Gastroenterology of Canton Inc./GOC Endoscopy Center Inc.
Phone (330) 492-6662 Fax (330) 282-8723
Office Hours: Mon - Thurs 8:00 am - 4:00 pm Closed Fri, Sat & Sun
NOTICE OF PRIVACY PRACTICES
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.
UNDERSTANDING YOUR HEALTH RECORD
Each time you visit our practice, a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
* Basis for planning your care and treatment,
* Means of communication among the many health professionals who contribute to your care,
* Legal document describing the care you received,
* Means by which you or a third-party payer can identify that services billed were actually provided,
* Tool in educating health professionals,
* Source of data for medical research,
* Source of information for public health officials charged to improve the health of the state and nation,
* Source of data for our planning and marketing, and
* Tool by which we can assess and continually work to improve the care we render and outcomes we achieve.
Understanding what is in your record and how your information is used helps you to: ensure its accuracy, better understand who, what, when, where, and why others may assess your health information; and make more informed decisions when authorizing disclosure to others.
YOUR HEALTH INFORMATION RIGHTS
Although your health record is the physical property of our practice, the information belongs to you. You have the right to:
* Obtain a paper copy of this Notice of Privacy Practices upon request,
* Inspect and copy your health record as provided by 45 CFR 164.524,
* Obtain an electronic copy of your health record,
* Amend your health record as provided by 45 CFR 164.526,
* Obtain an accounting of disclosures of your health information as provided by 45 CFR 164.528,
* Request confidential communications of your health information as provided by 45 CFR 164.522, and
* Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522 (our practice, however, is not required by law to agree to a
Our practice is required to:
* Maintain the privacy of your health information.
* Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you,
* Abide by the terms of this notice,
* Notify you if we are unable to agree to a requested restriction, and
* Accommodate reasonable requests you may have to communicate your health information.
We reserve the right to change our practices and to make new provisions effective for all protected health information we maintain. We will keep a posted copy of the most current notice in our facility containing the effective date in the top, right hand corner. In Addition, each time you visit our facility for treatment, you may obtain a copy of the current notice in effect upon request.
We will not use or disclose your health information in a manner other than described in the section regarding Examples Of Disclosures for Treatment, Payment, and Health Operations, without your written authorization, which you may revoke as provided by 45 CFR 161.508(b)(5), except to the extent that action has already been taken.
FOR MORE INFORMATION OR TO REPORT A PROBLEM
If you have questions and would like additional information, you may contact our practice's Privacy Officer, Shari at (330) 492-6662.
If you believe your privacy rights have been violated, you can either file a complaint with our Privacy Officer, or with the Office for Civil Rights, U.S. Department of Health and Human Services (OCR). There will be no retaliation for filing a complaint with either our Privacy Officer or the OCR. The address for the OCR is as follows:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Ave., SW
Room 509F, HHH Building
Washington, DC 20201
EXAMPLES OF DISCLOSURES FOR TREATMENT, PAYMENT AND HEALTH OPERATIONS
We will use your health information for treatment.
For example: Information obtained by a nurse, physician, or other member of your health care team will be recorded in your record and used to determine the course of treatment
that should work best for you. Your physician will document in your record his or her expectations of the members of your health care team. Members of your health
care team will then record the actions they took and their observations. In that way, the physician will know how you are responding to treatment.
We will also provide your other physician(s) or subsequent health care provider(s) (when applicable) with copies of various reports that should assist them in treating
We will use your health information for payment.
For example: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.
We will use your health information for regular health operations.
For example: Members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide.
* Business Associates * Public Health
* Research * Appointment Reminders
* Funeral Directors * Marketing
* Organ Procurement Organizations * Communication with Family
* Food & Drug Administration (FDA) * Law Enforcement
* Workers Compensation
Federal law makes provisions for your health information to be released to an appropriate health oversight agency, health authority, or attorney, provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers, or the public.