THE PURPOSE OF THIS NOTICE IS TWO-FOLD:
1.) FOR INDIVIDUALS ACCESSING THIS SITE, IT DESCRIBES HOW PERSONAL INFORMATION IS UTILIZED AND PROTECTED;
2.) FOR SERVICE PARTICIPANTS, IT EXPLAINS HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED, DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
Effective Date: November 11, 2010
1. Website User Security Information
Collected Internet Information
When visiting www.chail.org, our web server collects and stores the following general information about you:
- the domain from which you accessed the Internet (for instance, comcast.net, if you are connecting from an Comcast account);
- the date and time you accessed the CHAIL web site;
- the pages you viewed;
- the Internet address of the web site from which you linked directly to CHAIL;
- the brand and version number of web browser software you are using.
This information is automatically collected and is used as part of a general summary to help us improve our web site and make it more useful to you. It does not reveal your specific identity to us.
Collection of and Disclosure of Personal Information
We do not obtain personal information (i.e. name, address, e-mail address, etc.) about you when you visit the site unless you choose to provide such information to us on a voluntary basis. If you identify yourself by sending an e-mail, providing information for the purpose of employment application or making a monetary donation to the agency:
- Specified staff will see the information you submit, but only as necessary to complete your specified transaction. Access to this information is limited to personnel who require this information to complete the request you have submitted.
- We may import the information you submit into an electronic database, so that we have means to contact you in the future, should need arise.
- In other limited circumstances, including requests from legal or governmental authorities, we may be required by law to disclose information you submit.
- Any information shared for the purpose of making a monetary donation to the agency is protected and only to be used for the transaction as requested by the user.
- During application for employment, voluntary EEO information is collected. This information is provided in aggregate to the appropriate governmental authorities, but is not shared with the hiring manager or other parties without a strict need for access to meet those requirements.
While every effort has been made to provide accurate information within this web site, no guarantee is made to the accuracy of such content. This site is provided for the purpose of providing general information in an overview format. Please contact the appropriate Children’s Home representative for more detailed information.
Links to Other Sites
As a service to those individuals using our site, we have included links to sites which contain related and/or supporting information. We do not have knowledge of, or control over, the content of such sites; nor do we endorse any of the sites to which we link. We assume no responsibility for information contained in these sites.
2. Confidentiality of Protected Health Information
We respect patient confidentiality and only release medical information about you in accordance with the Illinois and federal law. This notice describes our policies related to the use of the records of your care generated by this practice.
If you have any questions about this policy or your rights contact the Director of Quality Improvement at 309.687.7440.
In order to effectively provide you care, there are times when we will need to share your medical information with others beyond our practice. This includes for:
- Treatment. We may use or disclose medical information about you to provide, coordinate, or manage your care or any related services, including sharing information with others outside our practice that we are consulting with or referring you to with guardian constent.
- Payment. Information will be used to obtain payment for the treatment and services provided. This will include contacting your health insurance company for prior approval of planned treatment or for billing purposes.
- Healthcare Operations. We may use information about you to coordinate our business activities. This may include setting up your appointments, reviewing your care and training staff.
Information Disclosed Without Your Consent. Under Illinois and federal law, information about you may be disclosed without your consent in the following circumstances:
- Emergencies. Sufficient information may be shared to address the immediate emergency you are facing.
- Follow Up Appointments/Care. We will be contacting you to remind you of future appointments or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
- As Required by Law. This would include situations where we have a subpoena, court order, or are mandated to provide public health information, such as communicable diseases or suspected abuse and neglect such as child abuse, elder abuse, or institutional abuse.
- Coroners, Funeral Directors, and Organ Donation. We may disclose medical information to a coroner or medical examiner and funeral directors for the purposes of carrying out their duties. When organs are donated sufficient information will be provided to the program as necessary to facilitate the organ or tissue donation.
- Governmental Requirements. We may disclose information to a health oversight agency for activities authorized by law, such as audits, investigations inspections and licensure. There also might be a need to share information with the Food and Drug Administration related to adverse events or product defects. We are also required to share information, if requested with the Department of Health and Human Services to determine our compliance with federal laws related to health care.
- Criminal Activity or Danger to Others. If a crime is committed on our premises or against our personnel we may share information with law enforcement to apprehend the criminal. We also have the right to involve law enforcement when we believe an immediate danger may occur to someone.
- Fundraising. As a not for profit provider of health care services we need assistance in raising money to carry out our mission. We may contact you to seek a donation.
Covered Entity participates with other behavioral health services agencies (each, a “Participating Covered Entity”) in the IPA Network established by Illinois Health Practice Alliance, LLC (“Company”). Through Company, the Participating Covered Entities have formed one or more organized systems of health care in which the Participating Covered Entities participate in joint quality assurance activities, and/or share financial risk for the delivery of health care with other participating Covered Entities, and as such qualify to participate in an Organized Health Care Arrangement (“OHCA”), as defined by the Privacy Rule. As OHCA participants, all Participating Covered Entities may share the PHI of their patients for the Treatment, Payment and Health Care Operations purposes of all of the OHCA participants.
You have the following rights under Illinois and federal law:
- Copy of Record. You are entitled to inspect you the medical record our practice has generated about you. We may charge you a reasonable fee for copying and mailing your record.
- Release of Records. You may consent in writing to release of your records to others, for any purpose you choose. This could include your attorney, employer, or others who you wish to have knowledge of your care. You may revoke this consent at any time, but only to the extent no action has been taken in reliance on your prior authorization.
- Restriction on Record. You may ask us not to use or disclose part of the medical information. This request must be in writing. Children’s Home is not required to agree to your request if we believe it is in your best interest to permit use and disclosure of the information. The request should be given to the Privacy Contact.
- Contacting You. You may request that we send information to another address or by alternative means. We will honor such request as long as it is reasonable and we are assured it is correct. We have a right to verify that the payment information you are providing is correct. We also will be glad to provide you information by email if you request it.
- Amending Record. If you believe that something in your record is incorrect or incomplete, you may request we amend it. To do this contact the Privacy Contact and ask for the Request to Amend Health Information form. In certain cases, we may deny your request. If we deny your request for an amendment you have a right to file a statement you disagree with us. We will then file our response and your statement and our response will be added to your record.
- Accounting for Disclosures. You may request an accounting of any disclosures we have made related to your medical information, except for information we used for treatment, payment, or health care operations purposes or that we shared with you or your family, or information that you gave us specific consent to release. It also excludes information we were required to release. To receive information regarding disclosure made for a specific time period no longer than six years and after April 14, 2003 , please submit your request in writing to our Privacy Contact. We will notify you of the cost involved in preparing this list.
- Questions and Complaints. If you have any questions, or wish a copy of this Policy or have any complaints you may contact our Privacy Contact in writing at our office further information. You also may complain to the Secretary of Health and Human Services if you believe Children’s Home has violated your privacy rights. We will not retaliate against you for filing a complaint.