NOTICE OF PRIVACY PRACTICES DISSEMINATION
It is the policy of Day Share to disseminate a written notice to all clients that
addresses its policies and procedures with respect to the treatment, use and disclosure of
individually identifiable health information and with respect to the Day Shares
legal duties with respect to such information (a "Notice of Privacy Practices").
The Notice of Privacy Practices shall include all elements and statements that are
required by law. In summary, the Notice shall inform the clients about the potential uses
and disclosures of their health information, as well as their rights with respect to that
information including: 1) a description of each of the purposes for which the Day Share is
permitted to disclose their health information in other instances.
- Day Share will provide the Notice of Privacy Practices at the time of admission or when
services is first provided to the individual, whichever is first, and obtain written
acknowledgement of receipt of the notice.
- A copy of the Notice of Privacy Practices will be kept in the clients medical
- Day Share will provide a copy of the notice of Privacy Practices to clients and to any
other person upon request.
- Day Share will post a copy of the Notice of Privacy Practices on its bulletin board in
the Day Share facility, and on its website: www : www.dayshare.com
- If there is a material change in the Day Shares use and disclosure policy that
affects the rights of client, legal duties imposed, or the practices of Day Share, then a
new Notice of Privacy Practices will be posted on the Day Shares bulletin board and
on its web site. Material changes will not be implemented until a revised notice has been
posted by Day Share. Updated Notices will not be provided to clients, but will be made
available upon request.
- The Day Shares Privacy officer shall be responsible for ensuring that written
notices are received and posted in accordance with this policy, and for keeping copies of
the notices posted and any revisions thereto.
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DISCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
We have summarized our responsibilities and your rights on this first page. For a
complete description or our privacy practices, please review this entire notice.
Day Share is required to:
- Maintain the privacy of your health information
- Provide you with this notice or our legal duties and privacy practices with respect to
information we collect and maintain about you
- Abide by the terms of this notice
As a client of Day Share, you have several rights with regard to your health
information, including the following:
- The right to request that we not use or disclose your health information in certain
- The right to request to receive communication in an alternative manner or location.
- The right to access and obtain a copy of your health information.
- The right to request an amendment to your health information.
- The right to an accounting of disclosures of your health information.
We reserve the right to change our privacy practices and to make the new provisions
effective for all health information we maintain. Should our privacy practices change, we
will post the changes on the bulletin board in our Day Share facility, as well as on our
web site. A copy of the revised notice will be available after the effective date of the
changes upon request.
We will not use or disclose your health information without your authorization, except
as described in this notice.
If you have questions and would like additional information, you may contact our Day
Shares Privacy Officer at 513-451-1100
Understanding Your Health Record / Information
Each time you receive service from or visit Day Share, a record of you service or visit
is made. Typically, this record contains you symptoms, examination and test results,
diagnoses, treatment, and a plan \for future care or treatment. This information often
referred to as you health or medical record, serves a:
- basis for planning your care and treatment
- means of communication amount 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
- a tool in education health professionals
- a source of data for medical research
- a source of information for public health officials who oversee the delivery of health
care in the United States
- a source of data for Day Share planning and marketing
- a tool with which we can assess and continually work to improve the care we render and
the outcomes we achieve
Understanding what is in you record and how you health information is used helps you
to: ensure its accuracy, better understand who, what, when, where and why others may
access your health information and make more informed decision s when authorizing
disclosure to others.
How We Will Use or Disclose Your health Information
- Treatment. We will use or disclose you health information for treatment
purposes, including for the treatment activities or their health care providers. For
example, information obtained by a nurse, physician, or other member of your healthcare
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 healthcare team. Members of your healthcare team will
then record the action 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 healthcare provider with copies of various reports that should assist him or
her in treating you once youre discharged from our Day Share.
- Payment. We will use or disclose your health information for payment, including
for the payment activities of other health care providers or payers. For example, a bill
may be sent to you or a third-party payer, including Passport, Elderly Services Program,
Medicare or Medicaid. The information on or accompanying the bill may include information
that identifies you, as well as your diagnosis, procedures, and supplies used.
- Health care operations. We will use or disclose you health information for our
regular health operations. For example members of the medical staff, the risk or quality
improvement manager, or members of the quality improvement team may use information in you
health record to assess the care and outcomes in you case and others like it. This
information will then be used in an effort to continually improve the quality and
effectiveness of the health care and service we provide.
In addition, we will disclose your health information for certain health care
operations of other entities. However, we will only disclose your information under the
following conditions: (a) the other entity must have, or have had in the past, a
relationship with you: (b) the health information used or disclosed must relate to that
other entitys relationship with you: and (c) the disclosure must only be for one of
the following purposes: (I) quality assessment and improvement activities: (ii)
population-based activities relating to improving health or reducing health care costs:
(iii) case management and care coordination: (iv) conducting training programs: (v)
accreditation, licensing, or credentialing activities: or (vi) health care fraud and abuse
detection or compliance.
- Business associates. There are some services provided in our organization
through the use of outside people and entities. Examples of these "business
associates" include our accountants, consultants and attorneys. We may disclose you
health information to our business associates so that they can perform the job weve
asked them to do. To protect you health information, however, we require the business
associates to appropriately safeguard your information.
- Directory. Unless you notify us that you object, we may use you name,
participation in the Day Share services, general condition and religious affiliation for
directory purposes. This information may be provided to members of the clergy and, except
for religious affiliation, to other people who ask for you by name. We may also use you
name on a badge in order to identify you to our staff and other clients, unless you notify
us that you object.
- Notification. We may use or disclose information to notify or assist in
notifying a family member, personal representative, or another person responsible for you
care, or you location , and general condition. If we are unable to reach you family member
or personal representative, then we may leave a message for them at the phone number that
they have provided us, e.g., on an answering machine.
- Communication with family. We may disclose to a family member, other relative,
close personal friend or any other person involved in you health care, health information
relevant to that persons involvement in you care or payment related to your care.
- Research. We may disclose information to researchers when certain conditions
have been met.
- Transfer of information at death. We may disclose health information to funeral
directors, medical examiners, and coroners to carry out their duties consistent with
- Organ procurement organizations. Consistent with applicable law, we may disclose
health information to organ procurement organization or other entities engaged in the
procurement, banking, or translation of organs for the purpose of tissue donation and
- Marketing. We may contact you regarding your treatment, to coordinate you care,
or to direct or recommend alternative treatments, therapies, health care providers or
settings. In addition, we may contact you to describe a health-related product or service
that may be of interest to you, and the payment for such product or service.
- Fund raising. We may contact you as part of a fund-raising effort.
- Food and Drug Administration (FDA). We may disclose to the FDA, or to a person
or entity subject to the jurisdiction of the FDA, health information relative to adverse
events with respect to food, supplements, product and product defects, or post marketing
surveillance information to enable products recalls, repairs, or replacements.
- 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,
- Correctional institutions. Should you be an inmate of a correctional
institution, we may disclose to the institution or agents thereof health information
necessary for you health and the health and safety of other individuals.
- Law enforcement. We may disclose health information for law enforcement purposes
as required by law or in response to a valid subpoena.
- Reports. Federal law makes provisions for your health information to be released
to an appropriate health oversight agency, public health authority or attorney, provided
that a work force member of business associate believes in good faith that we have engaged
in unlawful conduct or have otherwise violated professional or clinical standards and we
potentially endangering one or more patients, workers or the public.
Your Health Information Rights
Although your health record is the physical property of Day Share, the information in
your health record belongs to you. You have the following rights:
- You may request that we not use or disclose your health information for a particular
reason related to treatment, payment, Day Shares general health care operations, and
/or to a particular family member, other relative or close personal friend. We ask that
such request be made in writing on a form provided by Day Share. Although we will consider
your requests with regard to the use of your health information, please be aware that we
are under no obligation to accept it or to abide by it. We will abide by your request with
regard to the disclosure of you clinical and personal records to anyone outside of Day
Share, except in an emergency, if you are being transferred to another health care
institution, or the disclosure is required by law. 42 C.F.R. § 483.10(e) provides that a
NF must abide by a clients right to refuse the release of his/her personal or
clinical records to any individual outside of Day Share, unless the release is necessary
because the client is being transferred to another health care institution, or that it is
required by law.
- If you are dissatisfied with the manner in which or the location where you are receiving
communications from us that are related to your health information you may request that we
provide you with such information by alternative means or at alternative locations. Such a
request must be made in writing, and submitted to Our Privacy officer. We will attempt to
accommodate al reasonable requests. For more information about this right, see 45 C.F.R.
- You may request to inspect and /or obtain copies of health information about you, which
will be provided to you in the time frames established by law. You may make such request
orally or in writing: however, in order to better respond to your request we ask that you
make such requests in writing on Day Shares standard form. If you request to have
copies made, we will charge you a reasonable fee. For more information about this right,
see 45 C.F.R. § 164.524
- If you believe that any health information in you record is incorrect or if you believe
that important information is missing you may request that we correct the existing
information or add the missing information. Such requests must be made in writing, and
must provide a reason to support the amendments. We ask that you use the form provided by
Day Share to make such requests. For a request form, please contact the Privacy Officer.
For more information about this right, see 45 C.F.R. § 164.526
- You may request that we provide you with a written accounting of all disclosures made by
us during the term period for which you request (not to exceed 6 years). We ask that such
request be made in writing on a form provided by Day Share. Please note that an accounting
will not apply to any of the following types of disclosures: disclosures made for reason
of treatment, payment or health care operations: disclosures made to you or your legal
representative, or any other individual involved with your care: disclosures to
correctional institutions or law enforcement officials: and disclosures for the national
security purposes. You will not be charged for your first accounting request in any 12
month period. However, for any request that you make thereafter, you will be charged a
reasonable, cost-based fee. For more information about this right, see 45 C.F.R. §
- You have the right to obtain a paper copy of our Notice of Privacy Practices upon
request. You may also access and print a copy of our notice from our website: www.dayshare.com.
- You may revoke an authorization to use or disclose health information, except to the
extent that action has already been taken. Such a request must be made in writing.
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact Day
Shares Privacy Officer at 513-451-1100
If you believe that your privacy rights have been violated, you may file a complaint
with us. These complaints must be filed in writing on a form provided by Day Share. The
complaint form may be obtained from the Privacy Officer, and when completed should be
returned to Day Shares Manager. You may also file a complaint with the secretary of
the federal Department of Health and Human Services. There will be no retaliation for
filing a complaint.
Effective Date: April 14, 2003