HIPAA Notice of Privacy Practices
Effective Date: January 1, 2024
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.
Our Commitment to Your Privacy
Parkwood Open Imaging is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) and your rights concerning that information under the Health Insurance Portability and Accountability Act (HIPAA) and the Michigan Medical Records Access Act.
Uses and Disclosures of Your Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes sharing information with your referring physician, other healthcare providers involved in your care, and specialists who may be consulted.
For Payment
We may use and disclose your health information to obtain payment for services. This includes billing your insurance company, processing claims, and determining eligibility for coverage.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, training programs, accreditation, and business management activities.
Other Uses and Disclosures
We may also use or disclose your health information:
- When required by federal or Michigan state law
- For public health activities (e.g., reporting diseases)
- To report abuse, neglect, or domestic violence in line with Michigan statutory duties
- For health oversight activities authorized by law
- In response to judicial court orders, valid warrants, or lawful subpoenas
- To law enforcement officials under compliant regulatory requests
- To coroners, medical examiners, and funeral directors
- For organ donation purposes
- For research tracks backed by formal institutional oversight approvals
- To mitigate an immediate, serious threat to public health or personal safety
- For specialized government and national security functions
- For workers' compensation compliance pathways
Your Authorization
For uses and disclosures not explicitly outlined in this Notice, we will secure your clear written authorization. You maintain the right to revoke an active authorization in writing at any time, except to the extent that our team has already taken action relying upon it.
Your Privacy Rights
Right to Inspect and Copy
You have the right to inspect and secure a comprehensive copy of your protected health records and imaging files. In accordance with the Michigan Medical Records Access Act, we may apply a reasonable, statutorily aligned fee to manage retrieval and media replication costs.
Right to Request Amendment
You hold the right to request that our team amend historical health data if you demonstrate that the active documentation is factually incorrect or incomplete.
Right to an Accounting of Disclosures
You maintain the right to request an official structural log of certain healthcare disclosures executed by our facility outside routine treatment, payment, or operational tasks.
Right to Request Restrictions
You possess the right to request specific restrictions on how we deploy or share your medical files for treatment, payment, or facility operations. While we evaluate all restriction requests, we are not legally bound to agree to every custom limitation.
Right to Confidential Communications
You have the right to request that our facility connect with you regarding personal medical matters via specific communication paths or alternative regional locations.
Right to a Paper Copy
You maintain an absolute right to acquire a physical paper copy of this privacy notice at any time upon simple request to our front desk.
Our Facility Duties
We are legally required by federal and state frameworks to:
- Maintain the strict confidentiality and systemic privacy of your protected health information
- Provide patients with a clear, clear notice mapping our legal compliance obligations and health privacy practices
- Notify impacted individuals swiftly following any confirmed security breach involving unsecured protected health data
- Adhere explicitly to the administrative terms of the privacy notice currently in operational effect
Changes to This Notice
We reserve the legal right to adapt the terms of this Notice, applying the updated privacy safeguards across all historical and active medical records maintained by our facility. Revised notices will be posted within our patient waiting rooms and updated across our digital website infrastructure.
Complaints and Privacy Appeals
If you believe your personal health privacy rights have been compromised by our facility, you may file a formal complaint with our internal Privacy Officer or route an appeal directly to the Secretary of the Department of Health and Human Services. We strictly prohibit any form of institutional retaliation against patients who exercise their right to file a complaint.
Contact Information
For questions about this Notice or to exercise your rights, please contact our Privacy Officer:
- Phone: 248-268-2789
- Email: contact@parkwoodmri.com
- Address: 13161 W 10 Mile Rd, Oak Park, MI 48237
Uses and Disclosures of Your Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes sharing information with your referring physician, other healthcare providers involved in your care, and specialists who may be consulted.
For Payment
We may use and disclose your health information to obtain payment for services. This includes billing your insurance company, processing claims, and determining eligibility for coverage.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, training programs, accreditation, and business management activities.
Other Uses and Disclosures
We may also use or disclose your health information:
- When required by law
- For public health activities (e.g., reporting diseases)
- To report abuse or neglect
- For health oversight activities
- In response to court orders or subpoenas
- To law enforcement when required
- To coroners, medical examiners, and funeral directors
- For organ donation purposes
- For research (with appropriate approvals)
- To prevent serious threat to health or safety
- For specialized government functions
- For workers' compensation purposes
Your Authorization
For uses and disclosures not covered by this Notice, we will ask for your written authorization. You may revoke an authorization in writing at any time, except to the extent that we have already taken action in reliance on it.
Your Rights
Right to Access
You have the right to inspect and obtain a copy of your health information. We may charge a reasonable fee for copies.
Right to Amend
You have the right to request that we amend your health information if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your health information.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your health information. We are not required to agree to all requests.
Right to Confidential Communications
You have the right to request that we communicate with you in a certain way or at a certain location.
Right to a Paper Copy
You have the right to obtain a paper copy of this Notice upon request.
Our Duties
We are required by law to:
- Maintain the privacy of your health information
- Provide you with this Notice of our legal duties and privacy practices
- Notify you if a breach of your unsecured health information occurs
- Follow the terms of the Notice currently in effect
Changes to This Notice
We reserve the right to change this Notice and make the new provisions effective for all health information we maintain. The revised Notice will be posted on our website and available at our facility.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
Contact Information
For questions about this Notice or to exercise your rights, please contact our Privacy Officer:
- Phone: 248-268-2789
- Email: contact@parkwoodmri.com
- Address: 13161 W 10 Mile Rd, Oak Park, MI 48237