This is the website of The Davis Community:
TheDavisCommunity.org
Postal address:
1011 Porters Neck Road
Wilmington, NC 28411
Telephone number:
910.686.7195
General Policy
Cornelia Nixon Davis, Inc.
The Davis Community
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN REQUEST ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY
Effective February 24, 2003
Rev. 9/9/2010, 9/20/2013, 5/1/2015, 10/15/2016
The Davis Community, which includes Davis Health Care Center, Champions Assisted Living, Davis Health & Wellness Center at Cambridge Village, and Davis Home Care Services maintains a serious commitment to ensuring your privacy. We are required to abide by this Notice of Privacy Practices. modify this notice and the revised notice will be effective for all protected health information in our possession at the time of change and any information created or received after. You may request a copy of any revised notice by contacting our office. If you have any questions about this notice, please contact our Quality & Compliance Administrator at 910.686.7195.
Protected Health Information, called PHI, is the demographic, financial, and medical information we collect, create, and maintain in the course of providing care to you. This notice will inform you how the The Davis Community may use and disclose protected health information (PHI) in compliance with the Federal Health Insurance Portability & Accountability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) as issued in the Omnibus Final Rule.
Uses and Disclosures of Protected Health Information (PHI)
We may use and disclose health information about you for:
– Treatment: We will use and disclose your PHI to provide medical care and assist you in obtaining physician ordered services, tests, consults, and medications. We will share information with The Davis Community staff, contracting consultants, your physicians, and other health care professionals or their associates who are directly or indirectly involved in providing treatment or continuity of care to you. For example, we may communicate information by phone, fax, or computer when scheduling lab tests, ordering medications, or obtaining physician orders.
– Payment: Your PHI may be used and disclosed for business reasons including, but not limited to, verifying insurance benefits, obtaining authorization for services, and securing payment for services. For example, we may telephone your insurance carrier and provide the insurer with demographic information about you in order to verify eligibility. We provide your insurance with disease and treatment information in support of billable services. We copy and submit records to agencies authorized to conduct pre-payment and post-payment clinical reviews.
– Health Care Operations: In the process of operating we may use and disclose your PHI in support of our operations which include maintaining an in-patient directory, quality assessments, financial or medical audits, and medical record management. For example, we review protected health information when conducting chart audits. A consultant Pharmacist reviews medication orders. We maintain the name and room number of guests and residents in a resident directory for their convenience and may release that information to visitors or callers unless you request in writing that we exclude your name from the directory.
Other Uses and Disclosures We May Make Without Your Written Authorization
We may use and disclose protected health information about you when required by regulation or legally authorized to do so for:
– Public Health Activities, including reporting of communicable diseases, adverse reactions to medications, injury from a health care product, and suspected abuse
– Federal and State Agency Oversight, including NC State Surveyors.
– Court Order, Military Order, Subpoena
– Coroners, Medical Examiners, Funeral Directors, Organ Procurement Agencies 01-51.0
Other Permitted and Required Uses and Disclosures That May Be Made With Your Authorization
For uses and disclosures other than for treatment, payment, health care operations, and as required by Law, we are required to obtain your written authorization. We are required to obtain your written authorization for marketing purposes and the sale of PHI. If you wish us to release protected health information to individuals or entities not legally entitled to your records, such as a relative, friend, or attorney you must provide us with written authorization each time you wish us to release records. The release of psychotherapy notes requires a separate or stated authorization. You may request the appropriate authorization form from our Medical Records Department.
Your Rights
You have the following rights with respect to your protected health information, which you can exercise by presenting a written request to The Davis Community:
– The right to request restrictions on certain uses and disclosures of protected health information, including those to consultants, family members, or any other person identified by you. We are, however, not required to agree to a requested restriction. If we do agree, we must abide by it unless you agree in writing to remove the restriction.
– The right to restrict certain disclosures of PHI to a health plan or insurer when you pay out of pocket in full for a health care service or item.
– The right to reasonable requests to receive confidential communications of protected health information from us by alternative means including email or at alternative locations.
– The right to request and receive a paper copy of your records or an electronic copy of records if maintained in electronic format.
– The right to be notified following a breach of unsecured PHI.
– The right to access protected health information about you that is created by The Davis Community.
– The right to request an amendment to protected health information we create. We may deny your request if it does not contain a reason that supports your request, the information was not created by us, or we believe the record to be accurate.
– The right to receive an accounting of disclosures of protected health information other than for treatment, payment, health care operations, or those made pursuant to your written or verbal authorization or consent.
– The right to opt out or decline to receive any marketing or fund raising material related to the organization, it’s services, or affiliated services and opportunities.
– The right to obtain a paper copy of this notice from us upon request.
If you have reason to believe that your privacy rights have been violated and/or you wish to file a complaint you may do so with the Quality & Compliance Administrator or the Department of Health and Human Services Office of Civil Rights within 180 days from the date of the incident of complaint.
Complaints may be filed without fear of retaliation.
Angie Barr, Compliance Officer US Department of Health & Human Services
The Davis Community Office of Civil Rights
1011 Porters Neck Road 200 Independence Ave., SW
Wilmington, NC 28411 Washington, DC 20201
910.686.7195 (202) 619-0257 (877) 696-6775
I have received a copy of this Notice of Privacy Practices and have been given the opportunity to ask questions about how protected health information about me is used and my rights regarding that information.
______________________________________ _______________________________________
(print patient name) (patient signature) (date)
______________________________________ _______________________________________
(print authorized rep name) (authorized rep signature) (date)
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General Information Collection
The Davis Community site tracks and collects general information regarding the use of this site. Information such as which pages are visited, the length of time visitors stay on the site, the browsers visitors use, and the times people log on to the site, is collected in aggregate and not applied to specific visitors. Such information may be shared, in aggregate, to help others determine how the site is used and what can be done to make it more helpful to our audience.
This website uses “cookies.” These are small text files with a unique identification number transferred from a website to a user’s hard drive, so the website administrator can track the user’s activities on the site. A cookie cannot retrieve any other data from your hard drive, pass on computer viruses or capture your email address. The information gained from the cookies are primarily used to analyze trends, administer the site, track user’s movement and gather broad demographic and geographic information for aggregate use. No personally identifiable data collected is shared with third parties. Cookies associated with a particular website may only be accessed by that website.
This website may also use cookies, web beacons and other storage technologies to collect or receive specific types of information and use that information to provide targeted ads to advertise on third party websites (including Google, Bing and Facebook) to previous visitors to our site. It could mean that we advertise to previous visitors who haven’t completed a task on our site, for example using the contact form to make an inquiry. This could be in the form of an advertisement on the Google search results page, a site in the Google Display Network or social media networks. The information may also be used for frequency capping purposes (such as ensuring we do not display the same advertisement to you repeatedly) and to help us regulate the advertisements you receive and measure their effectiveness.
You can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies. You do this through your browser settings. Each browser is a little different, so look at your browser Help menu to learn the correct way to modify your cookies. You can set preferences for how Google advertises to you using the Google Ad Preferences page. You may also use the Network Advertising Initiative’s (NAI) Opt-Out Tool at networkadvertising.org/choices. This allows you to opt out from the use of information about your online activities for online behavioral advertising by NAI member companies.
The Davis Community does not trade, sell or employ telemarketing services; however as an additional resource you may wish to register your phone number with the Federal Trade Commission’s National Do Not Call Registry which provides consumers the choice of whether to receive telemarketing calls at home. Please visit https://telemarketing.donotcall.gov/ to access the Do Not Call Registry.
Links to Other Sites
Our site may provide links to other websites for your convenience and information. These other websites may operate independently from The Davis Community. Linked sites may have their own privacy notices or policies, which we strongly suggest you review if you visit any linked websites. To the extent any linked websites you visit are not owned or controlled by The Davis Community, we are not responsible for the sites’ content, any use of the sites or the privacy practices of the sites.
CAN-SPAM Act
The CAN-SPAM Act is a law that sets the rules for commercial email, establishes requirements for commercial messages, gives recipients the right to have emails stopped from being sent to them, and spells out tough penalties for violations.
We collect your email address so we can send information, respond to inquiries, and/or other requests or questions.
To be in accordance with CAN-SPAM, we agree to the following:
• Not use false or misleading subjects or email addresses
• Identify the message as an advertisement in some reasonable way
• Include the physical address of our business or site headquarters
• Monitor third-party email marketing services for compliance, if one is used
• Honor opt-out/unsubscribe requests quickly
• Allow users to unsubscribe by using the link at the bottom of each email
If at any time you would like to unsubscribe from receiving future emails, you can email us by following the instructions at the bottom of each email and we will promptly remove you from ALL correspondence.
User Agreement
By using our site, you consent to our website’s privacy policy. If you feel this site is not following its stated information policy, you may contact us at the above address or phone number, or contact your state or local chapter of the Better Business Bureau.
Updates
Our Privacy Policy may change from time to time and all updates will be posted on this page. The Davis Community reserves the right to change this User Agreement at any time without notice.
Last Updated: October 29, 2020