Request to conduct research

Individuals can submit research applications or data requests through the processes described below. Identify which approval method to pursue by completing this online routing form. This flowchart also provides an overview of the options for accessing data and conducting research in HIDOE. There are multiple data resources that are available for public access and use.

Request to conduct research

Monitoring for compliance and other legal matters. Other types of uses and disclosures may be made for healthcare operations even if not listed above.

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Other Health Care Providers. We may also disclose your PHI to other health care providers when such PHI is required for them to treat you, receive payment for services you receive at our site, or conduct certain health care operations Other Uses and Disclosures of PHI.

In addition to payment, treatment and healthcare operations, subject to certain limitations, we may use your PHI for other purposes. The list below sets forth some examples of uses and disclosures of PHI for other purposes.

Within each category are examples of such uses or disclosures, but the examples are not intended to be inclusive of all purposes for which your PHI may be used or disclosed in each particular category. There may also be overlap among the various categories.

Disclosures to Federal or State Agencies. This practice will continue to make required disclosures to federal and state agencies, such as the Social Security Administration or state agencies for applications for federal or state benefits for care or payment for care.

Individuals Involved in Your Care. We may disclose your PHI to someone involved in your care or payment for your care, such as a spouse, family member or close friend or a person responsible for your care, such as a nurse or home healthcare worker.

We may also discuss your care with your personal representative or someone who has your healthcare power of attorney. This practice may use or disclose PHI when required by federal, state or local law to comply with mandatory reporting requirements, such as those involving births, deaths, child abuse, disease prevention and control, driving impairment, vaccine-related injuries, medical device-related deaths, gunshot wounds and other similar incidences that we are required to report.

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This practice may use or disclose your PHI in response to court or administrative proceedings if you are involved in a lawsuit or a similar matter. We may disclose your PHI in response to a discovery request, subpoena or other lawful process by another party involved in a dispute, but only if we have received satisfactory assurances that the party seeking your PHI has made a good faith effort to inform you of the request to provide you with an opportunity to object.

Public Health and Safety Matters. We may use or disclose your PHI for public health activities, including reporting communicable diseases, child abuse and neglect reports, FDA-related reports and disclosures, public health warnings to third parties regarding risk of communicable diseases or conditions, reports regarding victims of abuse, neglect or domestic violence, reports of elder abuse to the applicable governmental authority, reports of abuse of a nursing home patient to the applicable governmental authority, reports to health oversight entities such as a drug enforcement agency, reports to prevent or lessen a serious threat to safety, or compliance with judicial and administrative proceedings.

This practice may disclose your PHI for law enforcement purposes, such as compliance with legal process, search warrants, identification of crime victims, reports of death suspected to have resulted from criminal activities, information regarding crimes, emergencies, reports regarding identification of deceased patients, cause of death, providing information to funeral directors necessary to carry out their operations, information relating to threats to public safety, or specific government functions such as military and veterans activities, national security and intelligence and similar law enforcement matters.

Organ and Tissue Donation. We may use your PHI in order to facilitate organ, eye, and tissue donation and transplantation, including to those entities engaged in procuring and banking of such items.

Rothman Orthopaedic Institute may engage certain persons to perform certain of our practice functions on our behalf and we may disclose certain health information to these persons. For example, we may share certain PHI with our billing company or computer consultant in order to facilitate our healthcare operations or payment for services provided in connection with your care.

In this connection, we will require our business associates to enter into an agreement to keep your PHI confidential and to abide by the terms set forth in this privacy notice. Certain disclosures may occur incidentally.

For example, conversations regarding your medical care may be overheard by other persons or patients in the office or someone may view your name on the sign-in sheet in the waiting area. Our practice will use its best efforts to limit these disclosures, but the efficient delivery of medical care in our office setting will not permit incidental disclosures to be totally eliminated.

We may use your health information for research purposes if we have de-identified the information so that the information provided could not reasonably be associated with you.

For all other types of research, we will usually ask for your authorization before using your PHI for research purposes. However, we may use and disclose your PHI without authorization if the applicable institutional review board that oversees research involving human subjects has waived the authorization requirement.

We may use information about you to contact you in an effort to raise money for the practice and its operations. We may disclose information to a foundation related to the practice so that the foundation may contact you about raising money for the practice.

Request to conduct research

We only would release contact information, such as your name, address and phone number and the dates you received treatment or services at the practice. For all uses and disclosures that are not of the general types permitted pursuant to the terms of this privacy notice, we will obtain your written authorization to use or disclose your PHI.

In addition, the law of Pennsylvania or New Jersey, as applicable, may require your written authorization in certain circumstances. If your records are governed by Pennsylvania law, we will also obtain your authorization to the extent required by applicable law, prior to disclosing any mental health records or any HIV-related diagnosis and treatment information or drug and alcohol treatment records about you; there are certain purposes, however, for which such information may or must be disclosed without your authorization.

Any time after you have given us an authorization, you may revoke it, except to the extent that we have already relied on the authorization you have provided. You have certain rights described below with respect to your PHI.

The following will describe each of these rights and how you may exercise them: You have the right to request restrictions on uses or disclosures of your PHI to carry out treatment, payment and healthcare operations, but this practice is not required to agree to such requested restrictions except for disclosures of your PHI to a health plan, including Medicare, for payment or health care operation purposes if you have paid for the service or items out of your own pocket in full prior to any anticipated disclosure.

To request a restriction, you must submit a written request to our privacy officer. The request must state i what information you want restricted and ii to whom the restriction should apply.The Mission of the Georgia Council for the Social Studies is to advocate for, support, and celebrate the advancement of quality social studies teaching for Georgia students.

Institutional Review Board Sample Form: Permission To Conduct Study. NOTE: NOT ON NDNU LETTERHEAD. Date Mr. X Head of School or Center Address. RE: Permission to Conduct Research Study. UNT Research is published for the Office of the Vice President for Research and Innovation by the Division of University Relations, Communications and Marketing, University of North Texas.

The Rothman Institute delivers world class orthopaedic care.

Request to conduct research

Our compassionate physicians, advanced technology and modern technicques deliver results that universally exceed expectations. We support the development, submission, management and integrity of research at Ohio State.

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IRB Permission to Conduct Study | NDNU