Joint Notice of Information Practices
At UMass Memorial Health Care, your privacy is a priority. We follow strict federal and state guidelines to maintain the confidentiality of your medical (protected health) information. We also follow state guidelines regarding how long we must store your medical records and the requirements for proper disposal.
Protected Health Information
Protected health information (PHI) is any information about your past, present or future health care, or payment for that care that could be used to identify you. Members of our workforce and our business associates may only access the minimum amount of protected health information that they need to complete their assigned tasks.
Use and Disclosure of PHI
When you visit a UMass Memorial Health Care facility, we use and disclose your protected health information to treat you, to obtain payment for services and to conduct normal business known as health care operations. We may also share information with a contracted business associate who must meet our privacy and security requirements. Examples of how we use and disclose your information include:
- Treatment – We document each visit and/or admission. Documentation may include your test results, diagnoses and medications, and your response to medications or other therapies. This allows your doctors, nurses and other clinical staff to provide the best care to meet your needs.
- Payment – We document the services and supplies you receive at each visit or admission so that you, your insurance company or another third party can pay us. We may tell your health plan about upcoming treatment or services that require its prior approval.
- Health Care Operations – Medical information is used to improve the services we provide, to train staff and students, and for business management, performance improvement and customer service.
We may also use information to:
- Recommend treatment alternatives
- Tell you about health benefits and services
- Communicate with other UMass Memorial OHCA members or business associates for treatment, payment or health care operations
- Communicate with family or friends involved in your care
- Include you on the hospital inpatient list for callers or visitors if you are admitted*
- Respond to media inquiries should they be made*
- Let clergy know if you are admitted*
- Contact you about support for the UMass Memorial Health Care (fundraising)*
Services followed by an asterisk (*) are optional. Tell the admitting clerk or fundraiser (if contacted) that you do not wish to participate.
There are limited times when we are permitted or required to disclose medical information without your signed permission. These situations include the following:
- For public health activities such as tracking diseases or medical devices
- To protect victims of abuse or neglect
- For federal and state health oversight activities such as fraud investigations
- For judicial or administrative proceedings
- If required by law or for law enforcement
- To coroners, medical examiners and funeral directors
- For organ donation
- To avert serious threat to public health or safety
- For specialized government functions such as national security and intelligence
- To workers’ compensation if you are injured at work
- To a correctional institution if you are an inmate
- For research that is approved by our research review committee when written consent is not required by law. This may also include our internal preparation for research studies or telling you about research studies in which you might be interested. You are able to choose whether or not you want to hear more details about any research study.
Other uses and disclosures not described in this notice may be made with your signed authorization. Some of the times we may need your signed permission to use and disclosure your information include sale of your information, marketing purposes, and most sharing of psychotherapy notes and other medical information identified under our state laws. You may cancel your authorization, in writing, at any time.
UMass Memorial Health Care is required by law to maintain the privacy and security of your medical information, provide this notice of our duties and privacy practices, and abide by the terms of the notice currently in effect. We reserve the right to change privacy practices and make the new practices effective for all the information we maintain. Revised notices will be posted in our facilities, available from your health care provider, and on our web site. We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
You have the right to:
- Inspect and request either a paper or electronic copy of your medical records (fees will apply)*
- Request a correction to your medical information (reason required)*
- Request that we use a specific telephone number or address to communicate with you
- Request that we limit how we use or disclose your medical information (we are not required to agree to your request)
- Request that we limit certain disclosures of your medical information to your health plan if an item or service is paid in full out-of-pocket*
- Receive a list (an accounting) of how your medical information was disclosed (excludes disclosures for treatment, payment, health care operations and some required disclosures; fees may apply)*
- Obtain a paper copy of this notice even if you receive it electronically
- Register a complaint — see “To Contact Us” section of this notice
- Opt out of our hospital inpatient list or fundraising requests
*Request must be in writing
If you have questions about this notice, contact the privacy officer or visit www.umassmemorial.org. If you would like to exercise your rights or if you feel your privacy rights have been violated, contact the privacy officer:
72 Jaques Avenue, Worcester, MA 01610
UMass Memorial HealthAlliance-Clinton Hospital
Clinton Campus, 201 Highland Street, Clinton, MA 01510
Tel: 978-368-3714 (Confidential Reporting Line)
UMass Memorial HealthAlliance-Clinton Hospital
Leominster Campus, 60 Hospital Road, Leominster, MA 01453
Tel: 978-466-4333 (Privacy and Compliance Hotline)
UMass Memorial - Marlborough Hospital
157 Union Street, Marlborough, MA 01752
Tel: 508-486-5820 (Confidential Reporting Line)
UMass Memorial Medical Center
Hahnemann Campus, 281 Lincoln Street, Worcester, MA 01605
Tel: 508-334-5551 (Privacy Line)
All complaints will be investigated and you will not suffer retaliation for filing a complaint. You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/
Members of Our Organized Health Care Arrangement (OHCA)
All UMass Memorial facilities and services including:
- Central New England HealthAlliance
- HealthAlliance-Clinton Hospital
- Marlborough Hospital
- UMass Memorial Medical Center
- UMass Memorial Medical Group
- UMass Memorial Accountable Care Organization, Inc.
- Community Healthlink
- Private, hospital-based physicians
- Other private physicians while working at our facilities
Each OHCA member is individually responsible for abiding by the privacy practices, and for resolving its own privacy complaints or violations.
Please note: Latex Balloons No Longer Allowed at Medical Center
Due to allergic reactions to latex and the possible choking hazard for our pediatric patients, these balloons are no longer allowed. Mylar balloons are acceptable to bring into the hospital.