This Notice describes how health information about you or your child (referred to hereafter as "you" or "your") may be used and disclosed and how you can access this information. Please review it carefully.
If you have any questions about this Notice, please contact our Privacy Officer:
Neuro Network Partners, LLP
Attention: Privacy Officer
3200 S.W. 60th Court, Suite #302
Miami, Florida 33155
Our commitment to your privacy
We understand that information about you and your health is very personal and we are committed to protecting the privacy of this information. Each time you visit Neuro Network Partners, LLP we create a record of the care and services you receive. This record is necessary to provide you with high quality care and to ensure we are in compliance with certain legal requirements. This Notice applies to all of the health information in our custody.
In addition, Neuro Network Partners, LLP, the independent contractor members of its Medical Staff, and other healthcare providers affiliated with Nicklaus Children's Hospital have agreed, as permitted by law, to share your health information among themselves for purposes of treatment, payment or healthcare operations. This enables us to better address your healthcare needs.
This Notice will describe the ways in which we may use and disclose your medical information. We reserve the right to change the terms of this Notice at any time. Any revision to this Notice will be applicable to all medical information we already have about you, as well as any of your medical information that we may receive, create, or maintain in the future. We will post a copy of our current Notice in prominent locations in each of our practice locations, and it will also be posted on our web site www.nnpmd.com. A copy of the current Notice in effect will be available at the reception area of each location.
How we may use and disclose health information about you
The following categories describe different ways that we use your health information within Neuro Network partners, LLP and disclose your health information to persons and entities outside of Neuro Network Partners, LLP. Each description is of a category of uses or disclosures. We have not listed every use or disclosure within the categories, but all permitted uses and disclosures will fall within one of the following categories.
Treatment - We may use health information about you to provide you with medical treatment and services. We may disclose health information about you to doctors, nurses, technicians, medical students, interns, or other personnel who are involved in taking care of you during your visit with us.
Payment - We may use and disclose health information about you so the treatment and services you receive at Neuro Network Partners, LLP may be billed to and payment collected from you, an insurance company or a third party. This may also include the disclosure of health information to obtain prior authorization for treatment and procedures from your insurance plan.
Healthcare Operations - We may use and disclose health information about you for healthcare operations, including quality assurance activities; granting medical staff credentials to physicians; administrative activities, including Neuro Network Partners, LLP financial and business planning and development; customer service activities, including investigation of complaints; and certain marketing and fundraising activities, etc. These uses and disclosures are necessary to Neuro Network Partners, LLP to ensure all of our patients receive quality care.
Appointment Reminders - We may use your health information to contact you as a reminder that you have an appointment for treatment or medical care.
Health Related Products or Services - We may notify you of health related products and services that may be of interest to you.
Research That Doesn't Involve Your Treatment - When a research study does not involve any treatment, we may disclose your health information to researchers when an Institutional Review Board has reviewed the research proposal, has established appropriate protocols to ensure the privacy of your health information, and has approved the research.
Facility Directory – We may use or disclose certain limited health information about you in our facility directory. This information may include: your name, your assigned unit and room number and general description of your condition ("serious, fair, good, etc."). Your name, assigned unit and room number and a general description of your condition may be given to people who ask for you by name. Your religious affiliation may be given to a member of the clergy, even if they do not ask for you by name.
Family Members and Friends - We may disclose health information about you to a friend or family member who is involved in your medical care or help pay for your care. We make such disclosures when: (a) we have your verbal agreement to do so; (b) we make such disclosures and you do not object; or (c) we can infer from the circumstances that you would not object to such disclosures. For example, if family members are in the exam room with you, we will assume that you agree to our disclosure of your information in their presence.
Special Situations that do not Require your Authorization
The following disclosures of your health information are permitted by law without any oral or written permission from you:
Organ and Tissue Donation - If you are an organ donor, we may release health 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.
Military and Veterans - If you are a member of the armed forces, we may release health information about you as required by military command authorities.
Worker's Compensation - We may release health information about you for worker's compensation or similar programs if you have a work related injury. These programs provide benefits for work related injuries.
Averting a Serious Threat to Health or Safety - We may use and/or disclose health information about you when necessary to prevent a serious threat to your health or safety or the health and safety of another person or the public. These disclosures would be made only to someone able to help prevent the threat.
Public Health Activities - We may disclose health information about you for public health activities. These generally include the following:
Health Oversight Activities - We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections and licensure. These activities are necessary for the government to monitor the healthcare system, government programs and compliance with civil rights laws.
Lawsuits and Disputes - If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. We may disclose health information about you in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute.
Law Enforcement - We may disclose health information if asked to do so by law enforcement officials for the following reasons:
Coroners, Medical Examiners and Funeral Home Directors - We may disclose health information to a coroner or medical examiner. This may be necessary to identify a deceased person or determine the cause of death of a person. We may also release health information about patients at our facility to funeral home directors as necessary to carry out their duties.
National Security and Intelligence Activities - We may disclose health information about you to authorized federal officials for intelligence, counterintelligence and other national security activities authorized by law.
Inmates - If you are an inmate of a correctional institution or under custody of a law enforcement official, we may disclose health information about you to the correctional institution or the law enforcement official. This is necessary for the correctional institution to provide you with healthcare, to protect your health and safety and the health and safety of others, or for the safety and security of the correctional institution.
Legal Requirements - We will disclose health information about you without your permission when required to do so by federal, state or local law.
With your Specific Written "Authorization"
Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only with your written permission (called "authorization"). If you authorize us to use or disclose health 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 health 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 provided to you.
Your Health Information Rights
Although your health record is the physical property of Neuro Network Partners, LLP entity that created it, the information belongs to you. You have certain rights with respect to your information as described below. If you wish to exercise your rights, you may complete preprinted forms at our location or you may write directly to:
Neuro Network Partners, LLP
Attention: Privacy Officer
3200 S.W. 60th Court, Suite #302
Miami, Florida 33155
Right to request a restriction on certain uses and disclosures of your information. You have the right to request a restriction or limitation on the medical information we use and/or disclose about you for treatment, payment or healthcare operations. You have the right to request that we limit the information we disclose about you to someone who is involved in your care or the payment for your care. For example, you could ask that we not use or disclose information regarding a particular treatment that you received. We are not required to agree to your request. If we do agree, the agreement must be in writing and signed by you and us.
Right to request confidential communications. You have the right to request that we communicate with you about medical matters in a certain manner or at a certain location. For example, you may request that we limit our communications with you to contact at work or at home. Your request must be in writing, as described above, and must specify the manner in which or the location at which you wish to be contacted. All reasonable requests will be accommodated.
Right to inspect and/or request a copy of your health record. You have the right to inspect and/or receive copy any medical information maintained about you that may be used to make decisions about your care. Typically, this will include your medical and billing records but does not include psychotherapy notes. In order to inspect and/or receive a copy of your medical information, you must submit your request, in writing to Privacy Office at the address provided above. We may charge a reasonable fee for this service based on our cost of complying.
In very limited circumstances, we may deny your request to inspect and/or receive a copy of your information. However, if your request is denied, in some cases you may request that the denial be reviewed. Such reviews are performed by an independent licensed healthcare professional chosen by the Privacy Officer. We will comply with the outcome of the review.
Right to request an amendment to your health record. If you believe the information we maintain about you is incorrect or incomplete, you may request that we amend the information. In order to request an amendment, you must submit a written request, as described above, indicating the specific information you wish to be amended and providing the reason supporting the request. Failure to put your request in writing or provide supporting reasoning is likely to result in a denial of your request.
We may also deny your request if you ask us to amend information that:
Right to obtain an accounting of disclosures of your health information. You have the right to request an accounting of disclosures, which is a list of certain disclosures of your medical information made by Neuro Network Partners, LLP other than disclosures allowed or required by law or authorized by you. The request for this accounting must be submitted in writing as described above. Your request must include the time period for which you are requesting an accounting, which may not exceed six years and not include dates prior to April 14, 2003. Fees may be imposed as allowed by law.
We will post a copy of the current Notice in our facilities, and it will also be posted on our web site www.nnpmd.com. A copy of the current Notice in effect will be available at the registration area of each facility.
Complaints or Concerns
You may contact the Privacy Officer if you have a question about this privacy Notice or about your privacy rights. You should also contact the Privacy Officer if you have a complaint or concern that your rights have been violated.
You may make also write to the Secretary of Health and Human Services.