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
Genesee and Orleans County Health Departments are
required by law to maintain the privacy of your Protected Health Information (PHI) and to give you this notice of
legal duties and privacy practices with respect to your Protected Health Information (PHI). This notice may be revised
at any time; any revisions will be effective for your past, present or future medical information. The Genesee and
Orleans County Health Departments are required to follow the terms of the most current Department of Health and Human
Services regulations, and will post terms in all sites where physical services are delivered. In addition, each time
you begin services or are admitted to the Genesee or Orleans County Health Department, you will receive a copy of the
Electronic Health Record (EHR) is defined as a
systematic collection of electronic health information that many health care providers are using to better
manage/share patient data. Genesee and Orleans County Public Health Departments do not participate in the use of EHR
Genesee and Orleans County Public Health does not use
any personally identifiable patient information for the purposes of marketing or fund raising.
ALL EMPLOYED AND CONTRACT STAFF WILL FOLLOW THIS
Uses and Disclosures of Health Information
WITH your CONSENT:
For Treatment: To your
doctor and for referrals, appointment reminders and coordination with programs that may be involved in your care:
such as, friends or family members, labs, pharmacy, medical equipment providers, or meals-on-wheels.
For Payment: To the insurance company.
Copies of notes related to treatment and services you received may be required to accompany the bill (if you have
been advised that there is a charge for services) you receive and if such bill will be submitted to your insurance
For Health Care Operations: To run the
Department and to assess patient care: such as, reviewing our treatment and services, and to evaluating the
performance of the staff caring for you.
Business Associates: PHI may be shared
with vendors and agents who create, receive, maintain or transmit PHI for certain functions or activities on behalf
of Provider. These are called "Business Associates" and include any subcontractor that creates, receives,
maintains or transmits PHI on behalf of Provider. To protect and safeguard your health information, Business
Associates and subcontractors are required to appropriately safeguard your information.
Family and Friends involved in your care: With your consent, your PHI may be disclosed to a family member or close personal friend, who is involved
in your care or payment for that care.
Personal Representative: If you have a personal representative, such as a legal guardian, we will treat that person as if that
person is you with respect to disclosures of your health information. If you become deceased, we may disclose health
information to an executor or administrator of your estate to the extent that person is acting as your personal
representative or to your next of kin, as permitted under state and federal law.
*If Applicable – May contact the
individual for appointment reminders or to give information regarding treatment alternatives; may contact individual
to raise funds for the covered entity; and if group health plan, may disclose protected health information to the
sponsor of the plan.
Special Situations when Protected Health Information
may be released WITHOUT yourCONSENT or authorization– As Required by Law and to
avert serious threat to health and safety:
In response to a court order: to identify or
locate a suspect, fugitive material witness, or missing person
In emergency circumstances: to report details of
a crime, suspected crime, or about the victim of a crime if under certain limited circumstances, we are unable to
obtain the person’s agreement
National Security: intelligence activities and
protective services of the President
Public Health Risks
To prevent or control disease,
injury or disability
To report births and deaths
To report child abuse or neglect or domestic violence when required or authorized by law
To report reactions to
medications or problems with products
To notify people of recalls of
products they may be using
To notify a person who may have been exposed to a
disease or may be at risk for contracting or spreading a disease or condition
In the event of a disaster
Health Oversight Activities – As
authorized by law to include audits, investigations, inspections, and licensure activities required by State or
Coroners, Medical Examiners and
Funeral Directors – for identification purposes, to determine cause of death or as necessary to carry
out their duties
Organ and Tissue Donation – if a donor – to an organization that facilitates organ procurement
Research – if reviewed by an
independent review board
Military and Veterans – as required by
military command authorities
Workers Compensation –
as required to comply with laws relating to workers compensation
Exceptions to release of information WITHOUT
consent: We will follow the provisions of 42CFR Part 2, which severely restricts the release of protected
health information if the records relate to substance abuse treatment and/or HIV/AIDS/STI services. The Department
must make special efforts to protect the names of people who receive these services.
Other uses of Medical
Information not coveredby this notice or applicable law will be made only
with your written permission. Permission may be revoked by you in writing, at any time. Please understand that we
are unable to take back any disclosures we have already made with your permission.
Notice of a Breach: The County will
issue notice by first class mail, of any breach to Unsecured Protected Health Information as soon as possible, but
in any event, no later than 60 days following the discovery of the breach. In the event the breach involves 10 or
more individuals whose contact information is out of date, notice of the breach will be posted on the County's
website and/or in media print.
Access to Protected Health Information: Requests may be made, either orally or in writing, to inspect and obtain a copy of your Protected Health
Information, subject to some limited exceptions. Inspection of your records shall occur within 10 days of the
request. If copies of the records are requested, they will be provided within 30 days of the request. In certain
circumstances, an additional 30 days extension may be requested. A reasonable fee may be charged for cost of copying
and mailing the requested information or provision of information in electronic format. In certain limited
circumstances, a request may be denied. If the request is denied, you will be provided with a summary of the
information, and you have a right to request review of the denial.
Complaints: If you believe that your
privacy rights have been violated, then you may file a complaint in writing with a Provider or with the Office of
Civil Rights in the US Department of Health and Human Services. To file a complaint with either Provider,
Genesee County Compliance Officer 7 Main
Batavia, New York 14020
Orleans County Compliance Officer 14016 Route
31 West, Suite 101
Albion, NY 14411
No one will retaliate or take action against
you for filing a complaint.
3837 West Main Street Road, Batavia, NY 14020
PHONE: (585) 344-2580 x5555 | Open Monday – Friday, 8:00am – 5:00pm