Morris Hall
One Bishops’ Drive
Lawrenceville, NJ 08648
(609) 896-0006

mhadmissions@slrc.org

Morris Hall notice of Privacy Practices

I. 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.

II. Our Duty to Safeguard Your Protected Health Information

Individually identifiable information about your past, present or future health or condition, the provision of health care to you, or payment for the health care is considered “Protected Health Information” (“PHI”). We are required to extend certain protections to your PHI, and give you this Notice about our privacy practices that explain how, when and why we may use or disclose your PHI. Except in specified circumstances, we must use or disclose only the minimum necessary PHI to accomplish the intended purpose of the use or disclosure.

We are required to follow privacy practices described in this Notice, though we reserve the right to change our privacy practices and the terms of this Notice at any time. If we do so, we will post a new Notice. You may request a copy of the new notice from the Privacy Officer.

III. How We May Use and Disclose Your Protected Health Information

We use and disclose PHI for a variety of reasons. We have a limited right to use and/or disclosure your PHI for purposes of treatment, payment or our health care operations. For uses beyond that, we must have your written authorization unless the law permits or requires us to make the use or disclosure without your authorization. If we disclose your PHI to an outside entity to perform a function on our behalf, we must have in place an agreement from the outside entity that it will extend the same degree of privacy protection to your information that we must apply to your PHI. However, the law provides that we are permitted to make some uses/disclosures without your consent or authorization. The following offers more description and some examples of our potential uses/disclosures of your PHI.

Uses and Disclosures Relating to Treatment, Payment, or Health Care Operations. Generally, we may disclose your PHI as follows:

  • For Treatment: We may disclose your PHI to doctors,nurses, and other health care personnel who are involved in providing your health care. For example, your PHI will be shared among members of your treatment team, or with our central pharmacy staff. Your PHI may also be shared with outside entities performing ancillary services relating to your treatment, such as lab work or x-rays, or for consultation purposes, for St. Lawrence/ Morris Hall Boards and/or community mental health agencies involved in provision or coordination of your care.
  • To obtain payment: We may use/disclose your PHI in order to bill and collect payment for your health care services. For example, we may contact your employer to verify employment status, and/or release portions of your PHI to Medicare/Medicaid and/or a private insurer to get paid for services that we deliver to you.
  • For health care operations: We may use/disclose your PHI in the course of operating our hospital. For example, we may take your photograph for medication identification purposes, use your PHI in evaluating the quality of services provided, or disclose your PHI to our accountant or attorney for audit purposes.
  • Appointment reminders: Unless you provide us with alternative instructions, we may send appointment reminders and other similar materials to your home.

Uses and Disclosures Requiring Authorization: For uses and disclosures beyond treatment, payment and operations purposes we are required to have your written authorization, unless the use or disclosure falls within one of the exceptions described below. Authorizations cannot be revoked to the extent that we have already undertaken an action in reliance upon your authorization.

Uses and Disclosure of PHI from Medical Records Not Requiring Authorization: The law provides that we may use/disclose your PHI from medical records without authorization in the following circumstances:

  • When required by law: We may disclose PHI when a law required that we report information about suspected abuse, neglect or domestic violence, or relating to suspected criminal activity, or in response to a court order. We must also disclose PHI to authorities that monitor compliance with these privacy requirements.
  • For public health activities: We may disclose PHI when we are required to collect information about disease or injury, or to report vital statistics to the public health authority.
  • For health oversight activities: We may disclose PHI to a protection and advocacy agency, or another agency responsible for monitoring the health care system for such purposes as reporting or investigation of unusual incidents.
  • Relating to decedents: We may disclose PHI relating to an individual’s death to coroners, medical examiners or funeral directors, and to organ procurement organizations relating to organ, eye, or tissue donations or transplants.
  • For research purposes: In certain circumstances, and under supervision of a privacy board or IRB, we may disclose PHI to research staff and their designees in order to assist medical research.
  • To avert threat to health or safety: In order to avoid a serious threat to health or safety, we may disclose PHI as necessary to law enforcement or other persons who can reasonably prevent or lessen the threat of harm.
  • For specific government functions: We may disclose PHI of military personnel and veterans in certain situations, to correctional facilities in certain situations, to government benefit programs relating to eligibility and enrollment, and for national security reasons, such as protection of the President.

Uses and Disclosure for the Purpose of Fundraising Activities: Morris Hall/St. Lawrence, Inc. may disclose demographic information (name, address, phone number), date of birth and dates of health care provided to The Foundation of Morris Hall/St. Lawrence, Inc. for the purpose of raising funds for the benefit of Morris Hall/St. Lawrence, Inc. At all times, Patient retains the right to revoke this Authorization. Such revocation must be submitted to the Privacy Officer in writing. The revocation shall be effective except to the extent that the Facility has already used or disclosed information in reliance on the Authorization.

Uses and Disclosures Requiring You to have an Opportunity to Object: In the following situations, we may disclose a limited amount of your PHI if we inform you about the disclosure in advance and you do not object, as long as the disclosure is not otherwise prohibited by law. However, if there is an emergency situation and you cannot be given opportunity to object, disclosure may be made if it is consistent with any prior expressed wishes and disclosure is determined to be in your best interests. You may be informed and given an opportunity to object to further disclosure as soon as you are able to do so.

Patient Directories: Your name, location, and general condition may be put into our patient directory for disclosure to callers or visitors who ask for you by name. Additionally, your religious affiliation may be shared with clergy.

To families, friends or others involved in your care: We may share with these people information directly related to their involvement in your care, or payment for your care. We may also share PHI with these people to notify them about your location, general condition, or death.

IV. Your Rights Regarding Your Protected Health Information.

You have the following rights relating to your protected health information:

To request restriction on uses/disclosures: You have the right to ask that we limit how we use or disclose your PHI. We will consider your request to the Director of Medical Records, but are not legally bound to agree to the restriction. To the extent that we do agree to any restriction on our use/disclosure of your PHI, we will put the agreement in writing and abide by it except in emergency situations. We cannot agree to limit uses/disclosures that by law.

To choose how we contact you: You have the right to ask that we send you information at an alternative address or by an alternative means. We must agree to your request to the Director of Medical Records as long as it is reasonably easy for us to do so.

To inspect and copy your PHI: Unless your access is restricted for clear and documented treatment reasons, you have a right to see your protected health information upon your written request to the Director of Medical Records. We will respond to your request within 30 days. If we deny your access, we will give you written reasons for the denial and explain any right to have the denial reviewed. If you want copies of your PHI, a charge for copying may be imposed, depending on your circumstances. You have the right to choose what portions of your information you want copied and to have prior information on the cost of copying.

To request amendment of your PHI: If you believe that there is a mistake or missing information in our record of your PHI, you may request, in writing to the Director of Medical Records that we correct or add to the record. We will respond within 60 days of receiving your request. We may deny the request if we determine that the PHI is: (i) correct and complete; (ii) not created by us and/or not part of our records, or (iii) not permitted to be disclosed. Any denial will state the reasons for denial and explain your right to have the request and denial, along with an statement in response that you provide, appended to your PHI. If we approve the request for amendment we will change the PHI an so inform you, and tell others that need to know about the change in the PHI.

To find out what disclosures have been made: You have a right to get a list of when, to whom, for what purpose, and what content of your PHI has been released other than instances of disclosure: for treatment, payment, and operations; to you, your family, or the facility directory; or pursuant to your written authorization. The list also will not include any disclosures made for national security purposes, to law enforcement officials or correctional facilities, or disclosures made before April 14, 2003. We will respond to your written request to the Director of Medical Records for such a list within 60 days of receiving it. Your request can relate to disclosures going as far back as six years. There will be no charge for up to one such list each year. There may be a charge for more frequent requests.

To receive this notice: You have a right to receive a paper copy of this Notice and/or electronic copy by email upon request to the Privacy Officer.

V. How to Complain about our Privacy Practices:

If you think we may have violated your privacy rights, or you disagree with a decision we made about access to your PHI, you may file a complaint with the person listed in Section VI Below. You may also may file a written complaint with with the Secretary of the U.S. Department of Health and Human Services. We will take no retaliatory action against you if you make such a complaints.

VI. Contact Person for Information, or to Submit a Complaint:

If you have questions about this Notice or any complaints about our privacy practices,

please contact: The Privacy Officer.

Mr. Thomas Boyle – CFO
tboyle@morrishall.org
(609) 896-9500 ext 2225

Ms. Ellen Petroski – Administrator
epetroski@morrishall.org

(609) 896-9500 ext 2602

VII. Effective Date:

This Notice was effective on April 14, 2003

X

We recognize our ethical responsibility to you, our patients and clients, and the community we serve. Our Code of Conduct guides all staff members, volunteers, contracted staff, and those acting as representatives or agents of St. Lawrence. Underlying these principles is our commitment to excellence in providing quality patient care.

Specifically addressed in our Code are our responsibility to patients and employees, professional relationships, moral and legal standards, community responsibility, professional conduct, and the implementation and promotion of ethical behavior in business, marketing, and clinical practices.

X

Morris Hall operates its services and programs without regard to race, color, national origin, in accordance with the Civil Rights Act of 1964 as amended.  Any person who believes that she or he has been aggrieved by any unlawful discriminatory practice under Title VI may file a complaint in writing to Morris Hall.  To file a complaint  or for more information  on Morris Hall’s obligation under Title VI contact The Director of Recreation or the Administrator of Morris Hall.  Transportation services provided by this agency are part funded through the federal funds received through NJ Transit and as an individual you also have the right to file your complaint under Title VI by writing to Morris Hall Morris Hall/ St. Lawrence, 1 Bishop’s Drive, Lawrenceville, NJ  08648 or filing a complaint directly with the Federal Transit Administration at: The office of Civil Right, Attention: Title VI Program Coordinator, East Building, 5th floor-TCR, 1200 New Jersey Ave., SE, Washington DC 20590.  A complaint must be filed within 180 days of the alleged discrimination. If information is needed in another language please contact Toni Faraone at 609-896-0006 (2615).

Si se necesita información en otro idioma, por favor póngase en contacto con Toni Faraone al 609-896-0006 (2615).