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Agreement

PRIVACY, POLICY, AND TERMS

 Set forth below are the Notice of Privacy Practices ("NPP") required to be provided to you by ("Hospital") pursuant to the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), an Online Privacy Policy ("Privacy Policy"), and the Terms and Conditions of Use ("Terms and Conditions") of this web site ("Site"). Please read each statement carefully. You will be asked to acknowledge receipt of the NPP below, the Privacy Policy and the Terms/Conditions of Use.   

NOTICE OF PRIVACY PRACTICES

You can also read the Hospital’s NPP on this website.  

 

NOTICE OF PRIVACY PRACTICES

                                               

Effective Date: April 14, 2003                                                 Revised Date: January 2009

 

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.

 

WHO WILL FOLLOW THIS NOTICE

Aultman provides health care to our patients in a clinically integrated health care setting.  The components of this setting include, but are not limited to:

·         Aultman Hospital, Aultman West, Aultman North, Aultman Carrollton, Aultman Renal Dialysis Center, Aultman Woodlawn, Aultman Ambulatory Care Clinics, Aultman Cancer Center, Aultman Home Care, Aultman Home Medical Supply, Aultman Pain Management, Aultman Blood Center, Aultman Institute, AultWorks, Family Medicine Center of Minerva, Aultman West OB/GYN and The Aultman Foundation.

·         Employees, staff, volunteers, students and other hospital personnel.

·         The medical staff and other licensed professionals treating you at any of our locations. 

 

All these entities, persons and locations will follow the terms of this notice.  In addition, each may share health information with the other for treatment, payment or health care operations purposes as permitted by law.

 

OUR PLEDGE TO YOU

We understand that health information about you is personal.  We are committed to protecting your health information.  We create records of the care and services you receive to provide you with quality care and to comply with certain legal requirements.  This notice applies to all of the records of your care that we maintain, whether generated by facility staff or your personal doctor.  Your personal doctor may have different policies or notices regarding the doctor's use and disclosure of your health information created in the doctor's office.

We are required by law to:

·         Maintain the privacy of our patient’s health information.

·         Provide you with this notice of our legal duties and privacy practices with respect to your health information.

·         Follow the terms of the notice that is currently in effect.

 

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU

Your Authorization:  Except as outlined in the following pages, we will not use or disclose your health information for any reason unless you have signed a form authorizing us to do so.  You have the right to cancel your authorization in writing unless we have taken any action in reliance on the authorization.

Uses and Disclosures for Treatment:  We will use and disclose your health information as needed for your treatment.  For example, doctors and nurses and other professionals involved in your care will use information in your medical record, and/or information that you give them, in order to treat you.  We may also disclose your health information to another health care facility or professional outside of Aultman who is or may be providing treatment to you.  For instance, if you are going to receive home care after you leave the hospital, we may release your health information to that home health care agency so that they can treat you.

Uses and Disclosures for Payment:  We will use and disclose your health information for the purpose of allowing us, as well as other entities, to secure payment for the health care services provided to you.  For example, we may forward information regarding your medical treatment to your health plan to arrange payment for the services given to you.  We also may tell your health plan about a treatment you are going to receive in order to obtain prior approval or to determine whether your plan will cover the treatment.

Uses and Disclosures for Health Care Operations:  We will use and disclose your health information as needed, and as permitted by law, in the process of our daily operations.  For example, we may use and disclose your health information for purposes of improving the clinical treatment and care of our patients or to determine the needs and preference of our patients.  We may also disclose your health information to another health care facility, health care professional or other entity for such things as quality assurance and case management- but only if they have or had a patient relationship with you.

Our Patient Directory:  We maintain a patient directory that includes inpatients, Emergency Department patients and Same-Day Surgery patients.  This directory lists your name, location, general condition and, if you wish, your religious membership.  Unless you choose to be excluded from this directory, your information, not including religious membership, will be given to anyone who asks for you by name.  This information, including your religious membership, may also be provided to members of the clergy.  You have the right during registration to have your information excluded from this directory. 

Family and Friends Involved in Your Care:  With your approval, we may disclose your health information to family, friends and others who are involved in your care or in payment of your care.  If you are unable to give approval or facing an emergency, we may then share parts of your health information with them without your approval in order to treat you.  We may also disclose limited health information to an entity that is authorized to assist in disaster relief efforts, so your family can be notified of your condition, status and location.

Business Associates:  Some of our health care operations such as auditing, accreditation, legal services, etc. may be performed through contracts with outside persons or organizations.  At times, we may need to give some of your health information to these outside persons or organizations.  In all cases, we require these persons or organizations to protect the privacy of your information.

Appointments and Services:  We may contact you with reminders or test results. You may request that we provide this information by another means or at another location.  For example, if you do not want appointment reminders left on voice mail or sent to a certain address, we will make every effort to accommodate reasonable requests.  Please make this request in writing to the Compliance Office listed at the end of this notice.

Health Products and Services:  We may, from time to time, use your health information to communicate with you about health products and services necessary for your treatment, to advise you of new products and services we offer and to provide general health and wellness information.

Research:  In limited cases, we may use or disclose your health information for research.  For example, a research organization may wish to compare all patients who received a certain drug and will thus need to review medical records.  In all cases where your specific authorization has not been obtained, your privacy will be protected by strict confidentiality requirements.  These requirements are applied by an Institutional Review Board that oversees the research or by representations of the researchers who limit their use and disclosure of patient information.

Fundraising Activities:  We may use your health information to contact you in an effort to raise money for Aultman and its operations.  We may disclose your health information to a foundation related to Aultman, so that they may contact you.  We would only release contact information, such as your name, address, phone number and dates you received treatment or services at Aultman.  If you do not want to be contacted, you must notify The Aultman Foundation in writing.

Other Uses or Disclosures of Information:  We are permitted or required by law to make certain other uses and disclosures of your health information without your consent or authorization as follows:

·         For any purpose required by law.

·         For public health activities, such as required reporting of disease, injury, birth, death and for public health investigations.

·         If we suspect child abuse or neglect, or if we think you are a victim of abuse, neglect or domestic violence.

·         To the Food and Drug Administration if necessary to report adverse events or product defects-or to participate in product recalls.

·         To your employer when we have provided health care to you at the request of your employer to determine workplace-related illness or injury.

·         To government agencies conducting audits, investigations or civil or criminal proceedings.

·         If required by subpoena or discovery request; in some cases, you will have notice of such.

·         To law enforcement officials as required by law or to report wounds or injuries and crimes.

·         To coroners and/or funeral directors consistent with the law.

·         If necessary to arrange an organ or tissue donation from you or a transplant for you.

·         For certain research purposes when such research is approved by an Institutional Review Board with established rules to ensure privacy.

·         In limited instances, if we suspect a serious threat to health or safety.

·         If you are a member of the military, as required by armed forces services; we may also release your health information, if necessary, for national security or intelligence activities.

·         To workers’ compensation agencies, if necessary, for your workers’ compensation benefit determination.

·         As required by Ohio law.  Ohio law requires that we obtain a consent from you in many instances before disclosing the performance or results of an HIV test or diagnosis of AIDS or an AIDS-related condition; before disclosing information about drug or alcohol treatment you have received in a drug or alcohol treatment program; and before disclosing information about mental health services you may have received.

 

YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU
Right to Inspect and Copy:  You have the right to request a copy and/or inspect much of the health information that we keep on your behalf.  All requests to inspect or copy must be made in writing and signed by you or your representative.  If you request copies, you will be charged our regular fees for copying and mailing the requested information.  You may obtain an access request form and a fee schedule from Aultman Hospital Medical Records.

Right to Amend:  You have the right to request in writing that the health information we maintain about you be amended or corrected.  We are not required to make all the changes/corrections you request. However, we will give each request careful consideration.  All requests must be in writing, be signed by you or your representative and must state the reasons for the amendment/correction.  If an amendment or correction you request is made by us, we may also notify others who work with us and have copies of the uncorrected record if we believe that such notification is necessary.  You may obtain an amendment request form from Aultman Hospital Medical Records.

Right to an Accounting of Disclosures:  You have the right to an accounting of certain disclosures we have made of your health information after April 14, 2003.  Requests must be made in writing and signed by you or your representative.  The first accounting in any 12-month period is free; you will be charged our regular fees for each subsequent accounting you request within the same 12-month period.  You may obtain an accounting request form and a fee schedule from Aultman Hospital Medical Records. 

Right to Request Restrictions:  You have the right to request restrictions on certain uses and disclosures of your health information for treatment, payment or health care operations.  We are not required to agree to your restriction request but will attempt to accommodate reasonable requests as appropriate, and we may terminate an agreed-to restriction if we believe such termination is appropriate.  We will notify you if we terminate a requested restriction.  You may also terminate, in writing or orally, any agreed-to restriction.  You may obtain a restriction request form from Aultman Hospital Medical Records.

Changes to This Notice:  We reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make the new notice effective for all health information maintained by us.  You may obtain a copy of the current notice at the Aultman Hospital Information Desk, at our Web site, www.aultman.org, or by mailing a request to the Compliance Office listed at the end of this notice.

Complaints:  If you believe your privacy rights have been violated, you may file a complaint in writing or by phone with: Patient Relations, Aultman Hospital, 2600 Sixth St. S.W., Canton, Ohio 44710, 330-363-6222.  You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services in Washington, D.C. in writing within 180 days of a violation of your rights.  There will be no retribution for filing a complaint.

Acknowledgement of Receipt of Notice:  You will be asked to sign a form that you received this Notice of Privacy Practices.

For Further Information About This Notice, Contact:  Compliance Office, Aultman, 2600 Sixth St. S.W., Canton, Ohio 44710, 330-363-3380, compliance@aultman.com.

You have the right to obtain a paper copy of this notice upon request.  Paper copies may be obtained from the Aultman Hospital Information Desk or from the Compliance Office listed above.  This notice is also available on our Web site at www.aultman.org.

 

 

 

 

 

 

 

ONLINE PRIVACY POLICY
The Hospital respects your privacy rights as an online visitor to the Site and recognizes the importance of protecting any information collected about you. This Privacy Policy guides how the Hospital collects, stores and uses online information provided by you to us on this Site only. Please be aware that other Hospital web sites or pages that you may access have other online privacy policies. This Privacy Policy is used to supplement the HIPAA mandated NPP set forth above. In the case of any conflict between this Privacy Policy and the NPP, the terms set forth in the NPP shall prevail. 

What information is collected automatically?
The Hospital may collect IP addresses (the Internet address of a computer) to track a user’s session while the user remains anonymous. We may analyze this data for certain trends in statistics, such as how long users spend on the Site. We do not link your IP addresses to anything personally identifiable to you, except when you enter the Risk Assessment. The uses and disclosures and your rights with respect to all personal information collected from you from the Risk Assessment is covered by the NPP.

Is the information that I provide safe?
The Hospital maintains appropriate administrative, technical and physical safeguards to ensure the confidentiality, availability and integrity of the information that you provide us as required by the HIPAA Security Rule and applicable state law.

Do you use cookies?
Cookies are small pieces of data that are sent from web servers to your browser and stored on your computer’s hard drive. Cookies cannot access other data on your hard drive and will not damage your computer in any way. The Site limits the use of cookies for only storing session state information. Session state information is gathered in the Site so that as you move from page to page within the Site, your interaction with the Site can be appropriately modified without the need of asking for personal information repeatedly. Session state information is only kept during a browser session and is automatically deleted by your browser at the end of every session. 
Your browser is probably set to accept cookies. However, if you would prefer not to receive cookies, you can alter the configuration of your browser to refuse cookies. If you choose to have your browser refuse cookies, it is possible that some areas of our website will not function properly when you view them.

 

What is your policy for collecting information from children?
This is an online environment in which we would neither want nor expect any type of information from children. The Hospital will not knowingly collect information from anyone under the age of 16. If at any time the Hospital becomes aware that it has received information from someone who is under 16 that information will be immediately removed.

 

What should I do if I have a question, comment or complaint concerning this Privacy Policy?
If you have a question, comment or complaint concerning the Privacy Policy please contact us at:

Aultman Hospital
Attn: Tim Regula
2600 Sixth St. SW
Canton, OH 44710
Telephone: (330) 452-9911

By using this Site, you signify your consent to the Privacy Policy. The Hospital reserves the right to make changes in this Privacy Policy from time to time to reflect legal, technological and other developments. All changes will be posted to this page so that you are always aware of what information is collected and how it is used. This Privacy Policy does not cover information that is collected offline or online from other Hospital web sites, as applicable.

TERMS AND CONDITIONS OF USE

By accessing, browsing and/or otherwise using this Site, you acknowledge that you have read, understood and agreed to be bound by these terms and conditions, and to comply with all applicable laws and regulations. If you do not agree to all of these terms and conditions, you may not access, browse, and/or use this Site. The material provided on this Site is protected by law, including, but not limited to, United States copyright law and international treaties.

These terms and conditions of use apply to your access to and use of this Site and do not alter in any way the terms and conditions of any other agreement you may have with the Hospital for health services or otherwise.

USE RESTRICTIONS

Copyright. All Site materials, including, without limitation, text, pictures, graphics, and other files and the selection and arrangement thereof are copyrighted materials of the Hospital and/or its licensors, or by the original creator of the material. Permission is granted to download the materials on this Site for your use only and only for the purposes for which the Hospital provided you access to the Site, provided you do not modify the materials and that you retain all copyright and other proprietary notices contained in the materials, as applicable. You may not, however, distribute, copy, reproduce, display, republish, download, or transmit any material on this Site for commercial use without prior written approval of the Hospital. You may not "mirror" any material contained on this Site on any other server without prior written permission from the Hospital. Any unauthorized use of any material contained on this Site may violate copyright laws, trademark laws, the laws of privacy and publicity and communications regulations and statutes.

Trademarks. The trademarks, service marks, trade names, and logos (the "Trademarks") used and displayed on this Site are registered and unregistered Trademarks of the Hospital and/or its licensors. In addition, all page headers, custom graphics, button icons, and scripts are service marks, trademarks, and/or trade dress of the Hospital and/or its licensors, and may not be copied, imitated or used, in whole or in part, without the prior written permission of the Hospital and/or its licensors. You acknowledge that the Trademarks used and displayed on this Site are and shall remain the sole property of the Hospital and/or its licensors. Nothing in this Agreement shall confer any right of ownership of any of the Trademarks in you. Further, nothing in this Site shall be construed as granting, by implication, estoppel or otherwise any license or right to use any Trademark used or displayed on the Site, without the express written permission of the Hospital and/or its licensors. The misuse of the trademarks displayed on this Site, or any other content on the Site, is strictly prohibited.

Limited Access. Except as otherwise expressly permitted by the Hospital and/or its licensors, any access or attempt to access other areas of the Hospital and/or its licensors’ computer system or other information contained on the system for any purposes is strictly prohibited. You agree that you will not use any robot, spider, other automatic device, or manual process to "screen scrape," monitor, "mine," or copy the Web pages on the Site or the content contained therein. You will not spam or send unsolicited e-mail to any other user of the Site for any reason. You agree that you will not use any device, software or routine to interfere or attempt to interfere with the proper working of the Site. You agree that you will not take any action that imposes an unreasonable or disproportionately large load on the Hospital and/or its licensors’ infrastructure.

Additional Use Restrictions. You shall not use this Site in violation of any local, state, federal, or non-United States law or regulation.

DISCLAIMER WARRANTY
This Site, including all software, functions, materials, and information, is provided "as is" without warranties of any kind, either express or implied. The Hospital and/or its licensors disclaim all warranties, express or implied, including, but not limited to, warranties of quiet enjoyment and non-infringement and implied warranties of merchantability, fitness for a particular purpose, non-infringement, title, quiet enjoyment, data accuracy, and informational content. The Hospital and/or its licensors do not warrant or make any representations regarding the operation of this Site, the use, validity, accuracy, or reliability of, or the results of the use of the materials on this Site or any other sites linked to this Site. The Hospital and/or its licensors do not and cannot guarantee or warrant that the files available for downloading from this Site will be free from infection, viruses, worms, Trojan horses, or other code that manifest contaminating or destructive properties. The Hospital and/or its licensors do not warrant that this Site or its services will be uninterrupted or error-free or that any defects in this Site or its services will be corrected.

LIMITATION OF LIABILITY
In no event will the Hospital and/or its licensors or other third parties mentioned at or in this Site be liable for any damages, including, without limitation, direct, indirect, special, incidental, or consequential damages, damages relating to the use or inability to use this Site, the materials or other information contained in this Site, whether based on warranty, contracts, statutes, regulations, tort (including, but not limited to, negligence), or any other legal theory and whether or not advised of the possibility of such damages. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you.

REVISIONS TO THIS AGREEMENT
The Hospital and/or its licensors may revise this Agreement at any time without notice by updating this posting. By using this Site you agree to be bound by any such revisions and should therefore periodically visit this Site and page to determine the then current terms and conditions of use to which you are bound.

TRANSMISSIONS
You are prohibited from posting or transmitting to or from this Site any unlawful, threatening, libelous, defamatory, obscene, scandalous, inflammatory, pornographic, profane material, or any other material, including, but not limited to, any material that could give rise to any civil or criminal liability under both domestic and international law.