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.
It is Quality First Senior Care’s policy that all protected health information, including demographic and contact data, collected and maintained by the company only be used as necessary for treatment, payment, and healthcare operations purposes; to comply with applicable law; as otherwise indicated in this notice; and as authorized by you. QFSC will attempt to mitigate, to the extent practicable, any harmful effects from its misuse or inappropriate disclosure of your protected health information.
Pursuant to applicable federal and state laws, all client records shall be maintained for the required number of years from the date of last service rendered. The office administrator office will be responsible for maintaining custody and confidentiality of your records.
Uses and Disclosure of Protected Health Information QFSC may use and disclose your protected health information for treatment, payment, and healthcare operations purposes, as follows:
Treatment purposes: to appropriate parties to ensure you receive proper care. For example, we may share your protected health information with your primary care provider or other treating physician(s), emergency transports, hospital emergency rooms, and referred caregivers.
Payment purposes: to help referred caregivers receive payment for their services. For example, we may share information with your long-term care insurance provider or other third-parties responsible for paying your bills. If you pay out of pocket, in full, for care, you may request that protected health information related to that care be restricted from disclosure to health plans.
We may use or disclose protected health information, without your written authorization or the opportunity for you to agree or object, to the extent required by law, provided the use or disclosure complies with and is limited to the law’s relevant requirements:
For public health activities, including: to a public health authority for preventing or controlling disease, injury, or disability; for purposes related to the quality, safety or effectiveness of an FDA-regulated product or activity; to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; to an employer, about an individual who is a member of the workforce of the employer;
About an individual whom we reasonably believe to be a victim of abuse, neglect, or domestic violence to a public health authority or government authority, including a social service or protective services agency;
To a health oversight agency for oversight activities authorized by law or necessary for appropriate oversight, including audits, investigations, inspections, and other actions;
In the course of any judicial or administrative proceeding, if expressly authorized by a court or administrative tribunal order or in response to a subpoena, discovery request, or other lawful process;
For a law enforcement purpose to a law enforcement official: if pursuant to process or as otherwise required by law; to identify or locate a suspect, fugitive, material witness, or missing person; about an individual who is or is suspected to be a victim of a crime; to alert law enforcement of a death, if we suspect the death resulted from criminal conduct; and in response to a medical emergency, if necessary to alert law enforcement to the commission and nature of a crime, the location or victim(s) of such crime, and the identity, description, and location of the perpetrator;
To a coroner or medical examiner for the purpose of identifying a deceased person, determining a cause of death, or other duties;
To a person or persons reasonably able to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, including to the target of the threat, if we believe, in good faith, the use or disclosure is necessary, or to law enforcement authorities to identify or apprehend an individual;
We may use or disclose your protected health information for the following purposes, provided that we inform you in advance of the use or disclosure and give you the opportunity to agree to or prohibit or restrict the use or disclosure. We may orally inform you of and obtain your oral agreement or objection to these uses and disclosures.
involvement with care or payment: we may disclose to a family member, other relative, close personal friend, or any other person identified by you, the protected health information directly relevant to such person’s involvement with your health care or payment related to your health care.
Notification: we may use or disclose your protected health information to notify, or assist in the notification of (including identifying or locating), a family member, your personal representative, or another person responsible for your care, of your location, general condition, or death.
Disaster Relief: we may use or disclose your protected health information to entities authorized by law to assist in disaster relief efforts, for the purpose of coordinating notification as described above.
If you are present for, or available prior to, the uses and disclosures in the immediately preceding paragraph, we may only use or disclose your protected health information if: 1) we obtain your agreement, 2) we provide you the opportunity to object and you do not object, or 3) we reasonably infer in our professional judgment that you do not object. If you are not present, or if the opportunity to agree or object cannot be provided because of your incapacity or an emergency, we will exercise our professional judgment to determine whether the disclosure is in your best interests and will disclose only the information directly relevant to the person’s involvement or needed for notification purposes. If you are deceased, we may disclose protected health information relevant to a family member or other person who was involved in your care or payment for health care prior to your death, unless doing so is inconsistent with your prior expressed preference known to us.
Any uses or disclosures of your protected health information not listed above, or otherwise required by law, will be made only with your written authorization, which you may revoke in writing at any time. Upon receipt of your written revocation of an authorization, QFSC will cease to use or disclose your protected health information in the previously authorized manner. The written authorization requirement includes most uses and disclosures of psychotherapy notes, most uses and disclosures of protected health information for marketing purposes, and the sale of protected health information.
Client Privacy Rights, QFSC is required to:
Request that communications of protected health information be received by alternative means or at alternative locations;
Inspect and copy your protected health information;
Amend your protected health information;
Receive an accounting of the disclosures of your protected health information; and
Obtain a paper copy of this Notice of Privacy Practices.
You may exercise any of the above rights by contacting QFSC in writing. You also have the right to complain to QFSC and to the Secretary of the Department of Health and Human Services if you believe your privacy rights have been violated. You may file a complaint with QFSC by contacting our administrative staff at 817-472-61040 or in writing at Quality First Senior Care, P.O. Box 151345, Arlington, TX 76015. You will not be retaliated against for filing any such complaint.
You have the right to request restrictions on certain uses and disclosures of your protected health information. You further have the right to:
Maintain the privacy of your protected health information;
Provide you with notice of our legal duties and privacy practices with respect to your protected health information;
Provide you with access to an electronic copy or hard copy of your protected health information;
Transmit a copy of protected health information, if requested by you, directly to another person designated by you; such a request must be in writing, be signed by you, and clearly identify the designated person and where to send the copy of the protected health information;
Notify you following a breach of your unsecured protected health information; and
Abide by the terms of the Notice of Privacy Practices that is in effect.
QFSC reserves the right to change the terms of this notice at any time and to immediately make the new notice provisions effective for all protected health information that it maintains. If the terms of this notice are materially changed, QFSC will promptly provide you with the revised notice by mail.
insured & bonded INDEPENDENTLY owned & operated
FULLY LICENSED BY THE TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES