Office of Compliance Programs
Notice of Privacy Practices
PROTECTED HEALTH INFORMATION
THIS NOTICE DESCRIBES HOW YOUR MEDICAL/DENTAL INFORMATION
MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
REVIEW IT CAREFULLY.
Hotline : (504) 568-2347
(A printer friendly PDF brochure is available here.)
The law requires us to make sure your medical information is kept private. It also requires us to give you this notice
of our legal duties and privacy practices to tell you what we can do with the medical information about you. To better understand this law, you may
want to read it. It is in 45 CFR Part 164.
We have the right to change this notice and our privacy practices in the future. Any changes made will apply to all of the medical information
we have about you at this time. If we make a change, we will put up a notice in our building. We will also give you a copy of the new notice
if you ask for it. You can also read about these changes on the computer at this website: (www.lsuhsc.edu)
HOW YOUR MEDICAL/DENTAL INFORMATION MAY BE USED: In general, we may use your medical information in four ways:
To provide patient care to you. Your medical information may be used by the doctors, nurses and other professionals who are treating
you. For example, your medical information is used to help them find out your problems and to decide the best way to treat you. Also, we
may use your medical information to contact you to remind you of appointments, and to give you information about other treatment
options, or other health – related benefits and services that may be of interest to you.
To obtain payment. Your medical information may also be used by our business office to prepare your bill and process payments from you
as well as from any insurance company, government program or other person who is responsible for payment. Also, we may use your
medical information to raise funds for our organization.
For our healthcare operations. Your medical information may be used to review the quality and appropriateness of the care you receive.
We may also use your medical information to put together information to see how we are doing and to make improvements in the services and
care we give you. In some cases we may have students, trainees, or other health care personnel, as well as some non-health care personnel,
who come to our facility to learn under the guidance of faculty to practice or improve their skills. Also, we may use your medical
information to raise funds for our organization through an institutionally – related foundation or business associate.
To create de-identified databases. We may use your medical information for the purpose of removing information that tells anyone
who you are, and putting it in a computer program. Your information may be completely de-identified or partially de-identified. This
information is often used for research purposes. If your information is partially de-identified, it is called a “limited data set.”
HOW YOUR MEDICAL/DENTAL INFORMATION MAY BE DISCLOSED: In addition to using your medical information, we may
disclose all or part of it to certain other people. This includes giving your information to:
You. In order to get your medical information, you will need to fill out an authorization form. You may also have to pay for the cost of some
or all of the copies.
People You Ask Us To Give It To. If you tell us that you want us to give your medical information to someone, we will do so. You will
need to fill out an authorization form. You may stop this authorization at any time. We are not allowed to force you to give us permission to
give your medical information to anyone. We cannot refuse to treat you because you stop this authorization.
Payers. We have the right to give your medical information to insurance companies, government programs such as Medicare and
Medicaid, and the people who process their claims as well as to others who are responsible for paying all or part of the cost of treatment
provided to you. For example, we may tell your health insurance company what is wrong with you and what treatment is recommended
or has been given to you.
“Business Associates.” Business associates are companies or people we contract with to do certain work for us. Examples include
information auditors, attorneys and specialized people providing management, analysis, utilization review or other similar services to us.
Another example is giving health information to a business associate so that the business associate can create a de-identified data base.
Business associates are required to agree to take reasonable steps to protect the privacy of your medical information.
Limited Data Set Recipients. If we use your information to make a “limited data set,” we may give the “limited data set” that includes your
information to others for the purposes of research, public health action or health care operations. The persons who receive the “limited data
set” are required to agree to take reasonable steps to protect the privacy of your medical information.
The Secretary of the U.S. Department of Health and Human Services. The Secretary has the right to see your records in order to
make sure we follow the law.
Public Health Authorities. We may disclose your medical information to a public health authority responsible for preventing or
controlling disease, maintaining vital statistics or other public health functions. We may also give your medical information to the Food and
Drug Administration in connection with FDA-regulated products.
Law Enforcement Officers. We may reveal your medical information to the police. We may also give your medical information to persons
whose job is to receive reports of abuse, neglect or domestic violence. And, if we believe that releasing this information is needed to prevent a
serious threat to the health or safety of a person or the public, we are permitted to reveal your medical information.
Health Oversight Agencies. We may give your medical information to agencies responsible for health oversight activities, such as
investigations and audits, of the health care system or benefits programs, as allowed by law.
Courts and Administrative Agencies. We may reveal your medical information as required by a judge for a legal issue.
Coroners and Administrative Agencies. If you die, we may reveal medical information about your death to coroners, medical
examiners and funeral directors, as allowed by law.
Organ Transplant Services. We may reveal your medical information to agencies that are responsible for getting and
Research. We may reveal your medical information in connection with certain research activities. With your authorization, we may
disclose pertinent information such as your name, social security number, study name, and dates of participation to our Accounts
Payable department to issue human subjects research incentive payments.
Specialized Governmental Functions. We may disclose your medical information for certain specialized governmental functions, as allowed
by law. Such functions include:
Military and veteran activities
National security and intelligence activities
Proactive services to the President and others
Medical suitability determinations; and
Correctional institutions and other law enforcement custodial
Required by law. We may also reveal your medical information in any other circumstances where the law requires us to do so.
OBJECTIONS TO USES AND DISCLOSURES:
In certain situations, you have the right to object before your medical information can be used or revealed. This does not apply if you are
being treated for certain mental or behavioral problems. If you do not object after you are given the chance to do so, your medical
information may be used:
Patient Directory. In most cases, this means your name; room number and general information about your condition may be given to people
who ask for you by name. Also, information about your religion may be given to members of the clergy, even if they do not ask for you by
Family and Friends. We may disclose to your family members, other relatives and close personal friends, any medical information that they
need to know if they are involved in caring for you. For example, we can tell someone who is assisting with your care that you need to take
your medication or get a prescription refilled or give them information about how to care for you. We can also use your medical information
to find a family member, a personal representative or another person responsible for your care and to notify them where you are, about your
condition or of your death. If it is an emergency or you are not able to communicate, we may still give certain information to persons who can
help with your care.
Disaster Relief. We may reveal your medical information to a public or private disaster relief organization assisting with an emergency.
OTHER RIGHTS REGARDING YOUR MEDICAL/DENTAL INFORMATION:
You may also have the following right regarding your medical information:
You have the right to ask us to treat your medical information in a special way, different from what we normally do.
Unless you have the right to object to the use of the information, we do not have to agree with you. If we do agree to your wishes, we have to
follow your wishes until we tell you that we will no longer do so.
You have the right to tell us how you would like us to send your information to you. For example, you might want us to call you
only at work or only at home. Or you may not want us to call you at all. If your request is reasonable, we must follow your request.
You have the right to look at your medical information and, if you want, to get a copy of it. We can charge you for a copy, but only
a reasonable amount. Your right to look at and copy your medical records is based upon certain rules. For example, we can ask you to
make your request in writing, or, if you come in person, that you do so at certain times of the day.
You have the right to ask us to change your medical information. For example, if you think we made a mistake in writing
down what you said about when you began to feel bad, you can tell us. If we do not agree to change your record, we will tell you why, in
writing, and give you information about your rights.
You have the right to be told to whom we have given your medical information in the six years before you ask. This does not
apply to all disclosures. For example, if we gave someone your medical information so that they could treat you or pay for your care,
we do not have to keep a record of that.
You have the right to get a copy of this notice at no charge.
You have the right to complain to us or to the United States Department of Health and Human Services if you believe that we have
violated your privacy rights.
If you have a complaint or concern, please call our 24 hour Hotline:
Your call will be handled by our Privacy Officer.
You may remain anonymous and all calls are kept confidential.
For further information about your rights or about the uses and disclosures of your medical information, please call
The Office of Compliance Programs at:
to speak with either our Compliance or Privacy Officer or OCP team member.
Or write to:
LSUHSC New Orleans
Office of Compliance Programs
433 Bolivar Street, Room 807
New Orleans, LA 70112
Or email: firstname.lastname@example.org
This notice is effective as of 4/13/2003
Date Last Revised 12/22/2006
(A printer friendly
PDF brochure is available here.)