This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
We value the privacy of your health information, and view the protection of our wellness guests’ privacy as an important part of your wellness care at YO1 Wellness Center. We strive to use only the minimum amount of your health information necessary for the purposes described in this Notice of Privacy Practices (“Notice”).
We collect information from you and use it to provide you with quality care, and to comply with certain legal requirements. We are required by law to maintain the privacy of your health information, and to give you this Notice of our legal duties, our privacy practices, and your rights. We are required to follow the terms of our most current Notice. When we disclose information to other persons and companies to perform services for us, we will require them to protect your privacy. There are other laws we will follow that may provide additional protections, such as laws related to mental health, alcohol and other substance abuse, and communicable disease or other health conditions.
This Notice covers YO1 Wellness Center and all health care professionals authorized to enter information into your YO1 Health Record.
- How We May Use and Disclose Health Information
- Your Privacy Rights Regarding Your Health Information
- Contact Person
- Changes to This Notice of Privacy Practices
How We May Use and Disclose Health Information
Treatment: We may use and disclose your health information to provide therapy services, or to coordinate our therapy services with your physician. We may use and disclose your health information among doctors, nurses, and other personnel who are involved in taking care of you outside our facilities. We may use or share information about you to coordinate the different services you need. We may disclose information about you to people outside our facility who may be involved in your care after you leave, such as family members, home health agencies, therapists, nursing homes, clergy, and others. We may give information to another health care provider, for their purposes to arrange a referral or consultation.
Payment: We may use and disclose your health information so that we can receive payment for the services that were provided. We may disclose information to third parties who may be responsible for payment, such as family members, or to bill you. We may disclose information to third parties that help us process payments, such as billing companies, and collection companies.
Health Care Operations: We may use and disclose your health information as necessary to operate our facility and to make sure that all of our wellness guests receive quality care. We may use health information to evaluate the quality of services that you received, or the performance of our staff in caring for you. We may use health information to improve our performance or to find better ways to provide care. We may use health information to evaluate the competence of our health care professionals. We may use your health information to decide what additional services we should offer and whether new therapies are effective. We may disclose information to professionals for review and learning purposes. We may combine our health information with information from other wellness and with health care facilities to compare how we are doing and see where we can make improvements. We may use health information for business planning, or disclose it to attorneys, accountants, consultants and others to make sure we are complying with the law. We may remove health information that identifies you so that others may use the de-identified information to study health care and health care delivery without learning who you are.
Business Associates: There are some services provided in YO1 Wellness Center through contracts with business associates. Examples included a copy service we use when making copies of your YO1 Health Record, consultants, accountants, lawyers, health care transcriptionist and third-party billing companies. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we’ve asked them to do. To protect your health information, however, we require the business associate to appropriately safeguard your information.
Certain Marketing Activities: We may use your health information to forward promotional gifts of nominal value, to communicate with you about products, services and educational programs offered by YO1 Wellness Center or our related entities that focus on wellness and healthy living, to communicate with you about our complementary health programs and about care coordination with your physician, and to communicate with you about additional complementary therapies. We do not sell your health information to any third party for their marketing activities unless you sign an authorization allowing us to do this.
Service Information: We may use or disclose your health information to contact you to let you know about complementary health alternatives or other health related services or benefits that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care: We may give your health information to people involved in your care, such as family members or friends, unless you ask us not to. We may give your information to someone who helps pay for your care. We may share your information with other health care professionals, government representatives, or disaster-relief organizations, such as the Red Cross, in emergency or disaster-relief situations so they can contact your family or friends or coordinate disaster-relief efforts.
Guest Directory: Our Guest Directory policy at YO1 Wellness Center, unless you ask us to act otherwise, is as follows:
- At check-in, if you request non-registered guest status, we will not identify you as a registered guest to any caller.
- For any other guest status, we will only identify that you are a guest and forward a call to your room, if the caller can state your full name and room number.
- Notwithstanding, we may share your information, if requested to do so by the police or other governmental authority, or for disaster-relief efforts or in declared emergency situations.
Research: We may use or disclose your health information for research that has been approved by our official research review boards, which has evaluated the research proposal and established standards to protect the privacy of your health information. We may use or disclose your health information to a researcher preparing to conduct a research project.
Public Health Activities: We may disclose your health information to public health or legal authorities whose official activities include preventing or controlling disease, injury, or disability. For example, we must report certain information about various diseases to government agencies. We may disclose health information to coroners, medical examiners, and funeral directors as allowed by the law to carry out their duties. We may use or disclose health information to report reactions to therapies, problems with products, or to notify people of recalls of products they may be using. We may use or disclose health information to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease.
Serious Threat to Health and Safety: We may use or disclose your health information when necessary to prevent a serious threat to your health and safety, or the health and safety of the public or another person. We will only disclose health information to someone reasonably able to help prevent or lessen the threat, such as law enforcement or government officials.
Required by Law, Legal Proceedings, Health Oversight Activities, and Law Enforcement: We will disclose your health information when we are required to do so by federal, state and other law. For example, we may be required to report victims of abuse, neglect or domestic violence. We will disclose your health information when ordered in a legal or administrative proceeding, such as a subpoena, discovery request, warrant, summons, or other lawful process. We may disclose health information to a law enforcement official to identify or locate suspects, fugitives, witnesses, victims of crime, or missing persons. We may disclose health information to a law enforcement official about a death we believe may be the result of criminal conduct, or about criminal conduct that may have occurred at our facility. We may disclose health information to a health oversight agency for activities authorized by law, such as audits, investigations, inspections and licensure.
Specialized Government Functions: If you are in the military or a veteran, we will disclose your health information as required by command authorities. We may disclose health information to authorized federal officials for national security purposes, such as protecting the President of the United States or the conduct of authorized intelligence operations.
Workers Compensation: We may disclose your health information as required by applicable workers compensation and similar laws.
Your Written Authorization: Other uses and disclosures of your health information not covered by this Notice, or the laws that govern us, will be made only with your written authorization. These include the sale of your health information, and use of your health information for marketing purposes. You may revoke your authorization in writing at any time, and we will discontinue future uses and disclosures of your health information for the reasons covered by your authorization. We are unable to take back any disclosures that were already made with your authorization, and we are required to retain the records of the care that we provided to you.
Your Privacy Rights Regarding Your Health Information
Right to Obtain a Copy of This Notice of Privacy Practices
We will post a copy of our current Notice in our facility and on our Web site, www.yo1.com. A copy of our current Notice will be available at our wellness registration areas or upon request.
Right to See and Copy Your YO1 Health Record
You have the right to look at and receive a copy of your health record or your billing record. To do so, please contact YO1 Wellness Center, or the Privacy Office listed below. You may be required to make your request in writing.
You may request an electronic copy of this information, and we will provide access in the electronic form and format requested if it is readily reproducible in the requested format. If not, we will discuss the issue with you and provide a copy in a readable electronic form and format upon which we mutually agree, depending on the information and our capabilities at the time of the request. You may also request that we send your health information directly to a person you designate if your written request is signed, in writing and clearly identifies both the person designated and an address to send the requested information.
If you would like a copy of your health record, a fee may be charged for the cost of copying or mailing your record (and the electronic media if the request is to provide the information on portable electronic media), as permitted by law.
We will provide a copy of your health record usually within 30 days. In certain situations, we may deny your request. If we do, we will tell you, in writing, our reasons for the denial and explain your right to have the denial reviewed.
Right to Update Your Health Record
If you believe that a piece of important information is missing from your health record, you have the right to request that we add an amendment to your record. Your request must be in writing, and it must contain the reason for your request. To submit your request, please contact YO1 Wellness Center, or the Privacy Office listed below. We will make every effort to fulfill your request usually within 60 days. We may deny your request to amend your record if the information being amended was not created by us, if we believe that the information is already accurate and complete, or if the information is not contained in records that you would be permitted by law to see and copy. If we deny your request, you will be notified in writing usually within 60 days. Even if we accept your amendment, we will not delete any information already in your records.
Right to Get a List of the Disclosures We Have Made
You have the right to request a list of the disclosures that we have made of your health information. This list is not required to include disclosures made for treatment, payment, and health care operations, and certain other disclosure exceptions. Your request must be in writing and indicate in what form you want the list (for example, on paper, electronically). To request a list of disclosures, please contact YO1 Wellness Center, or the Privacy Office listed below. The first list you request in a 12-month period is free. For additional lists, we may charge a fee, as permitted by law.
Right to Request a Restriction on Certain Uses or Disclosures
You have a right to request a restriction on how we use and disclose your health information for treatment, payment and health care operations, and to certain family members or friends identified by you who are involved in your care or the payment of your care. We are not required to agree to your request, and will notify you if we are unable to agree. Your request must be in writing and it must (1) describe what information you want to limit, (2) whether you want to limit our use, disclosure or both, and (3) to whom you want the limits to apply. To request this restriction, you must make your request in writing prior to the treatment or service. In your request you must tell us what information you want to restrict.
Right to Breach Notification
You have the right under HIPAA, or as required by law, to be notified if there is a breach of your unsecured health care information. If requested, this notification may be provided to you electronically.
Right to Choose a Representative
You have the right to choose someone to act on your behalf. If you have given someone health care power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make efforts to verify the person you designate has this authority and can act for you before we take any action.
Right to Choose How You Receive Your Health Information
You have the right to request that we communicate with you in a certain way, such as by mail or fax, or at a certain location, such as a home address or post office box. We will try to honor your request if we reasonably can. Your request must be in writing, and it must specify how or where you wish to be contacted. To submit a request, please contact YO1 Wellness Center, or the Privacy Office listed below.
If you believe your privacy rights have been violated, you may call or file a complaint in writing with the YO1 Wellness Center Privacy Office or the Department of Health and Human Services (please reference the contact information below). We will take no retaliatory action against you if you file a complaint about our privacy practices.
YO1 Wellness Center
420 Anawana Lake Road
Monticello, NY 12701
U.S. Department of Health and Human Services Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
1-877-696-6775 (toll free)
If you have questions about this Notice, or would like to exercise your Privacy Rights, please contact YO1 Wellness Center, or the YO1 Wellness Center Privacy Office.
Changes To This Notice Of Privacy Practices
We reserve the right to change this Notice. We reserve the right to make the revised Notice effective for health care 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 at YO1 Wellness Center and on our Web site. In addition, each time you visit YO1 Wellness Center as a guest for our therapies, we will offer you a copy of our current Notice in effect.