East Tennessee Children's Hospital Privacy Notice describes how medical
information about your child may be used and disclosed and how you can
get access to this information. Please read this information carefully.
- It is our responsibility to safeguard your child's protected health information.
- How we may use and disclose your child's Protected Health Information (PHI)
- Uses and disclosure to which you may object
- Your rights regarding your child's PHI
- Contact for information about this notice or to complain about our privacy
For information about your privacy regarding the use of this website, please view our
1. It is our responsibility to safeguard your child's protected health
Protected Health Information (PHI) includes information about your child's
past and present health condition,health care services we provide to your
child and payment information about the services we provided to your child
that also includes information that can be used to identify your child.
We are required by applicable federal and state law to maintain the privacy
of your child's health information. We must provide you with this notice
about our privacy practices that explains how,when and why we may use
or disclose your child's PHI. We are required to notify you if you are
affected by a breach of unsecured PHI. With some exception,we may not
use or disclose any more of your child's PHI than is necessary to accomplish
the purpose of the use or disclosure.
We are required to follow the privacy practices described in this notice.
We reserve the right to change the terms of this notice and our privacy
practices at any time. Any changes we may make will apply to any PHI we
already have. Before we make a change to our policies we will change this
notice,post new notices publicly and post the new notice on our web site:
www.etch.com. You may also request a paper copy of this notice at any
time from the Admitting Department (865-541-8185) or the Compliance Officer
2. How we may use and disclose your child's Protected Health Information (PHI).
We use and disclose your child's PHI for many different reasons. We have
the right to use and disclose your child's PHI for purposes of treating
your child, seeking payment for the treatment and services provided to
your child and to operate Children's Hospital. For other uses of your
child's PHI,we must have your written permission unless the law requires
or permits the use or disclosure without your authorization. Children's
Hospital participates in the East Tennessee Health Information Network
(etHIN) through which PHI is exchanged between his/her healthcare providers
electronically. Your child's PHI may be exchanged with healthcare providers
We may also disclose your child's PHI to an outside entity for that entity
to perform some function on our behalf. If we do, we must have an agreement
with that entity that it will extend the same privacy to your child's
PHI as we do.
These are a few examples of how we may use or disclose your child's PHI.
We may disclose your child's PHI to doctors,nurses and other health care
personnel involved in providing care to your child. For example,your child's
PHI will be shared with members of your child's treatment team. It may
also be shared with our Pharmacy staff and with outside entities performing
services relating to your child's treatment, such as laboratory testing.
To Obtain Payment for Treatment and Services
We may use and disclose your child's PHI in order to bill and collect
payment for the treatment and services provided to your child. For example,
we may provide your child's PHI to our billing department and your health
insurer in order to obtain payment for services we provided. We also may
contact your employer to confirm information about your health insurer.
For Health Care Operations
We may use and disclose your child's PHI in the course of operating Children's
Hospital. For example, we may use your child's PHI in evaluating the quality
of services we provided or to evaluate the performance of the health care
professionals who provided services. We may also provide your child's
PHI to our accountants, attorneys, consultants and others to make sure
we are complying with the laws and regulations that affect us.
Uses and Disclosures Requiring Authorization
Unless the use or disclosure falls within one of the exceptions outlined
below, all uses and disclosures beyond those for treatment, payment and
health care operations require your authorization. You may withdraw your
authorization at any time to stop future uses and disclosures of your
When Required by Law
We may disclose PHI when a law requires that we report information to
government agencies and law enforcement personnel about victims of abuse,
neglect or domestic violence, when dealing with gunshot and other wounds,
or when responding to a court order.
For Public Health Activities
PHI may be disclosed when we are required to collect information about
disease or injury to report vital statistics to the public health department.
For Health Oversight Activities
We may disclose PHI to an agency responsible for monitoring the health
care system or to assist the government when it conducts an inspection
of a health care provider or organization.
For Organ Donation
We may disclose PHI to organ procurement organizations to assist them
in organ, eye and tissue donation and transplants.
For Research Purposes
We may disclose PHI to a researcher, operating under supervision of an
Institutional Review Board, to conduct medical research.
To Avoid Harm
We may disclose PHI to avoid a serious threat to the health and safety
of a person or the public.
For Specific Government Functions
We may disclose PHI to avoid a serious threat to the health and safety
of a person or the public.
For Worker's Compensation
We may disclose PHI in order to comply with Worker's Compensation laws.
3. Uses and disclosure to which you may object
Your child's name, location in the hospital, general condition and religious
affiliation (if any) will be included in our patient directory for use
by clergy and visitors who ask for your child by name. You may object
to this use in whole or in part. In emergency situations, we may retroactively
seek your consent for the listing.
Disclosures to family, friends and others
We may share PHI with family members, friend(s) or other individuals you
indicate are involved in the care of your child. You may object to this
use in whole or in part. In an emergency situation, we may not have an
opportunity for you to object until after the emergency has passed.
For Events and Fundraising Activities
At any time during an event held by Children's Hospital, outside photographers
-- particularly those representing newspapers and television stations
-- are permitted to take photographs or video at the event for their use.
These pictures help demonstrate our activities to the public. In such
photographs, one or more event guests may be the subject of, or incidental
to, the photograph. Your status as a guest at the event constitutes your
automatic agreement to be photographed/videoed for the above stated purposes.
You may opt out of your consent until a week before the time the photography
is aired (in the case of video) or sent out for publication (in the case
of still photography). To withdraw your consent, please call the Community
Relations Office at (865) 541-8165
We may contact you in an effort to raise money for Children's Hospital
and its operations. We may disclose information to our Development Office
so that the Development staff may contact you to raise money for the Hospital.
The information disclosed would only include your name, address, telephone
number, gender, insurance status and dates of service at ETCH. If you
do not want the Hospital to use this information about you for fundraising
efforts, you must notify the Development Office at P.O.Box 15010, Knoxville,TN
37901 or by phone at 865-541-8162. ETCH may continue to send newsletters,brochures
and other educational and event information to those patients who have
opted out of fund raising efforts. To opt out of receiving any materials,
including general hospital information, you must notify the Marketing
Office at P.O. Box 15010, Knoxville, TN 37901, or by phone at 865-541-8723.
You can choose to not have your child's PHI exchanged with his/her healthcare
provider electronically through etHIN by completing the Health Information
Exchange Opt-Out form. You can obtain this form from the registration
area or by contacting the Compliance Officer (865-541-8080).
4. Your rights regarding your child's PHI
You have the following rights with respect to your child's PHI:
To request limits on the use and disclosures of your child's PHI.
You have the right to ask that we limit how we use and disclose your child's
PHI. We will consider your request,but are not required to accept it.
If we accept your request, we will document the limits in writing and
abide by them, except in an emergency situation. You may not limit the
use and disclosure of your child's PHI that we are legally required or
allowed to make.
To choose how we contact you.
You have the right to ask that we send information to you at an alternative
address or by an alternative means. We must agree with your request as
long as it is within reason.
To see and copy your child's PHI.
In most cases, you have the right to see and obtain copies of your child's
PHI, and you must make the request to see it in writing. There may be
situations where we have to deny your request but will give you the reasons
for the denial in writing and explain your right to have the denial reviewed.
You may be charged a fee for requested copies depending on the circumstances.
You have a right to choose the portions of your child's PHI you wish copied
and to receive prior information on the cost of copying
To request amendment of your child's PHI.
If you believe there is an error or omission in our record of your child's
PHI, you may make a written request that we correct or add to the record.
We will respond to your request within 60 days of receiving the request.
We may deny your request if we determine that your child's PHI: (1) is
correct and complete; (2) was not created by us or not part of records;
or (3) is not permitted to be disclosed. Any denial will explain why we
denied the request and your rights to have your request, or denial and
any statement in response to our denial that you provide attached to your
child's PHI. If we approve your request, we will change the PHI and so
inform you. We will also tell others that need to know about the change
in your child's PHI.
To find out what disclosures have been made.
You have a right to obtain a list of when, to whom, for what purpose and
what content of your child's PHI we have released ,other than instances
of disclosure for treatment, payment and health care operations; disclosures
to you, your family, our directory or in response to your written authorization.
The list will also not include disclosures made for national security
purposes, disclosures to law enforcement officials or correctional facilities
or disclosure made before April 2003. Your request for a list of disclosures
must be in writing, and you may ask for disclosures as far back as six
(6) years. We will respond to your request within 60 days of receiving
it. There will be no charge for the first request in any calendar year,
and we reserve the right to charge for more frequent requests.
To complain about our privacy practices
If you think we may have violated your child's privacy rights, or you
disagree with a decision we made regarding access to your child's PHI,
you may file a complaint with us. You may also file a complaint with the
Secretary of the U.S. Department of Health and Human Services. We will
take no retaliatory action against you or your child if you file a complaint
about our privacy practices.
5. Contact for information about this notice or to complain about our privacy
If you have questions about this notice, a complaint about our privacy
practices or need to know how to file a complaint with the Secretary of
the Department of Human Services, please contact:
East Tennessee Children's Hospital
2018 W Clinch Ave
Knoxville, TN 37916