Loftus Plastic Surgery Center | Cincinnati, OH
Our pledge to you. At Loftus Plastic Surgery Center (LPSC) we understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of your care and services to provide quality care to you and to comply with legal requirements. This notice applies to all of the records of your care that we maintain as a designated record set, whether created by facility staff or your personal doctor. Your person doctor may have different policies or notices regarding the doctor’s use and disclosure of your medical information created in the doctor’s office. We are required by law:
- To keep medical information about you private.
- To give you this notice of our legal duties and privacy practices with respect to medical information about you.
- To follow the terms of the notice that is currently in effect.
Changes to this notice. We may change our policies at any time. Changes will apply to medical information we already hold, as well as new information after the change occurs. Before we make a significant change in our policies, we will change our notice. You can receive a copy of the current notice at any time.
How we may use and disclose medical information about you. We may use and disclose medical information about you for treatment (such as sending medical information about you to a specialist as part of a referral); to obtain payment for treatment (such as sending information to a medical finance company such as Credit Care); and to support our healthcare operations such as comparing patient data to improve treatment methods, for peer review, for quality medical assurance, and for any other purposes involving evaluation of care, outcomes, treatments, or complications, in which case medical records will be disclosed only to other physicians who are themselves bound by the rules of HIPAA.
We may use or disclose medical information about you without your prior authorization for other reasons. We may disclose medical information to your primary care physician if he/she requests such information and for public health purposes. We also disclose medical information when required by law or in response to valid judicial or administrative orders.
We may contact you for appointment reminders, or to tell you about or recommend possible treatment options, alternatives, health-related benefits or services that may be of interest to you.
We may disclose medical information about you to a friend or family member who is involved in your medical care unless otherwise directed.
Other uses of medical information. In any other situation not covered by this notice, we will ask for your written authorization before using or disclosing medical information about you. If you chose to authorize use or disclosure, you can later revoke that authorization by notifying us in writing of your decision.
Your rights regarding medical information about you.
- In most cases, you have the right to look at or get a copy of your medical information that we use to make decisions about your care, when you submit a written request. If you request copies, we will provide you a single copy at no charge within 30 days of our receipt of your written request. Unless your request involves urgent or life-threatening medical matters, you must allow us a full 30 days. We may charge a fee for the cost of copying, mailing, or other related supplies for additional copies. We must, however, provide a free copy of your medical information to the Bureau of Workers’ Compensation, the Industrial Commission, the Department of Jobs and Family Services, or to you or your representative if the purpose of the request is to support a claim under The Social Security Act and if your request is accompanied by documentation to support such a claim.
- If you believe that information in your record is incorrect or if important information is missing, you have the right to request that we correct the records, by submitting a request in writing that provides your reason for requesting the amendment. We could deny your request to amend a record if the information was not created by us, if it is not part of the medical information maintained by us, or if we determine that the existing record is accurate. You may appeal, in writing, a decision by us to not amend a record.
- You have the right to a list of those instances where we have disclosed medical information about you, other than for treatment, payment, healthcare operations or, for where you specifically authorized a disclosure. Your written request must state the time period desired for the accounting, which must be less than a 6-year period. You may receive the list in paper or electronic form. The first disclosure list request in a 12-month period is free; other requests will be charged according to our cost of producing the list. We will inform you of the cost before you incur any costs.
- You have the right to request that medical information about you be communicated to you in a confidential manner, such as sending mail to an address other than your home. Your request must be in writing, detailing the specific way or location for us to use to communicate with you.
- You may request, in writing, that we not use or disclose medical information about you for treatment, payment or healthcare operations or to persons involved in your care except when specifically authorized by you, when required by law, or in an emergency. We will consider your request but we are not legally required to accept it. We will inform you of our decision on your request.
Complaints. If you are concerned that your privacy rights may have been violated, or if you disagree with a decision we made about access to your records, you may contact our office manager.
This notice will be followed by:
- All employees of LPSC and personnel performing services on behalf of LPSC.
- Any business associate or partner of LPSC with whom we share health information.
All complaints or requested should be directed to our office manager at:
1881 Dixie Highway
Fort Wright, KY 41011