Corporate Compliance Officer
NOTICE OF PRIVACY PRACTICES
Health Care Operations
Appointment Reminders and Other Health Information
To People Assisting in Your Care
To People Assisting in Your Care:
As Required By Law
To Avert a Serious Threat to Health or Safety
With regard to HIV/AIDS related information, we may release to the Department of Public Health any relevant information provided by an HIV-positive person regarding any person with whom the HIV-positive person has had sexual relations or has shared drug injecting equipment. We may also reveal the identification of a person who has tested positive for HIV to the extent necessary to protect a third party from the direct threat of transmission. In the event the person who tests positive for HIV is a convicted or alleged sexual assault offender, we are required under Iowa law to disclose the test results to the convicted or alleged offender and to the victim counselor or other person designated by the victim, who shall disclose the results to the victim.
We may notify a care provider who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition (notification will not include the name of the individual tested for the contagious or infectious disease unless the individual consents).
We may report to the Iowa Department of Transportation information about patients with physical or mental impairments that would interfere with their ability to safely operate a motor vehicle.
To Business Associates
Organ and Tissue Donation
Military and Veterans
Preventing or controlling disease, injury or disability;
Reporting births and deaths;
Reporting child abuse or neglect, or abuse of a vulnerable adult;
Reporting reactions to medications or problems with products;
Notifying people of recalls of products they may be using;
Notifying a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; or
Reporting to the FDA as permitted or required by law.
Health Oversight Activities
Lawsuits and Disputes
To identify or locate a suspect, fugitive, material witness, or missing person;
If you are the victim of a crime, if, under certain limited circumstances, we are unable to obtain your agreement;
About a death we believe may be the result of criminal conduct;
About criminal conduct at our facility; and
In emergency circumstances to report a crime; the location of the crime or victims; or the identification, description or location of the person who committed the crime.
Coroners, Medical Examiners, and Funeral Directors
National Security and Intelligence Activities
Protective Services for the President and Others
Right to Inspect and Copy
Right to Request Amendment
If you believe that medical information we have about you is incorrect or incomplete, you have the right to ask us to change the information. You have the right to request an amendment for as long as the information is kept by or for CNOS.
To request a change to your information, your request must be made in writing and submitted to Medical Record / Health Information Department Supervisor. In addition, you must provide a reason that supports your request.
CNOS 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 information that:
Was not created by CNOS, unless the person or CNOS that created the information is no longer available to make the amendment;
Is not part of the medical information kept by or for CNOS;
Is not part of the information which you would be permitted to inspect and copy; or
Is accurate and complete.
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. This list will not include disclosures for treatment, payment, and health care operations; disclosures that you have authorized or that have been made to you; disclosures for facility directories; disclosures for national security or intelligence purposes; disclosures to correctional institutions or law enforcement with custody of you; disclosures that took place before April 14, 2003; and certain other disclosures.
To request this list of disclosures, you must submit your request in writing to Medical Record / Health Information Department Supervisor. Your request must state a time period for which you would like the accounting. The accounting period may not go back further than six years from the date of the request, and it may not include dates before April 14, 2003. You may receive one free accounting in any 12-month period. We will charge you for additional requests.
Right to Request Restrictions
You have the right to request a restriction or limitation on the medical information we use or disclose about you. If you pay out-of-pocket in full for an item or service, then you may request that we not disclose information pertaining solely to such item or service to your health plan for purposes of payment or health care operations. We are required to agree with such a request, unless you request a restriction on the information we disclose to a health maintenance organization (“HMO”) and the law prohibits us from accepting payment from you above the cost-sharing amount for the item or service that is the subject of the requested restriction. However, we are not required to agree to any other request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment or you request that we remove the restriction.
To request restrictions, you must make your request in writing to Medical Record / Health Information Department Supervisor. 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, if you want to prohibit 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 only at work or only by mail.
To request confidential communications, you must make your request in writing to Medical Record / Health Information Department Supervisor. 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, and we may require you to provide information about how payment will be handled.
Right to a Paper Copy of This Notice