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.
When it comes to your health, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
Ask us to correct your medical record
Request Confidential Communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared Information
Get a copy of this Privacy Notice
Choose someone to act for you
File a complaint if you feel your rights are violated
For Certain Health information, you can tell us your choice about what we share. If you have a clear preference for how we share your information in the situations described below talk to us. Tell us what you want to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious we may go ahead and share your information if we believe it is in your best interest.
We may also share your information when released to lesson a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
In the case of fund raising:
Our Uses and Disclosures
How do we typically use or share your health information? We typically use or share your health information in the following ways:
Run our Organization
We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.
We can use and share your health information to run our practice, improve your care and contact you when necessary. Example: We use health information about you to manage your treatment and services.
Bill for your Services
We can use and share your health information to bill for services we have rendered to you. Example: We use health information about you to prepare statements to send to your health insurance for the care we provide to you.
How else can we use or share your health information? We are allowed or required to share your information – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
Help with public health and safety issues
We can share health information about you for certain situations such as:
Respond to Organ and Tissue Donation Requests
Comply with the Law
Work with Medical Examiner or Funeral Director
Address workers compensation, law enforcement, and other government requests
We can share information about you:
Respond to Lawsuits and Legal Actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
There is some health information that we can release only with your permission or a judge’s order:
HIV Status/ Testing Results (You must not authorize each in writing)
Consent for Abortion
Sexually Transmitted Diseases
Genetic Test Results
Social Worker Communications
Domestic Violence Victims Counseling
Sexual Assault Victims Counseling
Alcohol & Drug Abuse Records
Communications with mental health providers (psychologist, psychiatrist, nurse mental health specialist, licensed mental health counselor, marriage, family, rehabilitation and educational psychologist and family therapist).
How Long Do We Keep Your Information?
We record health information on paper, electronic or photographic form and keep them for twenty (20) years following discharge or final treatment. Radiology films and scans, other image records, EEG/EKG tracings; and raw psychological testing data do not have to
be kept as long and may be destroyed five (5) years after the date of service, as long as any reports that note the results of such tests and procedures are mentioned as part of the legal medical record. Fetal monitoring strips are kept for ten (10) years.
For more information see:
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
The effective date of this notice is November 17, 2015
This notice of Privacy Practices applies to the following individuals and organizations:
Boston Medical Center and the following health centers of Boston HealthNet share health information to participate in an integrated healthcare delivery system and engage in a number of joint activities such as quality review of services:
Codman Square Health Center
The Dimock Center
Dorchester House Multi-Service Center
East Boston Neighborhood Health Center
Geiger Gibson Community Health Center
Greater Roslindale Medical & Dental Center****
Health Care for the Homeless
Manet Community Health Center
Mattapan Community Health Center
Neponset Health Center
South Boston Community Health Center
South End Community Health Center
Upham’s Corner Community Health Center
Whittier St. Community Health Center
****Greater Roslindale Medical and Dental Center is part of an organized health care arrangement including participants in the Oregon Community Health Information Network (OCHIN).
A current list of OCHIN participants is available at http://www.community-health.org/partners.html. As a business associate of Greater Roslindale Medical & Dental Center,
OCHIN supplies information technology and related services to Greater Roslindale Medical & Dental Center and other OCHIN participants.
OCHIN also engages in quality assessment and improvement activities on behalf of its participants. For example, OCHIN coordinates clinical
review activities on behalf of participating organizations to establish best practice standards and assess clinical benefits that may be derived
from the use of electronic health record systems. OCHIN also helps participants work collaboratively to improve the management of internal
and external patient referrals. Your health information may be shared by Greater Roslindale Medical and Dental Center with other OCHIN
participants when necessary for health care operations purposes of the organized health care management.
Contact the Privacy Officer at 617-414-1800 or toll free at 800-586-2627