GARDEN CITY HOSPITAL HIPAA NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
WHO THIS NOTICE APPLIES TO
This Notice applies to all of Garden City Hospital's ("GCH")
medical staff members, employees, and other GCH workforce members. This
Notice applies to our main hospital location and all of our service locations,
- Prime Garden City Medical Group
- Specialty Centers of Westland
- Garden City Hospital Outpatient Pharmacy
GCH takes the privacy of the health information entrusted to us seriously,
as both an ethical and a legal obligation. We are required by law to:
- Maintain the privacy of health information.
- Provide you with this Notice of Privacy Practices ("Notice"),
which tells you about our duties and practices with respect to protecting
- Abide by the terms of the Notice that is currently in effect.
- Notify you following a breach of unsecured health information that affects you.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
The following categories describe different ways GCH may use and disclose
your health information without your written authorization. Health information
is most often used and disclosed to provide treatment, to obtain payment
for treatment, or for health care operations. We will provide an example
of the types of uses covered by these categories. Not every use or disclosure
in a category will be listed. References to "you" and "your"
information include your child's information, when appropriate.
For Treatment. GCH may use and disclose health information to provide treatment, health
care, or other related services. Health information may be used by or
disclosed to doctors, nurses, aides, or other healthcare providers who
are involved in taking care of you. Additionally, GCH may use or disclose
health information to manage or coordinate treatment, health care, or
other related services.
For example, we may use or disclose health information about you for treatment
purposes such as when you are referred to a specialist for care or when
we send a prescription to a pharmacy to be filled for you. We also participate
in a Health Information Exchange ("HIE") to facilitate sharing
of data among treating providers.
For Payment. GCH may use and disclose health information to bill and collect for the
treatment and services we provide to you. We may send health information
to your insurance company or other third party payer for payment purposes.
For example, we may use and disclose health information about you for payment
purposes such as when we send claims to your HMO for payment or to find
out whether proposed treatment is covered.
For Health Care Operations. GCH may use and disclose health information for health care operations.
These uses and disclosures are necessary to run GCH and to maintain and
improve the quality of health care we provide.
For example, we may use and disclose health information about you for health
care operations purposes such as accreditation renewals, quality improvement
activities, and teaching purposes.
Hospital Directory. GCH may include limited information about you in the hospital directory
while you are a patient at GCH. This information includes your name, location
in the hospital, your general condition (e.g., fair, stable, etc.), and
your religious affiliation. The directory information may be disclosed
to people who ask for you by name, except for your religious affiliation,
which may only be disclosed to clergy members. You have the right to not
have your information included in the hospital directory ("opt-out").
To opt-out of the hospital directory, we ask that you make this request
during patient registration.
Individuals Involved in Your Care or Payment for Your Care. GCH may disclose to your family member, relative, close personal friend,
or other person identified by you, health information that is directly
relevant to that person’s involvement with your care or payment
for your care.
GCH will not share this information with these individuals if we are aware
of your desire not to have this information shared.
Appointment Reminders and Health-Related Benefits or Services. We may use health information to provide you appointment reminders, information
about treatment alternatives, or information about other health care services
or benefits we offer.
Fundraising. We may use or disclose health information for the purpose of raising funds
to help support the GCH mission.
You have the right to opt-out of receiving fundraising communications.
Research. Under certain circumstances, GCH may use and disclose health information
for research purposes. For example, a research project may involve comparing
the health and recovery of all individuals who receive one medication
to those who receive another. All research projects are subject to a special
Immunization Records. GCH may disclose immunization records to a school where you are or will
be a student, if the school is required by law to have proof of immunizations
for admission purposes.
GCH will first obtain your verbal or written permission to make this disclosure.
For Public Health Purposes. GCH may disclose health information for public health activities. For example,
public health activities include: preventing and controlling disease,
injury or disability; reporting births and deaths; and reporting defective
medical devices or problems with medications.
About Victims of Abuse. GCH may disclose your health information to notify the appropriate government
authority if we believe you have been the victim of abuse, neglect, or
We will only make this disclosure if you agree, or when required or authorized by law.
Health Oversight Activities. GCH may disclose health information to a health oversight agency for health
oversight activities authorized by law. These activities include audits,
investigations, licensure and disciplinary actions, and related activities
to monitor the health care system, governmental benefit programs, and
compliance with civil rights laws.
Judicial and Administrative Proceedings. GCH may disclose health information in response to a subpoena, court order,
or administrative order, if certain requirements are met.
Law Enforcement. GCH may release health information to law enforcement if the disclosure
is required by law, necessary to identify or locate a suspect or missing
person, about criminal conduct at GCH, about a victim of crime under certain
circumstances, and in certain emergency situations.
To Avert a Serious Threat to Health or Safety. GCH may use and disclose health information when GCH believes it is necessary
to prevent a serious threat to the individual's health and safety
or the health and safety of the public or another person. Any disclosure
would only be to someone able to help prevent or lessen the threat, or
to law enforcement authorities.
Coroner, Medical Examiners, and Funeral Directors. GCH may disclose health information to a coroner or medical examiner for
the purpose of identifying a deceased person, determining a cause of death,
or other duties authorized by law. GCH may disclose health information
to a funeral director, consistent with law, to permit the funeral director
to carry out his/her duties.
Organ Donation Purposes. GCH may disclose health information to organ procurement organizations
and others engaged in procurement, banking or transplantation of cadaveric
organs, eyes, or tissue, for the purposes of facilitating organ donation
Military and Veterans. If you are a member of the armed forces, we may release your health information
as required by military command authorities. We may also release health
information about foreign military personnel to the appropriate foreign
National Security and Intelligence Activities. GCH may release health information to authorized federal officials for
intelligence, counterintelligence and other national security activities
as authorized by law.
Protective Services for the President and Others. GCH may disclose health information to authorized federal officials so
they may provide protection to the President or other authorized persons,
or for the conduct of special investigations authorized by law.
Inmates. If you are an inmate or in the custody of a correctional institution or
law enforcement, GCH may disclose health information to the correctional
institution or law enforcement official for treatment and safety purposes.
Worker’s Compensation. GCH may disclose health information as authorized by and to the extent
necessary to comply with worker’s compensation laws or laws relating
to similar programs.
As Required by Law. GCH will disclose health information when required to do so by federal,
state, or local law.
SPECIAL RESTRICTIONS UNDER STATE AND OTHER FEDERAL LAWS
We will also comply with all other applicable state and federal laws.
For example, under state law, there are more limits on when mental health,
substance abuse treatment information, and HIV and AIDS information may
be disclosed. We abide by all applicable state and federal laws.
DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION
An Authorization is a special written permission from you that grants
authority to GCH to use or disclose your health information.
- We must obtain your Authorization to use or disclose psychotherapy notes.
Psychotherapy notes may only be used for limited purposes, such by the
treating professional. Disclosures are permitted only as required by law,
for certain health oversight activities, or to avert a serious threat
to health or safety.
- We must obtain your Authorization to use or disclose health information
for marketing purposes, or for disclosures that constitute the sale of
If you provide us an Authorization to use or disclose your health information,
you may revoke that Authorizationin writing at any time. If you revoke your Authorization, we will no longer use or
disclose health information about you for the reasons covered by your
OTHER USES AND DISCLOSURES
Any other uses and disclosures of health information not covered by this
Notice or the laws that apply to us will be made only with your Authorization.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the following rights regarding health information we maintain
Right to Request Restrictions. You have the right to request a restriction or limitation on the health
information we use or disclose about you for treatment, payment, or health
In most cases, we are not required to agree to your request. If we do agree, we will comply with your request unless the information
is needed to provide you emergency treatment.
We must agree to your request if you have paid for the care out-of-pocket,
in-full and you are asking us not to submit information about that care
to your health plan.
Right to Request Confidential Communications. Typically, we communicate with you regarding your health care either by
calling your home phone or sending mail to your home address. You have
the right to request that we communicate with you in an alternative way
or at a certain location. To request confidential communications, we ask
that you make your request in writing. We will not ask you the reason
for your request. We will accommodate all reasonable requests. Your request
must specify how or where you wish to be contacted.
Right to Access. In most cases, you have the right to access your health information by
requesting to inspect and/or obtain a copy of your health information,
with limited exceptions. We ask that your request be made in writing.
You may request the copy of your health information be provided in a summary
format. You may also request the copy be provided on paper ("hard
copy") or in an electronic form or format. GCH will also transmit
a copy of your health information to another person designated by you
in writing. GCH may charge reasonable fees for copies.
Right to Request Amendments. You have the right to ask us to amend your health information. To request
an amendment, we ask that your request be made in writing. In addition,
you must provide a reason that supports your request. We may deny your
request in certain circumstances, such as if the information was not created
by us, or we believe the information is already accurate and complete.
If we deny your request, you may appeal the denial.
Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures that we have
made of your health information. Your request must state a time period
which may not be longer than six years. The first list you request within
a twelve-month period will be free. For additional lists during such twelve-month
period, GCH may charge you a reasonable fee.
Right to Notification of a Breach. GCH must notify you if your unsecured protected health information has
been the subject of a breach.
Right to a Paper Copy of this Notice. You may ask us to give you a copy of this Notice at any time. Even if you
have agreed to receive this Notice electronically, you are still entitled
to a paper copy of this Notice.
CHANGES TO THIS NOTICE
We reserve the right to make changes to this Notice. We reserve the right
to make the revised Notice effective for health information we already
have, as well as any information we receive or create in the future. The
Notice will contain the current effective date. We will post a copy of
the current Notice in our locations and on our website. The Notice is
also available to you upon request.
If you believe your privacy rights have been violated, you may file a
complaint with GCH or with the Secretary of the Department of Health and
Human Services. To file a complaint with GCH, contact our Privacy Officer.You will not be penalized for filing a complaint. To ensure we have sufficient information, we ask that complaints be submitted
If you have any questions about this Notice, please contact by phone or
Garden City Hospital
Attn: Privacy Officer
6245 Inkster Road
Garden City, MI 48135