Permitted Disclosures to Others - New Hope is permitted, but not required, to use and disclose a client's Personal Health Information (PHI), without an individual's authorization for the following purposes or situations:
Treatment, Payment, and Health Care Operations - New Hope may use and disclose PHI for its own treatment, payment, and health care operations activities. We also may disclose PHI for the treatment activities of any health care provider, the payment activities of another covered entity, or the health care operations of another covered entity involving either quality or competency assurance activities or fraud and abuse detection and compliance activities, if New Hope and the covered entity have or had a relationship with the individual and the protected health information pertains to the relationship; including but not limited to:
Treatment - is the provision, coordination, or management of health care and related services for an individual by one or more health care providers, including consultation between providers regarding a patient and referral of a patient by one provider to another. We may communicate with: other health care agencies and providers for the purposes of ensuring a continuity of care for your health care; your physician or another healthcare provider who is also treating you; anyone on our staff involved in your treatment program; and/or the referral agency.
Health Care Operations - any of the following activities: (a) quality assessment and improvement activities, including case management and care coordination; (b) competency assurance activities and quality improvement services, including provider performance evaluation, clinical supervision, credentialing, accreditation, certification, and licensing; (c) conducting or arranging for medical reviews, audits, or legal services, including fraud and abuse detection and compliance programs; (d) specified insurance functions, such as underwriting, risk rating, and reinsuring risk; (e) business planning, development, supervision, management, and administration; and (f) business management and general administrative activities of the entity, including but not limited to: de-identifying protected health information, creating a limited data set, and certain fundraising for New Hope. We may communicate with our own staff or external staff in connection with New Hope's operations.
Payment - encompasses activities of a health care provider to obtain payment or be reimbursed for the provision of health care to an individual. We may communicate with a third party payer or yourself to receive payment for services we provide for you.
Public Interest and Benefit Activities - including, but not limited to:
Sexually Transmitted Diseases - including HIV/AIDS, chancroid, chlamydia trachomatis, Neisseria gonorrhea, and syphilis infections.
Essential Government Functions - an authorization is not required to use or disclose PHI for certain essential government functions. Such functions include: assuring proper execution of a military mission, conducting intelligence and national security activities that are authorized by law, providing protective services to the President, making medical suitability determinations for U.S. State Department employees, protecting the health and safety of inmates or employees in a correctional institution, and determining eligibility for or conducting enrollment in certain government benefit programs.
Law Enforcement Purposes - New Hope may disclose protected health information to law enforcement officials for law enforcement purposes under the following circumstance, and subject to specified conditions: to identify or locate a suspect, fugitive, material witness, or missing person; in response to a law enforcement official's request for information about a victim or suspected victim of a crime; to alert law enforcement of a person's death, if New Hope suspects that criminal activity caused the death; when New Hoppe believes that PHI is evidence of a crime that occurred on its premises; and by a provider in a medical emergency not occurring on New Hope premises, when necessary to inform law enforcement about the commission and nature of a crime, the location of the crime or crime victims, and the perpetrator of the crime.
Workers' Compensation - New Hope may disclose PHI as authorized by, and to comply with, workers' compensation laws and other similar programs providing benefits for work-related injuries, illnesses, claims, or cases.