Monday, September 24, 2018
   
Text Size

BHA Site Search

Summary – Notice of Privacy Practices


This is a summary of BHA’s Notice of Privacy Practices. As a patient of BHA, you have a right to receive a copy of the complete document.

BHA recognizes that your medical information is personal. BHA is also committed to protecting the privacy and confidentiality of your personal health information. This notice describes BHA’s privacy practices and the ways in which your medical information may be used and disclosed.

By law BHA is required to maintain a complete copy of your medical history, current condition, treatment plan and all treatment given, including the results of all tests, procedures, therapies and prescribed medications. Also by law BHA must maintain this information in a safe and secure manner that protects your privacy and confidentiality. You have the right to read or request a copy of your medical information.

BHA May Use and Disclose Medical Information About You in the Following Ways:

  • For Treatment: Other health professionals within or outside of BHA who are involved in your care may need to access your information.
  • For Payment: Your information may be disclosed to bill or collect for payment of services from you, your insurance company or a third party billing agency.
  • For normal Health Care Operations: BHA may use or disclose medical information about you to the extent necessary to run the facility or ensure the quality of care.
  • For Research: Information that may identify you will not be released to anyone outside of BHA without your prior written permission. BHA may remove information that identifies you so that others may use it to study health care.
  • For Public Health Risks: BHA may disclose medical information about you for public health activities to prevent or control disease, injury or disability; to report births and deaths; to report child abuse and/or neglect; to report reactions to medications or problems with products; to notify people of recalls of products; to notify a person that they may have been exposed to a disease or may be at risk for contracting or spreading a disease; to notify a government agency about abuse, neglect or domestic violence as required by law.
  • For Law Enforcement Purposes: BHA may release information about you in response to a court order, subpoena, warrant, summons; to identify or locate a suspect, fugitive, material witness or missing person; about a victim of a crime
  • About a death as a result of a crime; about criminal conduct at one of our clinics; in emergency circumstances to report a crime.
  • To Coroners and Medical Examiners: BHA may release your medical information to the local Coroner or State Medical Examiner to identify a deceased person or determine cause of death.
  • As Required by Law: BHA may release your information as required by Kentucky Law. BHA does not allow others outside of its organization to access your medical information unless it has authorization from you to do so. Any authorization to use or disclose medical information may be revoked by you in writing at any time unless: (1) BHA has already taken action in reliance on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage.

You have the following rights regarding your medical information:

  • You have the right to inspect and receive a copy of your medical information.
  • You have the right to amend your medical information if you believe it is incorrect or incomplete (restrictions may apply).
  • You have the right to request restrictions or limitations of your medical information.
  • You have the right to request the method by which BHA communicates with you about medical matters so that the communication is kept confidential.
  • You have a right to receive an accounting of all disclosures of your medical
  • information.
  • You have a right to receive a paper copy of the BHA Notice of Privacy Practices.


FILING A COMPLAINT:

If you wish to request restrictions, amendments or accountings of your medical information, you may file such a request in writing with the located at 2120 Sarno Rd, Melbourne, FL 32935.

You may also send an e-mail to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . or call (321) 722-5120.

If you believe your privacy rights have been violated, you may file a complaint with the BHA Privacy Officer, or with the Secretary of the Department of Health and Human Services. All complaints must be in writing. You will not be penalized in any way for filing a complaint.

Contacting the Joint Commission on Accreditation of Healthcare Organizations: If you are not satisfied with Family Health Centers’ response to your concern or complaint regarding patient safety or quality of care you may contact the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). JCAHO claims that the names of patients submitting concerns or complaints will be kept confidential.

Workers who speak to JCAHO surveyors must be protected from employer retaliation. In the event that a hospital intimidates or punishes any worker who speaks to JCAHO surveyors in a light unfavorable to the hospital, JCAHO should deny that hospital's accreditation or conduct another unannounced survey at a later date. Workers who speak to JCAHO surveyors also must be assured confidentiality. The best way to do this is to hold off-site interviews with workers.

JCAHO does not address concerns or complaints regarding individual billing issues or payment disputes. Concerns and complaints may be sent to JCAHO in the following ways:

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Fax: Office of Quality Monitoring
(630) 792-5636

Mail:

Office of Quality Monitoring
Joint Commission on Accreditation of Healthcare Organizations
One Renaissance Boulevard
Chicago, Illinois 60181

Phone: (800) 994-6610 – for information regarding concerns and complaints

Main Menu

Login Form