It is the philosophy of Clinicare Corporation and its Academies that all personal health information whether verbal, written or electronically managed, is considered private and confidential and is to be used for the purpose of care and treatment. We are required by law to maintain the privacy of protected health information, and to provide this notice which describes our legal duties and privacy practices concerning your protected health information.
When a resident is admitted to the Academy and has signed the Consent for Admission and Treatment form, we can use the health information for the following purposes:
- Treatment: We may use and disclose health information to provide treatment and service to you. Example: A therapist may use your personal health information to determine the best treatment to address a resident's needs. The psychiatrist may review your health information to see whether or not medicate would be an appropriate recommendation for the resident. We will share information with county social worker or probation officer to ensure residents are receiving the services needed. We may disclose your health information to other health care providers involved in your treatment.
- Payment: In order to receive payment we submit to the paying source a bill that identifies a resident as receiving treatment through the Academy. We may include diagnosis and the specific treatment a resident is receiving.
- Academy Operations: We may use a resident's diagnosis, treatment and outcome information to improve the overall quality of care we provide to the residents at the Academy. When a resident is discharged we will ask the resident's placing agency to complete an evaluation about the treatment provided by Clinicare. We will also contact a resident's placing agency at two (2) months, five (5) months and nine (9) months after discharge to follow-up on a resident's progress.
To carry out treatment, payment and health care operations, we may disclose your health information to another party known as a "Business Associate" to help us with (but not limited to) billing, medication, dental or medical services, or to assist us with such things as (but not limited to) legal, accounting or consulting. We will have an agreement with each Business Associate in which they agree to use health information only as permitted by the agreement or as permitted by law.
Without your written authorization, as required or permitted by law, we can use or disclose your personal health information to the following:
- To law enforcement officers, departments of correction, court officials, state licensing agents, or government agencies as require to ensure the health, safety and security of the resident and others. By law, we are required to report actual or suspected child abuse or neglect.
- for public health activities to help control disease, injury or disability; or to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or conditions.
- To those involved with a resident's care such as family members, agency or tribal social worker, probation officer, or school officials to ensure we are providing the services they requested, and for them to know how a resident is progressing at the Academy.
- We may use and disclose your health information when required to do so by court order or by any other law not already referred to in this section. We must follow either federal or state law, whichever is more protective of your privacy rights. Example: If federal law allows certain disclosures of health information without written authorization, but state law does require written authorization for such disclosures, we must follow state law.
Other uses of disclosures of a resident's health information require providing us either a written consent to release information, signed by residents who meet age requirements, by parent/guardian or by a legal custodian. Only information necessary to fulfill the purpose as stated in the consent will be released to the person identified in your authorization. You may withdraw your authorization at any time as long as the request is in writing.
You have several rights regarding your health information:
- You the the right to review treatment records with a therapist. Following discharge, if you meet the age requirements, a resident can submit a request in writing for a copy of treatments records. This right doe snot apply to psychotherapy notes or information gathered for judicial proceedings. Other restriction may also apply. We may charge a reasonable fee for copying resident's information.
- You have the right to request restrictions on certain uses and disclosures of protected health information, such as limited the amount of information provided to family. We are not required to agree to this request.
- You have the right to request a correction to protected health information if believed something is incorrect. We will ask to put a request in writing as it will be included in treatment records and to inform us why you believe the information should be changed. However if Clinicare did not generate the information believed to be incorrect, or if we disagree with and believe the health information is correct, we may deny the request.
- You have the right to request a record of disclosures of your health information which we have made on or after April 14, 2003. Information on this list would include: the date of each disclosure, who received the health information, what information was disclosed, and the reason for the disclosure. Not included on this list would be disclosures made to a resident, or for purposes of treatment, payment, health care operation, national security, law enforcement/corrections and certain health oversight activities.
- You have the right to request at any time a paper copy of this notice
- You have the right to receive confidential communication of your health information in different ways or places, such as wanting to discuss a subject in the privacy of your therapist's office instead of on a residential living unit. We may ask you to place those requests in writing and will accommodate any reasonable request.
- If you feel your privacy rights have been violated, you have the right to file a complaint with Clinicare and the federal Department of Health and Human Services. You will not be retaliated against for filing a complaint. Your complaint must be in writing; send your request to the Clinicare Records Manager at one of the following Academies:
Eau Claire Academy
550 North Dewey Street PO Box 1168
Eau Claire WI 54702-1168
Email: Eau Claire Academy
9501 Watertown Plank Road P.O. Box 13397
Wauwatosa, Wisconsin 53213-0397
Email: Milwaukee Academy
601 S. Beaumont Road
Prairie du Chien, Wisconsin 53821
Email: Wyalusing Academy
Auburn Lake Academy
7600 Victoria Dr.
Victoria, MN 55386
Email: Auburn Lake Academy
Aurora Plains Academy
1400 E. 10th Street
Plankinton, SD 57368
Phone: 605-942-5437 | Fax: 605-942-5438
Email: Aurora Plains Academy
In accordance with the law, the Academy is required to abide by the terms of this privacy notice currently in effect. We reserve the right to change the privacy practices described in this notice. Any changes to our privacy practices would apply to all health information maintained within our facility. If changes occur, a revised copy of the privacy notice will be posted on this website and in resident areas throughout the Academy facilities. For further information on privacy right or information in this notice, contact the Clinicare Records Manger at the Academy.