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Disclaimer

The information contained in this website is for general information purposes only. The information is provided by St. Liz HOSPICE, and while we make an effort to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability, or availability with respect to the website or the information, products, services, or related graphics contained in it for any purpose. Any reference or dependence you apply on such information is expressly at your own risk and your own decision.

In no event will St. Liz HOSPICE be held liable for any loss or damage including without limitation, indirect or consequential loss or damage, or any loss or damage whatsoever arising from loss of data or profits arising out of, or in connection with, the use of the website and the information contained herein.

Outbound Links

Through the St. Liz HOSPICE website, you can link to other websites which are not under the control of St. Liz HOSPICE. We have no control over the nature, content, and availability of outbound third-party websites. The inclusion of any links does not necessarily imply a recommendation or endorsement of the views expressed within them. St. Liz HOSPICE remains independent from third-party website links.

Access to the Website

St. Liz HOSPICE will strive to keep the website up and running continually for your access. However, St. Liz HOSPICE will take no responsibility for, and will not be liable for, the website being temporarily unavailable due to technical issues outside of our control.

Copyright

The copyright of this website and its contents belong to St. Liz HOSPICE. Any form of redistribution or reproduction of part or the entirety of the contents is prohibited except for:

  • Printing or Downloading to a local hard disk for personal or non-commercial use
  • Copying the content to individual third parties for their personal use, provided that you acknowledge the website as the source of the material

Unless there is express written permission from St. Liz HOSPICE to distribute or commercially exploit the content, you may not reproduce the contents from this website.

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Terms of Use & Privacy Policy

This privacy policy sets out how St. Liz HOSPICE uses and protects any information you give to St. Liz HOSPICE via the website’s online forms. St. Liz HOSPICE is committed to ensuring that your privacy is protected and preserved.

When you are asked to provide certain information by which you can be identified, rest assured that such information will only be used in accordance with this privacy statement. St. Liz HOSPICE may change this policy from time to time by updating this webpage. It is your responsibility to check this page from time to time to ensure that you are happy with any changes. This policy is effective as of January 9, 2023.

Information You Provide to St. Liz HOSPICE

On our online forms, we may collect the following information:

  • name or name of your client
  • mailing/delivery address
  • contact information
  • email address
  • telephone number

The information collected will help St. Liz HOSPICE fulfill the services that are due to you. We also collect information through the website for the following purposes:

  • Internal Record Keeping
  • Client/Customer Feedback to improve services and/or products
  • Promotional emails about our services, special offers, or other information which you may find interesting using the email address that you have provided to us
  • To contact you for market research purposes

Security of Information

We are committed to ensuring that the information you submitted to St. Liz HOSPICE is secure. To prevent unauthorized access or disclosure, we have put in place suitable physical, electronic, and managerial measures to secure the information we collect online.

The Use of Cookies

A cookie is a small file that asks permission to be placed on your computer's hard drive. With your permission on our browser settings, the file is added and the cookie helps analyze web traffic or lets you know when you visit a particular site. Cookies allow web applications to respond to you as an individual. The web application can tailor its operations to your needs, likes, and dislikes by gathering and remembering information about your preferences.

We use traffic log cookies to identify which pages are being used as this helps St. Liz HOSPICE analyze data about web page traffic which will be used to improve our website in fulfilling customer needs. We only use this information for statistical analysis purposes and then the data is subsequently removed from the system.

Please note that a cookie will NOT give us access to your computer or any information about you, other than the data you choose to share with us through the St. Liz HOSPICE website.

You can choose to accept or decline cookies. Most web browsers automatically accept cookies, but you can modify your browser settings to decline cookies once you access certain websites. Be advised that when you do decline cookies, it may prevent you from taking full advantage of the website features.

Links to other websites

Through the St. Liz HOSPICE website, you can link to other websites which are not under the control of St. Liz HOSPICE. We have no control over the nature, content, and availability of outbound third-party websites. The inclusion of any links does not necessarily imply a recommendation or endorsement of the views expressed within them. St. Liz HOSPICE remains independent from third-party website links.

Security of Your Personal Information

St. Liz HOSPICE will not sell, distribute or forward your personal information to third parties unless we have your express and written permission or are required by law to disclose your information.

You may request details of personal information which we currently hold under the Data Protection Act of 1998. Requesting this information will require a small fee. If you would like a copy of the information we have on you, please contact us.

If you find that any information we are currently holding on you is incorrect or incomplete, please advise us of the corrections accordingly.

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Notice of Nondiscrimination & Communication Assistance

St. Liz HOSPICE complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). St. Liz HOSPICE does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity).

St. Liz HOSPICE:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages
  • If you need these services, don’t hesitate to contact us.

If you believe that St. Liz HOSPICE has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity), you can file a grievance with:

St. Liz HOSPICE

1910 W Sunset Blvd., Ste. 420, Los Angeles, CA 90026

213-365-6499

888-415-5250

contact.admin@stlizhospice.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, St. Liz HOSPICE is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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Hospice Patient's Rights & Responsibilities

As a patient who receives hospice care, you have the right to:

  • Receive hospice services appropriate to your needs and provided by well-trained, experienced, and professionally licensed people to deliver such care.
  • Receive effective pain management and symptom control from the hospice agency for conditions related to terminal illness.
  • Be involved in developing their hospice plan of care.
  • Refuse care or treatment and be advised on the likely effect of refusing such care or treatment.
  • Be informed in advance about the medications, drugs provided to the patient, including the possible effects and reactions when taken by the patient.
  • Choose their attending physician;
  • Have a confidential clinical record kept securely in conformity with several federal and state privacy laws and regulations.
  • Have access to their confidential clinical record, except those required by law to be kept confidential, even to the patient.
  • Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source and misappropriation of patient property;
  • Receive information about the services covered under the Medicare hospice benefit, the levels of care, equipment, drugs, and supplies provided.
  • Receive information about the scope of services that the hospice will provide and specific limitations.
  • Be informed in advance about the proposed care or services to be furnished, plan of care, expected outcomes, barrier to treatment, and any changes.
  • Be informed in advance about possible financial responsibility, liability, co-payments, out-of-pocket costs, and expenses from Medicare, Medi-Cal, Private Health plans, etc., before providing the appropriate hospice services.
  • Receive information and advice about Advance Directives, their purposes, and uses.
  • Be respected and should be able to voice grievances and not be subjected to any discrimination or reprisal regardless of age, sex, color, creed, sexual orientation, disabilities, religious beliefs, socio-economic status, educational attainment, etc.
  • Have your grievances, concerns, and complaints heard by reporting them to the hospice organization's Administrator, Compliance Officer, or other organizations outside the hospice agency, which is: The Joint Commission, State Home Health Agency Hotline, with the following phone numbers:
  • St. Liz Hospice

    (562) 882-8984 Administrator

    (213) 365-6499 Compliance Officer

    (800) 994-6610 The Joint Commission Complaint Hotline

    State Home Health Agency Hotlines

    (213) 351-8371 LA and Riverside County

    (800) 228-5234 Orange County

    (800) 344-2896 San Bernardino County

    (800) 824-0613 San Diego County

  • Be informed and advised of the phone number of the Department of Public Health Services - Health Facilities Inspection Division South Support, developed to receive complaints and answer questions about local hospice agencies. The address and number are:
  • Health Facilities Inspection Division

    Home Health/Hospice/CLHF - South Unit

    600 Commonwealth Avenue, Suite 903

    Los Angeles, CA 90005

    (213) 351-837

As a patient who receives hospice care, you have the responsibility to:

  • Remain under a doctor's care while receiving hospice services.
  • Participate in the development and update of your plan of care.
  • Accept the consequences for any refusal of treatment or choice of non-compliance.
  • Provide a safe home environment in which your care is given.
  • Cooperate with your doctor, hospice staff, and other caregiver.
  • Treat hospice personnel with respect and consideration.
  • Advise the hospice of any problems or dissatisfaction with our care without being subject to discrimination or reprisal.
  • Request further information concerning anything you do not understand.
  • Provide the hospice with all requested insurance and financial records.
  • Notify the hospice when unable to keep appointments.
  • Provide a copy of an advanced directive if one exists.
  • Notify the hospice as soon as possible such as the sudden change in the patient's condition.
  • Obtain medications, supplies, and equipment ordered by a physician if they cannot be obtained or supplied by the hospice.

HOSPICE MEDICARE CONDITIONS OF PARTICIPATION STATE THAT "THE PATIENT HAS THE RIGHT TO BE INFORMED OF HIS OR HER RIGHTS, AND THE HOSPICE MUST PROTECT AND PROMOTE THE EXERCISE OF THESE RIGHTS." (CFR 418.52)

THIS DOCUMENT SERVES AS THE NOTICE OF PATIENT RIGHTS AND RESPONSIBILITIES. IT DESCRIBES HOW ST. LIZ HOSPICE. PROTECTS AND PROMOTES HOSPICE PATIENT RIGHTS AND RESPONSIBILITIES. PLEASE READ THEM CAREFULLY.

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Notice of Privacy Practices

Introduction

St. Liz Hospice (referred to in this Notice as "We" or the "Agency") is committed to safeguarding the Privacy and Security of your Protected Health Information ("PHI"). We have adopted policies consistent with HIPAA's Privacy and Security laws, as amended by HITECH and the Omnibus regulations ("HIPAA Standards"), to protect the use and disclosure of your PHI.

Use means accessing, sharing, employing, applying, utilizing, examining, or analyzing your PHI within the Agency. Disclosure means our releasing, transferring, providing access to, or divulging in any other manner your PHI to a third party outside of the Agency.

Please read this Notice, available in paper form, and also posted on our website. Not every use or disclosure of PHI, with or without authorization, may be listed in this Notice. Generally, uses or disclosures not specified in this Notice require authorization. We encourage you to share this Notice with your family or Personal Representative. If you have any questions, please call our HIPAA Privacy Officer at (213) 365-6499.

Use and Disclose of PHI

We will create, receive, or access your PHI, which we may use or disclose to other Covered Entities and their Business Associates for treatment, payment, and healthcare operations, without your need to sign an authorization.

Treatment - we will use your PHI to coordinate care within the Agency and disclose PHI to coordinate care outside of the Agency by health care professionals involved in your care. For example, physicians involved in your care will need information about your symptoms to prescribe appropriate medications. Other healthcare providers involved in your care include (but are not limited to) hospitals, pharmacists, and durable medical equipment suppliers. We may disclose medical information about you with family members, Personal Representatives, or others actively assisting you unless you request restrictions.

Payment - we will use and disclose PHI when checking with your health plan or third-party payer about eligibility, coverage, pre-certification, or when billing and submitting claims for payment of treatment we provided. For example, your health insurer may ask us to provide information regarding your healthcare status so that it reimburses you or the Agency. We also may need to obtain prior approval from your insurer and explain your need for home care and the services. We will provide it to you. You may ask us not to submit a claim containing certain PHI to your health plan or a third-party payer. We will honor your request if you pay your claim out-of-pocket in full. HIPAA permits us to disclose information to collection agencies if you do not pay your bill.

Health Care Operations - we may use and disclose PHI for our operations to facilitate the function of the Agency necessary to provide quality care to our patients. Healthcare operations include quality assessment and improvement activities, activities to improve health and reduce costs, protocol development, case management and coordination, preventive services, peer review, training activities, risk management, compliance, legal and accounting services, licensing, accreditation, certification, business management, and planning. For example, we may use health information to evaluate staff performance.

Business Associates - we may contract with outside persons or entities called Business Associates who may access, receive, create, use, or disclose PHI to perform services for us. Business Associates, including their agents and subcontractors, must protect the privacy and security of your PHI to the same extent we do. Minimum Necessary - except when PHI is used or disclosed for treatment. We will limit the use or disclosure of your PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request of PHI.

Communicating With You, Your Family, and Representative

Communicating with You - we may contact you for scheduling or reminding you of appointments and home visits. We or one of our Business Associates may also contact you about treatment and education alternatives and options, programs, and services that may interest you. If you do not want to be contacted, you may opt out by calling our HIPAA Privacy Officer at (213) 365-6499. If you opt-out, we will not contact you further. Opting out will not affect any care, treatment, or services we provide to you. We will not sell your PHI to third parties for marketing.

Fundraising and Marketing Activities - we may contact you about fundraising or other marketing activities. If you do not want to be contacted or receive fundraising/marketing materials, you may opt-out by contacting our HIPAA Privacy Officer at (213) 365-6499. Opting out will not affect any care, treatment, or services we provide to you.

You May Request That We Contact You by Alternate Means - you may request us to contact you by alternate means or at a different telephone number, address, or email address from what you usually utilize. Let us know if you do not want us to send information to you at your home address or a particular email address, call you at home, or leave a message. You do not have to explain the reason for your request.

Family Members - most patients allow us to discuss their PHI with family members, guardians, persons named in a health care power of attorney or advanced directive (living will), Personal Representatives, or others assisting in your care or helping you with your medical bills. It may include discussing or answering questions a family member (spouse, adult children, parents, guardians, or Personal Representatives) may have about your condition, treatment, medication, refills, or appointments. It also may include answering questions about your bill. We will assume that you will permit us to talk with family members and those assisting you unless you direct us not to. We will communicate with family members or others involved in your care in emergencies or if required by the Law.

Deceased Patients - we may disclose the PHI of deceased patients to the probate court's appointed Executor or Administrator of the deceased patient's estate. We also may disclose PHI to the patient's spouse, family, Personal Representative, or others involved in the patient's care or management of the patient's affairs unless doing so is inconsistent with the patient's expressed wishes known to us. We may disclose the PHI of any deceased patient without authorization after 50 years.

Use and Disclosure of PHI by Authorization

We will not use or disclose your PHI for any purpose other than treatment, payment, or health care operations without your signed authorization except as stated in this Notice or otherwise required by Law. We will not condition your treatment on your signing an authorization. We will not disclose psychotherapy notes without a signed authorization unless required by Law. We will not release medical records if we are subpoenaed unless you sign an authorization or the lawyers signs a qualified protective order, or if we receive a court or administrative order. You may authorize us to disclose PHI to persons not covered entities or Business Associates under HIPAA. Once that information is disclosed to a non-covered person, HIPAA no longer applies. A person or entity not covered by HIPAA may use or re-disclose medical information it receives in any way that is not prohibited by Law.

You may cancel your authorization in writing at any time by notifying us in person or faxing us the written cancellation at (888) 415-5250. Once We receive your written cancellation, we will no longer disclose your PHI. We are not responsible for any use or disclosure of PHI according to the authorization before we receive your written cancellation.

Use and Disclosure of PHI When Permitted or Required by Law

We may use or disclose PHI without authorization, as permitted or required by law, including the following:

Public Health Agencies - State law may require us to disclose PHI to public health agencies for reporting births and deaths to help control disease, injury, or disability. The law requires us to report suspected abuse, neglect, or domestic violence cases. Health Oversight and Regulatory Agencies - we will disclose PHI to certain state and federal governmental regulatory and health oversight agencies for reviewing health care systems, civil rights, privacy laws, and compliance with other governmental programs' purposes.

National and Homeland Security - we will disclose information concerning patients to authorized federal officials for intelligence and other National and Homeland Security purposes.

Protective Services for the President and Others - we may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state and officials or conduct special investigations.

Military - we may disclose PHI to the Armed Forces to assist in notifying the patient's family member of their location, general condition, or death.

Coroners, Medical Examiners, and Funeral Directors - we may disclose PHI to coroners, medical examiners, or funeral directors for them to perform legally authorized responsibilities.

Law Enforcement - we may disclose PHI to law enforcement officials when it: (1) is limited to identification purposes; (2) applies to victims of crime; (3) involves a suspicion that injury or death has occurred because of criminal conduct; (4) is needed in a criminal investigation; (5) necessary to prevent or lessen the threat to the health or safety of a person or the public; (6) in response to a valid court order; (7) to identify or locate a suspect, fugitive or missing person; (8) to report a crime on Agency premises; or (9) is required by law.

Emergency or Disaster - if the President declares an emergency or disaster, and the Secretary of HHS declares a public health emergency, the Secretary may waive our obligation to comply with any or all of the following privacy requirements to (1) obtain the patient's agreement to speak to family members or friends involved in the patient's care; (2) distribute a Notice; (3) honor a patient's right to request privacy restrictions; or (4) honor the patient's right to request confidential communications. The waiver only applies if the Agency is in the emergency area for the emergency period and up to 72 hours until the Agency implements its disaster protocol.

Prevent Threat of Serious Harm - we may disclose PHI if a reasonable belief exists that it may prevent or lessen a serious and imminent threat to the health or safety of you, another person, or the public, and disclosure is made to a person(s) reasonably able to prevent or lessen the threat, including the target of the threat.

Organ and Tissue Donation - if you are an organ or tissue donor, We may disclose medical information to the organizations that handle: (1) organ procurement; (2) organ, eye, or tissue transplantation; or (3) an organ donation bank, as applicable, to facilitate organ or tissue donation and transplantation.

Workers' Compensation - State law permits us to disclose health information, without a separate authorization, when an employee files a Workers' Compensation claim or seeks benefits for work-related injuries or illnesses

Right to Receive a Paper Copy of This Notice

You or your Personal Representative have a right to a separate paper copy of this Notice at any time, even if you or your representative have received this Notice previously. To obtain a separate paper copy, please contact the HIPAA Privacy Officer at (213) 365-6499.

Rights to Request Restrictions on Certain Uses and Disclosures of PHI

You may request that we do not disclose certain PHI to family members, Personal Representatives, friends, or others. HIPAA's Privacy Rule gives us the ability to deny a patient's request to restrict the use or disclosure of PHI when it is being used or disclosure to other covered entities for treatment purposes.

We will honor your request to restrict the use or disclosure of PHI when submitting a claim to insurance or health plan for reimbursement if you agree in writing to pay out-of-pocket the claim in full. We will consider all other requests for restricted use or disclosure of PHI on a case-by-case basis. If we cannot accommodate your request, we will let you know.

Right to Access, Inspect, and Receive a Copy of Your Own PHI

Generally, you have the right to inspect and have a copy of your own PHI in Agency records. There are exceptions. You may not have the right to inspect or copy psychotherapy notes or information compiled for civil, criminal, or administrative proceedings. Your right may not extend to information covered by other laws or information obtained from someone other than another health care provider. We may deny access if, in our judgment, seeing that information could endanger the life or safety of you or another. We may charge you at the rate the law permits for copying records.

You may request access to your PHI in writing and giving or sending it to us. We will consider all requests according to our legal responsibilities under the Privacy Rule.

We usually will respond within 30 days from when we receive the request. Sometimes, it may take more than 30 days in which case we will act as soon as reasonably practical. If we grant your request, we will set an appointment to inspect your PHI.

If you request access to PHI maintained in an electronic record, we will provide an electronic "machine-readable copy" in a standard format enabling the ePHI to be processed and analyzed by a computer to accommodate individual requests for specific formats.

Alternatively, you may ask for a written summary of your health information instead of inspecting or copying your records. We may charge you for the summary. If we are unable to grant your request, we will notify you in writing of the basis for the denial and your rights for review.

Right to Amend Incorrect or Incomplete Facts in Your PHI

You may request that incorrect or incomplete PHI in your record be amended by mailing your written request to us at 1910 W Sunset Blvd., Ste 420, Los Angeles, CA 90026. We will timely respond to your request. We will grant your request if PHI that We created is incorrect or incomplete. We will not amend your health information if it was not created by us if it would not be available for you to inspect, or if the information is accurate and complete.

If we grant your request, we will amend the PHI. We will inform you that we have made the amendment and will inform persons who have received and may have relied on PHI that it has been amended.

If we deny your request, we will: (1) tell you in writing the reason for denial; (2) inform you of your right to submit a written statement of disagreement, which we will keep with your record and will include with future disclosures; and (3) inform you of your right to file a complaint.

If you file a statement of disagreement, we may prepare a written rebuttal. If you have questions about this right, please contact our HIPAA Privacy Officer at (213) 365-6499.

Right to Receive an Accounting of Disclosures of PHI

You have a right to receive an accounting of disclosures. We have made to others of your PHI up to six (6) years before the date on which the request for an accounting is made. There are certain exceptions and limitations, including but not limited to disclosures made: (1) for treatment, payment, or health care operations; (2) to the Individual (or Personal Representative) of his or her own PHI; and (3) according to a signed authorization.

You may request an accounting of disclosures by contacting our HIPAA Privacy Officer at (213) 365-6499. The first accounting you request within 12 months will be free. We may charge you for the cost of preparing the list for additional accountings.

Right to Receive a Breach Notification

We will promptly notify you by first-class mail at your last known address if we discover a breach of unsecured PHI, which includes the unauthorized acquisition, access, use, or disclosure of your PHI unless we determine by risk assessment that a low probability exists that the compromise of your PHI would cause you financial, reputational, or other harm.

We will include in the breach notification a brief description of what happened, a description of the types of unsecured PHI involved, steps you should take to protect yourself from potential harm, a brief description of what we are doing to investigate the breach and mitigate potential harm as well as contact information for you to ask questions and learn additional information.

Concern and Complaint Resolution

We are committed to protecting your PHI. Despite our best efforts, questions, concerns, or problems may arise. If you have a concern or believe your privacy rights have been violated or breached, we encourage you to contact us immediately. You may send us a written complaint or call our HIPAA Privacy Officer at (213) 365-6499.

We take all concerns and complaints very seriously and will investigate each promptly. If we made a mistake or learn of unauthorized disclosure or breach, we will do what we can to correct it and take steps to prevent mistakes or problems in the future. If we did not make a mistake, we will provide you with an explanation. We will make every effort to get back to you within 30 days.

We will never retaliate against you or your Personal Representative for expressing a concern or filing a complaint relating to your privacy rights. If you are not satisfied with our response or want to contact the Office for Civil Rights for the Department of Health and Human Services in Washington, D.C. without contacting us first, you must do so in writing within 180 days of the suspected violation or breach.

Changes to This Notification, Effective Date, Contact Person

We reserve the right to change this Notice at any time, which we may make effective for PHI, and we already used or disclosed any PHI. We may create, receive, use, or disclose in the future. We will make material amendments based on changes in the HIPAA laws. We will post a current version of our Notice of Privacy Practices (with the effective date) on our website www.stlizhospice.com, or at the Agency. We will offer you a copy of our most current Notice whenever you are accepted for treatment.

The original Notice of Privacy Practices was effective April 14, 2003. The amended Notice of Privacy Practices was effective September 23, 2013. The Agency has designated the HIPAA Privacy Officer as its contact person for all issues regarding patient privacy and your rights under the Federal privacy standards. You may contact this person at 1910 W Sunset Blvd., Ste. 420, Los Angeles, CA 90026, or call (213) 365-6499.

AN INTRODUCTION

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