Commitment to PrivacyThe appropriate collection, use the disclosure of patients’ personal health information is fundamental to our dayto-day operations and to patient care. Protecting the privacy and the confidentiality of patient personal information is important to the physicians and staff at Surgical Associates Chartered. We strive to provide our patients with excellent medical care and service. Every member of Surgical Associates Chartered must abide by our commitment to privacy in the handling of personal information. This policy was last modified on the 1st day of February, 2010.
What is Personal Health Information?Personal health information means identifying information about an individual relating to their physical or mental health (including medical history), the providing of health care to the individual, payments or eligibility for health care, organ and tissue donation and health number.
2. Identifying Purposes: Why We Collect InformationWe ask you for information to establish a relationship and serve your medical needs. We obtain most of our information about you directly from you, or from other health practitioners whom you have seen and authorized to disclose to us. You are entitled to know how we use your information and this is described in the Privacy Statement posted at Surgical Associates Chartered. We will limit the information we collect to what we need for those purposes, and we will use it only for those purposes. We will obtain your consent if we wish to use your information for any other purpose.
3. ConsentYou have the right to determine how your personal health information is used and disclosed. For most health care purposes, your consent is implied as a result of your consent to treatment, however, in all circumstances express consent must be written. Your written Consent will be forwarded to the Privacy Officer who will document the request in patient’s medical records and notify appropriate Healthcare providers and their supporting staff. Patients who have withdrawn consent to disclose PHI must sign and date the Consent to Withdrawal Form. It is understood that the consent directive applies only to the PHI which the patient has already provided, and not to PHI which the patient might provide in the future: PHIPA permits certain collections, uses, and disclosures of the PHI, despite the consent directive; healthcare providers may override the consent directive in certain circumstances, such as emergencies; and the consent directive may result in delays in receiving health care, reduced quality of care due to healthcare provider’s lacking complete information about the patient, and healthcare provider’s refusal to offer non-emergency care. Your written Consent to Withdrawal Form will be forwarded to the Privacy Officer who will document the request in patient’s medical records and notify appropriate Health care providers and their supporting staff.
4. Limiting CollectionWe collect information by fair and lawful means and collect only that information which may be necessary for purposes related to the provision of your medical care.
6. AccuracyWe endeavor to ensure that all decisions involving your personal information are based upon accurate and timely information. While we will do our best to base our decisions on accurate information, we rely on you to disclose all material information and to inform us of any relevant changes.
9. Access and CorrectionWith limited exceptions, we will give you access to the information we retain about you within a reasonable time, upon presentation of a written request and satisfactory identification. We may charge you a fee for this service and if so, we will give you notice in advance of processing your request. If you find errors of fact in your personal health information, please notify us as soon as possible and we will make the appropriate corrections. We are not required to correct information relating to clinical observations or opinions made in good faith. You have a right to append a short statement of disagreement to your record if we refuse to make a requested change. If we deny your request for access to your personal information, we will advise you in writing of the reason for the refusal and you may then challenge our decision.
Surgical Associates Chartered
5801 Allentown Road
Camp Spring MD 20746