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.
This notice describes the privacy practices of Landmark Medical
Center (LMC). We are required by law to maintain the privacy of
patients' protected health information ("PHI") and to provide our
patients with this notice, which explains patients' rights about
their PHI and how we use and disclose it. We are required by law to
abide by the terms of this notice.
Protected Health Information
PHI includes information that we create or receive about a
patient's past, present or future physical or mental health
condition. It also includes information that relates to a patient's
treatment or payment for the services provided to a patient.
How We May Use and Disclose Your PHI
Treatment: We may use and disclose your PHI to provide and
coordinate your health care at LMC. For example, different members
of your health care team at LMC, such as physicians, nurses and
technicians, will share information, such as drug prescriptions,
results of lab tests and x-rays, that is necessary to provide your
care. In addition, we may disclose your PHI to other health care
providers outside of LMC in order to facilitate the transfer of your
Payment: We may use and disclose your PHI to bill you or your health
insurer for treatment and services provided to you, or to determine
your eligibility for health insurance benefits. For example, we may
disclose your PHI to your health plan in order to determine whether
it will cover treatment recommended by your health care provider.
Health Care Operations: We may use and disclose your PHI to support
the operation of our organization. For example, we may use your PHI
to evaluate the performance of our staff members. We will obtain
your consent before disclosing your PHI for purposes of our health
care operations if state law requires us to do so.
Appointment Reminders: We may use and disclose your PHI to contact
you and remind you of health care appointments.
Treatment Alternatives, Benefits and Services: We may use and
disclose your PHI to tell you about treatment options or
health-related programs or services we offer that may be of interest
Fundraising: Unless you object, we may use your demographic
information (limited to your name, address, telephone number, email
address, gender, age and date of hospital treatment) to inform you
about our fundraising efforts. Donations are used to expand and
support the health care services and educational programs we provide
to the community. If you do not wish to be contacted for these
purposes, you must notify the public relations and development
department in writing at the following address: 115 Cass Ave.
Woonsocket, RI 02895.
Directory Information: If you are admitted to LMC, we will include
your name, location in the hospital, general condition (e.g.,
undetermined, good, fair, serious, or critical) and religious
affiliation (if you choose to disclose it) in the hospital census
directory. You may request that this information not be released to
others. If you do not object, the information (excluding your
religious affiliation) may be released to visitors or callers who
ask for you by name. Your religious affiliation may be provided to
members of the clergy even if they do not ask for you by name. If
you are admitted to the psychiatric unit, no information about your
location, condition or religious affiliation will be disclosed
without your consent, except as permitted by law.
Research: We may use and disclose your PHI for research purposes,
provided that certain procedures are followed. Depending on the
circumstances, state law may require us to obtain your written
consent before using and disclosing your PHI for research purposes.
If state law requires us to obtain your consent, we will do so
before using or disclosing your PHI for research purposes.
Reports Required by Law: We may disclose PHI when we are legally
required to do so. For example, we may use PHI to make mandatory
reports to various government agencies about births and deaths;
communicable diseases; patients whom we believe to be victims of
abuse or neglect; problems with medical and other products and
reactions to medications; and certain types of deaths and injuries.
Health Oversight: We may disclose your PHI to government agencies
authorized by law to license, audit, inspect or investigate health
care providers and the health care system.
Legal Proceedings: We may disclose PHI pursuant to a valid court
order, search warrant and, under certain circumstances, in response
to a subpoena or other discovery request.
Death Certificates: We may release a copy of the death certificate
of a deceased patient to funeral directors, coroners and/or medical
Organ and Tissue Donation: We may release PHI about organ donors to
organizations that obtain organs, eyes or tissue for donation or
Threats to Safety and Health: Consistent with state law, we may
disclose your PHI, when necessary, to avoid a serious threat to your
health or safety, or the health or safety of another person or the
Work-Related Injuries & Illnesses: If LMC provides health care to
you for a work-related injury, we may release PHI about you to
workers' compensation or similar programs that provide benefits for
purposes of work-related injuries or illnesses, if permitted by
As Required by Law: We will disclose PHI when we are required to do
so by federal or state law.
Other Uses or Disclosures: Other uses and disclosures of your
protected health information will be made only with your written
authorization. You may revoke an authorization at any time by
notifying us in writing at the following address: 115 Cass Avenue,
Woonsocket, RI 02895. Beginning at the time we receive your
revocation, we no longer will use or disclose your PHI for the
purpose(s) covered in your authorization.
Your Rights Regarding Your PHI
Right to Request Restrictions: You may request a restriction or
limitation on: (1) the PHI we use or disclose about you for
treatment, payment or health care operations purposes; and/or (2)
the PHI about you we disclose to someone (such as a family member or
friend) involved in your care or the payment for your care. However,
we are not required to agree to your request.
Right to Request Confidential Communications: You may request that
we communicate PHI to you in a certain way or at a certain location.
For example, you may ask us to contact you only at work, or by mail.
To make such a request, you must do so in writing and supply us with
an alternative location or method of contact. We will accommodate
all reasonable requests as long as we can easily communicate the PHI
in the manner you request.
Right to Inspect and Copy: You have the right to inspect and copy
your PHI for as long as we maintain it. However, there are some
circumstances in which we may deny you access. If we deny you
access, we will tell you in writing the reason(s) for the denial and
explain what appeal rights, if any, you have. Instead of providing
you a copy of all the PHI you request, we may offer to give you a
summary or explanation of the PHI. However, you may refuse our
offer. If you request a copy of your PHI, we may charge a copying
fee for it if permitted to do so by law.
Right to Amend: If you believe the PHI we maintain about you is
incorrect or incomplete, you may ask us to fix it. In order to make
such a request, you must submit your request to us in writing and
tell us the reason for your request. We may deny your request for a
variety of reasons. If we deny your request, we will tell you in
writing the reason(s) for the denial and explain your rights
regarding responding to the denial.
Right to an Accounting of Disclosures: You have the right to request
an accounting of instances in which we disclosed your PHI to others.
Some disclosures of PHI will not be listed in this accounting. For
example, disclosures made for the purpose(s) of treatment, payment
or health care operations will not be listed. Also, any disclosure
to you or that you authorized will not be part of the accounting.
Unless you ask for a shorter accounting period, we will report
disclosures made within the six years prior to your request.
However, our obligation to account for disclosures begins with
disclosures made after April 13, 2003. If you ask for more than one
accounting within a 12-month period, we may charge you a fee for
every accounting provided after the first one.
Right to a Paper Copy of this Notice: You have the right to a paper
copy of this notice even if you originally agreed to receive it
electronically. You may request a paper copy at any time.
Third Party Companies
We allow third-party companies, including AddThis, to collect certain
anonymous information when you visit our website. These companies may
use non-personally identifiable information during your visits to this and
other websites in order to provide advertisements about goods and services
likely to be of greater interest to you. These companies typically use
a cookie or third party web beacon to collect this information. To
learn more about this behavioral advertising practice, you can visit
Change to this Notice
We reserve the right to change this notice. Any revised version
of this notice will be effective for all PHI that we maintain about
you, including information created prior to the effective date of
the revision. Upon your request, we will provide you with a copy of
the most up-to-date version of this notice. For your convenience, a
copy of this notice is posted at LMC and on our web site at
Questions and Complaints
If you wish to exercise any of the rights explained in this
notice, have any questions about this notice, believe we have
violated your privacy rights or wish to file a complaint, please
contact our Privacy Officer at (401) 769-4100 or mail to: 115 Cass
Avenue, Woonsocket, RI 02895. You can also file a written complaint
with the United States Department of Health and Human Services. We
will not retaliate in any way if you choose to file a complaint.
This notice is effective as of April 14, 2003 and supersedes any
and all prior versions of this notice.