The following sections describe different ways that we may use and disclose your medical information. For each category of uses or disclosures we will describe them and give some examples. Some information, such as certain genetic information, certain drug and alcohol information, HIV information and mental health information may be entitled to special restrictions by state and federal laws. We abide by all applicable state and federal laws related to the protection of this information. Not every use or disclosure will be listed, but all of the ways we are permitted to use and disclose information will fall within one of the following categories.
We may use or disclose medical information about you to provide you with medical treatment or services. We may disclose information about you to doctors, nurses, technicians, students or other personnel involved in taking care of you. For example, if we treat you for an infection or allergic reaction, we may send a prescription to the pharmacy of your choice so proper medications can be ordered. We may share medical information about you with Bon Secours 24/7 personnel or other health care providers, agencies, or facilities not affiliated with Bon Secours 24/7 in order to provide or coordinate the different things you need, such as lab work, and X-rays. If you have an existing relationship with a Bon Secours practitioner or facility, we may share the record of your Bon Secours 24/7 telehealth visits with such affiliated practitioner or facility. If your record is so shared, the future use or disclosure of your telehealth visits will be governed by the Notice of Privacy Practices of the affiliated practitioner or facility. We may disclose information about your care to any doctor you identify as a provider of medical care to you, even if that doctor is not a direct participant in a given episode of care provided through Bon Secours 24/7.
We may use and disclose medical information about you so for payment activities of Bon Secours 24/7. For example, we may use and disclose information so that Bon Secours 24/7 or others involved in your care can obtain payment from you, an insurance company or another third party. We may disclose your information to the Social Security Administration, or any other person or insurance or benefit payor, health care service plan or worker's compensation carrier which is, or may be responsible for all or part of your bill. For example, we may give your insurance company information about treatment provided through Bon Secours 24/7 so they will pay us or reimburse you for the care provided. We may tell your insurance company about a proposed treatment to determine whether or not they will pay for the treatment or to resolve an appeal or complaint/grievance. However, if you pay in in cash in advance for your treatment, and you ask us not to disclose your health information to your insurance company with regard to that treatment, we will honor your request.
Health Care Operations:
We may use and disclose medical information about you for our health care operations and for certain health care operations of other providers who furnish care to you. These uses and disclosures are necessary to operate Bon Secours 24/7 and to make sure that all of our patients receive quality services. For example, we may use medical information to review our treatment and services, to evaluate the performance of our staff, and to survey you on your satisfaction with our treatment and/or services. We may review and/or aggregate medical information to decide what additional services or health benefits Bon Secours 24/7 should offer, what services are not needed, and whether certain new treatments are effective. We may disclose information to doctors, nurses, technicians, students training with Bon Secours 24/7, and other Bon Secours 24/7 personnel for review and learning purposes. We may combine the medical information we have with medical information from other health care entities to compare how we are doing and see where we can make improvements in the care and services we offer. Bon Secours 24/7 may disclose information to private accreditation organizations, such as The Joint Commission, in order to obtain accreditation from these organizations.
We may share your medical information with third-parties referred to as "business associates". Business associates provide various services to or for Bon Secours 24/7. Examples include web platform hosting services, billing services, transcription services and legal services. We require our business associates to sign an agreement requiring them to protect your information and to use it only for the purposes for which we have contracted for their services in an effort to make sure your medical information is appropriately safeguarded.
We may contact you to provide information about Bon Secours 24/7-sponsored activities, including fund-raising programs and events. You may request to "opt out" of fund raising communications if you do not wish to be contacted.
Individuals Involved in Your Care or Payment for Your Care:
Unless you tell us not to, we may release medical information to anyone involved in your medical care, such as a friend, family member, or any individual you identify. We also may give your information to someone who helps pay for your care. Additionally, we may disclose information about you to your legal representative. If a person has the authority by law to make healthcare decisions for you, Bon Secours 24/7 typically will treat that legal representative the same way we would treat you with respect to your medical information. Parents and legal guardians are generally patient representatives of minors unless the minors are permitted by law to act on their own behalf and make their own medical decisions in certain circumstances.
We may use and disclose medical information about you for certain research purposes in compliance with the requirements of applicable federal and state laws. All research projects, however, are subject to a special approval process, which establishes protocols to ensure that your health information will continue to be protected. When required, we will obtain a written authorization from you prior to using your health information for research.
As Required or Authorized by Law:
We will disclose medical information about you when required to do so by federal and/or state law. This includes, but is not limited to, disclosures to mandated patient registries, including reporting adverse events with medical devices, food, or prescription drugs to the FDA. We also may disclose medical information to health oversight agencies for activities authorized by law. These oversight activities may include licensure activities and other activities by governmental, licensing, auditing and accrediting agencies as authorized or required by law. We may disclose your health information for public health activities including disclosures to prevent or control disease, injury or disability; report births and deaths; report child abuse or neglect; or notify a person who may have been exposed to a disease or condition. We may disclose information for law enforcement purposes as required by law or in response to a valid subpoena, summons, court order, or similar process.
Legal Proceedings, Lawsuits and Other Legal Actions:
We may disclose medical information about you to courts, attorneys, court employees and others when we get a court order, subpoena, discovery request, warrant, summons or other lawful instructions. We also may disclose information about you to Bon Secours 24/7's attorneys and/or attorneys working on Bon Secours 24/7's behalf to defend ourselves against a lawsuit or action brought against us.
We may use and disclose your medical information in the following special situations:
Disaster-Relief Efforts: We may disclose medical information about you to an organization assisting in a disaster-relief effort so that your family can be notified about your condition, status and location. If you do not want us to disclose your medical information for this purpose, you must tell your caregivers so that we do not disclose this information unless we must do so to respond to the emergency.
- To Avert a Serious Threat to Health or Safety:
We may use and disclose medical information about you to help prevent a serious and imminent threat to your health and safety or the health and safety of the public or another person.
- Organ, Eye and Tissue Donation:
We may release information to organizations that handle organ procurement, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.
If you are a member of the armed forces, domestic (United States) or foreign we may release medical information about you to the military authorities as authorized or required by law.
- Workers' Compensation:
We may disclose medical information about you for workers' compensation or similar programs as authorized or required by law.
- Coroners, Medical Examiners and Funeral Directors:
We may disclose medical information to a coroner, medical examiner or funeral director as necessary for them to carry out their duties.
- National Security and Intelligence Activities:
We may disclose medical information about you to authorized federal officials for intelligence, counterintelligence and other national security activities as required by law.
- Protective Services for the President of the United States and Others:
We may disclose medical information about you to authorized federal officials so they may conduct special investigations or provide protection to the President of the United States, other authorized persons or foreign heads of state as authorized by law.
If you are an inmate of a correctional institution or under the custody of law enforcement officials, we may release medical information about you to the correctional institution or law enforcement officials as authorized or required by law.