Patient Privacy

Salem Radiology is committed to ensuring our patients privacy and to protecting personal information related to our patients’ healthcare and treatment.

Salem Radiology’s business today is nearly 100% digital which means that information related to our patients’ health, including the results of radiological exams, is almost always transmitted and stored in an electronic format. Salem Radiology works collaboratively and diligently with all of its technology partners, business associates and members of the healthcare community, to ensure that its information systems for communicating and maintaining confidential patient information are compliant with HIPAA and other laws related to privacy and protected health information.

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 IT CAREFULLY.

Understanding Your Health Record / Information

Each time you visit our office, a record of your visit is made. Typically, this record contains your relevant medical history, symptoms, examination, test results, and diagnosis. This information, often referred to as your health or medical record, can serve as a:

  • Basis for planning your care and treatment
  • Means of communication among the many health professionals who contribute to your care
  • Legal document describing the examination performed
  • Means by which you or a third-party payer can verify that services billed were actually provided
  • Tool with which we can assess and continually work to improve the services we render and the outcomes we achieve
  • Understanding what is in your record and how your health information is used helps you to:
    • Ensure its accuracy
    • Better understand who, what, when, where, and why others may access your health information
    • Make more informed decisions when authorizing disclosure to others

Your Health Information Rights

Although your health record is the physical property of Salem Radiology, the information belongs to you. You have the right to:

  • Receive confidential communications of protected health information.
  • Request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522 by completing and submitting a “Request of Restriction” form to the Salem Radiology. Salem Radiology is not required to agree to a restriction.
  • Obtain a paper copy of the notice of information practices upon request.
  • Inspect and obtain a copy of your health record as provided for in 45 CFR 164.524 by calling Salem Radiology’s Privacy Officer at 603.893.4352 to set up an appointment. We may charge reasonable fees, based on the cost of copying, if you agree to the fees in advance. The Privacy Officer will receive and process requests for access and determine if access can be granted.
  • Request an addendum to your health record as provided in 45 CFR 164.528 by submitting a request in writing, providing a reason to support the requested addendum, and identifying the relevant parties with whom the addendum needs to be disclosed, if accepted. Salem Radiology’s Privacy Official will review the request and determine whether we may accept the requested addendum. Salem Radiology may deny your request under certain circumstances with a written denial. In response, you may file a statement in disagreement.
  • Obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528 by completing and submitting a “Request for Accounting of Disclosures” form to our office. Salem Radiology’s Privacy Official will then send the information to you as requested.
  • Request communications of your health information by alternative means or at alternative locations by providing the request in writing, specifying an alternative location or method of contact and explaining how payment for services will be received.
  • Revoke your authorization to use or disclose health information, except to the extent that action has already been taken, by submitting a written revocation to Salem Radiology’s Privacy Official.

Our Responsibilities

As Salem Radiology is an indirect treatment provider, we are not required to provide patients with a Notice of Privacy Practices but we have a Notice available as a service to our patients.
Salem Radiology is required to:

  • Maintain the privacy of your health information in accordance with applicable laws
  • Abide by the terms of this notice
  • Notify you if we are unable to agree to a requested restriction
  • Accommodate reasonable requests you may have to communicate health information by alternative means or alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will change the notice posted in the office.
We will not use or disclose your health information without your authorization, except as described below in this notice.

For More Information or to Report a Problem

If you have questions and would like additional information or an additional copy of our privacy notice, you may contact the Facility Privacy Officer at 603.893.4352.
If you believe your privacy rights have been violated, you can file a complaint with Salem Radiology’s Facility Privacy Officer or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

Examples of Disclosures for Treatment, Payment and Health Operations

We will use your health information for treatment.

For example: Information obtained from your radiological exam will be placed in your record and used to determine the course of treatment that should work best for you. We will provide your physician or subsequent healthcare provider with a copy of the report and image, as needed, that should assist him or her in treating you.

We will use your health information for payment.

For example: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

We will use your health information for regular health operations.

For example: Members of the medical staff, the risk or quality improvement manager, or members of the quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide. Your information may also be used for accreditation purposes.

Other Permitted or Required Uses and Disclosures

  • Business associates: There are some services provided in our organization through contacts with business associates. 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 and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.
  • Notification: We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition.
  • Communication with family: Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.
  • Telephone policy: We will generally only disclose patient information to persons other than the patient if the patient has signed an authorization specifically authorizing the use or disclosure to the person(s).
  • Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.
  • Patient Follow-up: We may contact you to provide appointment reminders.
  • Marketing: We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you.
  • Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
  • Workers compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
  • Public health:As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability or other public health activities.
  • Correctional institution: Should you be an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals.
  • Law enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.

Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.
Effective: September, 2009.