YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION 
You have the following rights regarding medical information the facility maintains about you:

** NOTE: All Requests Must Be Submitted in Writing to the Facility Medical Records Department.

  • Right to Inspect and Copy. You have the right to inspect and copy medical information that may be used to make decisions about your care.

To inspect and copy medical information or to receive an electronic copy of the medical information that may be used to make decisions about you, you must submit a written request.
If you request a paper copy of the information, we may charge a fee for the cost of copying, mailing or other supplies associated with your request.
If the facility uses or maintains an electronic health record with respect to your medical information, you have the right to obtain an electronic copy of the information if you so choose.

  • You may direct the facility to transmit the copy to another entity or person that you designate provided the choice is clear, conspicuous, and specific.
  • The facility may charge a fee equal to its labor cost in providing the electronic copy.

We may deny your request to inspect and copy in some limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional, other than the person who denied your request, will be chosen by the facility to review your request and the denial. The facility will comply with the outcome of the review.

  • A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger the life or physical safety of the individual or another person.
  • The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to cause substantial harm to such other person.
  • The request for access is made by the individual’s personal representative, and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to the individual or another person.
  • Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment to information kept by or for the facility.To request an amendment, your must submit a written request. You must also provide a reason that supports your request. Your request for an amendment may be denied if:
    • Your request is not in writing or does not include a reason to support the request;
    • The medical information was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
    • The medical information is not part of the medical information kept by or for the facility;
    • The medical information is not part of the information you would be permitted to inspect and copy; or
    • The medical information is accurate and complete.
  • Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of your medical information for purposes other than treatment, payment and health care operations.To request this list or accounting of disclosures:
    • You must submit your request in writing.
    • Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003.
    • Your request should indicate in what form you want the list (for example, on paper, electronically).

The first list you request within a12­month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

  • Right to Request Restrictions. You have a right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member.To request restrictions, you must make your request in writing. In your request, you must tell us:
    • What information you want to limit;
    • Whether you want to limit our use, disclosure or both;
    • To whom you want the limits to apply, for example, disclosures to your spouse.

You also have a right to request that a health care item or service not be disclosed to your health plan for payment purposes or health care operations. We are required to honor your request if the health care item or service is paid out of pocket and in full. This restriction does not apply to use or disclosure of your health information related to your medical treatment.

  • Right to Request Confidential Communication. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.

For example: You can ask that we only contact you at work or by mail.

To request confidential communications, you must make your request in writing. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

  • Right to a Paper Copy of This Notice. You have the right to a copy of this notice. You may ask us to give you a copy at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

 

South Island New Health Accreditation