BRIDGEPORT
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TANASBOURNE
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Permitted Use & Disclosure of your Heath-Care Information

The following sections and categories describe different ways we use and disclose health-care information about you. For each category, we explain what we mean, and for some categories we try to give you a meaningful example about the use or disclosure. All of the ways we are permitted to use and disclose health-care information about you will fall into the listed categories.

Treatment

We are permitted to use your health-care information as necessary to provide you with medical treatment and services. We may disclose information about you to physicians, nurses, technicians, medical students, or other workforce members who are involved in taking care of you at or through CMI. For example, a physician treating you for a broken leg may need to know whether you have diabetes, because diabetes may slow the healing process.

To assist with your care outside CMI, we may disclose your information to other health-care providers. For example, if your personal physician refers you to a specialist, we will send the specialist health-care information about you needed for your treatment.

Payment

We are permitted to use and disclose your health-care information in order to bill and receive payment from you, your insurance company, or a third-party payer for the services you received. For example, we may need to disclose information about your surgery to your insurance company, so that your insurance will pay us or reimburse you for the treatment. We also may tell your insurance company about treatment you are going to receive in order to obtain approval or to determine whether your insurance will cover the treatment.

We may disclose your health-care information to other providers who are involved in your care for their payment purposes. For example, we may release information to emergency responders to allow them to obtain payment or reimbursement for services provided to you.

Health-care operations

We are permitted to use your health-care information for our business operations. For example, our quality management department may use your health-care information to assess the quality of care you received and to ensure that our system continues providing the quality of care you and other patients deserve. Other examples of business operations include training of medical personnel, peer review, licensure and accreditation, audits by regulatory agencies, and compliance with all federal and state regulations. We may disclose your information to another health-care provider or health plan if they have a relationship with you and need the information for their own business operations.

Business associates

We may disclose your health-care information to third parties whom we contract with to perform business services for us, such as billing companies, quality assurance reviewers, translator services, or transcription services. We require that all business associates implement appropriate safeguards to protect your health-care information.

Health-care information with additional protection: In some instances, Oregon law provides additional privacy protections for HIV, substance abuse, mental health, and genetic testing. For more information on Oregon law related to these specially protected records, please contact our privacy officer.

Appointment reminders

We may use and disclose your health-care information to contact you as a reminder that you have an appointment for treatment or services at CMI.

Treatment alternatives

We may communicate with you to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

Health-related benefits and services

We may communicate to you about a product or service that may be of interest to you concerning your treatment, management, or ongoing care.

Fundraising

We may use demographic information about you to contact you about our fundraising activities. We will release only contact information (such as your name, address, and phone number) and information about when you received treatment or services. Our fundraising communications sent to you will offer you the opportunity to opt-out of receiving future fundraising material.

Health oversight activities

We may disclose health-care 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 in order for the government to monitor the U.S. health-care system, government programs, and compliance with civil rights laws.

Incidental disclosures

Incidental disclosures of your health-care information may occur as a by-product of permitted use and disclosures of your health-care information. For example, a visitor may overhear a discussion about your care at the nursing station. These incidental disclosures are permitted if we have applied reasonable safeguards to protect the confidentiality of your health-care information.

Inmates

If you are an inmate of a correctional institution or are under the custody of a law enforcement official, we may release health-care information about you to the correctional institution or law enforcement official. This release would be necessary to provide you with health care or to protect your health and safety or the health and safety of others, including the correctional institution.

Law enforcement

We may disclose your health-care information to law enforcement officials as required by law or as directed by court order, warrant, criminal subpoena, or other lawful process and in other limited circumstances for purposes of identifying or locating suspects, fugitives, material witnesses, missing persons, or crime victims.

Legal proceedings

If you are involved in a lawsuit or a dispute, we may disclose health-care information about you in response to a court or administrative order. We also may disclose medical information about you in response to a civil subpoena, discovery request, or other lawful process by someone involved in the disagreement, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

Limited data set information

We may disclose limited health-care information to third parties for purposes of research, public health, and health-care operations. Before disclosing this information, we remove direct identifiers and have the recipient of the information enter into a contact agreement that limits how the data may be used or disclosed. The agreement must contain assurances that the recipient of the information will use appropriate safeguards to prevent inappropriate use or disclosure of the information.

Military and veterans

If you are a member of the armed forces, we may release health-care information about you as required by military command authorities. We also may release health-care information about foreign military personnel to the appropriate foreign military authority.

National security, intelligence activities, protection services for the president, and others

We will disclose health-care information about you to authorized federal officials for lawful intelligence, counterintelligence, or other national security activities authorized by law; for protection of the U.S. President, other authorized persons or foreign heads of state; or for special authorized investigations.

Public health activities

We may disclose health-care information about you for public health activities as authorized by law. These activities typically include reports to such agencies as the Oregon Department of Human Services. The disclosures are usually made for the purpose of preventing or controlling disease, injury, or disability. Examples include reporting of disease, injury, and vital events such as births and deaths, reporting of child and elder abuse, and reporting of reactions to medications and problems with products.

Research

Under certain circumstances, we may use and disclose health-care 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 to the health and recovery of those who received another, for the same condition. All research projects are subject to a special approval process by our Institutional Review Board. This review process governs patient safety and welfare and the privacy of your medical information. Under special circumstances involving research, a Privacy Board has been established to monitor and protect your privacy rights.

Required by law

We will disclose health-care information about you when required to do so by federal, state, or local law.

To avert a serious threat to health or safety

We will use and disclose health-care information about you when necessary, to prevent a serious threat to your health and safety or the health and safety of others.

Workers’ compensation

We will release health-care information about you for workers’ compensation or similar programs as authorized by law. These programs provide benefits for work-related injuries or illness.

Other uses and disclosure of your health-care information

Authorization

Uses and disclosures of your health-care information not described in this notice or in the laws that apply to us require your written authorization. If you provide CMI with an authorization to use or disclose health-care information about you, you may revoke that authorization, in writing, at any time. If you revoke your authorization, we will no longer use or disclose your health-care information about you for the reasons covered by your written authorization. You are to understand that we cannot take back any disclosures we have already made with your authorization, and that we are required to retain our records of the care we provided to you.

Right to a paper copy of this notice

You have a right to receive a paper copy of this notice and/or an electronic copy by e-mail upon request. Please contact us to make this request.

Changes to this notice

We reserve the right to change our health-information privacy practices and the terms of this notice and to make the new provisions effective for all health-care information we maintain, including health-care information created or received prior to the effective date of any such revised notice. Should our privacy practices change, we will post the revised notice at prominent locations within our facilities and make the revised notice available to you at your request.

Complaints

You may complain to us or to the Secretary of the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

The Center for Medical Imaging
1885 NW 185th Avenue
Suite 100

Aloha, OR 97006
Phone: (503) 216-8400
Fax: (503) 216-8410

Office for Civil Rights
Secretary of the U.S. Department of Health and Human Services

2201 Sixth Avenue – Suite 900
Seattle, WA 98121-1831
Voice: 206-615-2287
TDD: 206-615-2296
Fax: 206-615-2297
E-mail: OCRComplaint@hhs.gov


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