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Notice of Privacy Practices - GHS

Effective date of this notice: August 1, 2010


You have the right to a paper copy of this notice and may ask for a copy of this notice at any time. Please contact the Patient Representative at 810-606-6551. You may obtain a copy of this notice at our website

Who will follow this notice:
This notice describes our hospital’s practices and that of:
  • All areas of the hospital.
  • All employees, staff and other hospital personnel.
  • Healthcare professionals and students in training.
  • Any member of a volunteer group we allow to help you while you are in the hospital.
  • Academic Medical Centers (East Flint Family Health Center, West Flint Health Center, and Dort Medical Group)
Our pledge regarding medical information:
We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at the hospital. This is used to provide you with quality care and to comply with certain legal rules. This notice applies to all of the records of your care at the hospital and will tell you about the ways in which we may use and disclose information about you. We also explain your rights and certain duties we have regarding the use of your medical information.

By law we need to:
  • Make sure that medical information that identifies you is kept confidential;
  • Give you this notice of our legal duties and privacy practices with medical information about you; and
  • Follow the terms of the notice that is currently in effect.
There are many different ways that we may use medical information. For each type of use or disclosure we will explain what we mean and try to give an example. Not every use will be listed. However, all of the ways we are permitted to use and disclose information fall within one of the categories.

For Treatment. Your medical information may be shared with those people who are taking care of you. For instance, a doctor treating you for a broken leg would need to know if you have another illness that may slow your healing. We may share this information with people helping in a disaster relief, or with people that may help with your medical care during your stay and after you leave the hospital, such as family members, as well as clergy or others we use to provide services that are part of your care.

For Payment. We may share information about the care you received at the hospital so that it may be billed. For example, we may need to give your health plan information about surgery you received at the hospital so your health plan will pay for the surgery. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to find out if your plan will cover the treatment.

For Health Care Operations. We may use information about you for hospital operations. This type of information sharing helps run the hospital and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to measure how well our staff cared for you. We may also combine information about many hospital patients to decide what types of services the hospital should offer. We may share your information for learning purposes. We may also combine information with other hospitals to find areas where we can improve.

Appointment Notice. We may use information to contact you as a reminder that you have an appointment for treatment or medical care at the hospital.

Treatment Options, Health-Related Services and Benefits. We may use and disclose medical information to tell you about or suggest other treatment and service options that may be of interest to you.

Fundraising Activities. We may use information about you to contact you in an effort to raise money for the hospital and its operations. We would only release information such as your name, address and phone number and the dates you received treatment or services at the hospital.

Hospital Directory. We may include limited information about you in the hospital directory while you are a patient at the hospital. We may release your general condition and location in the hospital to people who ask for you by name: If you also provide us your religious affiliation and the name of your house of worship, we may be give this additional information about you to a member of the clergy, such as a priest or rabbi at your house of worship, even if they don’t ask for you by name. This is so your family, friends and clergy can contact you in the hospital. If you would like to restrict any of these disclosures, please tell the admitting staff.

Research. We may share medical information about you for research or to people preparing to do research. For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another medication or patients with specific medical needs. All research projects are subject to a special approval process. This process reviews a proposed research project and its use of medical information. Before we use medical information, the project will have been approved through this research approval process. If required by the approval process, we will ask for your authority if the researcher wants to have access to your name, address or other information that tells who you are, or will be involved in your care at the hospital.

We may disclose health information, including individually identifiable health information about you as required by State or Federal Laws and regulations relating to any or all of the following, as such may apply to you.
  • Community / Public Health activities and reports such as disease control, abuse or neglect, and health and vital statistics.
  • To avert a serious threat to your health or safety and to protect the health and safety of the public. Any disclosure would only be to someone able to help prevent or lessen the threat.
  • Administrative oversight for such things as audits, investigations, licensure, or determining cause of death.
  • Court Order or other legal processes related to law enforcement activities including custody of inmates, legal actions, or national security activities.
  • Military and Veteran reporting on members of the armed forces of U.S. or foreign military as required by military command authorities.
  • Organ and Tissue Donation and Transplant reports as required by regulatory organizations as necessary to facilitate organ or tissue donation and transplant.
  • Workers’ Compensation or other rehabilitative activities reporting as required by law or insurers in order to provide benefits for work related or victim injuries or illnesses.
In addition to Federal law, we will also comply with all applicable State law. For example, under State law, there are more limits on the disclosure of HIV and AIDS information.

You have the following rights to medical information we maintain about you. To use these rights, please contact the Medical Records Department, Genesys Regional Medical Center, One Genesys Parkway, Grand Blanc, MI 48439.

Right to Inspect and Copy. You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes. We may charge a fee for the costs of copying, mailing or other supplies related to your request.

We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by the hospital will review your request and the denial. The person conducting the review will not be the person who denied the request. We will comply with the outcome of the review.

Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the hospital.

We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
  • Was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
  • Is not part of the medical information kept by or for the hospital;
  • Is not part of the information which you would be permitted to inspect and copy; or
  • Is accurate and complete.
Right to an Accounting of Disclosures. You have the right to request an “accounting of disclosures.” This is a list of the disclosures we made of medical information about you. Your request must state a time period, which may not be longer than six years and may not include dates before April 14, 2003. The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

Right to Request Restrictions. You have the right to request limits on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example you could ask that we not use or disclose information about a surgery you had.

We are not required by Federal regulation to agree to your request for restrictions, except when you ask us not to disclose information to your health plan about a service that you have paid in full out of pocket. For all requests that we agree to, we will comply with your request unless the information is needed to provide you emergency care.

Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. We will not ask you the reason for your request. Your request must specify how or where you wish to be contacted. We will accommodate all reasonable requests.

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. The current notice will be posted in the Hospital with the effective date in the upper right corner. A copy will always be given to you upon request.

If you believe your privacy rights have been violated, you may file a complaint with the Genesys Regional Medical Center Patient Representative or with the Secretary of the Department of Health and Human Services. To file a complaint with Genesys Regional Medical Center, you must submit you complaint in writing to: Patient Representative Genesys Regional Medical Center, One Genesys Parkway, Grand Blanc, MI 48439. If you wish to discuss your complaint, you may call the Patient Representative at 810-606-6551. You will not be penalized for filing a complaint.

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you give us permission to use or disclose your medical information, you may cancel that permission in writing at any time. If you cancel your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. We are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.

If you have any questions about this Notice of Privacy Practices, please contact the Genesys Health System Privacy Officer at (810) 606-5000.


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