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 READ IT CAREFULLY."
EAST WEST HOME CARE respects the rights and safeguards
of all information of the patients it serves. All
patients or their legal representatives will receive
a copy of EAST WEST HOME CARE privacy notice no
later than the first day of service delivery. EAST WEST
HOME CARE will make a good faith effort to obtain
the patients written acknowledgement of receipt
of this notice.
During the admission visit the patient will be given
a notice of privacy practices that is written in
plain English. And contains the following elements:
A. Permitted uses and disclosures of protected health
B. Patient rights and
C. Agency responsibility:
We are permitted to use your PHI for each of the
· Treatment- information may be used to diagnose
your condition and assess your health care needs.
This information includes, but is not limited to
X-rays, prescriptions and lab work.
· Payment- your PHI may be used for determining
our need to bill and collect payment for services
rendered. This includes, but is not limited to
billing Medicare, HMO, MediCal and any other payors.
· Health care operations- in an effort to
make ongoing improvements in our operations, your
PHI may be used for quality care initiatives, training,
evaluation, licensing and accreditation.
· Business associates- our agency contracts
with various vendors to perform certain activities
on our behalf.
· As required by law- these include but are
not limited to disclosure to state and federal regulatory
agencies who may periodically review our compliance
efforts, which may result in reviewing our medical
· Marketing- your PHI may be used to contact
you about various services and benefits we can provide
· Law enforcement- we may disclose your PHI
to assist in law enforcement. These include, but
are not limited to attaining a search warrant, or
to help identify or locate someone.
· Research purposes- we may use or disclose
your PHI for research when the use has been reviewed
and approved by an institutional board of reviewers
or privacy board.
· Worker's compensation- we may release your
information to comply with worker compensation laws.
· Coroners- we may disclose your PHI to a
coroner or medical examiner to assist in determining
cause of death.
· Lawsuits and legal disputes- we may use
PHI in responding to a court or administrative order,
subpoena, or a discovery request.
· Serious threat to public safety- we may
use your PHI when it is necessary to avoid a credible
threat to you or to others.
other disclosure requires your prior written consent.
Your consent may be withdrawn at any time.
will make changes and amendments to the above policy
as the need arises.
1. You have the right to view and receive copies
of your medical records at any time. To view your
medical records, simply contact a clinical supervisor
by mail. We reserve the right to deny your request.
However, if we do, we will tell you why.
2. If you believe there is an error in your medical
records, you may write us to request an amendment
at the address below.
3. You have the right to restrict the uses and disclosures
of certain parts of your PHI. You may also request
that we not disclose your PHI to certain members
of your family or friends who are involved in your
care. Your request must state the specific restriction
requested and to whom you want the restriction to
4. You have the right to request receipt of confidential
communications from us by alternative means or at
an alternative location. Requests must be made in
writing to our privacy officer.
5. You have the right to file a complaint with the
DHHS if you feel your rights have been violated.
East West Home Care is required by law to maintain
the privacy of your health information and to provide
you with this Notice of Privacy Practices.
17517 Fabrica Way, Suite J
Cerritos, CA 90703
ATTN: Privacy Officer
This notice is effective January 1, 2007.