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Scott & White Notice of Privacy Practices

Important Notice:
This notice is to advise you that, as a patient of Scott & White Healthcare, information created, maintained or received about you may be subject to electronic disclosure and in keeping with appropriate authorizations from you or your legal representative or as otherwise required by law. As always, Scott & White Healthcare remains committed to ensuring the privacy and security of your protected health information.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Please note that the Scott & White Website Privacy Statement is a separate document that describes how information about visitors to our website may be collected and used.

Patient Privacy

If you have questions about this Notice, please call one of the following:

  • For questions relating to Health Plan Coverage, call the Scott & White Health Plan at 254.298.3000.
  • For other questions, call the Scott & White Privacy Office at 254.724.7600.
Purpose
What are Treatment, Payment and Healthcare Operations?
Scott & White Duties
How Will Scott & White Use My Medical Information?
Your Authorization is Required for Other Disclosures
Patient Rights
How to File a Complaint

Purpose

Scott & White and its professional staff, employees, and volunteers and all of its affiliated entities, Scott & White Memorial Hospital and Scott, Sherwood and Brindley Foundation, Scott & White Clinic, Scott & White Health Plan, Scott & White Group Hospital Service Corporation and all other affiliated entities (referred to collectively as Scott & White) follow privacy practices described in this Notice.

Scott & White maintains your medical information in records that will be maintained in a confidential manner, as required by law. However, Scott & White must use and disclose your medical information to the extent necessary to provide you with quality healthcare. To do this, Scott & White must share your medical information as necessary for treatment, payment and healthcare operations.

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What are Treatment, Payment and Healthcare Operations?

Treatment includes sharing information among healthcare providers involved in your care. For example, your physician may share information about your condition with the pharmacist to discuss appropriate medications, or with the radiologists or other consultants in order to make a diagnosis. Scott & White may use your medical information as required by your insurer or HMO to obtain payment for your treatment and hospital stay. We may also use and disclose your medical information to improve the quality of care, e.g., for review and training purposes.

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Scott & White Duties

We are required by law to:

  • Make sure that medical information that identifies you is kept private
  • Give you this notice of our legal duties and privacy practices with respect to your medical information
  • Follow the terms of this Notice as long as it is currently in effect. If we revise this Notice, we will follow the terms of the revised Notice as long as it is currently in effect.
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How Will Scott & White Use My Medical Information?

Your medical information may be used for the following purposes:

  • Hospital Directory, which may include your name, general condition and your location in the hospital. This information may be provided to other people who ask for you by name. If you do not want us to list this information in our directory, you must tell us that you object.
  • Religious Affiliation to a hospital chaplain or member of the clergy. If you do not want us to share this information with the chaplain or members of the clergy, you must tell us that you object.
  • Individuals Involved in Your Care or Payment for Your Care. We may release medical information about you to family members, other relative or close personal friend who is involved in your medical care or payment for your treatment. If you are able and available to agree or object, we will give you the opportunity to object prior to disclosing any information. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communicating with your family and others.
  • Disaster Relief Agency. We may disclose information about you to an entity assisting in a disaster relief effort so that your family can be notified about your location and general condition.
  • Appointment Reminders. We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care at Scott & White.
  • Public Health Activities. Public Health Activities usually includes disease prevention, injury or disability; reporting births and deaths; reporting child abuse or neglect; reporting reactions to medications or product problems; notification of recalls; infectious disease control; notifying government authorities of suspected abuse, neglect or domestic violence (if you agree or as required by law).
  • As Required by Law. We may use and disclose information about you as required by law, subpoena, or other legal process.
  • Health Oversight Activities. We may disclose medical information to a health oversight agency for activities authorized by law such as audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the healthcare system, government programs and compliance with civil rights laws.
  • Coroners, Medical Examiners and Funeral Directors. Health information may be disclosed to funeral directors or coroners to enable them to carry out their lawful duties.
  • Organ and Tissue Donation. We may release medical information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank to facilitate organ or tissue donation and transplantation.
  • Research. Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication with those who received another, for the same condition. All research projects, however, are subject to a special approval process. This special approval process requires an evaluation of the proposed research project and its use of medical information, and balances these research needs with our patients’ need for privacy of their medical information. Before we use or disclose medical information for research, the project generally will have been approved through this special approval process. However, this special approval process is not required when we allow medical information about you to be reviewed by people who are preparing a research project and who want to look at information about patients with specific medical needs, so long as the medical information these people review does not leave the hospital.
  • Treatment Alternatives, Health Related Benefits and Services. We may use and disclose medical information to give you information about treatment alternatives or health-related benefits/services that may be of interest to you. You will have an opportunity to refuse to receive this information.
  • Fundraising Activities. We may use limited medical information about you (name, address, phone number and date of service) to contact you in an effort to raise money for Scott & White and its operations. You will have an opportunity to refuse to receive these communications.
  • Governmental Disclosures. Scott & White may disclose health information: a) about Armed Forces personnel to military authorities under certain circumstances, b) as required for lawful intelligence, counterintelligence, and other national security activities to authorized federal officials, or c) about inmates to correctional institutions or law enforcement officials having lawful custody.
  • Worker’s Compensation. Your medical information regarding benefits for worker-related illnesses may be released as appropriate.
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Your Authorization is Required for Other Disclosures

Except as described above, we will not use or disclose your medical information unless you authorize (permit) Scott & White in writing to disclose your information. You may revoke your authorization, which will be effective only after the date of receipt of your written revocation.

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Patient Rights

You have the following rights regarding medical information we maintain about you:

  • Right to Request Restriction. You may request limitations on your medical information we use or disclose for healthcare treatment, payment or operations, but we are not required to agree to your request. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment. To request restrictions you must contact the Department of Patient Relations, 254-724-3035.
  • Right to Request Confidential Communication. 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 by telephone at work or that we only contact you by mail at home. Your request must specify how or where you wish to be contacted. To request confidential communications you must contact Department of Patient Relations, 254-724-3035. Scott & White will not ask you the reason for your request. Scott & White will accommodate all reasonable requests.
  • Right to Request Amendment. If you believe that the medical information we have about you is incorrect or incomplete, you may request an amendment. Scott & White is not required to accept the amendment. To request an amendment, you must contact Department of Patient Relations, 254-724-3035.
  • Right to an Accounting of Disclosures. You may request a list of the disclosure of your medical information that have been made to persons or entities other than for treatment, payment or operations in the past six (6) years, but not prior to April 14, 2003. The first list you request within a twelve (12) month period will be free of charge. For additional lists, Scott & White may charge you for the costs of providing the list. To request an accounting of disclosures, you must contact Department of Patient Relations, 254-724-3035.
  • Right to Inspect and Copy. You have the right to inspect and copy your medical information regarding decisions about your care, including medical and billing records. Scott & White will charge a fee for copying, mailing and supplies. Scott & White may deny your request to inspect and copy in certain very limited circumstances including inspection and copy of psychotherapy notes. You may request a review of the denial by another licensed healthcare professional chosen by Scott & White. To inspect and receive a copy of your medical record call 254-724-4713 or 800-725-2768. For Regional Clinic records contact the appropriate clinic. For billing records contact the Billing Office at 254-724-8800.
  • Right to a Copy of this Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Paper copies of this Notice will be available at clinic desks, information desks, and at admission and registration areas.
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How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with Scott & White or with the Secretary of the United States Department of Health and Human Services. You will not be penalized or retaliated against in any way for making a complaint to Scott & White or to the Department of Health and Human Services.

If you have a complaint, call Scott & White Patient Relations at 254-724-3035 or write:
Scott & White
c/o HIPAA Patient Contact, Patient Relations
2401 S. 31st St.
Temple, TX 76508

If you have questions about this Notice please call one of the following:

  • For questions relating to Health Plan Coverage, call SWHP at 254-298-3000.
  • For other questions, call the Scott & White Privacy Office at 254-724-7600.
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  • © 2013 Scott & White. All rights reserved.
  • Phone: 254-724-5437
  • Temple, TX 76502
  • 1901 SW H.K. Dodgen Loop