What is Privacy / HIPAA?
Riverside County Fire Department, as a provider of
emergency medical services (EMS) and subsequently gathering, documenting and storing confidential
patient information, will abide by HIPAA (Health Insurance Portability and Accountability Act of
1996) regulations with respect to patient information.
Following is a brief of a very complex and lengthy
regulation that should help clarify provisions of these rules.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU,
AS A PATIENT, MAY BE USED AND DISCLOSED AND HOW ACCESS TO THIS INFORMATION IS REGULATED.
Riverside County Fire Department is required by law to
maintain the privacy of certain confidential health care information, known as
Protected Health Information or
PHI, and to provide you with a notice of our legal duties and privacy practices
with respect to your PHI. Riverside County Fire Department is also required to abide by the terms
of the version of this Notice currently in effect.
Uses and Disclosures of PHI:
Riverside County Fire Department may use PHI for the
purposes of treatment, payment, and health care operations, in most cases without your written
permission. Examples of our use of patient PHI:
For treatment.
This includes such things as obtaining verbal and
written information about your medical condition and treatment from you as well as from others,
such as doctors and nurses who give orders to allow us to provide treatment to you. We may give
your PHI to other health care providers involved in your treatment, and may transfer your PHI via
radio or telephone to the hospital or dispatch center.
For payment.
This includes any activities we must undertake in order
to get reimbursed for the services we provide to you, including such things as submitting bills to
insurance companies, making medical necessity determinations and collecting accounts.
For health care operations.
This includes quality assurance activities, licensing,
and training programs to ensure that our personnel meet our standards of care and follow
established policies and procedures, as well as certain other management functions.
Use and Disclosure of PHI Without Your
Authorization.
Riverside County Fire Department is permitted to use PHI
without your written authorization, or opportunity to object, in certain situations, and unless
prohibited by a more stringent state law, including:
-
For the treatment, payment or health care operations activities of
another health care provider who treats you;
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For health care and legal compliance activities;
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To a family member, other relative, or close personal friend or other
individual involved in your care if we obtain your verbal agreement to do so or if we give you an
opportunity to object to such a disclosure and you do not raise an objection, and in certain other
circumstances where we are unable to obtain your agreement and believe the disclosure is in your
best interests;
-
To a public health authority in certain situations as required by law
(such as to report abuse, neglect or domestic violence;
-
For health oversight activities including audits or government
investigations, inspections, disciplinary proceedings, and other administrative or judicial actions
undertaken by the government (or their contractors) by law to oversee the health care
system;
-
For judicial and administrative proceedings as required by a court or
administrative order, or in some cases in response to a subpoena or other legal process;
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For law enforcement activities in limited situations, such as when
responding to a warrant;
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For military, national defense and security and other special
government functions;
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To avert a serious threat to the health and safety of a person or the
public at large;
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For workers’ compensation purposes, and in compliance with workers’
compensation laws;
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To coroners, medical examiners, and funeral directors for identifying
a deceased person, determining cause of death, or carrying on their duties as authorized by
law;
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If you are an organ donor, we may release health information to
organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ
donation bank, as necessary to facilitate organ donation and transplantation;
-
For research projects, but this will be subject to strict oversight
and approvals;
-
We may also use or disclose health information about you in a way that
does not personally identify you or reveal who you are.
Any other use or disclosure of PHI, other than those
listed above will only be made with your written authorization. You may revoke your authorization
at any time, in writing, except to the extent that we have already used or disclosed medical
information in reliance on that authorization.
Patient Rights:
As a patient, you have a number of rights with respect
to your PHI, including:
The right to access, copy or inspect your PHI.
This means you may inspect and copy most of the medical
information about you that we maintain. We will normally provide you with access to this
information within 30 days of your request. We may also charge you a reasonable fee for you to copy
any medical information that you have the right to access. In limited circumstances, we may deny
you access to your medical information, and you may appeal certain types of denials. We have
available forms to request access to your PHI and we will provide a written response if we deny you
access and let you know your appeal rights. You also have the right to receive confidential
communications of your PHI. If you wish to inspect and copy your medical information, you should
contact our privacy officer.
The right to amend your PHI.
You have the right to ask us to amend written medical
information that we may have about you. We will generally amend your information
60 days of your request and will notify you when we have
amended the information. We are permitted by law to deny your request to amend your medical
information only in certain circumstances, like when we believe the information you have asked us
to amend is correct. If you wish to request that we amend the medical information that we have
about you, you should contact our privacy officer.
The right to request an accounting.
You may request an accounting from us of certain
disclosures of your medical information that we have made in the six years prior to the date of
your request. We are not required to give you an accounting of information we have used or
disclosed for purposes of treatment, payment or health care operations, or when we share your
health information with our business associates, like our billing company or a medical facility
from/to which we have transported you. We are also not required to give you an accounting of our
uses of protected health information for which you have already given us written authorization. If
you wish to request an accounting, contact our privacy officer.
The right to request that we restrict the uses and disclosures of your PHI.
You have the right to request that we restrict how we
use and disclose your medical information that we have about you. Riverside County Fire department
is not required to agree to any restrictions you request, but any restrictions agreed to by
Riverside County Fire department in writing are binding on Riverside County Fire
Department.
Internet, Electronic Mail, and the Right to Obtain Copy of Paper Notice on Request.
If we maintain a web site, we will prominently post a
copy of this Notice on our web
If you allow us, we will forward you this Notice by
electronic mail instead of on paper and you may request a paper copy of the Notice.
Revisions to the Notice:
Riverside County Fire Department reserves the right to
change the terms of this Notice at any time, and the changes will be effective immediately and will
apply to all protected health information that we maintain. Any material changes to the Notice will
be promptly posted in our facilities and posted to our web site. You can get a copy of the latest
version of this Notice by contacting our privacy officer.
Your Legal Rights and Complaints:
You also have the right to complain to us, or to the
Secretary of the United States Department of Health and Human Services if you believe your privacy
rights have been violated. You will not be retaliated against in any way for filing a complaint
with us or to the government. Should you have any questions, comments or complaints you may direct
all inquiries to our privacy officer.
Privacy Officer Contact Information:
Privacy Officer, Custodian of Records
Riverside County Fire Department
210 W San Jacinto
Riverside, CA 92570
951-940-6960