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.
WHO WILL FOLLOW THIS NOTICE
This Notice of Privacy Practices (the “Notice”) describes the Tranquil Care Hospice practices and those of Tranquil Care Hospice employees, staff, volunteers, and other personnel who are involved in your care. The Tranquil Care Hospice and these individuals will follow the terms of this Notice, and may use or disclose medical information about you to carry out treatment, payment or health care operations, or for other purposes as permitted or required by law. This Notice describes your rights to access and control medical information about you, including information that may identify you and that relates to your past, present, or future physical, medical, or mental condition and medical care and related health care services. Your personal physician may have other policies that he or she follows if he or she sees you outside of the Tranquil Care Hospice and may use his or her own Notice of Privacy Practices.
THE FACILITY’S PLEDGE REGARDING MEDICAL INFORMATION
The Tranquil Care Hospice understands that medical information about you and your health is personal. The Tranquil Care Hospice is committed to protecting medical information about you. In order to provide you with quality care and to comply with certain state and federal legal requirements, the Tranquil Care Hospice creates a record of the services you receive at the Tranquil Care Hospice. This Notice applies to all of the records of your care generated by the Tranquil Care Hospice. This Notice will tell you about the ways in which the Tranquil Care Hospice may use and disclose medical information about you. It also describes your rights and certain obligations the Tranquil Care Hospice has regarding the use and disclosure of medical information. The Tranquil Care Hospice is required by law to: (1) Make sure that medical information that identifies you is kept private; (2) Give you this Notice of its legal duties and privacy practices concerning medical information about you; (3) Follow the terms of the Notice that are currently in effect and (4) Notify you in case there is an unauthorized use or disclosure of your unsecured medical information.
HOW THE FACILITY MAY USE AND DISCLOSE MEDICAL INFORMATION ABOUT YOU
The following categories describe different ways that the Tranquil Care Hospice may use or disclose protected medical information. For each category of uses and disclosures, the Tranquil Care Hospice will explain what is meant and may give some examples. Not every use or disclosure in a category will be listed. However, all of the ways the Tranquil Care Hospice is permitted to use and disclose information will fall within one of the categories. Some information such as Psychotherapy Notes, certain drug and alcohol information, HIV, or mental health information is entitled to special restrictions.
For Treatment. The Tranquil Care Hospice may use medical information about you to provide you with medical treatment and to coordinate or manage your medical treatment and any related services. We may disclose information about you to Tranquil Care Hospice Staff, your Attending Physician, or other providers involved in your treatment. We may also disclose your medical information to family members or other individuals involved in your continuing medical care after you leave the Tranquil Care Hospice. For example, the Tranquil Care Hospice may give your Attending Physician access to your health information to assist the physician in treating you.
For Payment. The Tranquil Care Hospice may use and disclose medical information about you so that the Tranquil Care Hospice can get paid for the treatment and services you receive at the Tranquil Care Hospice. For example, the Tranquil Care Hospice may need to give information to your health plan or to the Medi-Cal or Medicare program about treatment you receive at the Tranquil Care Hospice so that they will pay the Tranquil Care Hospice or reimburse you for your care. The Tranquil Care Hospice may also tell your health plan about a proposed treatment to determine whether your plan will cover the treatment.
For Health Care Operations. The Tranquil Care Hospice may use and disclose medical information about you to carry out activities that are necessary for Tranquil Care Hospice operations. These uses or disclosures are made for quality of care, compliance activities, administrative purposes, contractual obligations, grievances or lawsuits. For example, the Tranquil Care Hospice may use medical information to review treatment and services provided at the Tranquil Care Hospice or to evaluate the performance of its staff and contractors in caring for you.
To Individuals or Family Members Involved in Your Health Care
Unless you object, the Tranquil Care Hospice may disclose medical information about you to a member of your family, a relative, close friend or any other person that you identify who is involved in your care. The Tranquil Care Hospice may also tell your family or friends, personal representative, or any other person who is responsible for your care, of your location, general condition or death, unless you object.
Emergencies. The Tranquil Care Hospice may disclose medical information about you to a public or private entity assisting in disaster relief so that your family can be notified about your condition, status, or location. You may object to this disclosure with a written request. However, if you are not available or are unable to agree or object, or in some emergency circumstances, the Tranquil Care Hospice will use its professional judgment to decide whether this disclosure is in your best interest.
Please inform the facility if you would like to object to this disclosure.
As Required By Law. The Tranquil Care Hospice will disclose your health information when required to do so by federal, state or local law.
Workers Compensation. The Tranquil Care Hospice may release medical information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.
For Public Health Activities. The Tranquil Care Hospice may disclose medical information about you for public health activities. These purposes generally include the following: (1) To prevent or control disease, injury, or disability; (2) To report deaths; (3) To report abuse or neglect of children, elders and dependent adults; (4) To report reactions to medications or problems with products; (5) To notify people of recalls of products they may be using; and (6) To notify a person who may have been exposed to a disease or who may be at risk for contracting or spreading a disease or condition.
For Health Oversight Activities. The Tranquil Care Hospice may disclose medical information about you to a health oversight agency for activities authorized by law.
For Lawsuits and Disputes. The Tranquil Care Hospice may disclose medical information about you in response to a court or administrative order, subpoena, discovery request, or other lawful process.
Disclosure to Law Enforcement. If asked to do so by law enforcement and as authorized or required by law, the Tranquil Care Hospice may release medical information: (1) To identify or locate a suspect, fugitive, material witness, or missing person; (2) About a suspected victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement; (3) About a death suspected to be the result of criminal conduct; (4) About criminal conduct at the Tranquil Care Hospice; and (5) In case of a medical emergency, to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.
Decedents. The Tranquil Care Hospice may release medical information about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. The Tranquil Care Hospice may also release medical information about you to funeral directors. The Tranquil Care Hospice may also release information to any individual known to the Tranquil Care Hospice as a family member, close personal friend of the family, or any other person identified, who was involved in your care or the payment for your care prior to your death, unless you indicate otherwise. Your medical information may be used or disclosed to others without your authorization after fifty (50) years from the date of your death.
For Specialized Government Functions. The Tranquil Care Hospice may disclose medical information about you to authorized federal officials for intelligence, counter intelligence, and other national security activities.
Information About Inmates/Individuals in Custody. If you are an inmate or under the custody of a law enforcement official, the Tranquil Care Hospice may release medical information about you to the correctional institution or law enforcement official responsible for you as authorized or required by law.
Disclosure For Threats to Health and Safety. In certain circumstances, the Tranquil Care Hospice may be required to disclose medical information to avert a serious threat to your health and safety or the health and safety of another person as required by law enforcement. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law.
SPECIAL PROVISIONS RELATED TO RESDIENT PRIVACY
Psychotherapy Notes. The Tranquil Care Hospice will not release any Psychotherapy Notes without a specific authorization from you that allows the Tranquil Care Hospice to release the notes.
Marketing. The Tranquil Care Hospice will not release your medical information for marketing purposes without an authorization from you.
Sale of Medical Information. The Tranquil Care Hospice will not sell your medical information without an authorization from you.
Substance Abuse. The Tranquil Care Hospice will not disclose identity and records of the diagnosis, prognosis or treatment of residents that are maintained in connection with performing any drug abuse treatment or prevention efforts without your written consent.
HIV/AIDS Test Results. The Tranquil Care Hospice will not disclose the results of an HIV/AIDS test unless you give the Tranquil Care Hospice specific written authorization. The Tranquil Care Hospice may disclose HIV/AIDS test results without your specific authorization as required by state or federal reporting laws.
You have the following rights regarding your medical information. In order to exercise these rights, you must contact The HIPAA Privacy Officer at the Tranquil Care Hospice. You may be asked to submit a written request.
Right to Inspect and Copy. With certain exceptions, you have the right to inspect and receive copies of your medical information.
Amendment. If you feel that medical information about you is incorrect or incomplete, you may ask the Tranquil Care Hospice to amend the information.
Right to an Accounting of Disclosures. You have the right to receive a list of certain disclosures that we may have made of your medical information.
Right to Request Restrictions. You have the right to request a restriction or limitation on medical information that the Tranquil Care Hospice uses or discloses about you for treatment, payment or health care operations, and to request a limit on the medical information that the Tranquil Care Hospice may disclose to family members or friends involved in your care.
Request Confidential Communications. You have the right to request that the Tranquil Care Hospice communicate with you about your appointments or other matters related to your treatment in a specific way or at a specific location.
Receive a Copy. You have the right to obtain a copy of this notice.
CHANGES TO THIS NOTICE
The Tranquil Care Hospice reserves the right to change the terms of this Notice at any time. The Tranquil Care Hospice reserves the right to make the revised or changed notice effective for medical information the Tranquil Care Hospice already has about you as well as any information the Tranquil Care Hospice receives in the future. The Tranquil Care Hospice will post a copy of the current Notice. The Notice will contain an effective date.
QUESTIONS AND COMPLAINTS
If you have any questions or believe that your privacy rights have been violated, you may contact the Tranquil Care Hospice HIPAA Privacy Officer in person or mail a written summary of your concern to the address listed above.
You may also file a written complaint with the Department of Health and Human Services at the following address:
Office of Civil Rights, DHHS
90 7th Street, Suite 4-100
San Francisco, CA 94103
Phone: 415-437-8310 Fax: 415-437-8329
You will not be penalized or retaliated against for filing a complaint.
OTHER USES OF MEDICAL INFORMATION
Other uses and disclosures of medical information not covered by this Notice or the laws that apply to use will be made only with your written permission. If you provide the Tranquil Care Hospice permission to use or disclose medical information about you, you may revoke that permission in writing at any time. If you revoke your permission the Tranquil Care Hospice will stop any further use or disclosure of your medical information for the purposes covered by your written authorization, except if the Tranquil Care Hospice has already acted in reliance on your permission. You understand that the Tranquil Care Hospice is unable to take back any disclosure the Tranquil Care Hospice has already made with your permission and that the Tranquil Care Hospice is required to retain its records of the care that the Tranquil Care Hospice provided to you.
NOTICE OF COLLECTION OF PERSONAL DATA
This notice applies to all visitors and potential job applicants to the Tranquil Cares Websites.
IF You Choose To Apply for or inquire about Employment Opportunities, additional Personal Information may be collected when users choose to fill out employment-related online form’s on this site. The types of PI and the purpose for their collection are noted below in APPLICANTS section.
Tranquil Cares and its operating groups, subsidiaries and divisions within the United States (the “Company”) are committed to protecting the privacy and security of personal information and/or personal data (“personal information”).The Company collects, processes, and transfers personal information of visitors activities. The Company is committed to complying with the California Consumer Privacy Act (CCPA), effective January 1, 2020; and all data protection laws and labor laws in the areas in which it employs employees and does business.
The Company collects the following data for the following uses. Records are maintained in accordance with Company policy.
|Type of Personal Information – Website Visitors||Purpose for Collection|
|Name, Contact Information. We also collect contact information that you provide to us when you, fill out an online form, or send us an email. We collect your name, mailing address, telephone number, and email address||We will use this information to respond to your requests for information about our company and its services|
|The Site server automatically recognizes the Internet URL from which you access this Site. We may also log your Internet protocol (“IP”) address||For system administration and troubleshooting purposes. (An IP address indicates the location of your computer on the Internet)|
|Type of Personal Information-Applicants||Purpose for Collection|
|Name; contact information, education, language(s) and special job-related competencies; certification information; employment history; work experience; military service information; background check information to the extent that such checks are permitted under applicable law; and criminal convictions and offenses, insofar as this information is relevant for the specific position.||Recruitment to hire the most qualified applicants.|
|Racial or ethnic origin, gender; disability information, and other characteristics protected by law.||Comply with obligations and specific rights in the field of employment law insofar as such processing is authorized by US law, and to fulfill the Company’s legitimate interest in maintaining a diverse workplace free from improper discrimination, and in order to administer employment.|
RECIPIENTS OF THE VISITORS PERSONAL INFORMATION
The Visitors personal information will be disclosed to:
- Management, human resources (HR)and Marketing personnel and information technology (IT) personnel
- Third party processors such computer and internet service providers
RECIPIENTS OF THE APPLICANTS PERSONAL INFORMATION
- Management, human resources (HR)and Marketing personnel and information technology (IT) personnel
- Third party processors such computer and internet service providers (A list of these providers is on Schedule 1)
QUESTIONS AND COMPLAINTS
Questions or complaints regarding the processing of Employee’s Personal Data should be directed to the Company by letter or email to:
9200 W. Sunset Blvd, Suite 700
West Hollywood, CA 90069
THIRD PARTIES TO WHOM APPLICANT’S
PERSONAL DATA MAY BE SENT