NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU AN GET ACCESS TO THIS INFORMATION PLEASE REVIEW THIS INFORMATION CAREFULLY.

To view our Website Privacy Policy click here: https://hospiceofmv.org/website-privacy-policy/

1. Information regarding uses and disclosures:

Hospice & Palliative Care of Martha’s Vineyard is permitted to use and disclose your health information for the following purposes: treatment, payment, and health care operations. Examples include the following:

a. Treating you.
b. Receiving payment from your insurance company for payment for hospice services provided to you.
c. To run our hospice operations.
d. To discuss your care with the person you have identified as the Durable Power of Attorney for healthcare decision making.

2. The Hospice & Palliative Care of Martha’s Vineyard is permitted to use or disclose your health information in certain circumstances without your consent or authorization.
Examples include the following:

a. Health and safety reasons.
b. Military purposes.
c. Lawsuits.
d. Law enforcement requests.
e. National security reasons.
f. Coroner, Medical Examiner, or Funeral Director.

3. Other uses or disclosures will be made only with you or your legal representative’s written authorization/approval. You may revoke, or cancel, the authorization/approval at any time.

4. You have the right to have your health information protected. The following are ways you may exercise these rights:

a. You can request a restriction on certain uses and disclosures of your health information. Hospice & Palliative Care of Martha’s Vineyard is not required to agree to a requested restriction.
b. You can receive confidential communications of your health information
c. You have the right to inspect and receive a copy of your health information. Any request for a copy must be made in writing.
d. You can ask that your health information be amended or changed. Hospice & Palliative Care of Martha’s Vineyard is not required to agree to change any health information.
e. You may opt out of receiving fundraising communications.
f. You may request to have your health information not disclosed to a health care plan where you have paid out-of-pocket for the care.
g. You may receive a listing of all disclosures made of your health information.

5. Hospice & Palliative Care of Martha’s Vineyard is required by law to maintain privacy of your health information. We will:

a. Maintain the privacy of your health information. Our legal duties and privacy practices are outlined in this NOTICE OF PRIVACY PRACTICES. More detailed policies are maintained by our organization.
b. We will notify you or your legal representative if a breach of your health occurs. This means if your health information is released to someone or accessed by someone who is not authorized, you will be notified.
c. The organization will abide by the terms of the notice currently in effect.
d. The organization may periodically update the Privacy Notice, as required by law.

6. The Privacy Officer for Hospice & Palliative Care of Martha’s Vineyard is: Melanie Devaney-Reid

You may contact the Privacy Officer to file a complaint or to obtain further information on privacy matters at 508-693-0189.

7. If you feel that Hospice & Palliative Care of Martha’s Vineyard has violated your privacy rights, you also have the right to make a complaint to the Secretary of the Department of Health and Human Services.

a. Website: http://www.hhs.gov/hipaa/filing-a-complaint/
b. 1-800-368-1019 or TDD 1-800-537-7697