Black Hills Surgical Hospital |
216 Anamaria Drive | Rapid City, South Dakota 57701
Notice of Privacy Practices
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.
Effective Date: April 14, 2003
The protection of the privacy of your health information is important to us at Black Hills Surgical Hospital. In addition, we are required by law to maintain the confidentiality of your health information and provide you with this notice of our privacy practices. In this notice we describe the ways that we may use and disclose health information about you.
We are permitted to use and disclose your health information for treatment, payment, and health care operations. Following is a description and examples of how we use your health information for those purposes.
Treatment: Your health information may be used to evaluate your health, diagnose medical conditions, and provide quality care. The information in your medical record, such as laboratory tests, X-rays or prescriptions, will be available to other health professionals who may provide treatment or who may be consulted by our staff members.
Payment: Your health information may be used by us and other health care professionals involved in your treatment to obtain payment from you, your insurance company, and other sources of coverage or payment. For example, we may contact your insurance company to verify benefits or to notify them of services to be provided that may require preauthorization.
Health Care Operations: We use health information to evaluate and promote the quality of care and service provided to you and to support regular business activities. For example, we may use health information for evaluating the performance of staff, business planning, and financial management of our company.
We may also use your health information to:
There are also certain special circumstances in which we may use or disclose your health information without your authorization as follows:
You have certain rights under federal privacy standards. You have the right to:
Federal regulations require that we protect the privacy of health information that identifies a patient, or where there is reasonable basis to believe the information can be used to identify a patient. We also are required to abide by the terms of our Notice of Privacy Practices that is currently in effect. As permitted by law, we reserve the right to amend or modify our privacy practices. These changes may be a result of changes in federal or state laws and regulations. Current notices will be posted in our facilities and on our website, www.bhsc.com. Upon request, we will provide you with a copy of the notice.
Use or disclosure of your health information for purposes other than as described in our notice will require your written authorization. You may revoke your authorization at any time, provided it is in writing. However, your decision to revoke the authorization will not affect any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.
This notice describes the privacy practices of Black Hills Surgical Hospital and Black Hills Imaging Center, as well as members of an organized health care arrangement performing services in our facilities, unless they provide you with a formal notice of their privacy practices. Members of the organized health care arrangement covered by this notice may include anesthesiologists, hospitalists, radiologists, pharmacists and physical therapists. These health care providers are not employed by us but are either authorized to provide services to patients in our facilities or have a contractual relationship with us.
If you would like further information concerning our privacy practices or believe your privacy rights have been violated, you should contact us using the following address or telephone number:
You will not be penalized or otherwise retaliated against for filing a complaint. You may also file a complaint with the Secretary of the Department of Health and Human Services.