HIPAA Notice of Patient Privacy Practices for Florida Hospital
Florida Hospital believes your health information is personal and confidential. We are committed to keeping your health information private, and we are legally required to respect your confidentiality.
HIPAA is the Health Insurance Portability and Accountability Act, a Federal law that requires health providers to take certain steps to protect the privacy and security of patient health information.
The privacy part of the law goes into effect on April 14, 2003. HIPAA requires a health care provider to post the Notice of Patient Privacy Practices (NPPP) on its website.
The NPPP document describes how Florida Hospital uses and protects your health information.
If you have any questions about the Notice of Patient Privacy Practices, please contact Florida Hospital Office of Regulatory Administration at:
NOTICE OF PATIENT PRIVACY PRACTICES
Effective Date: April 14, 2003
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU
MAY BE USED AND DISCLOSED UNDER FEDERAL AND FLORIDA LAW AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
What type of medical information is covered by this Notice?
Medical information covered by this Notice is information
that identifies you or could be used to identify you that is collected from
you or created or received by Florida Hospital and that relates to your past,
present or future physical or mental health condition, including health care
services provided to you and payment for such health care services.
If you have any questions about this notice,
please contact Florida Hospital Office of Regulatory Administration, 407-303-9659
Section A: Who Will Follow This Notice?
This notice describes Florida Hospitalís practices regarding
the use and disclosure of your medical information, including use and disclosure
- Any health care professional authorized to enter information
into your medical chart maintained by Florida Hospital.
- All departments and units of Florida Hospital.
- Any member of a volunteer group we allow to help you
while you are receiving health care services from Florida Hospital.
- All employees, staff and other members of the Florida
This document will be used for the Florida Hospital entities
as follows: Hospital Facilities, Long Term Acute Care Facilities, Ambulatory
Surgical Centers, Walk-In Care Facilities, Staff and Contracted Physicians,
Emergency Care Facilities, Family Health Physician Centers, Emergency Medical/Ambulance
Services, and Home Care Services. All these entities, sites and locations follow
the terms of this notice.
Section B: Our Pledge Regarding Medical Information.
We understand that medical information about you and your
health is personal. We are committed to protecting medical information about
you. We create a record of the care and services you receive at the hospital.
We need this record to provide you with quality care and to comply with certain
legal requirements. This notice applies to all of the records of your care generated
or maintained by Florida Hospital, whether made by Florida Hospital personnel
or your personal doctor. Your personal doctor may have different policies or
notices regarding the doctorís use and disclosure of your medical information
created in the doctorís office or clinic.
This notice will tell you about the ways in which
we may use and disclose medical information about you. We also describe your
rights and certain obligations we have regarding the use and disclosure of medical
We are required by law to:
- Use our best efforts to keep medical information that
identifies you private;
- Give you this notice of our legal duties and privacy
practices with respect to medical information about you; and
- Follow the terms of the notice that is currently in effect.
Section C: How We May Use and Disclose Medical Information
The following categories describe different ways in which
Florida Hospital is permitted to use and disclose medical information. For each
category of uses or disclosures we will explain what we mean and will provide
you with one or more examples. Not every use or disclosure in a category will
be listed. However, all of the ways we are permitted to use and disclose information
will fall within one of the categories.
Within one or more of the categories identified in Section
C and Section D of this form, state and/or federal law may place restrictions
on the manner in which specific types of medical information (e.g., substance
abuse treatment, psychiatric treatment, human immunodeficiency virus status,
etc.) may be used and/or to whom such medical information may be disclosed.
In those instances where use and/or disclosure of specific medical information
is restricted, we will seek appropriate authorization from you, your legal representative
or a court of law/administrative tribunal before using or disclosing the restricted
- Treatment. We may use medical information
about you to provide you with medical treatment or services. We may disclose
medical information about you to doctors, nurses, technicians, medical students,
and/or other members of the Florida Hospital workforce who are involved in
taking care of you at the hospital. For example, a doctor treating you for
a broken leg may need to know if you have diabetes because diabetes may slow
the healing process. In addition, the doctor may need to tell the dietitian
if you have diabetes so that we can arrange for appropriate meals. Different
departments of Florida Hospital also may share medical information about you
in order to coordinate the different things you need, such as prescriptions,
lab work and x-rays. We also may disclose medical information about
you to individuals outside of Florida Hospital, such as family members,clergy
or other health care providers, and other health care facilities, such as
assisted living facilities, nursing homes, home
health agencies, who may be involved in your medical care after you are discharged
from Florida Hospital.
- Payment. We may use and disclose medical
information about you so that the treatment and services you receive at Florida
Hospital may be billed to and payment may be collected from you, an insurance
company or a third party. For example, we may need to give your health plan
information about surgery you received at Florida Hospital so your health
plan will pay us or reimburse you for the surgery. We may also tell your health
plan about a treatment you are going to receive to obtain prior approval or
to determine whether your plan will cover the treatment.
- Health Care Operations. We may use and
disclose medical information about you for Florida Hospitalís operations.
These uses and disclosures are necessary to operate Florida Hospital and make
sure that all of our patients receive appropriate care. For example, we may
use medical information to review our treatment and services and to evaluate
the performance of our workforce in caring for you. We may also combine medical
information about many patients to decide what additional services Florida
Hospital should offer, what services are not needed, and whether certain new
treatments are effective. We may also disclose information to doctors, nurses,
technicians, medical students, and other members of the workforce of Florida
Hospital for review and learning purposes. We may also combine the medical
information we have with medical information from other entities to compare
how we are doing and see where we can make improvements in the care and services
we offer. We may remove information that identifies you from this set of medical
information so others may use it to study health care and health care delivery
without learning who the specific patients are.
- Appointment Reminders. We may use and disclose
medical information to contact you as a reminder that you have an appointment
for treatment or medical care at Florida Hospital or another entity/health
care provider for whom we schedule services. For example, if you are a patient
of a medical clinic operated by Florida Hospital, you may be notified by a
hospital representative of an appointment made on your behalf to facilitate
your medical treatment and physical well-being (e.g., scheduled appointment
for X-ray, etc.).
- Treatment Alternatives. We may use and
disclose medical information to tell you about or recommend possible treatment
options or alternatives that may be of interest to you. For example, if you
have been diagnosed with heart disease, you may receive information regarding
treatment options that may be of interest to you.
- Health-Related Benefits and Services. We
may use and disclose medical information to tell you about health-related
benefits or services that may be of interest to you. For example, if you have
undergone open-heart surgery at Florida Hospital, you may receive information
regarding services that may be of benefit to you in recovering from or dealing
with your illness such as structured rehabilitation exercise classes and stress
- Fundraising Activities. We may use information
about you to contact you in an effort to raise money for Florida Hospital
and its operations. We may disclose information to a business associate of
Florida Hospital, or the Florida Hospital Foundation, a foundation related
to Florida Hospital, so that they may contact you to raise money for Florida
Hospital. We would release only contact information, such as your name, address
and phone number and the dates you received treatment or services at Florida
Hospital. If you do not want Florida Hospital to use or disclose your contact
information for fundraising efforts that will benefit Florida Hospital, you
must notify us in writing.
- Patient Directory. We may include certain
limited information about you in Florida Hospitalís patient-directory while
you are a patient at Florida Hospital. Directory information may include your
name, location in Florida Hospital, your general condition (e.g., fair, stable,
etc.) and your religious affiliation. Unless you are admitted to Florida Hospital
as a non-published patient, the directory information, except for your religious
affiliation, may also be released to people who ask for you by name. Unless
the patient is non-published, your religious affiliation may be given to a
member of the clergy, such as a priest or rabbi, even if they donít ask for
a patient by name. This is so your family, friends and clergy can visit you
in Florida Hospital and generally know how you are doing. Non-publish status
may be elected by a patient (i.e., by requesting in writing that his/her presence
at the Hospital not be acknowledged to family, friends, clergy, media or others
not involved in the care and treatment of the patient) or it may be conferred
by law based on the nature of the treatment sought by the patient (e.g., mental
- Individuals Involved in Your Care or Payment for
Your Care. Unless specifically precluded by state or federal law or
unless you otherwise object, we may release medical information about you
to a friend or family member who is involved in your medical care, and may
also give information to someone who helps pay for your care. We may also
tell your family or friends your condition and that you are in Florida Hospital.
In addition, if you are admitted to Florida Hospital as a result of a natural
or man-made disaster, or if subsequent to your admission a natural or man-made
disaster occurs, we may disclose medical information about you to an entity
assisting in a disaster relief effort so that your family can be notified
about your condition, status and location.
- Research. Under certain circumstances,
we may use and disclose medical information about you for research purposes.
For example, a research project may involve comparing the health and recovery
of all patients who received one medication to those who received another,
for the same condition. All research projects, however, are subject to a special
approval process. This process evaluates a proposed research project and its
use of medical information, trying to balance the research needs with patientsí
need for privacy of their medical information. Before we use or disclose medical
information for research, the project will have been approved through this
research approval process, but we may, however, disclose medical information
about you to people preparing to conduct a research project, for example,
to help them look for patients with specific medical needs, so long as the
medical information they review does not leave the hospital. We will generally
ask for your specific permission if the researcher will have access to your
name, address or other information that reveals who you are, or will be involved
in your care at Florida Hospital.
- As Required By Law. We will disclose medical
information about you when required to do so by federal, state or local law.
- To Avert a Serious Threat to Health or Safety.
We may use and disclose medical information about you when necessary to prevent
a serious threat to your health and safety or the health and safety of the
public or another person. Any disclosure, however, would only be to someone
able to help prevent the threat.
Section D: Special Situations
- Organ and Tissue Donation. If you are an
organ donor, we may release medical information to organizations that handle
organ procurement or organ, eye or tissue transplantation, or to an organ
donation bank, as necessary to facilitate organ or tissue donation and transplantation.
- Military and Veterans.
If you are a member of the armed forces, we may release medical information
about you as required by military command authorities. We may also release
medical information about foreign military personnel to the appropriate foreign
- Workersí Compensation. Pursuant to Florida
Law, we may release medical information about you for workersí compensation
or similar programs. These programs provide benefits for work-related injuries
- Public Health Risks. We may disclose medical
information about you for public health activities. These activities generally
include the following:
- To prevent or control disease, injury or disability;
- To report births and deaths;
- To report reactions to medications or problems with
- To notify people of recalls of products they may
- To notify a person who may have been exposed to a
disease or may be at risk for contracting or spreading a disease or condition;
- To notify the appropriate government authority if
we believe a patient has been the victim of abuse (e.g., child abuse,
elder abuse, etc.), neglect or domestic violence. We will only make this
disclosure if you agree or when required or authorized by law.
- Health Oversight Activities. We may disclose
medical information to a health oversight agency for activities authorized
by law. These oversight activities include, for example, audits, investigations,
inspections, and licensure. These activities are necessary for the government
to monitor the health care system, government programs, and compliance with
civil rights laws.
- Lawsuits and Disputes. If you are involved
in a lawsuit or a dispute, and your medical condition is at issue in the lawsuit
or dispute, we may disclose medical information about you if we are a party
to the lawsuit or dispute and in those instances where we are not a party
to the lawsuit or dispute, in response to a subpoena duces tecum or court
or administrative order.
- Law Enforcement. We may release medical
information to law enforcement officials:
- In response to a court order, subpoena, warrant,
summons or similar process;
- To identify or locate a suspect, fugitive, material
witness, or missing person unless the medical information pertains to
a non-published patient;
- About an individual who seeks or receives medical
treatment for a gunshot wound or life-threatening injury which indicates
an act of violence;
- About a death we believe may be the result of criminal
conduct at Florida Hospital; and
- About criminal conduct at Florida Hospital; and
- In emergency circumstances to report a crime; the
location of the crime or victims; or the identity, description or location
of the person who committed the crime.
- Coroners, Medical Examiners and Funeral Directors.
We may release medical information to a coroner or a medical examiner. This
may be necessary, for example, to identify a deceased person or determine
the cause of death. We may also release medical information about patients
of Florida Hospital to funeral directors as necessary to carry out their duties.
- National Security and Intelligence Activities.
We may release medical information about you to authorized federal officials
for intelligence, counterintelligence, and other national security activities
authorized by law.
- Protective Services for the President and Others.
We may disclose medical information about you to authorized federal officials
so they may provide protection to the President, other authorized persons
or foreign heads of state or conduct special investigations.
- Inmates. Inmates of a correctional institution
or under the custody of a law enforcement official are not required to receive
notice of Florida Hospitalís practices regarding the use and disclosure of
medical information. Florida Hospital may release medical information about
an inmate to the correctional institutional or law enforcement official. This
release would be necessary (1) for the institution to provide health care
to the inmate; (2) protect the inmateís health and safety or the health and
safety of others; or (3) for the safety and security of the correctional institution.
Section E: Your Rights Regarding Medical Information
You have the following rights regarding medical information
we maintain about you:
- Right to Inspect and Copy. You have the
right to inspect and copy some of the medical information that may be used
to make decisions about your care. Usually, this includes medical and billing
records, but does not include psychotherapy notes. If you request a copy of
the information, we may charge a fee for the costs of copying, mailing or
other supplies associated with your request.
We may deny your request to inspect and copy medical information
in certain circumstances. If you are denied access to medical information, in
some cases, you may request that the denial be reviewed. Another licensed health
care professional chosen by the hospital will review your request and the denial.
The person conducting the review will not be the person who denied your request.
We will comply with the outcome of the review.
We may deny your request for an amendment if it is not
in writing or you do not include a reason to support your request. In addition,
we may deny your request if you ask us to amend information that:
- Right to Amend. If you feel that medical
information we have about you is incorrect or incomplete, you may ask us to
amend the information. You have the right to request an amendment for as long
as the information is kept by or for Florida Hospital. In addition, you must
provide a reason that supports your request.
- Was not created by us, unless the person or entity
that created the formation is no longer available to make the amendment;
- Is not part of the medical information kept by or for
- Is not part of the information which you would be permitted
to inspect and copy; or
- Is accurate and complete.
- Right to an Accounting of Disclosures.
You have the right to request an "accounting of disclosures." This is a list
of the disclosures Florida Hospital made of medical information about you.
Your request must state a time period which may not be longer than six years
and may not include dates before April 14, 2003. Your request should indicate
in what form you want the list (for example, on paper, electronically). The
first list you request within a 12 month period will be free. For additional
lists, we may charge you for the costs of providing the list. We will notify
you of the cost involved and you may choose to withdraw or modify your request
at that time before any costs are incurred.
- Right to Request Restrictions. You have
the right to request a restriction or limitation on the medical information
we use or disclose about you for treatment, payment or health care operations.
You also have the right to request a limit on the medical information we disclose
about you to someone who is involved in your care or the payment for your
care, like a family member or friend. For example, you could ask that we not
use or disclose information about a surgery you had.
In your request, you must tell us (1) what information
you want to limit; (2) whether you want to limit our use, disclosure or both;
and (3) to whom you want the limits to apply, for example, disclosures to
We are not required to agree to your request. If
we do agree, we will comply with your request unless the information is needed
to provide you emergency treatment.
- Right to Request Confidential Communications.
You have the right to request that we communicate with you about medical matters
in a certain way or at a certain location. For example, you can ask that we
only contact you at work or by mail. We will not ask you the reason for your
request. We will accommodate all reasonable requests. Your request must specify
how or where you wish to be contacted.
- Right to a Paper Copy of This Notice. You
have the right to a paper copy of this notice. You may ask us to give you
a copy of this notice at any time. Even if you have agreed to receive this
notice electronically, you are still entitled to a paper copy of this notice.
You may obtain a copy of this notice at our website, www.FloridaHospital.com.
To exercise the above rights, please contact the following
individual to obtain a copy of the relevant form you will need to complete to
make your request: Please contact Florida Hospital Office of Regulatory Administration,
Section F: Changes To This Notice.
We reserve the right to change this notice. We reserve the
right to make the revised or changed notice effective for medical information
we already have about you as well as any information we receive in the future.
We will post a copy of the current notice in Florida Hospital. The notice will
contain the effective date.
In addition, each time you register at or are admitted to
the hospital for treatment or health care services as an inpatient or outpatient,
we will offer you a copy of the current notice in effect.
Section G: Complaints
If you believe your privacy rights have been violated, you
may file a complaint with the hospital or with the Secretary of the Department
of Health and Human Services, Atlanta Federal Center, Suite 3B70, 61 Forsyth
Street, SW., Atlanta, GA 30303-8909. To file a complaint with Florida Hospital,
you may contact Risk Management at 407-303-7377. All complaints must be submitted
in writing to Risk Management, 601 East Rollins Street, Orlando, FL 32803. For
Centra Care patients who feel their rights are violated, contact 407-660-8118
You will not be penalized for filing a complaint.
Section H: Other Uses of Medical Information
Other uses and disclosures of medical information not covered
by this notice or the laws that apply to us will be made only with your written
permission. If you provide us permission to use or disclose medical information
about you, you may revoke that permission, in writing, at any time. If you revoke
your permission, we will no longer use or disclose medical information about
you for the reasons covered by your written authorization. You understand that
we are unable to take back any disclosures we have already made with your permission,
and that we are required to retain our records of the care that we provided
Section I: Organized Health Care Arrangement
Florida Hospital, the independent contractor members of
its Medical Staff (including your physician), and other health care providers
affiliated with Florida Hospital have agreed, as permitted by law, to share
your health information among themselves for purposes of your treatment, payment
or health care operations. This enables us to better address your health care