Page 22 - Home Health Marketing
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  Any business associate or institutionally related foundation for the purpose of raising funds for the agency
                   (information may include: demographics – name, address, contact information, age, gender, date of birth;
                   dates of health care provided; department of services; treating physician; outcome information; and health
                   insurance status). You will be given the right to opt out;
                 Refill reminders for drugs, biologicals and/or drug delivery systems that have already been prescribed to you;
                 Marketing communications promoting health products, services and information if the communication is made
                   face to face with you or the only financial gain consists of a promotional gift of nominal value provided by the
                   agency; and
                 Other health care providers to initiate treatment.
               We are permitted to use  or disclose information  about you without consent or  authorization in the
               following circumstances:
                 In emergency treatment situations, if we attempt to obtain consent as soon as practicable after treatment;
                 Where substantial barriers to communicating with you exist and we determine that the consent is clearly
                   inferred from the circumstances;
                 Where we are required by law to provide treatment and we are unable to obtain consent;
                 Where the use or disclosure of medical information about you is required by federal, state or local law;
                 To provide information to state or federal public health authorities, as required by law to: prevent or control
                   disease, injury or disability; report births and deaths; report child abuse or neglect; report reactions to
                   medications or problems with products; notify persons of recalls of products they may be using; notify a person
                   who may have been exposed to a communicable disease or may be at risk for contracting or spreading a
                   communicable disease or condition; and notify the appropriate government authority if we believe a patient has
                   been the victim of abuse, neglect or domestic violence (if you agree or when required or authorized by law);
                 Health care oversight activities such as audits, investigations, inspections and licensure by a government
                   health oversight agency as authorized by law to monitor the health care system, government programs and
                   compliance with civil rights laws;
                 To business  associates regulated  under HIPAA that  work on our behalf under a  contract that requires
                   appropriate safeguards of protected health information;
                 Certain judicial administrative proceedings in response to a court or administrative order, a subpoena, discovery
                   request or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell
                   you about the request or to obtain an order from the Court protecting the information requested;
                 Certain law enforcement purposes such as helping to determine whether a crime has occurred, to alert law
                   enforcement to a crime on our premises or of your death if we suspect it resulted from criminal conduct,
                   identify or locate a suspect, fugitive, material witness or missing person, or to comply with a court order or
                   subpoena and other law enforcement purposes;
                 To coroners, medical examiners and funeral directors, in certain circumstances, for example, to identify a
                   deceased person, determine the cause of death or to assist in carrying out their duties;
                 For cadaveric organ, eye or tissue donation purposes to communicate to organizations involved in procuring,
                   banking or transplanting organs and tissues (e.g., if you are an organ donor);
                 For certain research purposes under very select circumstances. We may use your health information for
                   research. Before we disclose any of your health information for such research purposes, the project will be
                   subject to an extensive approval process. We will usually request your written authorization before granting
                   access to your individually identifiable health information;
                 To avert a serious threat to health and safety: To prevent or lessen a serious and imminent threat to the
                   health or safety of a particular person or the general public, such as when a person admits to participation in
                   a violent crime, causes serious harm to a victim, is an escaped convict or is diagnosed with a communicable
                   disease considered by the Centers for Disease Control and Prevention (CDC) to be a serious threat to the
                   general public. Any disclosure, however, would only be to someone able to help prevent the threat;



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