1035 West Wayne Street, Paulding, Ohio 45879
Phone: 419.399.4080, Toll Free: 1.800.741.1743
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.
Paulding County Hospital and the licensed professionals seeing and treating patients in the hospital, use health information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care that you receive. Your health information is contained in a medical record that is the physical property of Paulding County Hospital.
How Paulding County Hospital May Use Or Disclose Your Health Information
For Treatment. Paulding County Hospital may use your health information to provide you with medical treatment or services. For example, information obtained by a health care provider, such as a physician, nurse, or other person providing health services to you, will record information in your record that is related to your treatment. This information is necessary for health care providers to determine what treatment you should receive. Health care providers will also record actions take by them in the course of your treatment and note how you respond to the actions.
For Payment. Paulding County Hospital may use and disclose your health information to others for purposes of receiving payment for treatment and services that you receive. For example, a bill may be sent to you or a third-party payor, such as an insurance company or health plan. The information on the bill may contain information that identifies you, your diagnosis, and treatment or supplies used in the course of treatment.
For Health Care Operations. Paulding County Hospital may use and disclose health information about you for operational purposes. For example, your health information may be disclosed to members of the medical staff, risk or quality improvement personnel, and others to:
Appointments. Paulding County Hospital may use your information to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to the individual.
Fund Raising. Paulding County Hospital may use your information to contact you to raise funds for Paulding County Hospital.
Required by law. Paulding County Hospital may use and disclose information about you as required by law. For example, Paulding County Hospital may disclose information for the following purposes:
Public Health. Your health information may be used or disclosed for public health activities such as assisting public health authorities or other legal authorities to prevent or control disease, injury, or disability, or for other health oversight activities.
Decedents. Health Information may be disclosed to funeral directors or coroners to enable them to carry out their lawful duties.
Organ/Tissue Donation. Your health information may be used or disclosed for cadaveric organ, eye or tissue donation purposes.
Research. Paulding County Hospital may use your health information for research purposes when an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your health information has approved the research.
Health and Safety. Your health information may be disclosed to avert a serious threat to the health or safety of you or any other person pursuant to applicable law.
Government Functions. Specialized government functions such as protection of public officials or reporting to various branches of the armed services that may require use or disclosure of your health information.
Workers Compensation. Your health information may be used or disclosed in order to comply with laws and regulations related to Workers Compensation.
Your Health Information Rights
You have the right to:
You may complain to Paulding County Hospital and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.
Obligations Of Paulding County Hospital
Paulding County Hospital is required to:
Paulding County Hospital reserves the right to change its information practices and to make the new provisions effective for all protected health information it maintains. Revised notices will be made available to you by:
If you have any questions or complaints, please contact:
1035 West Wayne Street
Paulding, Ohio 45879