Notice of Privacy Practices

JOINT NOTICE of PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW HEALTH
INFORMATION ABOUT YOU MAY BE USED
AND DISCLOSED AND HOW YOU CAN GET
ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

The University of Texas Health Science Center at Houston (“UTHealth”) and UT Physicians (“UTP”) are committed to protecting Health Information about you. We create a record of the services you receive at UTHealth for use in your care and treatment. Typically, this record contains your health history, symptoms, examination and test results, diagnoses, treatment, and a plan for your future course of treatment. UTP and UTHealth document your Health Information in records that will be maintained in a confidential manner, as required by law. UTHealth and UTP, their professional staff, employees, and volunteers and all of their affiliated entities follow the privacy practices described in this Notice. However, UTHealth and UTP must use and disclose your Health Information to the extent necessary to provide you with quality health care.

Who Will Follow This Notice? This Notice describes UTHealth’s and UTP’s privacy practices, as well as the privacy practices of: (a) all component departments, sections, schools and units of UTHealth; (b) all employees, staff and other UTHealth and UTP personnel; and (c) any resident, fellow, or student we train in dental, medical, nursing or allied health services. The entire workforce in these entities, sites and locations follow the terms of this Notice. In addition, these entities, sites and locations may share Health Information with each other to further the treatment, payment and health care operations activities described in this Notice.

Our Duties. We are required by law to:

What Are Treatment, Payment, and Health Care Operations?

Treatment includes sharing information among health care providers involved in your care. For example, your physician may share information about your condition with the pharmacist to discuss appropriate medications, or with radiologists or other consultants in order to make a diagnosis. UTHealth and UTP may use your Health Information as required by your insurer or managed care company to obtain payment for your treatment. We also may use and disclose your Health Information to improve the quality of care we render, e.g., for review and training purposes.

How Else Will UTHealth and UTP Use My Health Information?

Unless you ask for restrictions on a specific use or disclosure, your Health Information may be used the following purposes:

Your Authorization Is Required for Other Disclosures. Except as described above, we will not use or disclose your Health Information unless you authorize (permit) UTHealth or UTP in writing to disclose your Health Information. If you initially give permission, you may revoke that permission, which will be effective only after the date of your written revocation.

You Have Rights Regarding Your Health Information. You have the following rights regarding your Health Information, provided that you make a written request to invoke those rights on the form provided by UTHealth or UTP:

Requirements Regarding This Notice. UTHealth and UTP are required by law to provide this Notice to you. This Notice will bind us for as long as it is in effect. UTHealth may change this Notice and these changes will be effective for Health Information we have about you as well as any information we receive in the future. Each time you register at UTHealth or UTP for health care services, you may receive a copy of the Notice in effect at that time.

Complaints. If you believe your privacy rights have been violated, you may file a complaint with UTHealth, UTP or with the Secretary of the United States Department of Health and Human Services. You will not be penalized or suffer retaliation for making a complaint to UTHealth, UTP or the Department of Health and Human Services.

Contact: Please contact the Privacy Officer at 713-500-3391 if:

FURTHER EXPLANATION OF USES AND DISCLOSURES OF HEALTH INFORMATION:

How We May Use And Disclose Health Information About You.

The following categories describe different ways that we use and disclose Health Information. For each category of uses or disclosures we will explain what we mean, and we may provide an example. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the bold-face print categories, below.

FURTHER EXPLANATION OF YOUR RIGHTS:

Your Rights. You have the following rights regarding Health

Information we maintain about you:

CHANGES TO THIS NOTICE. We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for Health Information we already have about you, as well as any Health Information we receive in the future. We will post a copy of the current Notice in all clinical areas. The Notice will contain on the second page, in the lower left-hand corner, the effective date. In addition, each time you register for treatment or health care services, we will offer you a copy of the current Notice in effect.

COMPLAINTS. If you would like a paper copy of this Notice, have questions about it, or believe its terms or any UTHealth or UTP privacy or confidentiality policy has been violated with respect to Health Information about you, please contact us immediately at The University of Texas Health Science Center at Houston Privacy Office, 7000 Fannin Suite 1460, Houston, Texas 77030 or by phone 713-500-3391. Please include your name, address, and a telephone number where we can contact you, and a brief description of the complaint. If you prefer, you may lodge an anonymous complaint. You may also contact the Secretary of the Department of Health and Human Services at: Region VI, Office for Civil Rights, U.S. Department of Health and Human Services, 1301 Young Street, Suite 1169, Dallas, TX 75202. Phone (214) 767-4056. FAX (214) 767-0432. TDD (214) 767-8940. You will not be penalized or suffer retaliation in any way for making a complaint to UTHealth, UTP or the Department of Health and Human Services. Please provide as much information possible so that the complaint can be properly investigated. Neither UTHealth, UTP nor any of its affiliates will retaliate against a person who files a complaint with us or with Secretary of Department of Health and Human Services.

PRIVACY OFFICER. If you have any questions about this Notice, please contact the Privacy Office at 713-500-3391.

Effective Date: September 19, 2013

Reviewed on 4/30/2018