Scott & White Notice of Privacy Practices
This notice is to advise you that as a patient of Scott & White Healthcare, information created, maintained or received about you may be subject to electronic disclosure, and in keeping with appropriate authorizations from you or your legal representative or as otherwise required by law. As always, Scott & White Healthcare remains committed to ensuring the privacy and security of your protected health information .
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.
Please note that the Scott & White Website Privacy Statement is a separate document that describes how information about visitors to our website may be collected and used.
If you have questions about this Notice, please call one of the following:
For questions relating to Health Plan Coverage, call SWHP at 254-298-3000.
For other questions, call the Scott & White Privacy Office at 254-724-7600.
What are Treatment, Payment and Healthcare Operations?
Scott & White Duties
How Will Scott & White Use My Medical Information?
Your Authorization is Required for Other Disclosures
How to File a Complaint
Scott & White Healthcare and all other affiliated entities (referred to collectively as Scott & White), its professional staff, employees, and volunteers follow privacy practices described in this Notice. Scott & White maintains your medical information in a confidential manner, as required by law. However, Scott & White must use and disclose your medical information to the extent necessary to provide you with quality healthcare. The information created, maintained or received about you may be subject to electronic disclosure. As always, Scott & White Healthcare remains committed to ensuring the privacy and security of your protected health information. To do this, Scott & White must share your medical information as necessary for treatment, payment, and healthcare operations.
Treatment includes sharing information among healthcare providers involved in your care. For example, your physician may share information about your condition with the pharmacist to discuss appropriate medications or with the radiologists or other consultants in order to make a diagnosis. We may also share information about plan members with health care providers for disease or wellness management. Scott & White may use your medical information as required by your insurer or HMO to obtain payment for your treatment and hospital stay or to pay claims that have been submitted by physicians for our plan members. We may also use and disclose your medical information to improve the quality of care and effectiveness of services for our patients and plan members, e.g., for review and training purposes.
We are required by law to:
- Make sure that medical information that identifies you is kept private
- Give you this Notice of our legal duties and privacy practices with respect to your medical information
- Follow the terms of this Notice as long as it is currently in effect. If we revise this Notice, we will follow the terms of the revised Notice as long as it is currently in effect.
Your medical information may be used for the following purposes:
- Hospital Directory, which may include your name, general condition, and your location in the hospital. This information may be provided to other people who ask for you by name. If you do not want us to list this information in our directory, you must tell us that you do not want that information shared.
- Religious Affiliation to a hospital chaplain or member of the clergy. If you do not want us to share this information with the chaplain or members of the clergy, you must tell us that you do not want that information shared.
- Individuals Involved in Your Care or Payment for Your Care. We may release medical information about you to a family member, other relative, or close personal friend who is involved in your medical care or payment for your treatment. If you are able and available to agree or object, we will give you the opportunity to do so prior to disclosing any information. If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communicating with your family and others.
- Employer or Other Plan Sponsor. We may share your health information or summary health information with your employer or other sponsor of your group health plan for the purpose of responding to a request for a health services program proposal or to modify, amend, or replace your health services coverage. We may also disclose to your plan sponsor information about whether you have been enrolled, are participating, or are no longer enrolled in the group health plan. Please review your employer’s health plan documents for a complete explanation of uses and disclosures of protected health information.
- Underwriting, Enrollment and Similar Activities. We may use and disclose information to underwrite, rate, enroll, determine cost-sharing amounts, and renew or respond to a request about your health services program. While we may use and disclose your information for underwriting, we are prohibited from using or disclosing protected health information that is genetic information for this purpose.
- Appointment Reminders. We may use medical information to contact you as a reminder that you have an appointment for treatment or medical care at Scott & White.
- Disaster Relief Agency. We may disclose information about you to an entity assisting in a disaster relief effort so that your family can be notified about your location and general condition.
- Public Health Activities. Public Health Activities usually includes disease prevention; injury or disability; reporting births and deaths; reporting child abuse or neglect; reporting reactions to medications or product problems; notification of recalls; infectious disease control; notifying government authorities of suspected abuse, neglect, or domestic violence. We may disclose your information for these purposes as required by law or if you agree.
- As Required by Law. We may use and disclose information about you as required by law, subpoena, or other legal process.
- Health Oversight Activities. We may disclose medical information to a health oversight agency for activities authorized by law such as 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.
- Coroners, Medical Examiners, and Funeral Directors. Health information may be disclosed to funeral directors or coroners to enable them to carry out their lawful duties.
- Organ and Tissue Donation. We may release medical information to organizations that handle organ procurement or organ, eye, or tissue transplantation or to an organ donation bank to facilitate organ or tissue donation and transplantation.
- Research. Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication with those who received another, for the same condition. All research projects, however, are subject to a special approval process. This special approval process requires an evaluation of the proposed research project and its use of medical information, and balances these research needs with our patients’ need for privacy of their medical information. Before we use or disclose medical information for research, the project generally will have been approved through this special approval process. However, this special approval process is not required when we allow medical information about you to be reviewed by people who are preparing a research project and who want to look at information about patients with specific medical needs, so long as the medical information these people review does not leave the hospital.
- Treatment Alternatives, Health Related Benefits, and Services. We may use and disclose medical information to give you information about treatment alternatives or health-related benefits/services that may be of interest to you. You will have an opportunity to refuse to receive this information.
- Fundraising Activities. We may use limited medical information about you to contact you in an effort to raise money for Scott & White and its operations. That information includes your name, date of birth, address, phone number, date of service, department of service (for example, orthopedics or cardiology), treating physician, and outcome information. You have the right to inform us that you do not wish to receive future communications for fundraising activities (opt out). Scott & White will include an 800 number as well as the Foundation’s email address in all communication for your convenience.
- Governmental Disclosures. Scott & White may disclose health information: a) about Armed Forces personnel to military authorities under certain circumstances, b) as required for lawful intelligence, counterintelligence, and other national security activities to authorized federal officials, or c) about inmates to correctional institutions or law enforcement officials having lawful custody.
- Worker’s Compensation. Your medical information regarding benefits for worker-related illnesses may be released as appropriate.
- Student Immunizations to Schools. Scott & White may disclose proof of your child’s immunizations to their school based on your verbal or written permission to do so.
Except as described above, Scott & White will not use or disclose your medical information unless you authorize (permit) doing so in writing.
There are certain uses and disclosures of your medical information that cannot be made unless you authorize or permit them in writing. These uses and disclosures include:
- Psychotherapy Notes
- Marketing Purposes
- Sale of Protected Health Information
You may revoke your authorization, which will be effective only after the date of receipt of your written revocation.
You have the following rights regarding medical information we maintain about you:
- Right to Request Restriction. You may request limitations on your medical information we use or disclose for healthcare treatment, payment or operations, but we are not required to agree to your request unless you are requesting to restrict information from use and disclosure to your health plan when you have paid for a healthcare item or service out-of-pocket and in full. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment. To request restrictions you must contact the Department of Patient Relations, 254-724-3035 or 866-218-6919.
- 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 by telephone at work or that we only contact you by mail at home. Your request must specify how or where you wish to be contacted. To request confidential communications you must contact Department of Patient Relations, 254-724-3035 or 866-218-6919. Scott & White will not ask you the reason for your request. Scott & White will accommodate all reasonable requests.
- Right to Request Amendment. If you believe that the medical information we have about you is incorrect or incomplete, you may request an amendment. Scott & White is not required to grant the amendment. To request an amendment, you must contact Department of Patient Relations, 254-724-3035 or 866-218-6919.
- Right to an Accounting of Disclosures. You may request a list of the disclosure of your medical information that have been made to persons or entities other than for treatment, payment or operations in the past six (6) years, but not prior to April 14, 2003. The first list you request within a twelve (12) month period will be free of charge. For additional lists, Scott & White may charge you for the costs of providing the list. To request an accounting of disclosures, you must contact Department of Patient Relations, 254-724-3035 or 866-218-6919.
- Right to Inspect and Copy. You have the right to inspect and receive a copy your medical information regarding decisions about your care, including medical and billing records. You may request copies of medical information in paper or electronic form. Scott & White will make every effort to comply with your request. Scott & White will charge a fee for copying, mailing and supplies. Scott & White may deny your request to inspect and copy in certain very limited circumstances including inspection and copy of psychotherapy notes. You may request a review of the denial by another licensed healthcare professional chosen by Scott & White. To inspect and receive a copy of your medical record call 254-724-4713 or 800-725-2768. For Regional Clinic records contact the appropriate clinic. For billing records contact the Billing Office at 254-724-8800 or 800-994-0371.
- Right to a Breach Notification. You have the right to a notification from Scott & White if you are affected by a breach of unsecured medical information. We will notify you formally and work to minimize any negative impact to you.
- Right to a Copy of this Notice. You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Paper copies of this Notice will be available at clinic desks, information desks, and at admission and registration areas.
If you believe your privacy rights have been violated, you may file a complaint with Scott & White or with the Secretary of the United States Department of Health and Human Services. You will not be penalized or retaliated against in any way for making a complaint to Scott & White or to the Department of Health and Human Services.
If you have a privacy complaint or question about this notice please call Scott & White Privacy Office at 254-724-7600 or 866-218-6920 or write:
Scott & White Healthcare
Corporate Compliance MS AR-300
2401 S. 31st Street, Temple, Texas 76508
For questions relating to Health Plan Coverage, call SWHP at 254-298-3000 or 800-321-7947.
Effective Date: April 14, 2003
Revised Date: September 23, 2013