What follows below is our notice of privacy practices for those entrusted to our care. All new residents/clients get a copy of this notice as part of the admission paperwork, but revisions are posted to this website and within each of our sites.

You may also click here for a pdf format of this document which may be easier for printing.

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Lutheran Homes of Michigan is providing this Notice of Privacy Practices because the privacy of your health information is very important to you and to us, and in compliance with federal regulations.

By "your health information" we mean the information that we maintain that specifically identifies you and your health status.

Please contact our Privacy Officer if you have any questions regarding this notice:

Lutheran Homes of Michigan, Inc.
Attn: Privacy Officer
P.O. Box 329
Frankenmuth, MI 48734
(989)652-3470
privacy@LHMINC.org
www.LHMINC.org

LUTHERAN HOMES OF MICHIGAN, INC.

NOTICE OF PRIVACY PRACTICES

Effective date: April 14, 2003
Date(s) of revision: April 1, 2005

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

General description and purpose of notice:

This notice describes our information privacy practices and that of any health care professional authorized to enter information into your medical record created and/or maintained at our facility/agency and all facility/agency employees, staff, volunteers and other personnel. All of the entities identified below will follow the terms of this notice. These entities may share your health information with each other for purposes of treatment, payment, or health care operations as described further in this notice:

Uses or disclosures that do not require your written authorization:

Treatment - we may use your health information to plan, coordinate, and provide your care. For example, we may disclose your health information for treatment purposes to physicians and other health care professionals outside our agency who are involved in your care.

Payment - we may use your health information to prepare documentation required by your insurance (Medicare, Medicaid, etc) in order to receive payment.

Health Care Operations - We may use or disclose your health information in order to improve the quality of our services, conduct assessment and improvement plans, review treatment or general administration.

Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances:

Uses or discloses which require your written authorization:

Your written authorization, which you may revoke, is required if we use or disclose your health information for any other purpose, in particular:

Your Rights Regarding Health Information About You:

Right to Request Restrictions - You have the right to request restrictions on our uses and disclosures of your health information, however we may refuse to accept the restriction.

Right to Request Confidential Communications You have the right to request that we communicate with you confidentially. Your request must be in writing.

Right to Request Access to Your Health Information.

You have the right to request access to your health information in order to inspect or copy it. Your request must be in writing.

Right to Request an Amendment of your Health Information.

You have the right to request an amendment to your health information. Your request must be in writing and provide a reason for the amendment.

Right to Request an Accounting of Disclosures of Your Health Information.

You have the right to request an accounting of our disclosures of your health information for purposes other than treatment, payment and health care operations.

We are not required to provide an accounting for disclosures before April 14, 2003 or for more than 6 years prior to the date of your request.

Right to Obtain a Paper Copy of This Notice. If you received this notice electronically, you have the right to receive a paper copy.

Uses or Disclosures of Your Health Information to Which You May Object:

We may use or disclose your health information for the following purposes unless instructed not to:

Our Duties in Protecting your Health Information:

We are required by law to maintain the privacy of your health information.

We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty.

We must abide by the terms of the Notice currently in effect.

We reserve the right to change the terms of this Notice and to make the new provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current privacy notice from us or view it on our website at www.LHMINC.org.

Questions or Complaints:

You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated.

You will not be retaliated against for filing a complaint.

You may direct questions or file a complaint with our facility/agency by writing to our Privacy Officer at the contact information listed below:

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