Global Surgery Center

Patient care at its best

Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW PROTECTED MEDICAL INFORMATION
ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GAIN
ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

  1. Global Surgery Center is permitted to make use and disclose of
    protected health information for treatment, payment and health care
    operations, as described in the following examples: 
     

    a. For treatment- We may use medical information about you to provide
    you with medical treatment or services. We may disclose medical
    information about you to doctors, nurses, technicians, or other hospital
    personnel who are involved in taking care of you after you are discharged.
    For example, a doctor treating you for a broken leg may need to know if
    you have diabetes because diabetes may slow the healing process. We may
    also disclose medical information about you to people outside the surgery
    center who may be involved in your medical care after you leave the same
    day surgery center, such as family members.
     

    b. For payment-We may use and disclose medical information about you
    so that the treatment and services you receive at the same day surgery
    center may be billed to and payment may be collected from you, an
    insurance company, or a third party. For example, we may need to give
    your health plan information about surgery you received at the same day
    surgery center so your health plan will pay us or reimburse you for the
    surgery. We may also tell your health plan about a treatment you are going
    to receive to obtain prior approval or to determine whether your plan will
    cover the treatment.
     

    c. For health care operations- We may use and disclose medical
    information about you for same day surgery operations. These uses and
    disclosures are necessary to run the same day surgery center and make
    sure that all of our patients receive quality care. For example we may use
    medical information to review our treatment and services and to evaluate
    the performance of our staff in caring for you. We may also combine
    medical information about many same day surgery patients to decide what
    additional services the same day surgery center should offer, what services
    are not needed, and whether new treatments are effective. We may remove
    information that identifies you from this set of medical information so others
    may use it to study health care and healthcare delivery without learning who
    the specific patients are.
     

  2. Global Surgery Center is permitted or required, under specific
    circumstances, to use ordisclose protected health information without the
    individualís written authorization.
     

  3. Other uses and disclosures will be made only with the Individualís written
    authorization, and the individual may revoke such authorization.
     

  4. Global Surgery Center intends to engage in (1) one or more of the
    following activities.
     

    a. Global Surgery Center may contact the individual to provide
    appointment reminders or information about treatment alternatives or other
    health-related benefits and services that may be of interest to the individual or
    the patient.
     

    b. A group health plan, or a health insurance issuer or HMO with respect to
    a group health plan, may disclose protected health information to the sponsor
    of the plan.
     

  5. The Individual has the following right regarding protected health
    information:
     

    a. The right to request restrictions on certain uses and disclosures of
    protected health information. Global Surgery Center is not required to agree
    to a requested restriction, however.
     

    b. The right to receive confidential communications of protected health
    information, as applicable.
     

    c. The right to inspect and copy protected health information, as provided in
    the Privacy Regulation.
     

    d. The right to amend protected health information, as provided in the
    Privacy Regulation.
     

    e. The right to receive an accounting of disclosures of protected health
    information.
     

    f. The right to obtain a paper copy of the Notice from the covered entity
    upon request. This right extends to an individual who has agreed to receive
    the Notice electronically.
     

  6. Global Surgery Center is required by law to maintain the privacy of protected
    health information and to provide individuals with notice of its legal duties and
    privacy practices with respect to protected health information.
     

  7. Global Surgery Center is required to abide by the terms of the Notice
    currently in effect.
     

  8. Global Surgery Center reserves the right to change the terms of this Notice.
    The new Notice provisions will be effective for all the protected health information
    that it maintains.
     

  9. Global Surgery Center will provide individuals or patients with a revised Notice
    by oral instruction as a copy is provided for the individual/patient.
     

  10. Individuals may complain to the Global Surgery Center and to the Secretary of the
    Department of Health and Human Services, without fear of retaliation by the
    organization, if they believe their privacy rights have been violated. A brief
    description of how the individual may file a complaint is to address a
    corresponding letter to the following persons/institutions listed as New
    Jersey State Division of Health and Family Services to lodge complaints are:
    Division of Health Facilities Evaluation and Licensing New Jersey
    State Department of Health,
    CN 367, Trenton, NJ 08625-0367.State of
    New Jersey Office of the Ombudsman for the Institutionalized
    Elderly,
    CN 808, Trenton, NJ 08625-808.
     

  11. Global Surgery CenterĎs contact person for matters relating to complaints is the Director of Operations: 680 Kinderkamack Rd., Ste 100. Oradell, NJ 07649. (201) 367-2273.
     

  12. This Notice is first in effect on July 4, 2015.
     

  13. Global Surgery Center elects to limit the uses or disclosures that it is
    permitted to make. If you provide us permission to use or disclose medical
    information about you, you may revoke that permission in writing, at any
    time. If you revoke your permission, we will no longer use or disclose
    medical information about you for the reasons covered by your written
    authorization. You understand that we are unable to take back any
    disclosures we have already made with your permission, and that we are
    required to retain our records of the care that we provided to you.
     














WHAT PATIENTS ARE SAYING
ABOUT OUR SURGICAL CENTER

"I was worried about my procedure.
However, the staff is so helpfull and
caring that my fears went away as I
walked in, thank you! great nurses!"

Y.K., Palisades Park

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