We are permitted or required to use your PHI without your written authorization, or an opportunity to object, in certain circumstances, including:
Treatment: We will use and disclose your PHI to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another health care provider. Essex Rescue providers may use or disclose your PHI in order to treat you or to assist other health care providers in your treatment.
Payment: This includes any activities we must undertake in order to get reimbursed for the services we provide to you, including such things as submitting bills to insurance companies, making medical necessity determinations and collecting outstanding accounts. We are authorized to release PHI to a 3rd party billing agency. Our billing agency also abides by the same privacy practice requirements and will only share PHI with a patient's insurance company or similar groups involved in making payments.
Health Care Operations: This includes quality assurance activities, licensing, and training programs to ensure that personnel meet our standards of care and follow established policies, procedures and certain other management functions.
Health Care Oversight: Legal compliance activities, including audits or government investigations, disciplinary proceedings and other administrative or judicial actions undertaken by health oversight agencies for oversight of the health care system and governmental benefit programs.
Public Health & Governmental Authorities: To public health authorities charged with preventing or controlling disease, injury or disability, or to appropriate governmental authorities to report abuse, neglect or domestic violence.
Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is required or permitted by law to receive the information. At the direction of a public health authority, this may include disclosure to a foreign government agency that is collaborating with the public health authority.
Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.
Food and Drug Administration: We may disclose your protected health information as required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations, track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.
Maintenance of vital records: We may report data such as births and deaths.
Judicial and Administrative Proceedings: As required by a court or administrative order, or in response to a subpoena or other legal process.
For Law Enforcement: In certain limited circumstances, such as with warrants or where information is needed to locate or respond to a crime or to apprehend an individual who participated in a violent crime or escapee from lawful custody. We may also disclose protected heath information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) Limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) Suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of Essex Rescue, and (6) medical emergency (not on Essex Rescue's premises) and it is likely that a crime has occurred.
Serious Threat to Health or Safety: To prevent or lessen the imminent threat of a person or the public in accordance with federal or state law.
Military Activity / National Security: For certain limited functions or other special government functions.
Organ Donation: If you are an organ donor, to organizations that handle organ procurement / transportation as necessary to facilitate organ donation and transplantation.
Medical Examiner and Funeral Directors: For identifying a deceased person, determining cause of death, or funeral home activities.
Research: We may use and disclose your PHI to researchers when an Institutional Review Board or Privacy Board has reviewed and approved the research proposal, provided that required protocols are in place to ensure the privacy of your PHI.
Employers: To provide information concerning a work-related illness or injury or workplace related medical surveillance in compliance with requirements o the Occupational Safety and Health Administration, the Mine Safety and Health Administration, or similar state agency or law.
Workers Compensation: To comply with workers compensation laws and other similar legally established programs.
De-identified Information: We may use and disclose your health information if it does not personally identify you or reveal who you are.