Notice of Privacy Practices
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, please contact our Privacy Officer at the address or phone number at the bottom of this notice.
Who will follow this notice?
Nevada Regional Medical Center provides health care to our patients, residents, and clients in partnership with physicians and other professionals and organizations. The information and privacy practices in this notice will be followed by:
Our pledge to you.
Any health care professional who treats you at any of our locations.
All departments and units of our organization, including Home Health, and the rural health clinics.
All employed associates, staff, volunteers or students of our organization.
Any business associate or partner of Nevada Regional Medical Center with whom we share health information.
We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care that we maintain, whether created by facility staff or your personal doctor. Your personal 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:
Changes to this Notice.
keep medical information about you private.
give you this notice of our legal duties and privacy practices with respect to medical information about you.
follow the terms of the notice that is currently in effect.
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 and post the new notice in waiting areas, exam rooms, and on our Web site at http://www.nrmchealth.com
. You can receive a copy of the current notice at any time. The effective date is listed just below the title. You will be offered a copy of the current notice each time you register for treatment at our facility. You will also be asked to acknowledge in writing, your receipt of this notice.
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 billing information to your insurance company or Medicare); and to support our health care operations (such as comparing patient data to improve treatment methods).
We may use or disclose medical information about you without your prior authorization for several other reasons. Subject to certain requirements, we may give out medical information about you without prior authorization for public health purposes, abuse or neglect reporting, health oversight audits or inspections, research studies, funeral arrangements and organ donations, workers’ compensation purposes, and emergencies. We also disclose medical information when required by law, such as in response to a request from law enforcement in specific circumstances, or in response to valid judicial or administrative orders.
We also 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, or to support marketing or fundraising efforts.
If admitted as a patient, unless you tell us otherwise, we will list in the patient directory your name, location in the hospital, your general condition (good, fair, etc.) to anyone who asks about you by name. Your religious affiliation will be released to clergy members only who ask about you by name.
We may disclose medical information about you to a friend or family member who is involved in your medical care, or to disaster relief authorities so that your family can be notified of your location and condition.
We may also utilize a password system to further protect your privacy as well as your protected health information.
Other uses of medical information.
In any other situation not covered by this notice, we will ask you 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 medical information that we use to make decisions about your care, when you submit a written request. If you request copies, we may charge a fee for the cost of copying, mailing or other related supplies. If we deny your request to review or obtain a copy, you may submit a written request for a review of that decision.
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 record is accurate. You may appeal, in writing, a decision by us not to 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, health care operations or where you specifically authorized a disclosure, when you submit a written request. The request must state the time period desired for the accounting, which must be less than a six-year period and starting after April 14, 2003. You may receive the list in paper or electronic form. The first disclosure list request in a twelve-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.
If this notice was sent to you electronically, you have the right to a paper copy of this notice.
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, by notifying us in writing of 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. All written requests or appeals should be submitted to our Privacy Officer listed at the bottom of this notice.
If you are concerned that your privacy rights may have been violated, or you disagree with a decision we made about access to your records, you may contact our Privacy Officer at 417- 667-3355.
Finally, you may send a written complaint to the U.S. Department of Health and Human Services Office of Civil Rights. You may visit www.hhs.gov/ocr for filing instructions. Or, you may call 1-877-696-6775.
Under no circumstance will you be penalized or retaliated against for filing a complaint.
As a patient of Nevada Regional Medical Center, you have the right to the following considerations:
1. To be notified of your rights in writing.
2. To be treated with dignity and in a respectful manner that supports your dignity.
3. To receive information in a manner you understand including language and translation services.
4. To respect of your cultural and personal values, beliefs and preferences.
5. To accommodation of religious and spiritual services.
6. To basic privacy and confidentiality of medical records in accordance with law and regulation.
7. To pain management.
8. To access, request amendment to and obtain information or disclosures of your health information in a reasonable time frame and copies at a reasonable fee.
9. To designate visitors of your choosing, if you have decision-making capacity, whether or not the visitor is related by blood or marriage, unless the individual’s presence infringes on others’ rights or is medically or therapeutically contraindicated.
10. To be free of discrimination based on age, sex, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression.
11. To have your own physician notified promptly of your admission to the hospital.
12. To refuse care, treatment and services in accordance with law and regulation.
13. To have a surrogate decision maker of your choosing when you’re unable to make decisions about your care. When a surrogate decision maker is responsible for making care, treatment and services decisions, the hospital respects the surrogate decision makers right to refuse care, treatment and services on behalf of the patient, in accordance with law and regulation.
14. To have family or representative of your choice notified of admission promptly and included in care decisions.
15. To be involved and have information in all aspects of their care and to participate in the development and implementation of your plan of care. This includes unanticipated outcomes and right to refuse or provide consent for treatment and procedures that are medically necessary.
16. To be provided information on risks and benefits and alternatives available related to any research project, to give informed consent for participation, and to withdraw from participation in research without compromising access to services.
17. To know the name of the licensed health care practitioner acting within the scope of his or her professional licensure, who has primary responsibility for coordinating your care, and the names and professional relationships of physicians and non-physicians who will see you.
18. To have Advance Directive information provided and to complete one if they desire to do so. To have your Advance Directive respected and honored. To be able to request the withdrawal of life support, equipment and therapies.
19. To receive care in a safe setting.
20. To be free from restraint or seclusion, of any form, imposed as a means of coercion, discipline or inconvenience or retaliation by staff. Restraint or seclusion may only be safely implemented by trained staff and may only be imposed to ensure the immediate physical safety of the patient, staff member or other and must be discontinued at the earliest possible time.
To file a grievance with the following agencies please contact:
Nevada Regional Medical Center
Guest Services Coordinator at 417-448-3801 or
Social Services at 417-667-3355 extension 3686
Missouri Department of Health and Senior Services
Phone: 800 392-0210 Fax: 573-751-6010
P.O. Box 570
Jefferson City, Missouri 65102
CMS contracted Quality Improvement Organization for Missouri
known as Primaris
To appeal your discharge: 1-866-902-1813
Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181