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. Northwest Clinical Research Center respects your privacy. We understand that your personal health information is very sensitive. We will not disclose your information to others unless you tell us to do so or unless the law authorizes or requires us to do so.

The law protects the privacy of the health information we create and obtain in providing our care and services to you. For example, your protected health information includes your symptoms, test results, diagnoses, treatment, health information from other providers, and billing and payment information relating to these services. Federal and state law allows us to use and disclose your protected health information for purposes of treatment and health care operations. State law requires us to get your authorization to disclose this information for payment purposes.

Examples of Use and Disclosures of Protected Health Information for Treatment, Payment, and Health Operations
For treatment:
  • Information obtained by a nurse, physician, or other member of our health care team will be recorded in your medical record and used to help decide what care may be right for you.
  • We may also provide information to others providing you care. This will help them stay informed about your care.
For payment:
  • All office visits and procedures related to clinical trials are provided without charge.
  • If we provide services to you that are not a part of a research study, we can request payment from your health insurance plan if you ask us to. Health plans may need information from us about your medical care. Information provided to health plans may include your diagnoses, procedures performed, or recommended care.
For health care operations:
  • We use your medical records to assess quality and improve services.
  • We may use and disclose medical records to review the qualifications and performance of our health care providers and to train our staff.
  • We may contact you to remind you about appointments and give you information about treatment alternatives or other health-related benefits and services.
  • We may use and disclose your information to conduct or arrange for services, including:
    • medical quality review by your health plan;
    • accounting, legal, risk management, and insurance services;
    • audit functions, including fraud and abuse detection and compliance programs.
Your Health Information Rights

The health and billing records we create and store are the property of the practice/health care facility. The protected health information in it, however, generally belongs to you. You have a right to:

  • Receive, read, and ask questions about this Notice;
  • Ask us to restrict certain uses and disclosures. You must deliver this request in writing to us. We are not required to grant the request. But we will comply with any request granted;
  • Request and receive from us a paper copy of the most current Notice of Privacy Practices for Protected Health Information (“Notice”);
  • Request that you be allowed to see and get a copy of your protected health information. You may make this request in writing. We have a form available for this type of request.
  • Have us review a denial of access to your health information—except in certain circumstances;
  • Ask us to change your health information. You may give us this request in writing. You may write a statement of disagreement if your request is denied. It will be stored in your medical record, and included with any release of your records.
  • When you request, we will give you a list of disclosures of your health information. The list will not include disclosures to third-party payors or releases that you have specifically authorized. You may receive this information without charge once every 12 months. We will notify you of the cost involved if you request this information more than once in 12 months.
  • Ask that your health information be given to you by another means or at another location. Please sign, date, and give us your request in writing.
  • Cancel prior authorizations to use or disclose health information by giving us a written revocation. Your revocation does not affect information that has already been released. It also does not affect any action taken before we have it. Sometimes, you cannot cancel an authorization if its purpose was to obtain insurance.

For help with these rights during normal business hours, please contact our Privacy Officer.

Our Responsibilities

We are required to:

  • Keep your protected health information private;
  • Give you this Notice;
  • Follow the terms of this Notice.

We have the right to change our practices regarding the protected health information we maintain. If we make changes, we will update this Notice. You may receive the most recent copy of this Notice by calling and asking for it or by visiting our office to pick one up.

To Ask for Help or Complain

If you have questions, want more information, or want to report a problem about the handling of your protected health information, you may contact our Privacy Officer.

If you believe your privacy rights have been violated, you may discuss your concerns with any staff member. You may also deliver a written complaint to the Privacy Officer.

You may also file a complaint with the U.S. Secretary of Health and Human Services.

We respect your right to file a complaint with us or with the U.S. Secretary of Health and Human Services. If you complain, we will not retaliate against you.

Other Disclosures and Uses of Protected Health Information
Notification of Family and Others

Unless you object, we may release health information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. We may tell your family or friends your condition and that you are in a hospital. In addition, we may disclose health information about you to assist in disaster relief efforts.

We may use and disclose your protected health information without your authorization as follows:

  • To Medical Researchers if the research has been approved and has policies to protect the privacy of your health information. We may also share information with medical researchers preparing to conduct a research project. (Note that for clinical trials, authorization for release of protected health information is included in the consent form.)
  • To Funeral Directors/Coroners consistent with applicable law to allow them to carry out their duties.
  • To Organ Procurement Organizations (tissue donation and transplant) or persons who obtain, store, or transplant organs.
  • To the Food and Drug Administration (FDA) relating to problems with food, supplements, and products.
  • To Comply With Workers’ Compensation Laws if you make a workers’ compensation claim.
  • For Public Health and Safety Purposes as Allowed or Required by Law:
    • to prevent or reduce a serious, immediate threat to the health or safety of a person or the public.
    • to public health or legal authorities
    • to protect public health and safety
    • to prevent or control disease, injury, or disability
    • to report vital statistics such as births or deaths.
  • To Report Suspected Abuse or Neglect to public authorities.
  • To Correctional Institutions if you are in jail or prison, as necessary for your health and the health and safety of others.
  • For Law Enforcement Purposes such as when we receive a subpoena, court order, or other legal process, or you are the victim of a crime.
  • For Health and Safety Oversight Activities. For example, we may share health information with the Department of Health.
  • For Disaster Relief Purposes. For example, we may share health information with disaster relief agencies to assist in notification of your condition to family or others.
  • For Work-Related Conditions That Could Affect Employee Health. For example, an employer may ask us to assess health risks on a job site.
  • To the Military Authorities of U.S. and Foreign Military Personnel. For example, the law may require us to provide information necessary to a military mission.
  • In the Course of Judicial/Administrative Proceedings at your request or as directed by a subpoena or court order.
  • For Specialized Government Functions. For example, we may share information for national security purposes.
Other Uses and Disclosures of Protected Health Information

Uses and disclosures not in this Notice will be made only as allowed or required by law or with your written authorization.

Web Site

Northwest Clinical Research Center (NWCRC) is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to the NWCRC Web site and governs data collection and usage. By using the NWCRC website, you consent to the data practices described in this statement.

Collection of your Personal Information

NWCRC collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. NWCRC also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.

There is also information about your computer hardware and software that is automatically collected by NWCRC. This information can include: your IP address, browser type, domain names, access times and referring Web site addresses. This information is used by NWCRC for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of the NWCRC Web site.

Use of your Personal Information

NWCRC collects and uses your personal information to operate the NWCRC Web site and deliver the services you have requested. NWCRC also uses your personally identifiable information to inform you of other services available from NWCRC. NWCRC may also contact you via surveys to conduct research about your opinion of current services or of potential new services that may be offered.

NWCRC does not sell, rent or lease its customer lists to third parties.

NWCRC does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent.

NWCRC keeps track of the Web sites and pages visited within NWCRC, in order to determine what NWCRC services are the most popular. This data is used to deliver customized content and advertising within NWCRC to customers whose behavior indicates that they are interested in a particular subject area.

NWCRC Web sites will disclose your personal information, without notice, only if required to do so by law or in the good faith belief that such action is necessary to: (a) conform to the edicts of the law or comply with legal process served on NWCRC or the site; (b) protect and defend the rights or property of NWCRC; and, (c) act under exigent circumstances to protect the personal safety of users of NWCRC, or the public.

Use of Cookies

The NWCRC Web site use “cookies” to help you personalize your online experience. A cookie is a text file that is placed on your hard disk by a Web page server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.

One of the primary purposes of cookies is to provide a convenience feature to save you time. The purpose of a cookie is to tell the Web server that you have returned to a specific page. For example, if you personalize NWCRC pages, or register with NWCRC site or services, a cookie helps NWCRC to recall your specific information on subsequent visits. This simplifies the process of recording your personal information, such as mailing address. When you return to the same NWCRC Web site, the information you previously provided can be retrieved, so you can easily use the NWCRC features that you customized.

You have the ability to accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of the NWCRC services or Web sites you visit.

Security of your Personal Information

NWCRC secures your personal information from unauthorized access, use or disclosure. NWCRC secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other Web sites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.

Changes to this Statement

NWCRC will occasionally update this Statement of Privacy to reflect company and customer feedback. NWCRC encourages you to periodically review this Statement to be informed of how NWCRC is protecting your information.

Contact Information

NWCRC welcomes your comments regarding this Statement of Privacy. If you believe that NWCRC has not adhered to this Statement, please contact NWCRC our Privacy Officer. We will use commercially reasonable efforts to promptly determine and remedy the problem.