Twin Oaks Home Care, Inc.
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  HIPPA Right's

This notice describes how medical information about you may be used and disclosed. It also describes how you can get access to this information.
Please review it carefully

Twin Oaks Home Care uses Home Care information about you for treatment, to obtain payment for treatment, for administrative purposes, and to evaluate the quality of care you receive. Your health information is contained in a clinical record that is the physical property of Twin Oaks Home Care.

Your Health Information Rights:
Although your health record is the physical property of the healthcare agency that compiled it, you have the right to:

   Request a restriction on certain uses and
  disclosures of your information.

   Inspect and obtain a copy of your health record.

   Request an amendment of your health record.

   Obtain an accounting of disclosures of your health

   Revoke your authorization to use or disclose health
   information except to the extent that action has
   already been taken.

   Receive confidential communication of your health

   Receive a paper copy of Twin Oaks Home Care's
   Privacy Notice.

To make one or more of the above requests, you must make your request in writing to the Office Manager at the Twin Oaks Home Care office. If you request a copy of your medical record, we may charge a fee for the cost of copying, mailing, or other supplies associated with your requests.

Twin Oaks Home Care Responsibilities
Effective April 14, 2003, this organization is required by law to:

   Maintain the privacy of your health information.

   Provide you with this notice as to our legal duties
   and privacy practices with respect to information we
   collect and maintain about you.

   Abide by the terms of this notice.

   Notify you if we are unable to agree to a requested

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 notify you by mail of the revisions.

We will not use or disclose your health information without your authorization, except as described in this notice.

Examples of Disclosures for treatment, Payment, and Health Operation:
We will use your health information for treatment.
For example:
Information, actions, and observations obtained by members of your healthcare team will be recorded in your record and be used to determine the course of treatment that is best for you. All members of your healthcare team will then know how you are responding to treatment. We will be providing your physician and other healthcare providers involved with your care copies of various reports that should assist in treating you while you are receiving our services. These reports may be communicated to your other healthcare providers by phone, fax, mail or protected e-mail. Limited information about you may be maintained on lists or reports away from the public=s view in our Twin Oaks office.

We will use your health information for payment.
For example:
A bill may be sent to you or a third party payer. The information accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, services provided and supplies used.

We will use your health information for health care operations.
For example:
Members of our quality improvement team may use information in your health record to assess the care and outcomes in your care and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare services we provide and as a source of data for our operations planning.

Business Associates:
There are some services provided in our organization through contracts with business associates. Examples include outside medical or financial review organizations. 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. To protect your healthcare information, we require these business associates to appropriately safeguard your information.

Communication with family/care representative:

We contact a family member, personal representative, or another person responsible for your care, to obtain information about your care, location, or general condition. Health professionals, using their best judgment, may disclose to a family member, identified by you, information relevant to that person=s involvement in your care.

Appointment Reminders:
We may contact you to remind you of our scheduled services or to provide you information about treatment alternatives of other health-related benefits and services that may be of interest to you.

Emergency Medical Providers:

In an emergency situation, we may disclose health information to emergency medical providers to assist them to carry out their duties.

Funeral Directors:

We may disclose health information to funeral directors, coroners, or medical examiners consistent with applicable laws to assist them to carry out their duties. We may alert law enforcement officials about a death in unknown circumstances.

Food and Drug Administration (FDA):

We may disclose to the FDA health information relative to adverse events with food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.

As Required by Law and for Healthcare Oversight:

We will disclose medical information about you when required to do so by federal, state, or local law or in response to a valid subpoena. We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations,  and inspections. These activities are necessary for the government to monitor the healthcare system, government programs, and compliance with civil rights laws.

's Compensation:
We may disclose medical information to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law that provide benefits for work-related injuries or illness without regard to fault.

Public Health:

As required by law, we may disclose information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.

's of Abuse, Neglect, or Domestic Violence:
We may disclose information about suspected abuse, neglect or domestic violence, if required by law, statue, or regulation, or if it is determined that reporting is necessary to prevent serious harm to the potential victim(s).

Organ/Tissue Donation:
Your health information may be used or disclosed for organ, eye, or tissue donation purposes in which you have previously requested.

Government Functions:
Specialized government functions, such as protection of public officials, for national security activities authorized by the National Security Act, or for reporting to various branches of the armed services, that may require use or disclosure of your health information.

State Law:

As applicable, we will not use or disclose information regarding drug or alcohol abuse, HIV infection, or psychotherapy counseling notes without your written consent, authorization or as required by state law.

For More Information or to Report a Problem:
If you have any questions, you may contact us at our Twin Oaks Home Care Office at
724.438.1936 / 1.866.566.9214

If you believe you privacy rights have been violated you can file a complaint with a Twin Oaks Home Care Supervisor at 724.438.1936 or 1.866.566.9214 or to the Secretary of Health and Human Service PA Hot Line at 1-800-222-0989.

You have the right to initiate and file any grievances and make any suggestions in any service we offer without fear of reprisal or discrimination from Twin Oaks Home Care.



Contact Information
Jim and Dawn Dice
phone: 724.438.1936

Frequently asked questions (with answers) to many of our services provided....more >
On behalf of our family, I want to express to you and your staff how grateful we are for the professional care which you provided....more >