Summary – Notice of Privacy Practices
This is a summary of FHC’s Notice of Privacy Practices. As a patient of FHC, you have a right to receive a copy of the complete document.
FHC recognizes that your medical information is personal. FHC is also committed to protecting the privacy and confidentiality of your personal health information. This notice describes FHC’s privacy practices and the ways in which your medical information may be used and disclosed.
By law FHC is required to maintain a complete copy of your medical history, current condition, treatment plan and all treatment given, including the results of all tests, procedures, therapies and prescribed medications. Also by law FHC must maintain this information in a safe and secure manner that protects your privacy and confidentiality. You have the right to read or request a copy of your medical information.
FHC May Use and Disclose Medical Information
About You in the Following Ways:
For Treatment: Other health professionals within or outside of FHC who are involved
in your care may need to access your information.
For Payment: Your information may be disclosed to bill or collect for payment of
services from you, your insurance company or a third party billing agency.
For normal Health Care Operations: FHC may use or disclose medical information
about you to the extent necessary to run the facility or ensure the quality of care.
For Research: Information that may identify you will not be released to anyone
outside of FHC without your prior written permission. FHC may remove information
that identifies you so that others may use it to study health care.
For Public Health Risks: FHC may disclose medical information about you for public
health activities to prevent or control disease, injury or disability; to report births and
deaths; to report child abuse and/or neglect; to report reactions to medications or
problems with products; to notify people of recalls of products; to notify a person that
they may have been exposed to a disease or may be at risk for contracting or
spreading a disease; to notify a government agency about abuse, neglect or
domestic violence as required by law.
For Law Enforcement Purposes: FHC may release information about you in
response to a court order, subpoena, warrant, summons; to identify or locate a
suspect, fugitive, material witness or missing person; about a victim of a crime
about a death as a result of a crime; about criminal conduct at one of our
clinics; in emergency circumstances to report a crime.
To Coroners and Medical Examiners: FHC may release your medical information
to the local Coroner or State Medical Examiner to identify a deceased person or
determine cause of death.
As Required by Law: FHC may release your information as required by Kentucky
Law. FHC does not allow others outside of its organization to access your medical
information unless it has authorization from you to do so. Any authorization to
use or disclose medical information may be revoked by you in writing at any time
unless: (1) FHC has alreadytaken action in reliance on that authorization; or
(2) if the authorization was obtained as a condition of obtaining insurance coverage.
You have the following rights regarding your medical information:
You have the right to inspect and receive a copy of your medical information.
You have the right to amend your medical information if you believe it is incorrect
or incomplete (restrictions may apply).
You have the right to request restrictions or limitations of your medical information.
You have the right to request the method by which FHC communicates with you about
medical matters so that the communication is kept confidential.
You have a right to receive an accounting of all disclosures of your medical
You have a right to receive a paper copy of the FHC Notice of Privacy Practices.
FILING A COMPLAINT:
If you wish to request restrictions, amendments or accountings of your medical information, you may file such a request in writing with the located at 2215 Portland Avenue, Louisville, KY 40212-1094. You may also send an e-mail to
email@example.com. or call 502.774.8631.
If you believe your privacy rights have been violated, you may file a complaint with the FHC Privacy Officer, or with the Secretary of the Department of Health and Human Services. All complaints must be in writing. You will not be penalized in any way for filing a complaint.
Contacting the Joint
Commission on Accreditation of Healthcare Organizations:
If you are not satisfied with Family Health Centers’ response to your
concern or complaint regarding patient safety or quality of care you may
contact the Joint Commission on Accreditation of Healthcare Organizations
(JCAHO). JCAHO claims that the names of patients submitting concerns or
complaints will be kept confidential.
Workers who speak to JCAHO surveyors must be
protected from employer retaliation. In the event that a hospital
intimidates or punishes any worker who speaks to JCAHO surveyors in a light
unfavorable to the hospital, JCAHO should deny that hospital's
accreditation or conduct another unannounced survey at a later date. Workers
who speak to JCAHO surveyors also must be assured confidentiality. The best
way to do this is to hold off-site interviews with workers.
JCAHO does not address concerns or complaints
regarding individual billing issues or payment disputes. Concerns and
complaints may be sent to JCAHO in the following ways:
Office of Quality Monitoring
Office of Quality Monitoring
Joint Commission on Accreditation of
One Renaissance Boulevard
Chicago, Illinois 60181
(800) 994-6610 – for information regarding concerns and complaints