Notice of Privacy Practices (NOPP)

Please Review This Information Carefully

To Our Valued Patrons,

This section explains how your health information will be managed by Mountain View Hospital and the rights you have as a patient regarding patient privacy. We have always taken great care in assuring your personal information is kept confidential; however, the federal government under the new HIPAA guidelines has required any entity that processes health information to disclose in writing how this information is used and stored. We are also required to ask for a signature to acknowledge receipt of our privacy practices. Please understand that HIPPA is federally mandated legislation; we apologize for any inconvenience this may cause you.
The entire staff and management of Mountain View Hospital would like to thank you for your past and future patronage. We take the trust you have put in us very seriously and will continue to strive to offer all our customers “fast, friendly, quality Service…Everyday!”

Section A: Uses and Disclosures of Protected Health Information

  1. Under applicable law, we are required to protect the privacy of your individual health information (information we refer to in this notice as “Protected Health Information”). We are also required to provide you with this Notice regarding our policies and procedures regarding your Protected Health Information and to abide by the terms of this notice, as it may be updated from time to time.We are permitted to make certain types of uses and disclosures under applicable law for treatment, payment, education and healthcare operations purposes. We may obtain information to provide care and for the documentation of pertinent information in your records that may assist us in managing your care, therapy or your overall health. For treatment purposes, such use and disclosure will take place in providing, coordinating, or managing healthcare and its related services by one or more of your providers, such as when your primary/admitting physician consults with a specialist regarding your medications, treatment or plan of care.

    For payment purposes, such use and disclosure will take place to obtain or provide reimbursement for providing medical care services, such as when your case is reviewed to ensure that appropriate care was rendered. For reimbursement purposes, your Protected Health Information may be disclosed to one or several intermediaries employed by your plan sponsor including but not limited to insurers, benefits managers, claims administrators and computer switching companies.

    For healthcare operations purposes, such use and disclosure will take place in a number of ways, including for quality assessment and improvement; provider review and training; underwriting activities; review and compliance activities; and planning, development, management, and administration; and authorized medical training programs. Your information could be used, for example, to assist in the evaluation of the quality of care that you were provided.

    We store some of your Protected Health Information in electronic computer files. We backup our electronic records daily, and employ other precautions to safeguard the integrity of your Protected Health Information. In spite of these precautions it is possible but unlikely that a computer crash or other technological failure could cause the loss of data. In addition reasonable safeguards are employed to protect your Protected Health Information stored on electronic media.

    We may use and disclose your Protected Health Information, without your authorization when Mountain View Hospital needs to contact a physician or physician’s staff and is permitted or required to do so without individual written authorization. We may use and disclose your Protected Health Information if we are contacted by another Health Care Facility who states and can provide your request and consent to transfer health care records to them.

    From time to time we may employ the services of business associates who may assist us in one or more tasks and who may use, change or create Protected Health Information. Business associates are required to comply with all the privacy regulations on your behalf.

    We may disclose Protected Health Information about you without your authorization to comply with workers compensation laws, as required by law enforcement, legal proceedings, public health requirements, and health oversight activities and as required by law.

    Other uses and disclosures will be made only with your written authorization, and you may revoke your authorization by notifying use as described in Section B.

  2. You may ask us to restrict uses and disclosures of your Protected Health Information to carry out treatment, payment, or healthcare operations, or to restrict uses and disclosures to family members, relatives, friends, or other persons identifies by you who are involved in your care or payment for your care. However, we are not required to agree to your request.
  3. You have the right to request the following with respect to your Protected Health Information: (i) inspections and copying; (ii) amendment or correction; (iii) an accounting of the disclosures of this information by use (we are not required to account to you for disclosures made for treatment, payment, operations, disclosures to receive a paper copy of this notice upon request. We may require you to pay for these requests to cover our costs of copying, labor and postage.
  4. In addition, you may request, and we must accommodate the request, if reasonable, to receive communications of Protected Health Information by alternative means or at alternative locations. To make the request please contact, in writing:Mountain View Hospital
    Mr. Ned Hillyard (Privacy Officer)
    2325 Coronado Street
    Idaho Falls, ID 83404
    Tel: (208) 542 – 7122 (hotline)
    Fax: (208) 557-2889
  5. We may use your name to reference your health care visit as part of our patient directory. You may be required to sign a signature log form to acknowledge receipt of service, to acknowledge receipt of this Notice and the disclosure of Protected Health Information as outlined herein. This information may be disclosed by use to other persons who ask for you or your patient status by name. You may restrict or prohibit these uses and disclosures by notifying a Hospital representative orally or in writing of your restriction or prohibition. Or you may select upon arrival to our hospital, to have you name removed from our patient directory. We will do our best to honor each these requests. We are able to provide treatment services to you even if you object to sign the acknowledgement of the receipt of this Notice or if we decide not to honor a request regarding the information in this document. In the event of an emergency or your incapacity, we will do in our reasonable judgment what is consistent with your known preference, and what we determine to be in your best interest.
  6. We may disclose to one of your family members, to a relative, to a close personal friend, or to any other person identifies by you, Protected Health Information that is directly relevant to the person’s involvement with your care or payment related to your care. In addition we may use or disclose the Protected Health Information to notify, identify, or locate a member of your family, your personal representative, another person responsible for care, or certain disaster relief agencies of your location, general condition, or death. If you are incapacitated, there is an emergency, or you object to this use or disclosure, we will do in our judgment what is in your best interest regarding such disclosure and will disclose only the information that is directly relevant to the person’s involvement with your healthcare.
  7. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all Protected Health Information we maintain. You may receive a copy of this Notice by contacting us as outlined in Section B upon the receipt of Mountain View Hospital or its affiliated services.
  8. If you believe that your privacy rights have been violated, you may complain to us at the location described in Section B or to the Secretary of the Department of Health and Human Services, Building, 200 Independence Avenue SE, Washington, DC 20201. You will not be retaliated against for filing a complaint.

Section B: Contacting Us

You may contact us for further information at:
Mountain View Hospital
Mr. Ned Hillyard (Privacy Officer)
2325 Coronado Street
Idaho Falls, ID 83404
Tel: (208) 542 – 7122 (hotline)
Fax: (208) 557-2889