|
THIS NOTICE DESCRIBES HOW
PERSONAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION.
|
PLEASE REVIEW IT CAREFULLY
This is the web site of Georgia
Cancer Treatment
Center.
Our postal address is:
483 Upper Riverdale Road
Riverdale, Georgia
30274
We can be reached via e-mail at c.Lawson@gacatc.com
or you can reach us by telephone at (770) 909-1550
For each visitor to our Web
page, our Web server automatically recognizes no information regarding the
domain or e-mail address.
We collect the e-mail
addresses of those who communicate with us via e-mail, aggregate information on
what pages consumers access or visit, information
volunteered by the consumer, such as survey information and/or site
registrations and Contact Us.
The information we collect
is used for internal review and is then discarded, used to improve the content
of our Web page, shared with other reputable organizations to help them contact
consumers for marketing purposes, not shared with other organizations for
commercial purposes.
With respect to cookies: We
do not set any cookies.
If you do not want to
receive e-mail from us in the future, please let us know by sending us e-mail
at the above address.
If you supply us with your
postal address on-line you may receive periodic mailings from us with
information on new products and services or upcoming events. If you do not wish
to receive such mailings, please let us know by calling us at the number
provided above, ore-mailing us at the above address.
Please provide us with your exact name and address. We will be sure your name
is removed from the list we share with other organizations.
With respect to Ad Servers:
We do not partner with or have special relationships with any ad server
companies.
With respect to security:
We always use industry-standard encryption technologies when transferring and
receiving consumer data exchanged with our site, When we transfer and receive
certain types of sensitive information such as financial or health information,
we redirect visitors to a secure server and will notify visitors through a pop-up screen on our site, We have appropriate
security measures in place in our physical facilities to protect against the
loss, misuse or alteration of information that we have collected from you at
our site.
If you feel that this site
is not following its stated information policy, you may contact us at the above
addresses or phone number.
HOW WE MAY USE AND DISCLOSE MEDICAL INFORMATION
ABOUT YOU.
The
following categories describe different ways that we use and disclose medical
information. For each category of uses
or disclosures, we will elaborate on the meaning and provide specific examples. Not every use or disclosure in a category
will be listed. However, all of the ways
we are permitted to use and disclose information will fall within one of the
categories.
·
For Payment. We may use and disclose medical information
about you so that the treatment and services you receive at our Practice may be
billed to and payment may be collected from you, an insurance company or a
third party. For example, it may be
essential that you provide us with your health plan information regarding
surgery you receive at our Practice so that our health plan will pay us or
reimburse you for the surgery. In
addition, we may tell your health plan about a treatment you are going to
receive in order to obtain necessary approval or to determine whether your plan
will cover the treatment.
·
For Treatment. We may use medical
information about you to provide you with medical treatment or services. We may disclose medical information about you
to doctors, nurses, technicians, medical students, or other personnel who are
involved in taking care of you at GCTC. For example, a doctor treating you for
cancer may need to know if you have diabetes so that he/she can consider
potential complications when determining your care. Different departments of GCTC also may share
medical information about you in order to coordinate the different services you
need, such as chemotherapy, prescriptions, lab work and x-rays. We also may disclose medical information
about you to people outside GCTC who may be involved in your medical care after
you leave GCTC, such as family members, clergy or other persons that are part
of your care.
·
For Health Care Operations. We may
use and disclose medical information about you for our Practice
operations. These uses and disclosures
are necessary to run GCTC and ensure that all of our patients receive quality
care. For example, we may combine
medical information about a variety of our Practice’s patients to decide what
additional services GCTC should offer, what services are not needed, and
whether certain new treatments are effective.
We may also disclose information to doctors, nurses, technicians,
medical students, and other practice personnel for review and learning
purposes. We may combine the medical
information we have along with medical information from other oncology
practices to compare how we are doing and thus, evaluate where we can make
improvements in the care and services we provide. We may remove information that identifies you
from this set of medical information so that others may use it to study health
care and health care delivery, without learning the identity of the patients.
WHO WILL FOLLOW THIS NOTICE.
·
Any health care professional
authorized to enter information into your chart.
·
All departments of our
Practice.
·
Any member of a volunteer
group, in which, we allow to help you while you are in our Practice.
·
All employees of our
Practice.
POLICY REGARDING THE
PROTECTION OF PERSONAL INFORMATION:
We
understand that medical information pertaining to you and your health is
personal. We are committed to protecting
your medical information. We create a
record of the care and services you receive at our Practice. We need this record in order to provide you
with quality care and to comply with certain legal requirements. This notice applies to all of the records of
your care generated by our Practice.
This
notice will inform you about the different ways in which we may use and
disclose medical information about you.
We also describe your rights and certain obligations we have regarding
the use and disclosure of medical information.
The
law requires us 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 medical information about
you; and
·
Follow the terms of the
notice that is currently in effect.
OTHER CATEGORIES OF OUR INFORMATIONTHAT WE MAY USE
AND DISCLOSE, INCLUDE
·
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 our Practice.
·
As Required By Law. We will disclose medical information about you when
required to do so by federal, state or local law.
·
Fundraising Activities. We do
not use fundraising to generate funds for our Practice. However, we do
participate in other fundraising activities for research in Cancer Care. We may
use or disclose personal information about you for these fundraising activities
such as American Cancer Society’s Relay for Life. If you do not wish to be
contacted about these fundraisers please notify our Privacy Officer in writing
at: Georgia Cancer Treatment Center
Riverdale, GA. 30296-6925
ATTN: Claudia Lawson, Privacy Officer
·
Health-Related Benefits and Services.
We may use and disclose medical information to tell you about health-related
benefits or services that may be of interests to you.
·
Directory. We may include certain
limited information about you in our Practice directory while you are a patient
at our Practice. This information may
include your name, location in our Practice, your general condition (e.g. fair,
stable, etc.). The directory information
may also be released to people who ask for you by name. This is so your family,
friends and clergy can visit you in our Practice and generally know how you are
faring.
·
Individual Involved in Your Care or Payment for Your Care. We may
release medical information about you to a friend or family member who is
involved in your medical care. We may
also give information to someone who helps pay for your care. We may also inform your family or friends
about your condition and that you are in our Practice. In addition, we may disclose medical
information about you to an entity assisting in a disaster relief effort so
that your family can be notified about your condition, status and location.
·
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 another, for the
same condition. All research projects,
however, are subject to a special approval process. This process evaluates a proposed research
project and its use of medical information in order to balance the research
needs with patients’ need for privacy of their medial information. Before we use or disclose medical information
for research, the project will have been approved through this research
approval process, but we may, however, disclose medical information about you
to people preparing to conduct a research project, for example, to help them
look for patients with specific medical needs, as long as the medical
information they review does not leave our Practice. We will almost always ask for your specific permission
if the researcher obtains access to your name, address or other information
that reveals who you are, or will be involved in your care at our Practice.
·
To Avert a Serious Threat to Health or Safety. We may use
and disclose medical information about you when necessary to prevent a serious
threat to your health and safety or the health and safety of the public or
another person. Any disclosure, however,
would only be to someone able to help prevent the threat.
·
Treatment Alternatives. We may use and disclose medical information to
inform you about, recommend possible treatment options or alternatives that may
be of interest to you.
LESS FREQUENT USES AND DISCLOSURES OF YOUR PERSONAL
INFORMATION INVOLVING THOSE NOT DIRECTLY INVOLVED IN YOUR CARE COULD INCLUDE:
·
Coroners, Medical Examiners and Funeral Directors. We may
release medical information to a coroner or medical examiner, in order to
identify a deceased person or determine the cause of death. We may also release medical information about
patients of our Practice to funeral directors as necessary to carry out their
services.
·
Health Oversight Activities. We may disclose medical information to a
health oversight agency for activities authorized by law. These oversight activities include, for example,
audits, investigations, inspections, and licensure. These activities are necessary for the
government to monitor the health care system, government programs, and
compliance with civil rights laws.
·
Inmates. If you are an inmate of a correctional
institution or under the custody of a law enforcement official, we may release
medical information about you to the correctional institution or law
enforcement official. This release would
be necessary (1) for the institution to provide you with health care; (2) to
protect your health and safety or the health and safety of others; or (3) for
the safety and security of the correctional institution.
·
Law Enforcement. We may release medical information if asked
to do so by a law enforcement official:
o
In response to a court
order, subpoena, warrant, summons or similar process;
o
To identify or locate a
suspect, fugitive, material witness, or missing person;
o
About the victim of a crime
if, under certain limited circumstances, we are unable to obtain the person’s
agreement;
o
About a death we believe may
be the result of criminal conduct;
o
About criminal conduct at
our Practice; and
o
In emergency circumstances
to report a crime; the location of the crime or victims; or to identify,
description or location of the person who committed the crime.
·
Lawsuits and Disputes. If you are involved in a lawsuit or a
dispute, we may disclose medical information about you in response to a court
or administrative order. We may also
disclose medical information about you in response to a subpoena, discovery
request, or other lawful process by someone else involved in the dispute, but
only if efforts have been made to tell you about the request or to obtain an
order protecting the information requested.
·
Military and Veterans. If you are a member of the armed forces, we
may release medical information about you as required by military command
authorities. We may also release medical
information about foreign military personnel to the appropriate foreign
military authority.
·
National Security and Intelligence Activities. We may
release medical information about you to authorized federal officials for
intelligence, counterintelligence, and other national security activities
authorized by law.
·
Organ and Tissue Donation. If you are an organ donor, we may release
medical information to organizations that handle organ procurement or organ,
eye or tissue transplantation or to an organ donation bank, as necessary to
facilitate organ or tissue donation and transplantation.
·
Protective Services for the President and Others. We may
disclose medical information about you to authorized federal officials so they
may provide protection to the President, other authorized persons, and foreign
heads of state or conduct special investigations.
·
Public Health Risks. We may disclose medical information about you
for public health activities. These
activities generally include the following, but are not limited to:
o
Preventing or controlling
disease, injury or disability;
o
Reporting births and deaths;
o
Reporting child abuse or
neglect;
o
Reporting reactions to
medications or problems with products;
o
Notifying people of recalls
of products they may be using;
o
Notifying a person who may
have been exposed to a disease or may be at risk for contracting or spreading a
disease or condition;
o
Notifying the appropriate
government authority if we believe a patient has been a victim of abuse,
neglect or domestic violence. We will
only make this disclosure if you agree or when required or authorized by law.
·
Worker’s Compensation. We may release medical information about you
for worker’s compensation or similar programs.
These programs provide benefits for work-related injuries or illness.
·
Other Disclosures. As an oncology (cancer)
practice we participate in community cancer care. We may use or disclose your
medical information to the local hospitals’ Tumor Registries (follows
statistics and incidents of cancer), as required by law. This information is
used to follow local occurrences of diseases.
In addition, our physicians participate as clinical
educators and we may use your medical information for teaching purposes. In
most circumstances only your diagnosis and treatment are used. We also
participate in local Tumor Boards; these are groups of multiple physicians from
different specialties review and discuss different patient cases. Your medical
information may be used, however you are not routinely
identified in these discussions.
|
NOTICE OF INDIVIDUAL RIGHTS
These are your rights under the New Laws
|
You
have the following rights regarding medical information we maintain about you:
·
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.
To request this list or accounting of disclosures,
you must submit your request in writing to:
Georgia
Cancer Treatment
Center
P.O.
Box 962619
Riverdale,
GA. 30296-6925
ATTN: Claudia Lawson, Privacy Officer
Your request must state a time period, which may
not be longer than six years and may not include dates before February 26,
2003.The first list you request within a 12-month period will be free. For additional lists, we may charge you for
the cost of providing the list. We will
notify you of the cost involved and you may choose to withdraw or modify your
request at that time before any costs are incurred.
·
Right to Amend. If you feel that medical information we have
about you is incorrect or incomplete, you may ask us to amend the
information. You have the right to
request an amendment for as long as the information is kept by or for our Practice. To request an amendment, your request must be
made in writing and submitted to:
Georgia
Cancer Treatment
Center
P.O.
Box 962619
Riverdale,
GA. 30296-6925
ATTN: Claudia Lawson, Privacy Officer
In
addition, you must provide a reason that supports your request.
We 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:
o
Was not created by us,
unless the person or entity that created the information is no longer available
to make the amendment;
o
Is not part of the medical
information kept by or for our Practice;
o
Is not part of information
which you would be permitted to inspect and copy; or
o
Is accurate and complete.
·
Right to Inspect and Copy. You have the right to insect and copy medical
information that may be used to make decisions about your care. Usually, this includes medical and billing
records, but does not include psychotherapy notes.
To inspect and copy medical information that may be
used to make decisions about you, you must submit your request in writing to:
Georgia
Cancer Treatment
Center
P.O.
Box 962619
Riverdale,
GA. 30296-6925
ATTN: Claudia Lawson, Privacy Officer
If you
request a copy of the information, we are entitled to charge a fee for the
costs of copying, mailing or other supplies associated with your request.
We may deny your request to inspect and copy in
certain very limited circumstances. If
you are denied access to medical information, you may request that the denial
be reviewed. Another licensed health
care professional chosen by our Practice will review your request and the
denial. The person conducting the review
will not be the person who denied your request.
We will comply with the outcome of the review.
·
Right to a Paper 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. Even if you have agreed to receive this notice
electronically, you are still entitled to a paper copy of this notice. You may
obtain a copy of this notice at our website, www.gactc.com_,
to obtain a paper copy of this notice contact our office.
·
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 at work or by
mail.
To request confidential
communications, you must make your request in writing to:
Georgia
Cancer Treatment
Center
P.O.
Box 962619
Riverdale,
GA. 30296-6925
ATTN: Claudia Lawson, Privacy Officer
We will not ask you the reason for the
request and will accommodate all reasonable requests. Your request must specify how or where you
wish to be contacted.
·
Right to Request Restrictions. You have the right to request a restriction
or limitation on the medical information we use or disclose about you for
treatment, payment or health care operations.
You also have the right to request a limit on the medical information we
disclose about you to someone who is involved in your care or the payment for
your care, like a family member or friend.
For example, you could ask that we not use or disclose information about
a surgery you had. Or you may choose not to have your information included in
our facility directory. We are not required to agree to your
request. If we
do agree, we will comply with your request unless the information is needed to
provide you emergency treatment.
To request restrictions, you must make
your request in writing to:
Georgia
Cancer Treatment
Center
P.O.
Box 962619
Riverdale,
GA. 30296-6925
ATTN:
Claudia Lawson, Privacy Officer
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,
disclosures to
your spouse.
CHANGES TO THIS NOTICE
We reserve the right to change this notice. We reserve the right to make the revised or
changed notice effective for medical information we already have about you as
well as any information we receive in the future. We will post a copy of the current notice in
our Practice. The notice will contain on
the first page, in the top right-hand corner, the effective date. In addition, each time you register at or are
admitted to our Practice for treatment or health care services as an inpatient
or outpatient, you may request a copy of the current notice in effect.
COMPLAINTS
If
you believe your privacy rights have been violated, you may file a complaint
with our Practice or with the Secretary of the Department of Health and Human
Services. To file a complaint with our
Practice, contact:
Georgia Cancer Treatment Center
P.O.
Box 962619
Riverdale, GA. 30296-6925
ATTN:
Claudia Lawson, Privacy Officer
All complaints must be submitted in writing. You will not be penalized
for filing a complaint.
OTHER USES OF MEDICAL
INFORMATION
Other uses and disclosures of medical information
not covered by this notice or the laws that apply to use will be made only with
your written permission. If you provide
us permission to use or disclose medical information about you, you may revoke
that permission, in writing, at any time.
If you revoke your permission, we will no longer use or disclose medical
information about you for the reasons covered by your written
authorization. You understand that we
are unable to take back any disclosures we have already made with your
permission, and that we are required to retain our records of the care that we
provide to you.
If you have any questions about this notice, please
contact this organization’s Privacy Officer.
Effective Date: April 1, 2003