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.
It is the policy of the Tulsa City-County Health Department (THD) to keep all of your medical and personal information confidential. We will only use or disclose your information for the following reasons:
We will share your medical information with other medical providers who are involved in your care (including hospitals and clinics), to refer you for treatment, and to coordinate your care with others. For example, we may contact you for appointment reminders or treatment options information. Members of the medical staff, the risk or quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and service we provide. We also participate in Electronic Health Information Exchanges, which may make your PHI available statewide and nationwide. We will only authorize this information to be shared for your treatment purposes. For example, if you are in another city or state, it may be possible to share treatment information with a doctor who needs that information.
We will also provide your subsequent health care providers with copies of various reports that should assist him/her in treating you. Such reports may be oral, written or electronic.
We may use and disclose PHI when it is needed to receive payment for services provided to you. For example, if you have Medicaid benefits or private insurance, we will release the minimum information necessary for the Medicaid program to pay us.
We will use and disclose PHI when it is needed to make sure we are providing you with good service. For instance, we may review your records in order to make certain quality service was given. We may also share PHI to a health plan for the plan’s Health Plan Employer Data and Information Set (HEDIS).For example, your insurance company may want to know if you have had immunizations in an effort to make improvements in their service and quality of care.
Other uses or disclosures of your PHI that may occur include:
We will share your medical information with other medical providers who are involved in your care to coordinate your care with others (such as emergency relief workers or others who can help in finding you appropriate health services). We can share your information as necessary to identify, locate and notify family members, guardians, or anyone else responsible for your care of your location, general condition, or death. For example, if it is necessary, we may notify the police, the press, or the public at large to the extent necessary to help locate, identify or otherwise notify family members and others as to your location and general condition.
Under any circumstances other than those listed above, THD will ask for your written authorization before we use or disclose your PHI. Specifically, THD must obtain your written authorization for the use and disclosure of psychotherapy notes, marketing, and the sale of PHI. THD will not sell PHI without your written authorization. You can later cancel your authorization in writing and we will not disclose your PHI after we receive your cancellation, except for disclosures which were processed before we received your cancellation. To request your medical records, please call 918-595-4134 for instructions.
You have the right to:
Federal law requires the Tulsa Health Department to:
For further information regarding this notice and your rights, or to report any complaints regarding privacy issues, contact:
You may also report complaints directly to the Secretary of Health and Human Services at the following address:
The U.S. Department of Health and Human Services, the Office of Civil Rights
1301 Young Street, Suite 1169, Dallas, TX75202
Telephone: 214.767.4056, 214.767.8940 (TDD)
Download a copy of this statement:
We have 10 locations across Tulsa County that offer a variety of services to help you and your family stay healthy.