Notice of Privacy Practices

Durango Orthopedic Associates, P.C.
SpineColorado

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.

Effective Date July 12, 2010

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected health information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition, and related health care services.

Uses and Disclosures of Protected Health Information

You will be asked to sign a consent form. Once you have consented to the use and disclosure of your health information for treatment, payment and health care operations by signing the consent form, your physician will use or disclose your protected health information as described below.

Treatment:

Your protected health information may be used by appropriate staff members or disclosed to other specific healthcare professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.

Payment:

Your protected health information may be used to seek payment from your health plan, or from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, obtaining approval for a surgical procedure may require that your relevant health information be disclosed to the health plan to obtain approval for the procedure. This process is limited by federal and state law is followed carefully by the medical group.

We may also share your health information with third party "business associates" that perform various activities (e.g., collection services, legal services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your health information, we will have a written contract that contains terms that will continue to protect the privacy of your health information.

Healthcare Operations:

Your protected health information may be used as necessary to support the day-to-day activities and management of our practice. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality and compliance.

We may also share your health information with third party "business associates" that perform various activities (e.g., collection services, legal services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your health information, we will have a written contract that contains terms that will protect the privacy of your health information.

Other Uses and Disclosures That Do Not Require Your Authorization or Opportunity to Object

Required by Law:

Your protected health information may be used or disclosed only to the extent that law requires the use or disclosure. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures.

Public Health Reporting:

Your protected health information may be disclosed to public health agencies as required by law. For example, we are required to report incidences of child abuse or neglect.

Food and Drug Administration:

Your protected health information may be disclosed to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products, to enable product recalls, and to make repairs or replacements, or to conduct post-marketing surveillance.

Workers’ Compensation:

We may disclose your protected health information to comply with workers’ compensation laws and other similar legally established programs.

Health Oversight:

We may disclose your protected health information to a recognized and authorized health oversight agency for such legally authorized activities as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the healthcare system, government benefit programs, other government regulatory programs and civil rights laws.

Legal Proceedings:

Your protected health information may be disclosed in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal, in certain conditions in response to a subpoena, discovery request or other lawful process. We will disclose only that health information expressly authorized by such order.

Law Enforcement:

Your protected health information may be disclosed to law enforcement agencies, so long as applicable legal requirements are met, to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government-mandated reporting.

Coroners, Funeral Directors and Organ Donation:

Your protected health information may be disclosed to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.

Research:

Your protected health information may be used or disclosed to researchers when their research has been approved by an Institutional Review Board or Privacy Board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information. Your protected health information may also be used for specified retrospective studies. If this happens, all identifying information will be removed per federal regulations.

Criminal Activity:

Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Inmates:

We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.

Military Activity and National Security:

When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to a foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

Required Uses and Disclosures:

Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500 et. Seq of federal regulations.

Uses and Disclosures Where You Have an Opportunity to Object

Others Involved in Your Healthcare:

Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your health information that directly relates to that person’s involvement in your healthcare. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.

Emergencies:

Your protected health information may be used or disclosed in an emergency treatment situation. As soon as is reasonably practicable after the emergency situation, your physician will provide you with a copy of this Notice of Privacy Practices and any other required consent forms.

Communication Barriers:

We may use and disclose your protected health information if your physician or another physician in the practice attempts to obtain consent from you, but is unable to do so due to substantial communication barriers and the physician determines, using professional judgment, that you intend to consent to use or disclosure under the circumstances.

Disaster Relief Efforts:

Unless you object, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your healthcare. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.

Additional Uses and Disclosures of Your Protected Health Information

Appointment Reminders:

Our staff may use your protected health information to send you appointment reminders, or to call you for appointment reminders.

Other uses and disclosures require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.

YOUR INDIVIDUAL RIGHTS

You have certain rights under the federal privacy standards. These include:

The Right to Inspect and Copy Your Protected Health Information

This means you may inspect and obtain a copy of protected health information about you that is contained in a designated record set for as long as we maintain the protected health information. A "designated record set" contains medical and billing records and any other records that your physician and the practice use for making decisions about you. You may inspect or copy your health information by filling out the

Patient Request to Inspect or Copy Protected Health Information form.

Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact our Privacy Officer if you have questions about access to your medical record.

The Right to Request a Restriction of Your Protected Health Information

This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

We are not required to agree to a restriction that you may request. If Durango Orthopedic Associates, P.C./SpineColorado believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. If Durango Orthopedic Associates, P.C./SpineColorado does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. You may request a restriction in writing by filling out the

Request for Restriction form.

The Right to Request to Receive Confidential Communications from us by Alternative Means or at an Alternative Location

We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. If you wish to receive confidential communications from us by alternative means, you must fill out the

Request for Confidential Communication of Protected Health Information by Alternative Means or Location form.

The Right to Amend or Submit Corrections to Your Protected Health Information

This means you may request an amendment of protected health information about you in a designated record set for as long as we maintain this information. Be advised that you must provide a reason to support the requested amendment. We will review your request and provide you with a response. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. To submit a request, you must fill out the

Request to Amend Protected Health Information form.

The Right to Receive an Accounting of Certain Disclosures of Your Protected Health Information

This right applies to disclosures that occurred after April 14, 2003, for purposes other than treatment, payment or healthcare operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you, to family members or friends involved in your care, or for other specified purposes according to the regulation. The right to receive this information is subject to certain exceptions, restrictions and limitations. To request an applicable accounting of disclosures, please fill out the

Request for Accounting of Protected Health Information Disclosures form.

The Right to Obtain a Paper Copy of This Notice from us upon request, even if you have agreed to accept this notice electronically.

Duties of Durango Orthopedic Associates, P.C. and SpineColorado:

We are required by law to maintain the privacy of your protected health information and to provide you with this Notice of Privacy Practices. We are also required to abide by the terms of the notice currently in effect.

Our Right to Revise Privacy Practices

As permitted by law, we reserve the right to amend or modify our privacy policies and practices at any time. These changes in our policies and practices may be required by changes in federal and state laws and regulations. The new notice will be effective for all protected health information that we maintain at that time. You may see any revised Notice of Privacy Practices by accessing either of our websites at www.durangoorthopedics.com or www.spinecolorado.com, or reading the most current Notice on display in our lobbies. Upon your request, we will provide you with a paper copy of any revisions.

Complaints

Your privacy is of utmost concern to us. If you believe we have violated your privacy rights, you should call the matter to our attention by sending a letter describing the cause of your concern to our Privacy Officer. Please address your letter to:

Compliance Coordinator - CEO
Durango Orthopedic Associates, P.C./SpineColorado
One Mercado Street, Suite 202
Durango, CO 81301

You may also complain to the Secretary of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.

If you have any questions about the complaint process or this notice, please contact our compliance coordinator at 970-247-5362 or toll-free 1-800-524-9821.

This notice was published and becomes effective on July 12, 2010.

Disclaimer:

The pictures displayed in www.spinecolorado.com are images of actual patients and employees who have consented to have their picture in this website.

Need more information on back and neck pain? Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.   Web design & Copyright © 2009 Prizm Development, Inc. All rights reserved. www.prizmdevelopment.com