Privacy Rights & Information

Springfield Clinic, Springfield, IL is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Statement of Privacy applies to the Springfield Clinic, Springfield, IL Web site and governs data collection and usage. By using the Springfield Clinic, Springfield, IL website, you consent to the data practices described in this statement.

Collection of your Personal Information

Springfield Clinic, Springfield, IL collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. Springfield Clinic, Springfield, IL also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.

There is also information about your computer hardware and software that is automatically collected by Springfield Clinic, Springfield, IL. This information can include: your IP address, browser type, domain names, access times and referring Web site addresses. This information is used by Springfield Clinic, Springfield, IL for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of the Springfield Clinic, Springfield, IL Web site.

Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through Springfield Clinic, Springfield, IL public message boards, this information may be collected and used by others. Note: Springfield Clinic, Springfield, IL does not read any of your private online communications.

Springfield Clinic, Springfield, IL encourages you to review the privacy statements of Web sites you choose to link to from Springfield Clinic, Springfield, IL so that you can understand how those Web sites collect, use and share your information. Springfield Clinic, Springfield, IL is not responsible for the privacy statements or other content on Web sites outside of the Springfield Clinic, Springfield, IL and Springfield Clinic, Springfield, IL family of Web sites.

Use of your Personal Information

Springfield Clinic, Springfield, IL collects and uses your personal information to operate the Springfield Clinic, Springfield, IL Web site and deliver the services you have requested. Springfield Clinic, Springfield, IL also uses your personally identifiable information to inform you of other products or services available from Springfield Clinic, Springfield, IL and its affiliates. Springfield Clinic, Springfield, IL may also contact you via surveys to conduct research about your opinion of current services or of potential new services that may be offered.

Springfield Clinic, Springfield, IL does not sell, rent or lease its customer lists to third parties. Springfield Clinic, Springfield, IL may, from time to time, contact you on behalf of external business partners about a particular offering that may be of interest to you. In those cases, your unique personally identifiable information (e-mail, name, address, telephone number) is not transferred to the third party. In addition, Springfield Clinic, Springfield, IL may share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services to Springfield Clinic, Springfield, IL, and they are required to maintain the confidentiality of your information.

Springfield Clinic, Springfield, IL does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent.

Springfield Clinic, Springfield, IL keeps track of the Web sites and pages our customers visit within Springfield Clinic, Springfield, IL, in order to determine what Springfield Clinic, Springfield, IL services are the most popular. This data is used to deliver customized content and advertising within Springfield Clinic, Springfield, IL to customers whose behavior indicates that they are interested in a particular subject area.

Springfield Clinic, Springfield, IL Web sites will disclose your personal information, without notice, only if required to do so by law or in the good faith belief that such action is necessary to: (a) conform to the edicts of the law or comply with legal process served on Springfield Clinic, Springfield, IL or the site; (b) protect and defend the rights or property of Springfield Clinic, Springfield, IL; and, (c) act under exigent circumstances to protect the personal safety of users of Springfield Clinic, Springfield, IL, or the public.

Use of Cookies

The Springfield Clinic, Springfield, IL Web site use "cookies" to help you personalize your online experience. A cookie is a text file that is placed on your hard disk by a Web page server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you.

One of the primary purposes of cookies is to provide a convenience feature to save you time. The purpose of a cookie is to tell the Web server that you have returned to a specific page. For example, if you personalize Springfield Clinic, Springfield, IL pages, or register with Springfield Clinic, Springfield, IL site or services, a cookie helps Springfield Clinic, Springfield, IL to recall your specific information on subsequent visits. This simplifies the process of recording your personal information, such as billing addresses, shipping addresses, and so on. When you return to the same Springfield Clinic, Springfield, IL Web site, the information you previously provided can be retrieved, so you can easily use the Springfield Clinic, Springfield, IL features that you customized.

You have the ability to accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser setting to decline cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of the Springfield Clinic, Springfield, IL services or Web sites you visit.

Security of your Personal Information

Springfield Clinic, Springfield, IL secures your personal information from unauthorized access, use or disclosure. Springfield Clinic, Springfield, IL secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other Web sites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol.

Changes to this Statement

Springfield Clinic, Springfield, IL will occasionally update this Statement of Privacy to reflect company and customer feedback. Springfield Clinic, Springfield, IL encourages you to periodically review this Statement to be informed of how Springfield Clinic, Springfield, IL is protecting your information.

Contact Information

Springfield Clinic, Springfield, IL welcomes your comments regarding this Statement of Privacy. If you believe that Springfield Clinic, Springfield, IL has not adhered to this Statement, please contact Springfield Clinic, Springfield, IL at webmaster@springfieldclinic.com. We will use commercially reasonable efforts to promptly determine and remedy the problem.

Notice of Privacy Practices

How medical information about you may be used and disclosed.
How you can get access to this information.
Please read carefully.

How we may use and disclose your medical information

The following categories describe different ways that we use and disclose your medical information. For each category of uses or disclosures we will explain what we mean and give some examples. Not every use or disclosure in any category is listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

We will use and disclose your health information for treatment
We will disclose your medical information to you as a patient and to your health care providers, such as physicians, nurses and support staff involved in your treatment, such that they may provide care; to nurses conducting screening for eligibility in research projects; to employees in the physician’s offices and who provide ancillary services. We also will disclose your medical information to residents and students who perform duties at Springfield Clinic, to the extent your medical information is required to perform these duties. We will disclose your medical information to employees in the medical records and transcription areas and their designees. Such that they may provide medical care management. We will also disclose your medical information to pharmacies for the purpose of filling your prescriptions, and to other service providers outside the Clinic for diagnostic purposes. We will also disclose your health information to your family members or friends who are involved in your care.

Notwithstanding the above, we will comply with the requirements of those Illinois laws that limit the use and disclosure of certain health information even with regard to treatment activities. For example, we will not use or disclose any information regarding your HIV or AIDs status, mental health or developmental disabilities information, or genetic testing results without your express authorization, except as otherwise permitted by those laws regulating the use and disclosure of such information.

We will use and disclose your health information for payment
We will disclose your health information to those family members who are helping you pay for your health care, consistent with Springfield Clinic’s Billing Policy, maintained by Patient Accounting. We will disclose your health information to employees in Patient Accounting such that they may bill you or your health plan for the treatment you receive, and to assist you in receiving reimbursement from your plan. We will also disclose your health information to such third party payers as necessary to obtain payment for your treatment. This may include employers or their designees for on-the-job injuries. As necessary, we will disclose your health information to collection agencies working with Springfield Clinic. We will disclose your medical information to those treatment providers outside the Clinic who are involved in your care, such that they may be paid for their services rendered.

We will use and disclose your health information for regular health care operations
Springfield Clinic is committed to providing quality care. For example, we will use your health information to review and assess the quality of care provided; to obtain the input of prudent professionals when developing policies and procedures; to address problems; and for investigation and communication with insurers, attorneys and other relevant parties in regard to problems and incidents. These may include government agencies that perform inspections or investigations within the Clinic, and contracted insurers who also conduct quality reviews for their insured. As an ethical business, Springfield Clinic also makes your health information available for internal review and consultations regarding its business practices, accounts receivable management, information system testing and development, and problem resolution. As an employer who values fair treatment of our employees, Springfield Clinic maintains and reports medical information for our employees regarding on-the-job injuries and family medical leaves. This information is disclosed to the insurer for coverage purposes.

We will disclose your health information to our contractors
We will disclose your health information to our “Business Associates” –those vendors with whom we contract to provide a service to the Clinic. Examples of such vendors include the copy service we may use when making copies of your health record, attorneys, auditors, certain health care providers and other agencies. When services are contracted, we may disclose your health information to our vendors such that they can perform the job we have asked them to do, and to bill for their services. To protect your health information, however, we require these vendors to appropriately safeguard your information by requiring that they enter into an appropriate agreement with the Clinic.

We may use your health information to notify you of items of interest

We may use your medical information to contact you to provide you with appointment reminders or to inform you of potential treatment options or alternatives and to inform you of health related benefits or services that may be of interest to you. Appointment reminders will be left with family members or on phone message machines.

We will disclose your health information as required by law and regulations
For example, we may disclose your health information to the FDA relative to adverse events with food or drugs. We will disclose your health information to the extent authorized by and necessary to comply with laws relating to workers compensation and similar programs established by law. We may disclose your health information to public health authorities or legal authorities charged with preventing or controlling disease, injury or disability. We may disclose information for law enforcement purposes as required by law or in response to a valid subpoena. Further, consistent with federal law, we may use or disclose your health information to an appropriate health oversight agency, public health authority or attorney, provided that a member of the Clinic’s workforce believes in good faith that the Clinic has engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more patients, workers or the public.

We may use and disclose your health information for research
Under certain circumstances, we may use and disclose medical information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another for the same condition. All research projects, however, are subject to a special approval process. This process evaluates a proposed research project and its uses of medical information, trying to balance the research needs with patients’ need for privacy of their medical information. Before we use or disclose medical information for research, the project will have been approved through this research approval process. We may, however, disclose medical information about you to employees in our Research Department, who are preparing to conduct a research project, for example, to help them look for patients with specific medical needs.

We may use and disclose your health information to avert a serious threat to health and safety
We may disclose your health information when necessary to prevent a serious threat to your health or safety or the health and safety of the public or another person. Any disclosure, however, would be only to someone able to help prevent or avert the threat.

We may use and disclose your health information in the following special situations:
Military and Veterans. If you are a member of the armed forces, we may release your health information as required by military command authorities.
Public Health Risks. We may release your health information for public health activities while State or Federal Laws require it. A few examples of such activities are disease control, child abuse or neglect, and reactions to medications or problems with products.
Protective Services for the President, National Security and Intelligence Activities. We may release your health information to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations, or for intelligence, counter intelligence and other national security activities authorized by law.
Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release your health information to the correctional institution or law enforcement official as necessary (1) for the institution to provide you with care; (2) to protect your health and safety or the health or safety of others; or (3) for the safety or security of the correctional institution.
OHCA. Springfield Clinic actively participates in an Organized Health Care Arrangement (OHCA) with Memorial Physician Services, as permitted by federal privacy laws (HIPAA). In this arrangement, the Clinic acts as the custodian of the MPS electronic medical record. Springfield Clinic may also be involved in releasing medical record information upon authorized request. However, participation in this venture should not be interpreted as Springfield Clinic bearing any legal responsibility for medical care provided by Memorial Physician Services (MPS) as those individuals are not agents or employees of Springfield Clinic.

Your Rights
While your health record is the physical property of Springfield Clinic, the information contained in your health record ultimately belongs to you.

You have the right to:
• To receive a copy of the Springfield Clinic’s Notice of Privacy Practices.
• To review your medical records and receive copies of the same.
• To request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can request that we contact you only at work or by mail. You will be notified if your request is denied.
• To request a restriction or limitation on the medical information we use or disclose for the purpose of treatment, payment or health care operations. You also have the right to request a limit on medical information we disclose about you to someone who is involved in your care, such as a family member or friend.
• To request amendments in the medical record according to established Clinic Policy and if the request for amendment is denied, to submit a written statement of the areas you feel are incorrect for inclusion in the medical record.
• To expect any amendments made to the medical record will be disseminated to anyone who received the original information.
• To request an accounting of disclosures of your health information that Clinic personnel have made in the six (6) years prior to the request date. Such an accounting will not include disclosures made by Clinic personnel to carry out treatment, payment or health care operations; to ensure national security; to comply with the authorized requests of law enforcement; or to inform you of the content of your medical records. Any accounting also will not include disclosures that you expressly authorize. The first accounting that you request within any 12-month period will be free. For additional accountings, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
• To revoke an Authorization to Release Information, except to the extent that action has already been taken in reliance of your authorization.
• To register a complaint about any areas where you feel there was a deviation from these rights to the Director of Quality Management at the Springfield Clinic and to expect a response from the Director of Quality Management addressing your complaint.
• To address your complaint to the Administrator of the Springfield Clinic, if the Director of Quality Management did not adequately address your concerns.
• To address your complaint to the Secretary of Health and Human Services of the United States, if you feel the Springfield Clinic has not adequately addressed your concerns.
• Springfield Clinic places the highest priority on protecting its patients’ medical information. We believe patients should be made aware of the uses of this information within the Clinic and of any disclosures of this information by the Clinic. For any use or disclosure of patient information other than those listed here, a specific authorization signed by the patient, the patient’s parent or guardian or the patient’s designee is required.

Our Responsibilities:
• To maintain the privacy of your health information.
• To provide you with this notice of our legal duties and privacy practices concerning your personally identifiable health
information.
• To follow the terms of the notice of privacy practices that we have in effect at the time.
• To notify you if we are unable to agree to a requested restriction or amendment.
• To accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.
• The terms of this notice apply to all records containing your identifiable health information that are created and maintained by Springfield Clinic.
• We reserve the right to revise or amend our notice of privacy practices. Any revision or amendment to this notice will be effective for all of your records Springfield Clinic has created or maintained in the past, and for any records we may create and maintain in the future. Springfield Clinic will provide a copy of our current privacy practices on the Springfield Clinic web site [www.SpringfieldClinic.com], posted in public areas of clinic locations and at the time of consent.

For further information or to report a problem:
Should you have further questions, wish to request restrictions regarding certain disclosures described in this Privacy Notice, or to make a change to your health information, please contact the Director of Health Information Management at 217.528.7541.

If you believe your privacy rights have been violated, you can file a complaint with Director of Quality Management, at 217.528.7541 or with the Secretary of Health and Human Services. Springfield Clinic will not take any retaliatory action for filing a complaint.

 

Patient Rights

Patient Rights & Responsibilites Brochure
  1. You have the right to impartial access to all treatments, or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin or religion. You will be accorded accommodation under the Americans with Disabilities Act, such as the services of an interpreter if needed.
  2. You have the right to considerate, respectful care at all times and under all circumstances with recognition of your personal dignity.
  3. You have the right to expect our staff members to display the highest regard for your privacy. You have the right to expect that all communications and records pertaining to your care are confidential.
  4. You have the right to expect reasonable safety insofar as the clinic practices and environment are concerned.
  5. You have the right to know the identity and professional status of individuals providing your service, and to know which physician or other practitioner is primarily responsible for your care. You have the right to refuse to participate in research projects or to be interviewed for such purposes. You have the right to a full explanation or purposes and uses of the information if you do participate.
  6. You have the right to obtain from your physician complete and current information concerning your diagnosis, treatment and any known prognosis. When it is not medically advisable to give such information to you, the information can be made available to a legally authorized individual.
  7. You have the right to reasonably informed participation in decisions involving your care. You should not be subjected to any procedure without your voluntary, competent, and understanding consent, or that of your legally authorized representative. Where medically significant alternatives for care or treatment exist, you should be so informed.
  8. You have the right to consult with another specialist, at your own request and expense. You have the right to end your relationship with your healthcare provider.
  9. You have the right to refuse treatment to the extent permitted by law. When refusal of treatment by you or your legally authorized representative prevents the provision of appropriate care in accordance with ethical and professional standards, your doctor may terminate the relationship with you upon reasonable notice.
  10. You have the right to request and receive an itemized, detailed explanation of your total bill.

Patient Responsibilities

  1. You are responsible to provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. You are responsible for making it known whether you clearly comprehend a contemplated course of action and what is expected of you.
  2. You are responsible for following the treatment plan recommended by your physician. This may include following the instructions of nurses and allied health personnel as they follow the orders of your physician.
  3. You are responsible for keeping appointments, and when unable to do so for any reason, to notify the doctor’s office.
  4. You are responsible for your actions if you refuse treatment or do not follow the doctor’s instructions.
  5. You are responsible for assuring that the financial obligations of your health care are fulfilled as promptly as possible.
  6. You are responsible for checking in at the reception desk upon each arrival so that the receptionist is aware of your presence.
  7. You are responsible for informing the clinic about new addresses, new telephone numbers, changes of names, or new family members as soon as possible.
  8. You are responsible for being considerate of the rights of other patients and clinic personnel and for being respectful of the property of other persons and that of the clinic.
  9. You are responsible to provide a responsible adult to transport you home from the facility and remain with you for 24 hours if required by your provider.
  10. You are responsible to inform your provider about any Advance Directive you may have that could affect your care.