[45 CFR 164.520] OCR HIPAA Privacy December, 2002
We Are Required by Law to Maintain the Privacy of Your Health Information; to Provide You This Detailed Notice of Our Legal Duties and Privacy Practices, and To Abide by The Terms of The Notice that Are Currently in Effect.
If You Have a Clear Preference for How We Share Your Information in The Situations Described Below, Talk to Us. Tell Us What You Want Us to Do, and We Will Follow Your Instructions. in These Cases, You Have Both the Right and Choice to Tell Us To:
If You Are Not Able to Tell Us Your Preference, We May Share Your Information if We Believe It Is in Your Best Interest. We May Also Share Your Information when Needed to Lessen a Serious and Imminent Threat to Health or Safety.
Our agency will use and disclose your health information in providing you with treatment/services and coordinating your care and may disclose information to other providers involved in your care. Your health information may be used by doctors involved in your care and by nurses and health aides as well as by therapists, pharmacists, suppliers of medical equipment, or other persons involved in your care.
Our agency may use and disclose your health information for billing and payment purposes. We may disclose your health information to your representative, or to an insurance or another third-party payer. We may contact your health plan to confirm your coverage or to request prior approval for services that will be provided to you.
Our agency may use and disclose your health information as necessary for operating our agency, such as management, personnel evaluation, education and training, and to monitor our quality of care. We may disclose your health information to another entity with which you have or had a relationship if that entity requests your information for certain of its health care operations or health care fraud and abuse detection or compliance activities.
Our agency can use or share your information for health research. To comply with the law: our agency will share information about you if state or federal laws require it, including with the us department of health and human services if it wants to see that we’re complying with federal privacy law.
Our agency can share health information about you with organ procurement organizations.
Our agency can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Our Agency Can Use or Share Health Information About You:
Our agency can share health information about you in response to a court or administrative order, or in response to a subpoena.
We will never share your information for the following purposes unless you give written permission:
For more information see: www.HHS.gov/ocr/privacy/HIPAA/understanding/consumers/index.html
We can share health information about you for certain situations such as:
Unless you object, our agency may disclose health information about you to a family member, close personal friend, or other person you identify, including clergy, who is involved in your care.
Our agency may use or disclose your health information as necessary in emergency treatment situations.
We may use or disclose your health information when required by law to do so.
Our agency may disclose your protected health information to a contractor or business associate that needs the information to perform services for our agency. Our business associates are committed to preserving the confidentiality of this information.
You have the right to express concerns/complaints, without fear of retaliation, to our agency or the us department of health & human services, regarding any act that you consider a violation of these privacy rights.
If there are any questions regarding this privacy policy, you may contact us by calling 203-489-0919.
Our agency will never retaliate against you for filing a complaint.
Or, you can file a complaint with the u.s. department of health and human services office for civil rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 877-696-6775, or www.hhs.gov/ocr/privacy/hipaa/complaints/.
For more information: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html
Health Care Connectors LLC complies with applicable Federal civil rights laws and does not discriminate in hiring or admissions, on the basis of race, color, national origin, age, disability, or sex. Our Agency does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you need these services, contact us at our office at 203-489-0919.
If you believe that Health Care Connectors LLC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Agency Administrator at 203-489-0919, Fax # 203-580-8334 or at [email protected]. You can file a grievance in person or by mail or fax. If you need help filing a grievance our Agency Administrator is available to help you.
You can file a grievance in person or by mail or fax. If you need help filing a grievance, Agency Administrator, Heather Flaherty RN, BSN, OCN is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F
HHH Building, Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)
We strive to provide the highest quality health care services for our patients. To ensure that our services meet your needs, we encourage you to make us aware of any complaints or concerns. Complaints should be addressed to the Administrator who will promptly review the problem. If at any time you feel that a situation was not resolved to your satisfaction by this process, you may contact the office at (203) 489-0919.
We appreciate your candid comments as this helps us in the process of continually working to improve our services to our many and valued patients. If you have information about unethical behavior, criminal activities, or other concerns regarding your services, please call the Administrator at your office. Your confidentiality will be protected. The following are examples of issues that should be brought to our attention immediately. Potential criminal violations:
Our agency is committed to providing excellence in patient care. We will give full consideration to your issues and make an effort to resolve any issues to your satisfaction. We will provide you every opportunity to voice grievances without discrimination, fear of reprisal, or any discrimination from our agency or its employees. If you have any concerns at all, please tell us. express written or verbal concerns with an administrator, supervisor of clinical services, or any other employee that you are comfortable with. They will ensure the concern is presented to the administrator. If you call after business hours, the administrator will be in contact with you the next business day.
The administrator will contact you within 10 days and will help to resolve the complaint/concern to your satisfaction. They will look at all aspects surrounding the grievance, investigation, and resolution. You will be notified of the administrator’s decision within thirty (30) days.
If you are dissatisfied with the outcome of the complaint investigation, you may request that the administrator submit an appeal with the agency’s governing body.
You may also file a complaint with CT Home Health Hotline at: 800-828-9769 or via email: [email protected]
You may file a grievance/concern with our agency at any time 24/7 without fear of reprisal. Please contact us at:
Agency Name: Health Care Connectors LLC
Agency Address: One Sound Shore Drive, Suite 201, Greenwich, CT 06830
Agency Administrator Name: Heather Flaherty RN, BSN, OCN
Agency Telephone: (203) 489-0919
Our team can create a customized plan that meets the needs of your loved one. Please call us today or fill out the form below to learn more and schedule a consultation.
Health Care Connectors LLC is licensed by the Connecticut Department of Public Health License # 9915762 NPI # 1265056212 ACHC Accreditation # 87131
Home Care Connectors LLC is a registered Home Care Agency and regulated by the Connecticut Department of Consumer Protection Registration # HCA.0001353