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Effective Date: April 14, 2003. We respect customer confidentiality and only release medical information about you in accordance with Missouri and federal law. This notice describes our policies related to the use of the records of your care generated by this practice.
 

The following is the Notice of Privacy Practices (NPP) for Willows Way, Inc. This NPP is directed toward all Willows Way clients and their guardians. Therefore, "you" refers to Willows Way's clients and/or guardians. 

   Notice of Privacy Practices 

    Effective date:  April 14, 2003 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY. 

We are required by the Health Insurance Portability and Accountability Act (HIPAA) to follow the practices described in this pamphlet.  This notice applies to personal health information that we have about you and which is kept in or by Willows Way.  With some exceptions, we must obtain your authorization to disclose (or release) your health care information.  There are some situations in which we do not have to obtain your authorization.  We can use your protected health information and share it with certain other entities, such as the Department of Mental Health.  This Notice of Privacy Practices does not cover every possible use or disclosure.  If you have any questions, please contact the Willows Way Privacy Officer. 

Who has access to your personal information? 

Medical/health information about you can be used to:

1. Plan your treatment and services.  This includes releasing information to the Department of Mental Health (DMH) or people who are involved in your care or treatment.  It may also include other agencies which we pay to provide services for you.

2. We will only release as little as possible for them to do their jobs.

3. Submit bills to your insurance, Medicaid, Medicare, or third party payers.

4. Obtain approval in advance from your insurance company.

5. Exchange information with Social Security, Social Services, and the Department of Health and Senior Services.

6. Measure our quality of services.

7. Decide if we should offer more or fewer services to consumers. 

 

Without your permission, we may use your personal information:

1. To exchange information with State agencies as required by law.

2. To treat you in an emergency.

3. To treat you when there is something that prevents us from communicating with you.

4. To inform you about possible treatment options.

5. For agencies involved in a disaster situation.

6. As required by State, Federal, or local law.  This includes investigations, audits, inspections, and licensure.

7. When ordered to do so by a court.

8. To communicate with law enforcement if you are a victim of a crime, involved in a crime at our facility, or you have threatened to commit a crime.

9. To communicate with coroners, medical examiners, and funeral homes, when necessary for them to do their jobs.

10. To communicate with federal officials involved in security activities authorized by law.

Uses or disclosures not covered in this Notice of Privacy Practices will not be made without your written authorization.  If you provide us written authorization to use or disclose information, you can change your mind and revoke your authorization at any time, as long as it is in writing.  If you revoke your authorization, we will no longer use or disclose the information.

 

 

What are your rights

1. To appeal if we decide not to let you see all or some parts of your record.

2. To ask for the record to be changed if you believe you see a mistake or something that is not complete. 

3. You must make this request in writing.  We may deny your request if:

  • We did not create the entry that is wrong; or

  • The information is not part of the file that we would let you see; or

  • We believe the record is accurate and complete.

4. To know to whom we have sent information about you for up to the last six years, other than permitted disclosures as described in this notice.  The first request in a 12-month period is free.  We may charge you for additional requests.

5. To request that we limit how we use or disclose information about you.   This must be made in writing, and we are not required to agree to the request.

6. To ask that we communicate with you about medical matters in a certain way or at a certain location.  This request must be made in writing.

7. To authorize other releases of your personal information not described previously.  You may change your mind and remove the authorization at any time (in writing).

8. To have a paper copy of the Notice of Privacy Practices.

9. To file a complaint with us or with the Secretary of the Department of Health and Human Services if you believe any of your rights have been violated.  All complaints must be in writing.  You will not be penalized if you file a complaint. 

We reserve the right to change this notice.  We may make the revised notice effective for health information we already have about you as well as any information we receive in the future. 

If you wish to exercise any of these rights, or to file a complaint, you should contact the Privacy Officer of Willows Way, Inc.

Steve Brennell - Executive Director

800 Friedens Road
St. Charles, MO    63303
Phone:  636/947-6591
E-mail: steveb@willowsway.org

 

Willows Way Inc.  All rights Reserved
800 Friedens Road Suite 100 St. Charles Missouri 63303 Phone: 636-947-6591 Fax: 636-947-7385