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Call (708) 392 - 2000 24 hours/Day
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Contact Information:
AdvanCare Healthcare Services, llc
645 East 170th Street
South Holland, IL 60473
Info@AdvanCareHealth.com
Phone: (708) 392 - 2000
Fax: (708) 392 - 2008
Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY
USE AND DISCLOSURE OF HEALTH INFORMATION
AdvanCare Health Services, LLC may use your health information, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. AdvanCare Health Services, LLC has established a policy to guard against unnecessary disclosure of your health information.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:
TO PROVIDE TREATMENT
AdvanCare Health Services, LLC may use your health information to coordinate care within AdvanCare Health Services, LLC and with others involved with your care, such as your attending physician and other health care professionals who have agreed to assist AdvanCare Health Services, LLC in coordinating care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications. AdvanCare Health Services, LLC also may disclose your health care information to individuals outside of AdvanCare Health Services, LLC involved in your care including family members, pharmacists, suppliers of medical equipment or other health care professionals.
Call (708) 392 - 2000 24 hours/Day
Click map for referral form
Contact Information:
AdvanCare Healthcare Services, llc
645 East 170th Street
South Holland, IL 60473
Info@AdvanCareHealth.com
Phone: (708) 392 - 2000
Fax: (708) 392 - 2008
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HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:
Copyright 2014 AdvanCare Healthcare Services LLC - All Rights Reserved
2625 Butterfield Road, Suite 304 South, Oakbrook, Illinois 60523
AdvanCare Health Services, LLC
AdvanCare Health Services, LLC
Privacy Policy
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY
USE AND DISCLOSURE OF HEALTH INFORMATION
AdvanCare Health Services, LLC may use your health information, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996, for purposes of providing you treatment, obtaining payment for your care and conducting health care operations. AdvanCare Health Services, LLC has established a policy to guard against unnecessary disclosure of your health information.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED:
TO PROVIDE TREATMENT
AdvanCare Health Services, LLC may use your health information to coordinate care within AdvanCare Health Services, LLC and with others involved with your care, such as your attending physician and other health care professionals who have agreed to assist AdvanCare Health Services, LLC in coordinating care. For example, physicians involved in your care will need information about your symptoms in order to prescribe appropriate medications. AdvanCare Health Services, LLC also may disclose your health care information to individuals outside of AdvanCare Health Services, LLC involved in your care including family members, pharmacists, suppliers of medical equipment or other health care professionals.
TO OBTAIN PAYMENT
AdvanCare Health Services, LLC may include your health information in invoices to collect payment from third parties for the care you may receive from AdvanCare Health Services, LLC. For example, AdvanCare Health Services, LLC may be required by your health insurer to release information regarding your health care status so that the insurer will reimburse you or AdvanCare Health Services, LLC. AdvanCare Health Services, LLC may be required to obtain prior approval from your insurer and may need to explain to the insurer your need for home care and the services that will be provided to you.
TO CONDUCT HEALTH CARE OPERATIONS
AdvanCare Health Services, LLC may use and disclose health information for its own operations in order to facilitate the function of AdvanCare Health Services, LLC and as necessary to provide quality care to all of AdvanCare Health Services, LLC's patients. Health care operations include activities such as:
•Quality assessment and improvement activities.
Quality assessment and improvement activities.•Activities designed to improve health or reduce health care costs.
Activities designed to improve health or reduce health care costs.•Protocol development, case management and care coordination.
Protocol development, case management and care coordination.•Contacting health care the health care providers and patients with information about treatment alternatives and other related functions that do not include treatment.
Contacting health care the health care providers and patients with information about treatment alternatives and other related functions that do not include treatment.•Professional review and performance evaluation.
Professional review and performance evaluation.•Training programs including those in which students, trainees or practitioners in health care learn under supervision.
Training programs including those in which students, trainees or practitioners in health care learn under supervision.•Training of non-health care professionals.
Training of non-health care professionals.•Accreditation, certification, licensing or credentialing activities.
Accreditation, certification, licensing or credentialing activities.•Review and auditing, including compliance reviews, medical and dental reviews, legal services and compliance programs.
Review and auditing, including compliance reviews, medical and dental reviews, legal services and compliance programs.•Business planning and development including cost management and planning related analyses and formulary development.
Business planning and development including cost management and planning related analyses and formulary development.•Business management and general administrative activities of AdvanCare Health Services, LLC.
Business management and general administrative activities of AdvanCare Health Services, LLC.FOR APPOINTMENT REMINDERS
AdvanCare Health Services, LLC may use and disclose your health information to contact you as a reminder that you have an appointment for a home visit.
FOR TREATMENT ALTERNATIVES
AdvanCare Health Services, LLC may use and disclose your health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
THE FOLLOWING IS A SUMMARY OF THE CIRCUMSTANCES UNDER WHICH AN PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY ALSO BE USED AND DISCLOSED
WHEN LEGALLY REQUIRED:
AdvanCare Health Services, LLC will disclose your health information when it is required to do so by any Federal, State or local law.
WHEN THERE ARE RISKS TO PUBLIC HEALTH
AdvanCare Health Services, LLC may disclose your health information for the following public activities and purposes:
- To prevent or control disease, injury or disability, report disease, injury, vital events such as birth or death and the conduct of public health surveillance, investigations and interventions.
- To report adverse events, product defects, to track products or enable product recalls, repairs and replacements and to conduct post-marketing surveillance and compliance with requirements of the Food and Drug Administration.
- To notify a person who has been exposed to a communicable disease or who may be at risk of contracting or spreading a disease.
- To an employer about an individual who is a member of the workforce as legally required.
TO REPORT ABUSE, NEGLECT OR DOMESTIC VIOLENCE
AdvanCare Health Services, LLC is allowed to notify government authorities if AdvanCare Health Services, LLC believes a patient is the victim of abuse, neglect or domestic violence. AdvanCare Health Services, LLC will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure.
TO CONDUCT HEALTH OVERSIGHT ACTIVITIES
AdvanCare Health Services, LLC may disclose your health information to a health oversight agency for activities including audits; civil, administrative or criminal investigations; inspections; licensure or disciplinary action. AdvanCare Health Services, LLC, however, may not disclose your health information if you are the subject of an investigation and the investigation does not arise out of and is not directly related to your receipt of health care or public benefits.
IN CONNECTION WITH JUDICIAL AND ADMINISTRATIVE PROCEEDINGS
As permitted or required by State law, AdvanCare Health Services, LLC may disclose your health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process. Reasonable efforts will be made to either notify you about the request or to obtain an order protecting your health information.
FOR LAW ENFORCEMENT PURPOSES
As permitted or required by State law, AdvanCare Health Services, LLC may disclose your health information to a law enforcement official for certain law enforcement purposes as follows:
- As required by law for reporting, certain types of wounds or injuries.
- Pursuant to a court order, warrant, subpoena, summons or similar process.
- For the purpose of identifying or locating a suspect, fugitive, material witness or missing person.
- Under certain limited circumstances if you are a victim of a crime.
- To a law enforcement official if MCVI has reason to suspect that your death was the result of criminal conduct.
- To report a crime in an emergency.
TO CORONERS AND MEDICAL EXAMINERS
AdvanCare Health Services, LLC may disclose your health information to coroners and medical examiners for purposes of determining your cause of death or for other duties, as authorized by law.
TO FUNERAL DIRECTORS
AdvanCare Health Services, LLC may disclose your health information to funeral directors consistent with applicable law and if necessary, to carry out their duties with respect to your funeral arrangements. If necessary to carry out their duties, AdvanCare Health Services, LLC may disclose your health information prior to, and in reasonable anticipation of, your death.
FOR ORGAN, EYE OR TISSUE DONATION
AdvanCare Health Services, LLC may use or disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking or transplantation of organs, eyes or tissue for the purpose of facilitating the donation and transplantation.
IN THE EVENT OF A SERIOUS THREAT TO HEALTH OR SAFETY
AdvanCare Health Services, LLC may, consistent with applicable law and ethical standards of conduct, disclose your health information if the Hospice, in good faith, believes that such disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or to the health and safety of the public.
FOR SPECIFIED GOVERNMENT FUNCTIONS
In certain circumstances, the Federal regulations authorize AdvanCare Health Services, LLC to use or disclose your health information to facilitate specified government functions relating to military and veterans, national security and intelligence activities, protective services for the Managing Director and others, medical suitability determinations and inmates and law enforcement custody.
FOR WORKER'S COMPENSATION
AdvanCare Health Services, LLC may release your health information for worker's compensation or similar programs.
AUTHORIZATION TO USE OR DISCLOSE HEALTH INFORMATION
Other than as stated above, AdvanCare Health Services, LLC will not disclose your health information other than with your written authorization. If you or your representative authorizes AdvanCare Health Services, LLC to use or disclose your health information, you may revoke that authorization in writing at any time.
YOUR RIGHTS WITH RESPECT TO YOUR HEALTH INFORMATION
You have the following rights regarding your health information that AdvanCare Health Services, LLC maintains:
RIGHT TO REQUEST RESTRICTIONS
You may request restrictions on certain uses and disclosures of your information. You have the right to request a limit on AdvanCare Health Services, LLC's disclosure of your health information to someone who is involved in your care or the payment of your care. However, AdvanCare Health Services, LLC is not required to agree to your request. If you wish to make a request for restrictions, please contact our Privacy Officer, Donald Jarvis at 1-708-392-2000.
RIGHT TO RECEIVE CONFIDENTIAL COMMUNICATIONS
You have the right to request that AdvanCare Health Services, LLC communicate with you in a certain way. For example, you may ask that AdvanCare Health Services, LLC only conduct communications pertaining to your health information with you privately with no other family members present. If you wish to receive confidential communications, please contact AdvanCare Health Services at 1-708-392-2000. Ask for the Privacy Officer, Donald Jarvis. AdvanCare Health Services, LLC will not request that you provide any reasons for your request and will attempt to honor your reasonable requests for confidential communications.
RIGHT TO INSPECT AND COPY YOUR HEALTH INFORMATION
You have the right to inspect and copy your health information, including billing records. A request to inspect and copy records containing your health information may be made to Donald Jarvis, Privacy Officer at 1-708-392-2000. If you request a copy of your health information, AdvanCare Health Services, LLC may charge a reasonable fee for copying and assembling costs associated with your request.
RIGHT TO AMEND HEALTH CARE INFORMATION
You or your representatives have the right to request that AdvanCare Health Services, LLC amend your records, if you believe that your health information records are incorrect or incomplete. That request may be made as long as the information is maintained by AdvanCare Health Services, LLC. A request for an amendment of records must be made in writing to Donald Javis, Privacy Official at AdvanCare Health Services 2625 Butterfield Road Suite 305 Oakbrook, Illinois 60523. AdvanCare Health Services, LLC may deny the request if it is not in writing or does not include a reason for the amendment. The request may also be denied if your health information records were not created by AdvanCare Health Services, LLC, if the records you are requesting are not part of AdvanCare Health Services, LLC's records, if the health information you wish to amend is not part of the health information you or your representative are permitted to inspect and copy, or if, in the opinion of AdvanCare Health Services, LLC, the records containing your health information are accurate and complete.
RIGHT TO AN ACCOUNTING
You or your representative have the right to request an accounting of disclosures of your health information made by AdvanCare Health Services, LLC certain reasons, including reasons related to public purposes authorized by law and certain research. The request for accounting must be made in writing to Donald Jarvis, AdvanCare Health Services 2625 Butterfield Road Suite 305 Oakbrook, Illinois 60523. The request should specify the time period for the accounting starting on April 14, 2003. Accounting requests may not be made for periods of time in excess of six (6) years. AdvanCare Health Services, LLC would provide the first accounting you request during any 12-month period without charge. Subsequent accounting requests will be subject to a reasonable cost-based fee.
RIGHT TO A PAPER COPY OF THIS NOTICE
You or your representative have a right to a separate paper copy of this Notice at any time even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact Donald Jarvis, 1-708-392-2000. You or your representative may also obtain a copy of the current version of AdvanCare Health Services, LLC's Notice of Privacy Practices at its website, www.AdvanCarehealth.com
DUTIES OF ADVANCARE HEALTH SERVICES, LLC
AdvanCare Health Services, LLC are required by law to maintain the privacy of your health information and to provide to you and your representative this Notice of Agency of the Rapidan's duties and privacy practices. AdvanCare Health Services, LLC is required to abide by the terms of this Notice as may be amended from time to time. AdvanCare Health Services, LLC reserves the right to change the terms of its Notice and to make the new Notice provisions effective for all health information that it maintains. If AdvanCare Health Services, LLC changes its Notice, AdvanCare Health Services, LLC will provide the revisions to you or your appointed representative. You or your personal representative has the right to express complaints to AdvanCare Health Services, LLC and to the Secretary of DHHS if you or your representative believes that your privacy rights have been violated. Any complaints to AdvanCare Health Services, LLC should be made in writing to our privacy officer Donald Jarvis, 2625 Butterfield Road Suite 305 Oakbrook, Illinois 60523. AdvanCare Health Services, LLC encourages you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
CONTACT PERSON
AdvanCare Health Services, LLC has designated the Privacy Official, Donald Jarvis, as its contact person for all issues regarding patient privacy and your rights under the Federal privacy standards. You may contact this person at AdvanCare Health Services 2625 Butterfield Road Suite 305 Oakbrook, Illinois 60523 or call 1-708-392-2000.
EFFECTIVE DATE
This Notice is effective April 14, 2003.
AdvanCare Health Services, LLC
Privacy Policy
