A serious threat to health or safety
- We may use or share your health information to prevent a serious threat to your health and safety or the health and safety of the public, or another person. We would only give this information to someone who can prevent the threat.
Organ and tissue donation
- If you are an organ donor, we may share your health information with organizations that handle organ or tissue do- nation and transplantation.
Military and veterans
- If you are a member of the armed forces, we may share health information as required by military authorities.
- If you are being treated for a work-related injury or condition, we may share your health information with workers’ compensation or similar programs.
Public health risks
We may share your health information with public health or authorized government authorities
- To prevent or control disease, injury or disability
- To report births and deaths
- To report abuse or neglect
- To report problems with medicines and other products
- To tell people about recalls of products they may be using
- To let a person know if he or she may have been exposed to a disease or may be at risk for getting or spreading a disease or condition; or
- If we believe you have been the victim of abuse, neglect or domestic violence. We will only share this information if you say we can or when required or authorized by law.
Health oversight activities
We may share health information for health oversight activities as authorized by law. Examples of oversight activities include audits, investigations, inspections, and licensing. These activities are needed for the government to oversee the health care system.
Lawsuits and disputes
If you are involved in a dispute or lawsuit, we may share your health information if required by court order. We may also share your health information in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute, but usually only if you give us permission.
- We may share health information with law enforcement agencies:
- In response to a court order, grand jury subpoena, warrant, summons, or similar process
- To identify someone who has died
- To locate a missing person
- About a death we believe may be the result of criminal conduct
- About criminal conduct at the health care facility
- In emergency situations to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime; and
- In other situations as required by law
Coroners, medical examiners and funeral directors
We may give health information to a coroner or medical examiner. We may need to do this, for example, to identify someone who has died or to determine the cause of death. We may also give health information to funeral directors with your permission as needed to carry out their duties.
National security and intelligence activities
We may give health information to authorized federal officials for activities authorized by law. We may share health information with authorized federal officials so they can protect the President and other authorized persons or foreign heads of state or conduct special investigations.
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release your health information:
- So that the correctional institution can provide you with health care
- To protect your health and safety or the health and safety of others
- For the safety and security of the correctional institution
Other Uses of Health Information
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written permission. For example, we will ask for your permission to disclose your information for re- search or marketing purposes or to sell any of your information. We will also ask for your permission to disclose any psychotherapy notes we maintain related to services you have received. If you have given us written permission to use or share your health information, you may take back that permission in writing at any time. If you take back your permission, we will no longer use or share your health information for the reasons listed on your written permission. Of course, we cannot take back any information we have already shared with your permission.
What do I do if I think my privacy rights may have been violated?
If you think your privacy rights may have been violated, you may file a complaint with us. You may call the Ebenezer Privacy Office at 612-672-5647 to talk about your complaint. Or you may email or write to the Ebenezer Privacy Of- fice at firstname.lastname@example.org or 400 Stinson Blvd, Minneapolis, MN 55413. You may also file a complaint with the US Department of Health and Human Services Office for Civil Rights at: www.hhs.gov/ocr/privacy/hipaa/complaints. We will not penalize you or act against you in any way for filing a complaint.
Who at Ebenezer must follow this notice?
This notice applies to Ebenezer Society and Ebenezer Management Services. Ebenezer provides a wide variety of health care services in conjunction with a number of hospitals, clinics, and other entities. In order to provide quality care, we share health information within Ebenezer as appropriate. All of Ebenezer’s entities, employees, volunteers, and agents will follow this notice. The notice applies to all records of the care you received at Ebenezer.
When doctors and other health care providers not employed by Ebenezer are treating you at Ebenezer, they must follow the terms of this notice. However, they may use a different privacy notice in their office or clinic.
Changes to this notice
We must follow the terms of this Notice of Privacy Practices. We can change this Notice however, and reserve the right to make the new notice effective for health 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 this facility. The effective date of this notice is listed on the first page.
If you have any questions about this notice, please call the Ebenezer Privacy Office at 612-672-5647 or toll free at 1-866-356-7410 or write to Ebenezer Privacy Office at 400 Stinson Blvd, Minneapolis, MN 55413.