Privacy Policy

To Our Patients,
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.

Introduction
Use and Disclosure with Your Authorization
Use and Disclosure without Your Authorization
Your Rights with Respect to Your Health information
Notice of Security Breaches
Duties of Hospice of the Valley
Contact Person
Web Privacy



Introduction

During the course of providing services and care to you, Hospice of the Valley (HOV) gathers, creates, and retains information relating to your physical or mental health, to any health care provided to you, or to payment for such care and that either identifies you or provides information that can be used to identify you. This Notice of Privacy Practices describes how HOVmaintains the confidentiality of your health information, and informs you about the possible uses and disclosures of such information. It also informs you about your rights with respect to your health information.

 



Use and Disclosure with Your Authorization

HOV will require a written authorization from you before it uses or discloses your health information, unless a particular use or disclosure is expressly permitted or required by law without your authorization. An authorization is generally required for the following uses or disclosures, except in very limited circumstances: (1) uses or disclosures of psychotherapy notes; (2) uses or disclosures of health information for marketing purposes; and (3) disclosures of protected health information that constitute its sale.

HOV has prepared an authorization form for you to use that authorizes HOV to use or disclose your health information for the purposes set forth in the form. You are not required to sign the form as a condition to obtaining treatment or having your care paid for. If you sign an authorization, you may revoke it at any time by written notice. HOV then will not use or disclose your protected health information, except where it has already relied on your authorization.



Use and Disclosure without Your Authorization

HOV may use or disclose your health information without your authorization in any of the following circumstances:

To Provide Treatment: HOV may use your health information to coordinate your care with others involved in your care, such as your attending physician, members of HOV's interdisciplinary team, and health care professionals who have agreed to assist HOV in coordinating your care. For example, physicians involved in your care need information about your symptoms in order to prescribe appropriate medications. HOV may disclose your health information to individuals involved in your care, including family members and clergy whom you have designated, and to health care professionals with whom HOV coordinates your care, such as pharmacists and suppliers of medical equipment.

To Obtain Payment: HOV may include your health information in invoices to collect payment from third parties for the care you receive. For example, HOV may be required by your health insurer to provide information regarding your health care status so that the insurer will reimburse our agency. HOV may need to obtain prior approval from your insurer for hospice care and may need to explain to the insurer your need for hospice care and the services that will be provided to you.    

To Conduct Health Care Operations: HOV may use your health information in order to facilitate its functions, and as necessary to provide quality care to all of our patients. Such operations might include: quality assessment and improvement activities; business planning activities; training programs, including those in which students, trainees, or practitioners in health care and other related fields learn under supervision; and accreditation, certification, licensing, or credentialing activities. For example, we may use your health information to evaluate staff performance, combine your health information with that of other hospice patients in evaluating how to more effectively serve all of our patients, or assist in training staff and contracted personnel.

To Conduct Memorials: HOV sponsors two annual memorial events, one in December and one in spring, to honor those whom we have served. Your name will appear in the memorial booklet provided to event attendees, who may include your family and friends as well as the family and friends of other patients. Please inform us if you do not want your name included in the booklet.

To Engage in Fundraising Activities: HOV may use information about you, including your name, age, gender, address, telephone number, and the dates you received care, in order to contact you or your family to raise money for HOV. This may be in the form of fundraising and community information mailings. If you do not want HOV to contact you or your family, please notify the HOV Vice President for Development & Communications, 1.408.559.5600, ext. 5477, and indicate that you do not wish to be contacted.

HOV also may use or disclose your health information without your authorization for the following purposes:

  • To comply with legal process, such as a court order, subpoena, or search warrant
  • To assist law enforcement officials in investigating crimes involving patients
  • To report instances of suspected abuse, neglect, or domestic violence
  • To report information to public authorities collecting data for the purpose of preventing or controlling disease, injury, or disability
  • To provide information to public agencies responsible for the licensure or accreditation of HOV
  • To allow outside contractors, vendors, and consultants ("business associates") to perform their functions on HOV's behalf, where they need access to patient health information in order to do so
  • To inform you about a service or product in face-to-face discussions with you or in communications to you about drug refills or equipment re-orders
  • To assist researcher under certain defined conditions
  • To provide information to a coroner or medical examiner
  • To provide information to an organ procurement agency or tissue bank if you are an organ donor
  • To comply with any specific federal or state law that requires HOV to release health information

 



Your Rights with Respect to Your Health Information

You have the following rights regarding your health information maintained by HOV:

Right to Request Restrictions: You may request restrictions on certain uses and disclosures of your health information. HOV is not required to agree to any such request except where it involves a disclosure to a health plan regarding an item or service that was paid for out-of-pocket by you or someone else on your behalf.

Right to Receive Confidential Communications: You may request that HOV communicate with you in a certain way. For example, you may ask that we only conduct communications pertaining to your health information with you privately, with no other family members present. HOV will accommodate any such request to the extent that it is reasonably able to do so.

Right to Inspect and Copy Your Health Information: You have the right to obtain access to your health record maintained by HOV, including billing records, by inspecting or receiving a copy of it. This request must be in writing. HOV may deny a request to obtain access in certain limited circumstances. 

Right to Amend Health Information: You have the right to have HOV amend the your health record by accepting an addendum presented by you.  This request must be in writing. HOV may deny a request to amend the health record in certain limited circumstances.

Right to an Accounting: You have the right to obtain an accounting of disclosures of your health information made by HOV over the previous 6 years for any reason other than for treatment, payment, or health care operations. HOV will provide the first accounting during any 12 month period without charge. It may impose a reasonable charge on subsequent accounting requests during that period.

Right to a Paper Copy of this Notice: You have the right to receive a separate paper copy of this Notice.

 



Notice of Security Breaches

HOV will provide you with written notification in the event of a security breach involving your protected health information. The notification will describe what happened, the types of information involved, the steps that HOV is taking to deal with the situation, what you should do to protect yourself against any harmful consequences, and contacts for obtaining further information.

 



Duties of Hospice of the Valley

HOV is required by law to maintain the privacy of your health information and to provide to you and/or your legal representative this Notice of our duties and privacy practices. HOV is required to abide by terms of this Notice as may be amended from time to time. HOV reserves the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that it maintains. If the change reflects a material change in its privacy policies and procedures, HOV will provide the new Notice to you or your legal representative. Otherwise, it will provide any new Notice to you upon your request.

You or your legal representative has the right to express complaints to HOV and to the Secretary of Health and Human Services if you believe that your privacy rights have been violated. Any complaints to HOV should be made in writing to the Director of Quality Assurance. HOV encourages you to express any concerns you may have without fear of recrimination.

 



Contact Person

HOV’s contact person for all issues regarding patient privacy and your rights under the Federal privacy standards and questions regarding this Notice is:

Hospice of the Valley, Director of Quality Assurance / Compliance Officer
4850 Union Ave
San Jose, California 95124
Telephone: 1.408.559.5600 ext. 5157
 



Web Privacy Policy

This privacy notice discloses the privacy practices for www.hospicevalley.org. This privacy notice applies solely to information collected by this web site. It will notify you of the following:

  • What personally identifiable information is collected from you through the web site, how it is used and with whom it may be shared
  • What choices are available to you regarding the use of your data
  • The security procedures in place to protect the misuse of your information
  • How you can correct any inaccuracies in the information

Information Collection, Use, and Sharing
We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone. We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an item. Unless you ask us not to, we may contact you via email in the future to tell you about special events, new products or services, or changes to this privacy policy.

Your Access to and Control Over Information
You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address or phone number given on our website:

  • See what data we have about you, if any
  • Change/correct any data we have about you
  • Have us delete any data we have about you
  • Express any concern you have about our use of your data

Security
We take precautions to protect your information. Only employees who need the information to perform a specific job (for example, accounting or customer service) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment. If you feel that we are not abiding by this privacy policy, you should contact us immediately via telephone at 1.408.559.5600 or request@hospicevalley.org.

Hospice of the Valley address_block 4850 Union Avenue address_block San Jose, California, 95124 address_block 1.408.559.5600 address_block Email: info@hospicevalley.org
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