Privacy Policy

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YOUR MEDICAL HOME
NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

YourMedicalHome, LLC, is required by law to maintain the privacy of Protected Health Information (“PHI”) and to provide you with notice of our legal duties and privacy practices with respect to PHI. References to YourMedicalHome, LLC, ‘ “we,” “us” and “our” include the employees and workforce members of YourMedicalHome, LLC, who are involved in providing and coordinating health care. We are all bound to follow the terms of this Notice of Privacy Practices (“Notice”).

PHI is information that may identify you and that relates to your past, present, or future physical or mental health or condition, the provision of healthcare products and services to you or payment for such services. This Notice describes how we may use and disclose PHI about you, as well as how you obtain access to such PHI. This Notice also describes your rights with respect to your PHI- We are required by HIPAA to provide this Notice to you.

We are required to follow the terms of this Notice or any change to it that is in effect. We reserve the right to change our practices and this Notice and to make the new Notice effective for all PHI we maintain. If we do so, the updated Notice will be posted on our website and will be available at our facilities and locations where you receive health care products and services from us. Upon request, we will provide any revised Notice to you.

How We May Use and Disclose Your PHI

The following categories describe different ways that we use and disclose your PHI. We have provided you with examples in certain categories; however, not every permissible use or disclosure will be listed in this Notice. Note that some types of PHI, such as HIV information, genetic information, alcohol and/or substance abuse records, and mental health records may be subject to special confidentiality protections under applicable state or federal law and we will abide by these special protections.

l. Uses and Disclosures Of PHI That Do Not Require Your Prior Authorization.

Except where prohibited by federal or state laws that require special privacy protections, we may use and disclose your PHI for treatment, payment and health care operations without your prior authorization as follows:

Treatment. We may use and disclose your PHI to provide and coordinate the treatment, medications and services you receive. For example, we may use your PHI to diagnose your health condition and to provide you with health care services. We may disclose your PHI to pharmacists, doctors, nurses, technicians and other personnel involved in your health care. We may also disclose your PHI with other third parties, such as hospitals, pharmacies and other health care facilities and agencies to facilitate the provision of health care services, medications, equipment and supplies you may need. This helps to coordinate your care and make sure that everyone who is involved in your care has the information that they need about you to meet your healthcare needs.

Payment. We will not use or disclose your PHI in order to obtain payment for the healthcare products and services that we provide to you and for other payment activities related to the services that we provide. For example, we will not contact your insurer, pharmacy benefit manager or other health care payor to determine whether it will pay for healthcare products and services you need.

Health Care Operations. We may use and disclose your PHI for our health care operations. Health care operations are activities necessary for us to operate our healthcare business. For example, we may use your PHI to monitor the performance of the health care providers and staff providing treatment to you. We may use your PHI as part of our efforts to continually improve the quality and effectiveness of the healthcare products and services we provide. We may also analyze PHI to improve the quality and efficiency of healthcare, for example, to assess and improve outcomes for healthcare conditions. We may disclose your PHI to other HIPAA covered entities that have provided services to you so that they can improve the quality and effectiveness of the health care services that they provide. We may use your PHI to create de-identified data, which is stripped of your identifiable data and no longer identifies you.

We may also use and disclose your PHI without your prior authorization for the following purposes:

Business Associates. We may contract with third parties to perform certain services for us, such as billing services, copy services or consulting services. These third party service providers, referred to as Business Associates, may need to access your PHI to perform services for us. They are required by contract and law to protect your PHI and only use and disclose it as necessary to perform their services for us.

To Communicate with Individuals Involved in Your Care or Payment for Your Care. We may disclose to a family member, other relatives, close personal friend or any other person you identify PHI directly relevant to that person’s involvement in your care or payment related to your care. Additionally, we may disclose PHI to your “personal representative.” If a person has the authority by law to make health care decisions for you, we will generally regard that person as your “personal representative” and treat him or her the same way we would treat you with respect to your PHI.

Food and Drug Administration (“FDA”). We may disclose to persons under the jurisdiction of the FDA, PHI relative to adverse events with respect to drugs, foods, supplements, products and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacement.

Worker’s Compensation. To the extent necessary to comply with the law, we may disclose your PHI compensation or other similar programs established by law.

Public Health. We may disclose your PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability, including the FDA. In certain circumstances, we may also report work-related illnesses and injuries to employers for workplace safety purposes.

Law Enforcement. We may disclose your PHI for law enforcement purposes as required or permitted by law – for example, in response to a subpoena or court order, in response to a request from law enforcement, and to report limited information in certain circumstances.

As Required by Law. We will disclose your PHI when required to do so by federal, state or local law.

Health Oversight Activities. We may disclose your PHI to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and credentialing, as necessary for licensure and for the government to monitor the health care system, government programs and compliance with civil rights laws.

Judicial and Administrative Proceedings. If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose your PHI in response to a subpoena, discovery request, or other lawful process instituted by someone else involved in the dispute, but only if efforts have been made, either by the requesting party or us, to first tell you about the request or to obtain an order protecting the information requested.

Research. We may use your PHI to conduct research and we may disclose your PHI to researchers as authorized by law. For example, we may use or disclose your PHI 35 part of a research study when the research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information.

Coroners, Medical Examiners, and Funeral Directors. We may release your PHI to coroners or medical examiners so that they can carry out their duties. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to enable them to carry out their duties.

Organ or Tissue Procurement Organizations. Consistent with applicable law, we may disclose your PHI to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.

Notification. We may use or disclose your PHI to notify or assist in notifying a family member, personal representative, or another person responsible for your care, regarding your location and general condition.

Disaster Relief. We may use and disclose your PHI to organizations for purposes of disaster relief efforts.

Fundraising. As permitted by applicable law, we may contact you to provide you with information about our fundraising programs. You have the right to “opt out” of receiving these communications and such fundraising materials. We will explain how you may request to opt out of future communications if you do not want us to contact you further for fundraising efforts.

Correctional Institution. If you are or become an inmate of a correctional institution, we may disclose to the institution, or its agents, PHI necessary for your health and the health and safety of other individuals.

To Avert a Serious Threat to Health or Safety. We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Military and Veterans. If you are a member of the armed forces, we may release PHI about you as required by military command authorities. We may also release PHI about foreign military personnel to the appropriate foreign military authority.

National Security, Intelligence Activities, and Protective Services for the President and Others. We may release PHI about you to federal officials for intelligence, counter intelligence, protection of the President, and other national security activities authorized by law.

Victims of Abuse or Neglect. We may disclose PHI about you to a government authority if we reasonably believe you are a victim of abuse or neglect. We will only disclose this type of information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else.

II. Uses and Disclosures of PHI that Require Your Prior Authorization.

Specific Uses or Disclosures Requiring Authorization. We will obtain your written authorization for the use or disclosure of psychotherapy notes, use or disclosure of PHI for marketing, and for the sale of PHI, except in limited circumstances where applicable law allows such uses or disclosure without your authorization.

Other Uses and Disclosures. We will obtain your written authorization before using or disclosing your PHI for purposes other than those described in this Notice or otherwise permitted by law. You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your PHI, except to the extent that we have already taken action in reliance on the authorization.

Your Health Information Rights:

Obtain a paper copy of the Notice upon request. You may request a copy of our current Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy. You may obtain a paper copy at the site where you obtain health care services from us or by contacting our office.

Request a restriction on certain uses and disclosures of PHI. You have the right to request additional restrictions on our use or disclosure of your PHI by sending a written request lo our office. We are not required to agree to the restrictions, except in the case where the disclosure is to a health plan for purposes of carrying out payment or health care operations, is not otherwise required by law, and the PHI pertains solely to a health care item or service for which you, or a person on your behalf, has paid in full.

Inspect and obtain a copy of PHI. With a few exceptions, you have the right to access and obtain a copy of the PHI that we maintain about you. If we maintain an electronic health record containing your PHI, you have the right to request to obtain the PHI in an electronic format. To inspect or obtain a copy of your PHI, you must send a written request to our office. You may ask us to send a copy of your PHI to other individuals or entities that you designate. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to your PHI, you may request that the denial be reviewed.

Request an amendment of PHI. If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. To request an amendment, you must send a written request to our office. You must include a reason that supports your request. If we deny your request for an amendment, we will provide you with a written explanation of why we denied it.

Receive an accounting of disclosures of PHI. With the exception of certain disclosures, you have a right to receive a list of the disclosures we have made of your PHI, in the six years prior to the date of your request, to individuals or entities other than you. To request an accounting, you must submit a request in writing to our office. Your request must specify a time period.

Request communications of PHI by alternative means or at alternative locations. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. For instance, you may request that we contact you at a different residence or post office box, or via e-mail or other electronic means. Please note if you choose to receive communications from us via e-mail or other electronic means, those may not be a secure means of communication and your PHI that may be contained in our e-mails to you will not be encrypted. This means that there is a risk that your PHI in the e-mails may be intercepted and read by, or disclosed to, unauthorized third parties. To request confidential communication of your PHI, you must submit a request in writing to our office. Your request must tell us how or where you would like to be contacted. We will accommodate all reasonable requests. However, if we are unable to contact you using the ways or locations you have requested, we may contact you using the information we have.

Notification of a Breach. You have a right to be notified following a breach of your unsecured PHI, and we will notify you in accordance with applicable law.

Where to obtain forms for submitting written requests. You may obtain forms for submitting written requests by contacting our office at YourMedicalHome, LLC – 21 Hampton Rd, Suite 201, Exeter, NH 03833 Phone: 603-418-6310

For More Information or to Report a Problem

If you have questions or would like additional information about our privacy practices, you may contact our office. If you believe your privacy rights have been violated, you can file a complaint with our office or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

Effective Date

This Notice is effective as of December 27, 2016.

Your Medical Home

21 Hampton Road, Building 2, Suite 201 Exeter, NH. 03833

Phone: 603.418.6310
Fax: 603.418.6311

Office Hours
Monday - Friday, 8:30am - 5:00pm

Jim, born and raised on Cape Cod, attended the University of Massachusetts School of Medicine after graduating Phi Beta Kappa from the University of Vermont.  He completed his Family Practice Residency in Baltimore, Maryland in 1990, serving as Chief Resident during this third year.  After enjoying private practice for 5 years, he was one of the first Physicians to form CORE Health Services, a large, multispecialty group, serving on their Board of Directors.   After 10 years as an employed Physician, he established YourMedicalHome as an independent, Primary Care Practice, with a vision of the Patient Centered Model of Care.  He maintains privileges at Exeter Hospital, and has served on Medical Staff Leadership of that institution.

Various experiences, including involvement with the Institute for Healthcare Improvement, the Ideal Medical Practices Collaborative, the Dartmouth Cooperative Research Network as well as practicing in a number of different Primary Care Models has provided Jim with a unique perspective into what works, and what does not work, in the Primary Care Setting.  He has found the smaller practice model to be an ideal way to bring innovation in care delivery quickly to where it matters most, the patient.  This can be as simple as a phone system that allows all (including Physicians) to answer the phone, to patient direct online scheduling, to the encouragement of email communication, or to something as ‘old fashioned’ as regularly performing house calls.

Jim believes that excellent and timely communication, easy access and continuity of care are absolutely critical to the care we provide, and believes that all we do should augment these goals.  He enjoys speaking about any issue involving the practice of medicine and greatly enjoys the long term relationships with the patients of the practice, realizing that these insights can be very important in the provision of the care they need, and want.

You may see him jogging, biking or rowing around the Seacoast.  He is married to Casey (see below) and lives in Exeter with Casey and their four children, two girls followed by two boys.

Kareen is an Osteopathic Physician. Growing up in a family of ten children in suburban Boston, she knew that she wanted to be a “Family Doc” since the age of eight. Her background training includes an undergraduate degree in Biology from Saint Michael’s College in Vermont, and a Doctor of Osteopathic Medicine from the University of New England in Maine.  For over 20 years, she has been committed to helping patients achieve better health. Kareen believes that being healthy is a partnership between eh patient and the physician, and is committed to helping guide her patients to a healthier life.  Kareen is passionately interested in preventative care, fitness, exercise and other lifestyle choices that patient make to deal with stresses that contribute to so many illnesses.  She is quick to prescribe lifestyle changes and exercise, and is slower to suggest “fix-it pharmaceuticals” which often only treat symptoms, not their underlying causes.  She has been involved with the developing science of Resiliency Training through the University of Pennsylvania, helping teach these techniques to those in the military.

Kareen lives on the Seacoast of New Hampshire with her husband of over twenty years, Peter.  They are avid cruising sailors, and have cruised from Newfoundland and Labrador, through the coast of Maine, the Caribbean, in Ireland and England, and the South Pacific.  Kareen is committed to physical fitness, particularly enjoys being with her large extended family, reading, photography, travel, amateur woodworking and loves old quilts. Kareen sees patients in the office a couple of days per week, and makes house calls when necessary.  When not in the office, you’ll often find her somewhere on the water!

Casey, a Pediatric Nurse Practitioner, was born and raised near Washington DC.  She received her Bachelors of Science in Nursing from Fitchburg State College, graduating Magna Cum Laude.  She earned her Masters in Nursing from the University of Maryland while working at Children's Hospital National Medical Center in Washington, DC. Casey has more than 20 years of experience caring for children in the outpatient setting.  This experience, coupled with raising four children of her own, gives Casey ample perspective and empathy, with regards to the unique needs of our pediatric patients and their families.

Casey is married to the ‘other’ Bloomer in the practice and enjoys her large extended family, being the 9th of 10 children.  You might also see her running around town, literally. She values spending ample time with all families to address whatever issues might arise.

Susan, a Family Nurse Practitioner, graduated with a Bachelor of Science in Nursing from UMASS, Lowell in 1979. She enjoyed working in a variety of settings including the Greater Lawrence VNA, and during the early 1980s was thrilled to be involved in the planning and development of the hospice program for that organization. While working and raising her children, Sue went back to UMASS to obtain her Masters Degree in Nursing. She has had the pleasure of working for the past 16 years in Family Practice with Michael Lannon, MD, until his retirement in August 2010. She has learned so much over the past 30 years of nursing practice, both from her coworkers and particularly from her patients. Sue believes that listening is crucial to helping people. Sue is very excited to have the opportunity to begin a new chapter here with Jim and his staff – and looks forward to meeting with patients and their families, listening to their concerns and working with them to develop a plan of care to optimize their health. Sue lives on the Seacoast with Tom, her husband of 28 years. They have three grown children and an overgrown Westie. She enjoys being outdoors, walking, hiking, XC-skiing and spending time with her family.

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