THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice describes the privacy practices of McKinley Health Center (“McKinley”). It applies to the health care services you receive at McKinley. This Notice describes generally (a) the types of uses and disclosures McKinley may make with your health information; and (b) your rights to access and control your health. We also will comply with laws that provide additional protections for certain medical information related to services or treatment for mental health conditions, alcohol and drug abuse, and HIV/AIDS.
WE MAY USE AND DISCLOSE INFORMATION FOR THE FOLLOWING PURPOSES
Treatment: We may use or disclose your health information to provide treatment and to coordinate or manage your healthcare and any related services. For example, we may give information to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. We may disclose your information to another physician or health care provider (e.g., a specialist) who, at the request of your physician, nurse practitioner, or therapist becomes involved in your care.
Payment: McKinley does not routinely bill patients or third parties for services rendered. However, should circumstance require billing, your health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you. For example, obtaining approval for a hospital stay or for a referral to a specialist may require that your relevant health information be disclosed to the health plan.
Healthcare Operations: We may use or disclose your health information in order to perform healthcare operations. For example, we may use or disclose your health information for licensing and accreditation activities. Additionally, we may use or disclose your health information, as necessary, to email a reminder to you of your scheduled appointment. We may also call you by name in the waiting room when your physician is ready to see you. We may leave a voicemail on your phone asking you to contact McKinley in order to ensure adequate follow-up care.
We may provide certain services through contracts with others. When services are contracted, your health information may be disclosed in order to carry out specific operational functions. Whenever an arrangement for services involves the use or disclosure of your health information, we will have a written contract to protect the privacy of your health information. For example, McKinley may have a contract with another facility to provide 24-hour nursing advice during hours when McKinley is not in operation. Your health information may be shared with that facility. McKinley will have a written contract with the outside facility to protect the privacy of your health information.
OTHER USES AND DISCLOSURES WE MAY MAKE WITHOUT YOUR AUTHORIZATION, CONSENT OR OPPORTUNITY TO OBJECT
We may use or disclose your health information to the extent that the use or disclosure is required or permitted by federal, state or local law.
YOUR HEALTH INFORMATION RIGHTS
Right to Obtain a Copy of this Privacy Notice: Additional copies of this Notice can be obtained at our website, www.mckinley.illinois.edu, and at the registration areas of our facilities.
Right to Inspect and Request a Copy of your Health Record: You have the right to inspect and obtain a copy of your health record, except in limited circumstances defined by federal and state law.
Right to Request an Amendment to your Health Record: You may make a written request to amend your health information, as long as the information is kept by or for us. You must give us a reason for the amendment. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us, and we may prepare a rebuttal to your statement. We will provide you with a copy of any such rebuttal.
Contact our Privacy Administrator: To exercise any of the rights described above, or if you have any questions about this Notice, please contact our Privacy Administrator. If you believe that your privacy rights have been violated by us, you may file a complaint with us by contacting our Privacy Administrator. Our Privacy Administrator can be contacted at (217) 333-2711 or by mail to McKinley Health Center, Attention: Privacy Administrator, 1109 South Lincoln Avenue, Urbana, IL 61801.
Changes to this Notice: We reserve the right to change this Notice at any time. We reserve the right to make the revised or changed Notice effective for 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 on our website at www.mckinley.illinois.edu.
Effective Date: March 24, 2014
of the Vice Chancellor for Student Affairs
© 2014 The Board of Trustees of the University of Illinois at Urbana-Champaign