The Health Insurance Portability and Accountability Act was passed to combat waste, fraud and abuse in health insurance and health care delivery. It protects the security and privacy of physical and electronic private health information.

Understanding Your Private Health Information

Each time you are treated as a patient or resident of Greenville Regional Hospital, a record is made of your visit. This record may contain information about your symptoms, examinations, test results, diagnosis, treatment and plans for future treatments. This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information.

Your confidential healthcare information may:

• Be shared with your doctors and healthcare providers within Greenville Regional Hospital for the purpose of providing you with quality healthcare.
• Be given to your insurance provider for the purpose of receiving payment for services.
• To support our healthcare operations, such has comparing patient data to improve treatment methods.
• Be given to public or law enforcement officials in the event of an investigation in which you are a victim of abuse, a crime or domestic violence.
• Be given to other healthcare providers in the event you need emergency care.
• Be given to public health organizations or federal organization to report a communicable disease, or to report a problem with a medical device, medication or food.
• Be given to others only after receiving written permission from you. You may revoke your permission to release confidential healthcare information at any time.

Greenville Regional Hospital Responsibilities

This organization is required to:

• Keep your healthcare information private.
• Give you a copy of this notice about our duties and privacy practices with respect to the information we collect and maintain about you.”
• Abide by the terms of this notice.
• Tell you if we are unable to comply with a requested restriction.
• Accommodate reasonable requests you may have to communicate your healthcare information.

We May Contact You For:

• Appointment reminders.
• To tell you about treatments available to you or services that may be of interest to you.
• To support fund-raising or marketing efforts.

Patient Directory:

If you are admitted as a patient or resident to Greenville Regional Hospital, unless you tell us otherwise, we will list information in the patient directory that will include your name, location in the facility, your general condition, (good, fair, etc) and your religious affiliation, and will release all but your religious affiliation to anyone who asks about you by name. Your religious affiliation may be disclosed only to clergy members, even if they do not ask about you by name.

Unless you tell us otherwise, we may give medical information about you to a friend or family member who is involved in your care. Our employees will use their professional judgment in determining what they disclosed, and to whom, based on their assessment of your best interests.

These practices will be followed by all employees, medical staff and volunteers of Greenville Regional Hospital and all business associates and partners with whom we share health information.

Your Health Information Rights:

Your health record is the physical property of Greenville Regional Hospital but the information within the record belongs to you. You have the right to:

• Receive confidential communication about your health status.
• Review and photocopy any/all portions of your healthcare information (we may charge fees for copying, mailing and supplies).
• Request in writing that we make changes to your healthcare information
• Know who has accessed your confidential healthcare information and for what purpose
• Request restrictions on certain uses of your confidential healthcare information
• Request that your healthcare information is communicated to you in a confidential way.
• Be offered a copy of our current privacy notice each time you register at Greenville Regional Hospital for treatment. You will also be asked to acknowledge in writing your receipt of this notice.
• If you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. To obtain a paper copy, please contact Greenville Regional Hospital.
• Complain to Greenville Regional Hospital if you believe your rights to privacy have been violated.
• If you feel that your privacy rights have been violated, please mail your written complaint to:

Privacy Officer

Greenville Regional Hospital

200 Healthcare Drive

Greenville, IL 62246

U.S. Department of Health and
Human Services Office of Civil Rights

www.hhs.gov