Privacy Practices | Scribbles and Giggles

Scribbles and Giggles Pediatric Day Health Center Notice of Health Information Practices

THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOUR MINOR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Introduction
At Scribbles and Giggles Pediatric Day Health Center we are committed to treating and using protected health information about your child responsibly. Protected health information (PHI) is health information that contains identifiers such as name or Social Security number. This Notice of Health Information Practices describes the protected health information we collect and how and when we use or disclose that information. It also describes your rights as they relate to your child's protected health information.

Understanding Your Child's Health Record/Information
Each time your child receives care at Scribbles and Giggles a record of his or her stay is made. Typically this record contains a nursing assessment and documentation, medication and treatment records and therapy assessments and documentation if your child is receiving therapy services. This information is often referred to as your child's health or medical record and serves as a:

Basis for planning care and treatment.
Means of communication between the center and your child’s physician.
Legal document describing the care received.
Means by which you or a third-party payer can verify that services billed were actually provided
A source of information for public health officials charged with improving the health of children in the state.
A tool with which we can assess a record of the care rendered and the outcomes we achieve.

Understanding what is in your child's record and how his or her PHI is used helps you to ensure its accuracy, better understand who, what, when, where and why others may access your child's health information, and make more informed decisions when authorizing disclosures to others.

Your Health Information Rights
Although your child's health record is the physical property of Scribbles and Giggles, the information belongs to you.
In general, you have the right to inspect and receive a copy of your minor child's health records in designated record sets such as the medical record or billing records. We may charge you a fee for the copies.
If you believe there is a mistake or important omission in your child's health record, you may request a correction or addition.
You may obtain from us a list of our disclosures of your minor child's PHI as provided by federal law
You may request that we communicate health information about your minor child to you at an alternative location (for example, to a work address) or by different means (for example, by fax instead of telephone).
You may request a restriction on certain uses and disclosures of your minor child's PHI as provided by federal law
You have the right to receive a paper copy of this Notice of Privacy Practices upon request.

Our Responsibilities
Scribbles and Giggles Pediatric Day Health Center is required to:

Maintain the privacy of your child's PHI
Provide you with this Notice as to our legal duties and privacy practices with respect to information we collect and maintain about your child.
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 PHI by alternative means or at alternative locations.

For More Information or to Report a Problem
If you have questions and would like additional information, you may contact our Program Director at 408-340-1599. If you believe your child's privacy rights have been violated, you can file a complaint with our Program Director or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either our Program Director or the Office for Civil Rights.

How We May use or Disclose Your Child’s Protected Health Information (PHI)
Treatment provided by the nursing staff will be conveyed to your child’s physician every 60 days in the form of a Physician’s Plan of Treatment. This plan of treatment acts as a renewal of orders and treatments as well as method for the physician to be informed of your child’s progress. This information may be disclosed to a third party payer such as Medi-Cal in order to obtain authorization of for services.

Health Care Operations
Members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your child’s health record to assess the care and outcomes in your child’s case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and service we provide.

Communication With Family
Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, PHI relevant to that person’s involvement in your child's care or payment related to your child's care.

Fund Raising
We may contact you as part of a fund-raising effort.

Food and Drug Administration (FDA)
We may disclose to the FDA PHI relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.

Health Oversight
As a health care provider we are subject to oversight conducted by federal and state agencies. These agencies may conduct audits of our operations and activities and in that process they may review PHI.

Workers' Compensation
We may disclose PHI to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.

Public Health
As required by law, we may disclose PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

Required By Law
In some circumstances federal or state law requires that we disclose PHI to others. For example, the secretary of the Department of Health and Human Services may review our compliance efforts, which may include seeing protected health information.

Law Enforcement
In some circumstances we will disclose PHI to law enforcement officials, for example, to respond to a search warrant or to report a crime on our premises.

Lawsuits and Other Legal Disputes
We may use and disclose PHI to respond to a court or administrative order, subpoena, or to defend a lawsuit or arbitration.

Abuse and Neglect
By law we will disclose PHI to the appropriate authority to report suspected child abuse or neglect or to identify suspected victims of abuse, neglect, or domestic violence.

Serious Threat to Health or Safety
We may use and disclose PHI if we believe it is necessary to avoid a serious threat to your health or safety or to someone else.

All Other Uses and Disclosures Require Your Written Authorization
Except as described above in this Notice, we will not use or disclose your child's protected health information without your written authorization. When your authorization is required and you have authorized us to use or disclose your child's PHI, you may revoke that authorization by notifying us in writing at any time. The revocation will not apply to any authorized use or disclosure of your child's PHI that took place before we received your revocation.

Changes to This Notice
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will promptly revise this Notice and provide a new Notice on our Web site at http://www.scribblesandgiggles.com.

Effective Date: This Notice is effective as of June 1, 2009.




	Scribbles and Giggles Pediatric Day Health Center Notice of Health Information Practices THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOUR MINOR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Introduction At Scribbles and Giggles Pediatric Day Health Center we are committed to treating and using protected health information about your child responsibly. Protected health information (PHI) is health information that contains identifiers such as name or Social Security number. This Notice of Health Information Practices describes the protected health information we collect and how and when we use or disclose that information. It also describes your rights as they relate to your child's protected health information. Understanding Your Child's Health Record/Information Each time your child receives care at Scribbles and Giggles a record of his or her stay is made. Typically this record contains a nursing assessment and documentation, medication and treatment records and therapy assessments and documentation if your child is receiving therapy services. This information is often referred to as your child's health or medical record and serves as a: Basis for planning care and treatment. Means of communication between the center and your child’s physician. Legal document describing the care received. Means by which you or a third-party payer can verify that services billed were actually provided A source of information for public health officials charged with improving the health of children in the state. A tool with which we can assess a record of the care rendered and the outcomes we achieve. Understanding what is in your child's record and how his or her PHI is used helps you to ensure its accuracy, better understand who, what, when, where and why others may access your child's health information, and make more informed decisions when authorizing disclosures to others. Your Health Information Rights Although your child's health record is the physical property of Scribbles and Giggles, the information belongs to you. In general, you have the right to inspect and receive a copy of your minor child's health records in designated record sets such as the medical record or billing records. We may charge you a fee for the copies. If you believe there is a mistake or important omission in your child's health record, you may request a correction or addition. You may obtain from us a list of our disclosures of your minor child's PHI as provided by federal law You may request that we communicate health information about your minor child to you at an alternative location (for example, to a work address) or by different means (for example, by fax instead of telephone). You may request a restriction on certain uses and disclosures of your minor child's PHI as provided by federal law You have the right to receive a paper copy of this Notice of Privacy Practices upon request. Our Responsibilities Scribbles and Giggles Pediatric Day Health Center is required to: Maintain the privacy of your child's PHI Provide you with this Notice as to our legal duties and privacy practices with respect to information we collect and maintain about your child. 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 PHI by alternative means or at alternative locations. For More Information or to Report a Problem If you have questions and would like additional information, you may contact our Program Director at 408-340-1599. If you believe your child's privacy rights have been violated, you can file a complaint with our Program Director or with the Office for Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either our Program Director or the Office for Civil Rights. How We May use or Disclose Your Child’s Protected Health Information (PHI) Treatment provided by the nursing staff will be conveyed to your child’s physician every 60 days in the form of a Physician’s Plan of Treatment. This plan of treatment acts as a renewal of orders and treatments as well as method for the physician to be informed of your child’s progress. This information may be disclosed to a third party payer such as Medi-Cal in order to obtain authorization of for services. Health Care Operations Members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your child’s health record to assess the care and outcomes in your child’s case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and service we provide. Communication With Family Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, PHI relevant to that person’s involvement in your child's care or payment related to your child's care. Fund Raising We may contact you as part of a fund-raising effort. Food and Drug Administration (FDA) We may disclose to the FDA PHI relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement. Health Oversight As a health care provider we are subject to oversight conducted by federal and state agencies. These agencies may conduct audits of our operations and activities and in that process they may review PHI. Workers' Compensation We may disclose PHI to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law. Public Health As required by law, we may disclose PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability. Required By Law In some circumstances federal or state law requires that we disclose PHI to others. For example, the secretary of the Department of Health and Human Services may review our compliance efforts, which may include seeing protected health information. Law Enforcement In some circumstances we will disclose PHI to law enforcement officials, for example, to respond to a search warrant or to report a crime on our premises. Lawsuits and Other Legal Disputes We may use and disclose PHI to respond to a court or administrative order, subpoena, or to defend a lawsuit or arbitration. Abuse and Neglect By law we will disclose PHI to the appropriate authority to report suspected child abuse or neglect or to identify suspected victims of abuse, neglect, or domestic violence. Serious Threat to Health or Safety We may use and disclose PHI if we believe it is necessary to avoid a serious threat to your health or safety or to someone else. All Other Uses and Disclosures Require Your Written Authorization Except as described above in this Notice, we will not use or disclose your child's protected health information without your written authorization. When your authorization is required and you have authorized us to use or disclose your child's PHI, you may revoke that authorization by notifying us in writing at any time. The revocation will not apply to any authorized use or disclosure of your child's PHI that took place before we received your revocation. Changes to This Notice We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will promptly revise this Notice and provide a new Notice on our Web site at http://www.scribblesandgiggles.com. Effective Date: This Notice is effective as of June 1, 2009.

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