Your Health Matters at Ohana Care of Lake Cumberland Family Practice

HOW WE MAY USE AND DISCLOSE OF MEDICAL INFORMATION ABOUT YOU: 

The following categories describe different ways that we use and disclose your medical information. For each category of use or disclosures, we will elaborate on the meaning and provide additional information if requested. Not every category will be listed. However, all the ways we are permitted to use and disclose information will fall within the categories below. We must obtain your authorization before release of any psychotherapy notes, PHI for marketing purposes, or disclosure that constitutes a sale of PHI. Any disclosures not described in this notice will only be made at the authorization of said individual.

PAYMENT: 

We may use and disclose medical information about you so the treatment and services you receive at this practice may be billed to and collected for you, your insurance company, or third-party (ex. disclosure of record to an insurance company to ensure accurate billing for treatment received).

TREATMENT: 

We may use medical information about you to provide you with adequate treatment and services. We may disclose medical information about you to doctors, nurses, technicians, medical students, .or other personnel for review and/or learning purposes, or who may be involved in taking care of you at this Practice or the Hospital (ex. We may review your record to assist our quality important efforts.

WHO WILL FOLLOW THIS NOTICE: 

This notice describes our Practice’s policies and procedures, and that any health care professional authorized to enter information into your medical chart, member of a volunteer group which we allow to help you, as well as our employees and other Practice personnel.

POLICY REGARDING THE PROTECTION OF PERSONAL INFORMATION: 

We create a record of the care and services you receive at our Practice. This is required to provide you with quality care and comply with certain legal requirements. This notice applies to all the records of your care generated by the Practice, whether made by Practice personnel or by your personal provider. The law requires us to: make sure that all medical information that identifies you is kept private, provide you this notice of our legal duties and privacy practices with respect to medical information about you; and to follow the terms of this notice that is currently in effect. Other ways we may use or disclose your protected health care information include appointment reminders as required by law, for health-related benefits and services to individuals involved in your care, or payment of your care, research, to avert a serious threat to health or safety, and for alternative treatments. Other use or disclosure of your personal information could include disclosure to/or for coroners, medical examiners, and funeral directors, for health oversight activities, law enforcement, lawsuits and disputes, military and veterans, national security and intelligence activities, organ and tissue donation, public health risk, and workers compensation.

NOTICE OF INDIVIDUAL RIGHTS

RIGHT TO A COPY OF THIS NOTICE: 

You have the right to a paper copy of this notice, which you may request at any time.

RIGHT TO INSPECT AND COPY: 

You have the right to copy and inspect your medical information that may be used in a decision about your care. We may deny your request to inspect and copy in certain, very limited circumstances.

RIGHT TO AMEND: 

If you feel the medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment as long as the information is kept by, or for the Practice. To request an amendment, the request must be made in

writing and submitted to the Privacy Officer and must include reasons that support your request. We do reserve the right to deny your request.

RIGHT TO REQUEST RESTRICTIONS: 

You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or health care operations. You also have the right to limit the information we disclose about you to someone who is involved in your

care or payment of your care, such as a family member, guardian, or friend. We are not required to accept your request, which can also be denied. If we do agree, we will comply with your request unless the information is needed to provide you with emergency treatment. To request restrictions, you must submit

your request in writing to the Privacy Officer.

RIGHT TO REQUEST REMOVAL FROM FUNDRAISING COMMUNICATIONS: 

You have the right to opt out of receiving fundraising communications from the Practice

RIGHT TO RESTRICT DISCLOSURES TO HEALTH PLAN: 

You have the right to restrict disclosures of PHI to a health plan if the disclosure is for payment of health care operations and pertain to a health care service for which the individual has paid out of pocket in full.

RIGHT TO REQUEST CONFIDENTIAL COMMUNICATION: 

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. You must submit your request in writing and must specify how and where you wish to be contacted.

CHANGES TO THIS NOTICE: 

We reserve the right to make changes to this notice at any time. We will post a copy of any current notice in the Practice’s waiting room.

COMPLAINTS: 

If you believe your privacy rights have been violated, you may file a complaint with the Practice directly or with the Secretary of the Department of Health and Human Services. To file a complaint with the Practice, please contact the Office Manager at 606-331-5328, or by mail at 650 S.

Highway 27 Suite 5 Box 308, Somerset, KY 42503. All complaints must be submitted in writing. You will NOT be penalized for filing a complaint.

OTHER USE OF MEDICAL INFORMATION: 

Other uses and disclosures of medical information not covered in this notice or the laws that apply to use will only be made with your written consent. If you provide us with permission to use or disclose medical information about you, you may revoke that

permission, in writing, at any time.

If you have any questions regarding this notice or would like additional information, please contact our office.

Discrimination is Against the Law 

Ohana Care of Lake Cumberland, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (consistent with the scope of sex discrimination described at 45 CFR § 92.101(a)(2))   Ohana Care of Lake Cumberland LLC does not exclude people or treat them less favorably because of race, color, national origin, age, disability, or sex. 

If you believe Ohana Care of Lake Cumberland has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance or a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: 

U.S. Department of Health and Human Services 

200 Independence Avenue, SW Room 509F, HHH Building 

Washington, D.C. 20201  

1-800-368-1019, 800-537-7697 (TDD) 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.  

To support accurate and efficient clinical documentation, Ohana Care of Lake Cumberland may use ambient artificial intelligence (AI) technology during your visit. Ambient AI assists your healthcare team by listening to the clinical conversation and creating a draft medical note for clinician review.

HOW THE TECHNOLOGY WORKS

• The system captures spoken words during the visit and converts them into a written clinical note. 
• The AI is used only to assist with documentation therefore does not provide medical advice or make clinical decisions. 
• All notes generated by the AI are reviewed, edited, and approved by your clinician before becoming part of your medical record. 

PRIVACY AND DATA PROTECTION

• Audio data and generated notes are handled in compliance with applicable privacy and security laws, including state and federal HIPAA regulations. 
• Recordings are used solely for treatment and healthcare operations. 
• Data may be stored and processed by secure, contracted technology vendors who are required to protect your information and may not use it for other purposes. 

YOUR RIGHTS AND CHOICES

• Use of ambient AI is OPTIONAL. 
• You may decline participation or request the technology be turned off at any time. 
• Choosing not to participate WILL NOT affect the quality of your care or your relationship with the clinic. 

CONSENT

• By continuing with your visit after receiving this notice, you acknowledge that you have been informed about the use of ambient AI technology and consent to its use for clinical documentation during your visit. 
• If you have any questions or wish to opt out, please notify a member of your care team before or during your visit.

Policy coming soon!