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Mystic Valley Elder Services, Inc. has created this privacy statement
to confirm our commitment to respecting your privacy. The following
discloses our information gathering and dissemination practices at www.mves.org
(the Site). If you have any questions about this Privacy Policy please
e-mail us at webmaster@mves.org.
Your IP address
We use your IP address to help diagnose problems with our server and
to administer our Web Site. Your IP address is used to help identify
you as a returning visitor so that we can make your visit as useful
as possible. We do investigate our log files to understand visitor usage
patterns.
Cookies
A cookie may be used to help load the site faster upon subsequent visits.
This is a common practice used by many sites.
Data Collected
The demographic and profile data collected at Mystic Valley Elder Services
is used to help us understand what content and services will be of most
value to you. This information may be shared with advertisers and potential
partners in the aggregate as part of building business relationships.
No individual information will be shared with advertisers or third parties
without your consent.
Additional information will be gathered if Site visitors participate
in online surveys and contests offered on the Site. Information gathered
as a result of visitor input will not be shared with external companies,
but may be used by Mystic Valley Elder Services to better communicate
with visitors.
Links to Other Sites
This Site contains links to other sites. Mystic Valley Elder Services
is not responsible for the privacy practices or the content of such
websites.
Interactive Features
The Site may offer chat rooms and message boards. Please remember that
any information that is disclosed in these areas becomes public information
and you should exercise caution when deciding to disclose your personal
information. Contributions in public discussions may also be republished
on the Site and in marketing materials without express permission from
the original contributor.
Security
The Site has security measures in place to protect the loss, misuse,
and alteration of information, but you should recognize that any such
security measures are inherently limited. Mystic Valley Elder Services,
Inc. will not be liable for any breach of the security measures on the
Site or any loss, misuse or alteration of information resulting therefrom.
By using the Site you understand and agree to the terms outlined here.
If you have any questions about this privacy statement, the practices
of this Site, or your dealings with this Site, please e-mail us at webmaster@mves.org
or write:
Marketing Department
Mystic Valley Elder Services
300 Commercial St. #3
Malden, MA 02148
Notice of Privacy Practices Summary
The Mystic Valley Elder Services Notice of Privacy Practices Summary
provides a summary of how we may use and disclose your Protected Health
Information (PHI), our responsibilities to keep your health information
confidential, and your rights with respect to your health information.
The complete Notice of Privacy Practices begins on page 3.
Understanding your Health and Service Record/Information
Each time a Mystic Valley Elder Services Staff Member visits or contacts
you, a record of the visit or contact is made. Typically this record
contains personal information most often supplied by you, such as name,
address, date of birth, etc., and medical information such as diagnoses,
medications, and names of providers involved in your care.
This information is referred to as your case file and serves as
a:
- Basis for planning your care and service plan.
- Means of communication among the many health and service
providers who contribute to your care and service delivery.
- Legal document describing the care and services you receive.
Your Rights
Although your health and service record is the physical property of Mystic
Valley Elder Services, the information belongs to you. You have the right
to:
- Request that we limit certain uses and disclosures of your information.
- View and obtain a copy of your information.
- Correct or update your information.
- Receive a list of the disclosures of your information.
- Request communication of your information by alternative means or
at alternative locations.
- Withdraw consent to use or disclose Protected Health Information except
to the extent that action has already been taken.
- Request a paper copy of the Notice of Privacy Practices.
Our Responsibilities
Mystic Valley Elder Services is required to maintain the privacy of
your health and service information and will not use or disclose it
without your authorization except as described in this notice.
We will use your information for:
- Treatment, for example, information obtained by a nurse or case manager
will be used to determine your plan of care and which services will
work best for you.
- Payment, for example, a bill may be sent to you or a third party payer
such as Medicare or Medicaid, that may include information about you
and the treatment or services provided to you.
- Health care operations, for example, quality assessment or improvement
activities.
We may use or disclose your information without your written authorization:
- When required by federal, state, or local law, judicial or administrative
proceeding or law enforcement.
- When communicating with family or friends involved in your care or
payment for your care.
- For public health and health oversight activities.
- For research approved by a sanctioning body.
- To our Business Associates so they may provide you with services.
- For personal communications such as an appointment reminder or to
provide with health information that may be of interest to you.
- For fundraising efforts within our Agency.
- To protect victims of abuse, neglects or domestic violence.
- Any other use or disclosure may only be done with your signed authorization.
You may revoke the authorization in writing at any time.
For more information or to report a problem
- For information, contact the Mystic Valley Elder Services Privacy
Officer at 781-324-7705.
- To file a complaint, contact the Mystic Valley Elder Services Privacy
Officer at 781-324-7705 or the Secretary of Health and Human Services
in Washington, D.C.
- There will be no retaliation for filing a complaint.
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. If you have any questions about this notice, please
contact the MVES Privacy Officer at 781-324-7705.
Mystic Valley Elder Services respects your right to privacy and we are
required by law to protect the privacy of your health information. This
Notice of Privacy Practices describes how we may use and disclose your
health information to carry out your plan of care, get paid for our
services, administer our Agency, and for other purposes that are permitted
or required by law. We will not use or disclose your health information
without your written permission, except as described in this Notice
or as required by law.
This Notice also describes your rights with respect to your health
information.
Throughout this Notice, we use the term “protected health information”
or PHI. PHI is information about you that may identify you and that
relates to your past, present or future physical or mental health condition
and related health care services.
Your Rights
You have the following rights regarding the health information we maintain
about you:
- Request that we limit certain uses and disclosures of your information.
You have the right to request that we limit how we use or disclose your
protected health information to carry out your plan of care, get paid
or reimbursed for our services, or administer our Agency. (This is also
referred to as “treatment, payment, or health care operations.”)
You also have the right to request a restriction on the PHI we disclose
about you to someone who is involved in your care or payment for your
care, such as a family member or friend. However, we are not required
to agree to your request.
- View and obtain a copy of your information. You have the right to
look at and request a copy of PHI about you contained in your case file
and billing records for as long as MVES maintains the information. If
you request a copy of the information, we may charge you a fee for the
costs of the copying, mailing, or other supplies that are necessary
to grant your request. We may deny your request in certain limited circumstances.
If you are denied the right to see or copy your PHI, you may request
that the denial be reviewed.
- Correct or update your information. If you feel that PHI we have
about you is incomplete or incorrect, you may request that we correct
or update (amend) the information. You may request an amendment for
as long as we maintain your health information. In certain cases, we
may deny your request for amendment. If we deny your request for amendment,
you have the right to file a statement of disagreement with the decision
and we may prepare a response to your statement, which we will provide
to you.
- Receive a list of the disclosures of your information. You have the
right to receive a list of the disclosures we have made of your PHI
for most purposes other that treatment, payment, or health care operations.
The list of disclosures will not include disclosures we have made directly
to you, disclosures to friends or family members involved in your care,
and disclosures for notification purposes. Your request must state the
time period, but may not be longer that six years or prior to April
14, 2003, whichever is longer.
- Request communication of your information by alternative means or
at alternative locations. For instance, you may request that we contact
you about medical matters only in writing or at a different residence
or post office box. Your request must state how or when you would like
to be contacted. We will accommodate all reasonable requests.
- Withdraw consent to use or disclose PHI except to the extent that
action has already been taken. You may withdraw or “revoke”
a consent in writing at any time. Upon receipt of the writing revocation,
we will stop using or disclosing your PHI, except to the extent that
we have already taken action in reliance on the consent.
- Right to a paper copy of this notice. You have the right to receive
a paper copy of this notice upon request at any time. You may also view
a copy of this notice on our web site at www.mves.org.
If you would like to exercise any of the rights described above, contact
the MVES Privacy Officer in writing at the following address:
Mystic Valley Elder Services
Privacy Officer
300 Commercial Street, #19
Malden, MA 02148
Our Responsibilities
Mystic Valley Elder Services is required to maintain the privacy of
your health and service information and will not use or disclose it
without your authorization except as described in this notice.
Using and Disclosing Your Protected Health Information (PHI)
We will use and record your information for your care and treatment.
For example, information obtained by a nurse or any other member of
our care team will be recorded in your record and used to coordinate
your care plan and determine the services that should work best for
you. Your physician may be contacted for pertinent health information
and it may be used in authorization of care and services.
We will use your information for payment. For example, a bill may be
sent to you or to a third party payer. Examples of third party payers
are Medicare, Medicaid (DMA), or the Executive Office of Elder Affairs.
The information on or accompanying the bill may include information
that identifies you, as well as the treatment or services provided to
you.
We will use your protected health information to operate our Agency.
For example, members of our quality improvement team may use information
in your health record to assess the care and outcomes in your case and
others like it. We may combine health information about many clients
for purposes of deciding what additional services may be needed and
should be offered in the future.
We may use or disclose your PHI without your written authorization
in the following circumstances:
- When a disclosure is required by federal, state, or local law, judicial
or administrative proceeding or law enforcement: For example, we may
disclose your PHI for law enforcement purposes as required by law or
in response to a valid subpoena.
- Communication with family or friends involved in your care or payment
for your care: Agency staff, using their professional judgement, may
disclose to a family member, close personal friend, or another person
you identify, PHI related to that person’s involvement in your
care or payment related to your care, unless you object.
- Public health and health oversight activities: As required by law,
we may disclose your PHI to public health or legal authorities charged
with preventing or controlling disease, injury, or disability. We may
disclose your PHI to an oversight agency for activities authorized by
law, including audits and inspections, as necessary for our licensure
and for the government to monitor the health care system, government
programs, and compliance with civil rights laws.
- Research: We may disclose information to researchers when their research
has been approved by the Executive Office of Elder Affairs or other
sanctioning body, and when the research protocols have been reviewed
to assure the privacy of your information on record.
- Business Associates: Mystic Valley Elder Services contracts with Business
Associates to provide many of the services that we offer. When these
services are contracted for, we may disclose your PHI to our Business
Associates so that they can provide the services necessary to your care.
Examples include communications with agencies providing homemaker or
personal care services, adult day health, and certified health vendors.
We require our Business Associate to appropriately safeguard your information.
- Personal communications: We may contact you to provide appointment
reminders or information about treatment alternatives or other health-related
benefits and service that may be of interest to you.
- Fundraising: We may contact you as part of a fundraising effort for
our Agency.
- Notification: We may use your PHI to notify or assist in notifying
a family member, personal representative, or another person responsible
for your care, your location and general condition.
- Victims of abuse, neglect, or domestic violence: We may disclose PHI
about you to a social service or protective service agency, if we reasonably
believe you are a victim of abuse, neglect or domestic violence. We
will only disclose this type of information to the extent required by
law, if you agree to the disclosure, or if the disclosure is allowed
by law and we believe it is necessary to prevent serious harm to you
or someone else or the law enforcement or public official that is to
receive the report represents that is in necessary and will not be used
against you.
- Disaster relief: We may disclose limited PHI about you to a disaster
relief organization.
- To avert serious threat to health or safety: When necessary to prevent
a serious threat to your health and safety or the health or safety of
the public or another person, we may use or disclose PHI, limiting disclosures
to someone able to help lessen or prevent the threat.
- Coroners, Medical Examiners, Funeral Directors, Organ Procurement
Organizations: We may release your PHI to a coroner or medical examiner
for the purpose of determining cause of death or other duties authorized
by law, to funeral directors if necessary, for them to carry out their
duties, and if you are an organ donor, to an organization involved in
the donation of organs or tissue.
- Workers Compensation: We may disclose your PHI to comply with laws
relating to workers’ compensation or similar programs.
- Military, Veterans and other Specific Government Functions. If you
are a current or past member of the armed forces, we may use and disclose
your PHI as required by military command authorities. We may disclose
PHI for national security purposes or as needed to protect the President
of the United States or certain other officials or to conduct certain
special investigations.
- Correctional Institution: If you are or become an inmate of a correctional
institution, we may disclose to the institution or its agents PHI necessary
for your health and the health and safety of others.
Before using or disclosing your PHI for any other purposes other than
those stated above, we will obtain your written authorization. You may
withdraw or “revoke” the authorization in writing at any
time. After we receive your written revocation, we will stop using or
disclosing your PHI, except to the extent that we have already taken
action in reliance on the authorization.
For more information or to report a problem
- For information, contact the Mystic Valley Elder Services Privacy
Officer at 781-324-7705.
- To file a complaint, contact the Mystic Valley Elder Services Privacy
Officer at 781-324-7705 or the Secretary of Health and Human Services
in Washington, D.C.
- There will be no retaliation for filing a complaint.
About this Notice
This notice is effective April 14, 2003. We are required by law to
provide this notice to you and to abide by it. We reserve the right
to change this notice. If we change our practices and this Notice, we
will give you a revised Notice.
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