or electronic). We also describe your rights and
certain obligations we have regarding the use and disclosure of medical
We are required by law to:
Make sure that medical information that identifies you is kept private
Give you this notice of our legal duties and privacy practices with respect to
medical information about you; and
Follow the terms of the notice that is currently in effect.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU
The following categories describe
different ways that we use and disclose medical information. For each
category of uses or disclosures we will explain what we mean and try to give
some examples. Not every use or disclosure in a category will be listed.
However, all the ways we are permitted to use and disclose information will
fall within one of the categories.
Disclosure At Your Request.
We may disclose information when requested by you. This disclosure at your
request may require a written authorization by you.
For Treatment. We may use
medical information about you to provide you with medical treatment or
services. We may disclose medical information about you to doctors, nurses,
technicians, health care students, or other Provider personnel who are involved
in taking care of you. For example, a doctor treating you for a broken leg may
need to know if you have diabetes because diabetes may slow the healing
process. In addition, the doctor may need to tell a dietitian if you have
diabetes so that we can arrange for appropriate meals. Different departments of
the Provider also may share medical information about you in order to
coordinate the different things you need, such as prescriptions, lab work and
x-rays. When you leave the Provider, we also may disclose medical information
about you to people outside the Provider who may be involved in your medical
care, such as skilled nursing facilities, home health agencies, caregivers,
clergy, physicians or other practitioners. For example, we may give your
physician access to your health information to assist your physician in
For Payment. We may use and
disclose medical information about you so that the treatment and services you
receive may be billed to you and payment may be collected from you, an insurance
company or a third party. For example, we may
need to give information about surgery you received at the Provider to your
health plan so it will pay us or reimburse you for the surgery. We may also
tell your health plan about a treatment you are going to receive to obtain
prior approval or to determine whether your plan will cover the treatment. We
may also provide basic information about you and your health plan, insurance
company or other source of payment to practitioners outside the Provider who
are involved in your care, to assist them in obtaining payment for services
they provide to you.
For Health Care Operations.
We may use and disclose medical information about you for healthcare
operations. These uses and disclosures are necessary to manage the AH Provider
and make sure that all of our patients receive quality care. For example, we
may use medical information to review our treatment and services and to
evaluate the performance of our staff in caring for you. We may also combine
medical information about many of our patients to decide what additional
services we should offer, what services are not needed, and whether certain new
treatments are effective. We may also disclose information to doctors, nurses,
technicians, medical students, and other Provider personnel for review and
We may also combine the medical information we have with medical information
from other Providers to compare how we are doing and see where we can make
improvements in the care and services we offer. We may remove information that
identifies you from this set of medical information so others may use it to
study health care and health care delivery without learning who the specific
Fundraising Activities. We
may use information about you, or disclose such information to a foundation
related to the AH Provider, to contact you in an effort to raise money for
operations. You have the right to opt out of receiving fundraising
communications. If you receive a fundraising communication, it will tell you
how to opt out.
Provider Directory. We may
include certain limited information about you in the Provider directory while
you are a patient at the Provider hospital. This information may include your
name, location in the hospital, your general condition (e.g., good, fair, etc.)
and your religious affiliation. Unless there is a specific written request from
you to the contrary, this directory information, except for your religious
affiliation, may also be released to people who ask for you by name. Your
religious affiliation may be given to a member of the clergy, such as a priest
or rabbi, even if they don’t ask for you by name. This information is released
so your family, friends, and clergy can visit you while you’re a patient at
Provider hospital and generally know how you are doing.
Marketing and Sale. Most
uses and disclosures of medical information for marketing purposes, and
disclosures that constitute a sale of medical information, require your
Individuals Involved in Your
Care. We may release medical information about you to a friend or family
member who is involved in your medical care. We may also give information to
someone who helps pay for your care. Unless there is a specific written request
from you to the contrary, we may also tell your family or friends your
condition and that you are a patient at the Provider.
In addition, we may disclose
medical information about you to an organization assisting in a disaster relief
effort so that your family can be notified about your condition, status and
location. If you arrive at the emergency department either unconscious or
otherwise unable to communicate, we are required to attempt to contact someone
we believe can make health care decisions for you (e.g., a family member or
agent under a health care power of attorney.)
Research. Under certain
circumstances, we may use and disclose medical information about you for
research purposes. For example, a research project may involve comparing the
health and recovery of all patients who received one medication to those who
received another, for the same condition. All research projects, however, are
subject to a special approval process. This process evaluates a proposed
research project and its use of medical information, trying to balance the
research needs with patients’ need for privacy of their medical information.
Before we use or disclose medical information for research, the project will
have been approved through this research approval process, but we may, however,
disclose medical information about you to people preparing to conduct a
research project, for example, to help them look for patients with specific
medical needs, as long as the medical information they review does not leave
As Required By Law. We will
disclose medical information about you when required to do so by federal,
state, or local law. [Hawaii: For example, physicians, Providers,
skilled nursing homes, intermediate care homes, and free-standing radiation
oncology facilities and other treatment or pathology facilities must report any
individual admitted with or diagnosed as having cancer to the Hawaii Tumor
Registry]. [Oregon: For example, Oregon statutes require facilities to report
cases of cancer to the Health Division]. [Washington: For example, health care
facilities, independent clinical laboratories, physicians and others providing
health care who diagnose must report this information to the cancer registry].
To Avert a Serious Threat to
Health or Safety. We may use and disclose medical information about you
when necessary to prevent a serious threat to your health and safety or the
health and safety of the public or another person. Any disclosure, however,
would only be to someone able to help prevent the threat. For example, if you
were involved in a violent crime, disclosure may be made to law
Organ and Tissue Donation.
If you are an organ or tissue donor, we may release medical information to
organizations that handle organ procurement, organ, eye, or tissue
transplantation or to an organ donation bank, as necessary to facilitate organ
or tissue donation and transplantation.
Military and Veterans. If
you are a member of the armed forces or a veteran, we may release medical
information about you as required by military command authorities. We may also
release medical information about foreign military personnel to the appropriate
foreign military authority.
Workers’ Compensation. We
may release medical information about you for workers compensation or similar
work-related programs providing benefits.
Public Health Risks. We may
disclose medical information about you for public health activities. These
activities generally include the following:
To prevent or control disease, injury or disability;
To report births and deaths;
To report the abuse or neglect of children, elders and dependent adults;
To report reactions to medications or problems with products;
To notify people of recalls of products they may be using;
To notify a person who may have been exposed to a disease or may be at risk for
contracting or spreading a disease or condition;
To notify the appropriate government authority if we believe a patient has been
the victim of abuse, neglect or domestic violence. We will only make this
disclosure if you agree or when required or authorized by law;
To notify emergency response employees regarding possible exposure to HIV/AIDS,
to the extent necessary to comply with state and federal laws.
Health Oversight Activities.
We may disclose medical information to a health oversight agency for activities
authorized by law. These oversight activities include, for example, audits,
investigations, inspections, and licensure. These activities are necessary for
the government to monitor the health care system, government programs, and
compliance with civil rights laws.
Lawsuits and Disputes. If
you are involved in a lawsuit or a dispute, we may disclose medical information
about you in response to a court or administrative order. We may also disclose
medical information about you in response to a subpoena, discovery request, or
other lawful process by someone else involved in the dispute, but only if
efforts have been made to tell you about the request (which may include written
notice to you) or to obtain an order protecting the information requested.
Law Enforcement. We may
release medical information if asked to do so by a law enforcement
In response to a court order, subpoena, warrant, summons or similar process;
To identify or locate a suspect, fugitive, material witness, or missing person;
About the victim of a crime if, under certain limited circumstances, we are
unable to obtain the person’s agreement;
About a death we believe may be the result of criminal conduct;
About criminal conduct at the Provider; and
In emergency circumstances to report a crime, the location of the crime or
victims; or the identity, description or location of the person who committed
Coroners, Medical Examiners and
Funeral Directors. We may release medical information to a coroner or
medical examiner. This may be necessary, for example, to identify a deceased
person or determine the cause of death. We may also release medical information
about patients of the Provider to funeral directors as necessary to carry out
National Security and Intelligence
Activities. We may release medical information about you to authorized
federal officials for intelligence, counterintelligence, and other national
security activities authorized by law.
Protective Services for the
President and Others. We may disclose medical information about you to
authorized federal officials so they may provide protection to the President,
other authorized persons or foreign heads of state or conduct special
Inmates. If you are an
inmate of a correctional institution or under the custody of a law enforcement
official, we may release medical information about you to the correctional
institution or law enforcement official. This release would be necessary (1)
for the institution to provide you with health care; (2) to protect your health
and safety or the health and safety of others; or (3) for the safety and
security of the correctional institution.
Teams. We may disclose health information to a multidisciplinary
personnel team relevant to the prevention, identification, management or
treatment of an abused child and the child’s parents, or elder abuse and
Special Categories of
Information. In some circumstances, your health information may be
subject to restrictions that may limit or preclude some uses or disclosures
described in this notice. For example, there are special restrictions on the
use or disclosure of certain categories of information – e.g., tests for HIV or
treatment for mental health conditions or alcohol and drug abuse. Government
health benefit programs, such as Medi-Cal, may also limit the disclosure of
beneficiary information for purposes unrelated to the program.
YOUR RIGHTS REGARDING MEDICAL
INFORMATION ABOUT YOU
You have the following rights
regarding medical information we maintain about you:
Right to Inspect and Copy.
You have the right to inspect and receive a copy of your medical information
that may be used to make decisions about your care. Usually, this includes
medical and billing records, but may not include some mental health information.
To inspect and copy medical
information that may be used to make decisions about you, you must submit your
request in writing to the Health Information Management Department at the
Adventist Health facility where your medical information is stored. If you request
a copy of the information, we may charge a fee for the costs of copying,
mailing or other supplies associated with your request. We may deny your
request to inspect and receive a copy in certain very limited circumstances. If
you are denied access to medical information, you may request that the denial
be reviewed. Another licensed health care professional chosen by the Provider
will review your request and the denial. The person conducting the review will
not be the person who denied your request. We will comply with the outcome of
Right to Amend. If you feel
that the medical information we have about you is incorrect or incomplete, you
may ask us to amend the information. You have the right to request an amendment
for as long as the information is kept by or for the Provider.
To request an amendment, your
request must be made in writing and submitted to the Health Information
Management Department at the Adventist Health facility where your medical
information is stored. In addition, you must provide a reason that supports
We may deny your request for an
amendment if it is not in writing or does not include a reason to support the
request. In addition, we may deny your request if you ask us to amend
Was not created by us, unless the person or Provider that created the
information is no longer available to make the amendment;
Is not part of the medical information kept by or for the Provider;
Is not part of the information which you would be permitted to inspect and
Is accurate and complete.
Even if we deny your request for
amendment, you have the right to submit a written addendum, not to exceed 250
words, with respect to any item or statement in your record you believe is
incomplete or incorrect. If you clearly indicate in writing that you want the
addendum to be made part of your medical record we will attach it to your
medical records and include it whenever we make a disclosure of the item or
statement you believe to be incomplete or incorrect.
Right to an Accounting of
Disclosures. You have the right to request an “accounting of
disclosures.” This is a list of the disclosures we made of medical information
about you other than our own uses for treatment, payment and health care
operations (as those functions are described above), and with other exceptions
pursuant to the law.
To request this list or accounting
of disclosures, you must submit your request in writing to the facility Privacy
Officer at the Adventist Health facility where your medical information is
stored. Your request must state a time period which may not be longer than six
years and may not include dates before April 14, 2003. Your request should
indicate in what form you want the list (for example, on paper,
electronically). The first list you request within a 12-month period will be
free. For additional lists, we may charge you for the costs of providing the
list. We will notify you of the cost involved and you may choose to withdraw or
modify your request at that time before any costs are incurred.
In addition, we will notify you as
required by law following a breach of your unsecured protected health
Right to Request
Restrictions. You have the right to request a restriction or limitation
on the medical information we use or disclose about you for treatment, payment
or health care operations. You also have the right to request a limit on the
medical information we disclose about you to someone who is involved in your
care or the payment for your care, like a family member or friend. For example,
you could ask that we not use or disclose information about a surgery you
We are not required to agree to
your request, except when the disclosure is to a
health plan or insurer for payment or health care operations purposes if you,
or someone else on your behalf (other than the health plan or insurer), has
paid for the item or service out of pocket in full. Even if you request this
special restriction, we can disclose the information to a health plan or
insurer for purposes of treating you.
If we do agree to another special
restriction, we will comply with your request unless the information is needed
to provide you emergency treatment.
To request restrictions, you must
make your request in writing to the facility Privacy Officer at the Adventist
Health facility where your medical information is stored. In your request, you
must tell us (1) what information you want to limit; (2) whether you want to
limit our use, disclosure or both; and (3) to whom you want the limits to
apply, for example, disclosures to your spouse.
Right to Request Confidential
Communications. You have the right to request that we communicate with
you about medical matters in a certain way or at a certain location. For
example, you can ask that we only contact you at work or by mail. To request
confidential communications, you must make your request in writing to the
facility Privacy Officer at the Adventist Health facility where your medical
information is stored. We will not ask you the reason for your request.
We will accommodate all reasonable requests. Your request must specify how or
where you wish to be contacted.
Right to a Paper Copy of This
Notice. You have the right to a paper copy of this notice. You may ask us
to give you a copy of this notice at any time. Even if you have agreed to
receive this notice electronically, you are still entitled to a paper copy of
To obtain a paper copy of this
notice, you may print it out from our website or request a copy from your local
Adventist Health facility.
CHANGES TO THIS NOTICE
We reserve the right to change
this notice. We reserve the right to make the revised or changed notice
effective for medical information we already have about you as well as any
information we receive in the future. We will post a copy of the current notice
in the Provider. The notice will contain the effective date on the first page,
in the top right-hand corner. In addition, each time you register at or are
admitted to the Provider for treatment or health care services as an inpatient
or outpatient, we will offer you a copy of the current notice in effect.
If you believe your privacy rights
have been violated, you may file a complaint with Adventist Health or with the
Secretary of the Department of Health and Human Services. To file a complaint
with Adventist Health, contact the compliance hotline at 888-366-3833.
You will not be penalized for
filing a complaint.
OTHER USES OF MEDICAL INFORMATION
Other uses and disclosures of
medical information not covered by this notice or the laws that apply to us
will be made only with your written permission. If you provide us permission to
use or disclose medical information about you, you may revoke that permission,
in writing, at any time. If you revoke your permission, this will stop any
further use or disclosure of your medical information for the purposes covered
by your written authorization, except if we have already acted in reliance on
your permission. You understand that we are unable to take back any
disclosures we have already made with your permission, and that we are required
to retain our records of the care that we provided to you.