Norwell Visiting Nurse Association, Inc.
Notice of Information Practices
Revised Date: January 25, 2013
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review carefully.
At Norwell VNA (NVNA) and Hospice, your privacy is a priority. We follow strict federal and state guidelines to maintain the confidentiality of your medical information.
How do we use medical information?
When you are receiving services from NVNA and Hospice, we use your medical information to treat you, to obtain payment for services, and to conduct normal business known as health care operations. Examples of how we use your in-formation include:
Treatment - We keep a record of each visit and/or admission. This record may include your test results, diagnoses, medications or other therapies. This allows your doctors, nurses, and other clinical staff to provide the best care to meet your needs.
Example: A nurse obtains treatment information about you and enters it in a health record.
Payment - We document the services and supplies you receive at each visit or admission so that you, your insurance company or other third party can pay us. We may tell your health plan about upcoming treatment or services that require their prior approval.
Example: We provide information regarding your care to your insurance company in order to receive payment.
Health Care Operations - Medical information is used to improve the services we provide, to train staff and students, for business management, quality improvement, and for customer service.
Example: We provide medical records access to accrediting agencies in order to assess quality of care.
We may also use information to:
Services followed by a star (*) are optional. Tell the scheduler, admitting clinician or fundraiser (if contacted) that you do not wish to participate.
Need more information?
Information We Share
There are limited times when we are permitted or required to disclose medical information without your signed permission. These situations are listed below:
All other uses and disclosures, not previously described, may only be done with your signed authorization. You may revoke your authorization at any time.
NVNA and Hospice is required by law to:
We reserve the right to change privacy practices and make the new practices effective for all the information we maintain. Revised notices will be posted in our offices and will be available from your health care provider.
You have the right to:
To Contact Us
If you would like additional information, wish to exercise your rights, or if you feel your privacy rights have been violated, please contact NVNA and Hospice's Privacy Officer.
NVNA and Hospice
120 Longwater Drive
Norwell MA 02061
All complaints will be thoroughly investigated, and you will not suffer retaliation for filing a complaint. You may also file a complaint with the You may also file a complaint with the Secretary of Health and Human Services, 200 Independence Avenue, S.W., Washington, D.C. 20201
Toll Free: 1-877-696-6775