90 Adams Place
Delmar, NY 12054
530 Main St.
Bennington, VT 05201
Effective Date: July 7, 2011
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.
Your information is important and confidential.
Our ethics and policies require that your information be held in strict confidence.
In accordance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, we maintain protocols to ensure the security and confidentiality of your personal information. We have physical security in our building, passwords to protect databases, and virus/intrusion detection software. Within our practice, access to your information is limited to those who need it to perform their jobs.
At the Stram Center for Integrative Medicine , we are committed to treating and using your protected health information responsibly. This Notice of Privacy Practices describes the personal information we collect, and how and when we use or disclose that information. It also describes your rights as they relate to your protected health information. This Notice applies to all protected health information as defined by federal regulations.
New York State law requires a physician to maintain a medical record for each patient, which accurately reflects their evaluation and treatment. Each time you visit the Stram Center, a record of your visit is made. Unless otherwise provided by law, medical records must be retained for at least six years. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information, often referred to as your health or medical record, serves as a:
Understanding what is in your record and how your health information is used helps you to: ensure its accuracy; better understand who, what, when, where, and why others may access your health information; and make more informed decisions when authorizing disclosure to others.
Although your health record is the physical property of the Stram Center, you have certain rights regarding the information. You have the right to:
Our practice is required to:
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. We will keep a posted copy of the most current notice in our practice containing the effective date at the top. In addition, each time you visit our practice (same) for treatment, you may obtain a copy of the current notice in effect upon request.
We will not use or disclose your health information in a manner other than described in the section regarding Examples Of Disclosures For Treatment, Payment, and Health Operations or as allowed or required by law, without your written authorization, which you may revoke as provided by 45 CFR 164.508(b)(5), except to the extent that action has already been taken.
If you have questions and would like additional information, you may contact our Practice Manager at (518) 689-2244. If you believe your privacy rights have been violated, you can either file a complaint with Erica Roccario, our practice manager, or with the Office for Civil Rights, U.S. Department of Health and Human Services (OCR). There will be no retaliation for filing a complaint with either our practice or the OCR. The address for the OCR regional office for New York is as follows:
Office for Civil Rights
U.S. Department of Health and Human Services
Jacob Javitz Federal Building
26 Federal Plaza—Suite 3312
New York, NY 10278
We will use your health information for treatment.
We may provide medical information about you to health care providers, our practice personnel, or third parties who are involved in the provision, management, or coordination of your care.
Information obtained by a nurse, physician, or other member of your health care team at our computer will be recorded in your record and used to determine the course of treatment that should work best for you. Your medical information will be shared among health care professionals involved in your care at The Center. This would require for you to sign a records release form.
We will also provide your other physician(s) or subsequent health care provider(s) (when applicable) with copies of various reports that should assist them in treating you at your written request. These reports would be limited to your medical information and lab test results ordered by our medical staff. Copies of reports originating in other medical offices will only be included at our discretion.
We will use your health information for payment
We may disclose your information so that we can collect or make payment for health care services you receive.
If you participate in a health insurance plan, we will disclose necessary information to that plan to obtain payment for your care when applicable.
We will use your health information for regular health operations
We may disclose your health information for our routine operations. These uses are necessary for certain administrative, financial, legal, and quality improvement activities that are necessary to run our practice and support the core functions.
Information in your health record may be used to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide and to reduce health care costs.
We may use and disclose your protected health information for other specific purposes, as set forth below.
We may disclose medical information to provide appointment reminders (e.g. contacting you at the phone number you have provided to us and leaving a message as an appointment reminder).
Consistent with applicable law, we may disclose health information to a coroner, medical examiner, or funeral director.
As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
As Required By Law
We may disclose health information as required by law. This may include reporting a crime (subject to certain requirements), responding to a court order, grand jury subpoena, warrant, discovery request, or other legal process, or complying with health oversight activities, such as audits, investigations, and inspections, necessary to ensure compliance with government regulations and civil rights laws.
Specialized Government Functions
We may disclose health information for military and veterans’ affairs or national security and intelligence activities.
There are some services provided in our organization through contacts with business associates. Some examples are billing or transcription services we may use. Due to the nature of business associates’ services, they must receive your health information in order to perform the jobs we’ve asked them to do. To protect your health information, however, when these services are contracted we require the business associate to appropriately safeguard your information under a written agreement.
Practice Marketing, Where an Authorization is Not Required Under the HIPAA Regulations
We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you (for example, to notify you of any new tests or services we may be offering).
Food and Drug Administration (FDA)
We may disclose to the FDA health information 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.
We may disclose information to your personal representative (person legally responsible for your care and authorized to act on your behalf in making decisions related to your health care).
To Avert a Serious Threat to Health/Safety
We may disclose your information when we believe in good faith that this is necessary to prevent a serious threat to your safety or that of another person. This may include cases of abuse, neglect, or domestic violence.
Communication with Family or Friends
Unless you object, health professionals, using their best judgment, may disclose to a family member or close personal friend health information relevant to that person’s involvement in your care or payment related to your care. We may notify these individuals of your general condition.
As required or allowed by law, we may disclose health information about you to an organization assisting in a disaster relief effort.
Where required, we will obtain your written authorization before disclosing your personal information. In addition, we take great care to safeguard your information as is reasonably appropriate so that we can to minimize any incidental disclosures.
We reserve the right to change the terms of this notice and to make new notice provisions effective for all protected health information. If the notice is revised, the revised notice will be availableContact Person
If you have any questions please contact Nadine Stram, Office Manager, The Stram Center for Integrative Medicine 518-689-2244.
If you believe that your privacy rights have been violated you may complain to the Stram Center for Integraive Medicine by contacting Nadine Stram, Office Manager at 518-689-2244. You may also complain to the Secretary of the United States Department of Health and Human Services. The Stram Center for Integrative Medicine will not retaliate against any person for filing a complaint.