The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its later amendments require that On With Life provide you with a Notice of Privacy Practices. Please review this Notice carefully. For more information or to file a complaint:
This Notice has been provided to you as a summary of how On With Life may use and disclose your protected health information (PHI) and your rights with respect to your PHI. Please contact the Privacy Officer at the phone number listed below with questions, requests for more information or to file a complaint if you believe your privacy rights have been violated. You may also file a complaint with the Secretary of Health and Human Services. If you file a complaint, there will be no retaliation and you will continue to receive care and treatment.
On With Life reserves the right to revise practices with respect to protected health information and to amend this Notice. Should you wish to obtain a revised Privacy Notice, please contact On With Life's Privacy Officer:
On With Life, Inc.
715 SW Ankeny Rd.
Ankeny, IA 50023
On With Life, Inc.
715 SW Ankeny Rd.
Ankeny, IA 50023
While receiving services from On With Life, information regarding your medical history, treatment and payment for your health care may be originated and/or received by us. Information which can be used to identify you and which relates to your medical care or payment for your medical care is commonly known as "protected health information," or PHI, and its use and disclosure is protected by state and federal law. Except for the types of situations listed below, On With Life must obtain your specific written authorization for any release of your PHI.
Generally speaking, health professionals, using their best judgment, may release to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person's involvement in your care or payment related to your care.
We may request specific written authorization from you to release records related to mental health information, substance abuse, human immunodeficiency virus (HIV) test results, suspected assault and abuse, legal requests, and the records of minors. Any requests related to marketing, such as highlighting the story of a person served for our Headway magazine, will also require a specific written authorization.
On With Life provides multi-disciplinary, team-based care to our persons served, so staff working in all areas of your care need access to your PHI. Those individuals may include, but are not limited to: physicians, nurses, social workers, rehabilitation and therapy staff, psychologists, and dietitians. All On With Life staff are oriented at hire and re-educated annually on safeguarding the protected health information of our persons served. Non-staff, such as students in training, are also educated on these policies and are required to sign confidentiality statements before they are allowed access to your PHI. It may also be necessary to release your PHI to health care providers outside On With Life who are involved in your care, such as a hospital or clinic, to ensure continuation of your medical care.
It is necessary for On With Life to use or release PHI to you, your insurance company, or other third party payer, so that treatment and services provided by On With Life may be billed and collected for. Documentation related to payment may include PHI which identifies you, your diagnosis, and any care you may receive. On With Life may also release your PHI to another health care provider, individual or entity covered by the HIPAA privacy regulations for payment activities, including, but not limited to, Medicaid, Medicare or your personal health insurance carrier.
Your PHI may also be used for internal quality assurance purposes, such as measuring our performance on certain quality of care measures. We take steps to de-identify this information so that it cannot be tied to you as an individual person served.
We may disclose PHI to our business associates that perform functions on our behalf or provide us with services (such as a third party administrator that assists with claims processing) if the information is necessary for such functions or services. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our business associate agreements.
On With Life will never sell your protected health information.
Your de-identified PHI may be used or released for research purposes if the research follows all required approval procedures and the necessary rules governing uses and disclosures of protected health information are agreed to and followed. An example of such research is comparing outcomes for the same treatment amongst different persons served. We will ask you for specific authorization for any research in which your protected health information would not be de-identified.
Federal law requires additional disclosures of PHI that are not related to the above. These include:
Specialized Government Functions: Your PHI may be used or disclosed for a variety of other government functions, subject to some limitations. These functions include:
If you are an organ donor, On With Life may release your PHI to organizations involved with obtaining, storing or transplanting organs for donation purposes.
Federal law grants you certain rights with respect to your PHI. Specifically, you have the right to:
Federal law also imposes certain obligations and duties upon On With Life with respect to your PHI. Specifically, On With Life is required to: