Deeming Notice/Federal Tort Claims Act
Mountain Laurel Medical Center, Inc., a Federally Qualified Health Center (FQHC), is deemed by the Bureau of Primary Health Care of the U.S. Department of Health and Human Services to be a federal employee for purposes of medical malpractice claims and, as such, qualified for protection under the Federal Tort Claims Act.
According to the FTCA requirements, medical malpractice claims against the Mountain Laurel Medical Center are reviewed and/or litigated by the U.S. Department of Health and Human Services. An individual who has a claim against the health center is to file an administrative claim with the U.S. Department of Health and Human Services at the following address:
Office of the General Counsel
General Law Division Claims and Employment Law Branch
330 Independence Avenue, SW, Suite 2600
Washington, D.C., 20201
Phone No.: 202-233-0233
Fax No.: 202-691-2035
Notice of Privacy Practices
How We Collect Information About You:
Mountain Laurel Medical Center (MLMC) and its employees collect data through a variety of means including but not necessarily limited to letters, phone calls, emails, voice mails, and from the submission of applications that is either required by law, or necessary to process applications or other requests for assistance through our organization. We are required to maintain the privacy and security of your protected health information. We are obligated to notify you promptly if a breach occurs that may have compromised your information. MLMC may change the terms of this notice, to comply with state and federal privacy and security laws. Changes will be published in writing and on our website.
What We Do Not Do With Your Information:
Information about your financial situation and medical conditions and care that you provide to us in writing, via email, on the phone (including information left on voice mails), contained in or attached to applications, or directly or indirectly given to us, is held in strictest confidence. We do not give out, exchange, sell, or disseminate any information about applicants or patients who apply for or actually receive our services considered confidential, are restricted by law, or have been specifically restricted by a patient in a signed HIPAA consent form for the purposes of marketing or fundraising.
How We Use Your Information:
Information is only used as is reasonably necessary to process your application or to provide you with health or counseling services which may require communication between MLMC and health care providers, organ donation agencies, coroners, medical examiner, funeral director, medical product or service providers, pharmacies, insurance companies, workers compensation, law enforcement, and other providers necessary to: verify your medical information is accurate; determine the type of medical supplies or any health care services you need including, but not limited to; or to obtain or purchase any type of medical supplies, devices, medications, and insurance. If you apply or attempt to apply to receive assistance through us and provide information with the intent or purpose of fraud or that results in either an actual crime of fraud for any reason including willful or un-willful acts of negligence whether intended or not, or in any way demonstrates or indicates attempted fraud, your non-medical information can be given to legal authorities including police, investigators, courts, and/or attorneys or other legal professionals, as well as any other information as permitted by law. You have to right to request a list (accounting) of the dates, times and individuals that viewed your record for 6 months prior to the date of asking. Information may be shared to help with public health and safety issues such as preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect or violence, and preventing serious threat to anyone’s health and safety.
Information We Do Not Collect:
We may use or disclose, as needed, your protected health information in order to support the business activities of this practice. These might include quality care evaluations, utilization review, training of medical students, accreditation, auditing, legal services, or conducting normal business activities, including the following:
- Calling you to remind you of an appointment
- Calling you by name in the waiting room when the provider is ready to see you
- Contacting you by mail regarding appointments and/or billing
- Providing you with treatment alternatives or health related benefits that may interest you
- Complying with a subpoena for the records or if we need to disclose the records for the reason of protecting public health, in the event of suspected child abuse, neglect, or domestic violence. Disclosure may occur when requested by law for use by the Dept. of Health and Human Services, in compliance with the federal HIPAA Privacy Rule.
Disclosure of Information and Your Rights:
With your approval, we may from time to time disclose your protected health information to designated family, friends, and others who are involved in your care or in payment of your care in order to facilitate that person’s involvement in caring for you or paying for your care. If you are unavailable, incapacitated, or facing an emergency medical situation and we determine that a limited disclosure may be in your best interest, we may share limited protected health information with such individuals without your approval. We may also disclose limited protected health information to a public or private entity that is authorized to assist in disaster relief efforts in order for that entity to locate a family member or other persons that may be involved in some aspect of caring for you. You have the right to request a copy of your protected health information electronically or by paper, cost-based fee. You may request a change to your health record, but your provider maintains the right to refuse the request in writing within 60 days. You have the right to ask that information not be shared with your private insurance if the healthcare service is paid for out of pocket in full. We must follow the duties of this notice You have the right to request a copy of this Notice of Privacy Practices at any time, and to view it electronically online. You can file a complaint if you feel MLMC has violated your rights by contacting the U.S. Dept. of Health and Human Services Office of Civil Rights, 200 Independence Avenue S.W., Washington, DC 20201, or by calling 1-877-696-6775, or visit www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.
Mountain Laurel Medical Center has chosen to participate in the Chesapeake Regional Information System for our Patients, Inc. (CRISP), a regional health information exchange. As permitted by law, your health information will be shared with this exchange in order to provide faster access, better coordination of care and assist providers and public health officials in making more informed decisions. You may “opt-out” and disable all access to your health information available through CRISP by calling 1-877-952-7477 or completing and submitting an Opt-Out form to CRISP by mail, fax or through their website at www.crisphealth.org.
We are required by law to maintain the privacy of your protected health information and provide you with a copy of this notice of our legal duties and privacy practices. If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of Health and Human Services. You may not be retaliated against for filing a complaint.
Sandra Moore · Chief Operating Officer
1027 Memorial Drive · Oakland, MD 21550
Phone: 301-533-3300 · Fax: 301-533-3299
This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).