Rights & Privacy

Compliance & confidentiality

At Arundel Lodge, we are committed to providing ethical, high-quality care while maintaining compliance with all federal and state regulations. Our Compliance Program is designed to help prevent, detect, and address fraud, abuse, errors, and violations of company policy. We maintain internal controls and oversight processes that support accountability, integrity, and adherence to healthcare laws, insurance requirements, and professional standards.

Anonymous Compliance Reporting

As part of our commitment to transparency and ethical practices, Arundel Lodge offers an anonymous reporting hotline through Lighthouse Services. This service is available to employees, clients, families, and community members who wish to report concerns confidentially.

Reports may include concerns related to:

• Fraud or abuse
• Conflicts of interest
• Violations of laws or company policies
• Discrimination or harassment
• Ethical concerns
• Theft or misuse of resources
• Quality of care or service concerns
• Internal control or operational issues

Reporting services are available 24 hours a day, 7 days a week.

Phone Reporting

• English: (855) 400-6002
• Spanish: (800) 216-1288

Online Reporting
Lighthouse Services Reporting Portal (opens external site)

Email Reporting
reports@lighthouse-services.com
(Please include “Arundel Lodge” in the report.)

Fax Reporting
(215) 689-3885
(Please include “Arundel Lodge” in the report.)

Complaints & Concerns

If you believe your privacy rights have been violated, or if you disagree with a decision regarding access to your records, you have the right to file a complaint. Concerns may also be submitted directly to the U.S. Department of Health and Human Services.

For questions, concerns, or complaints, please contact:

Human Resources
Arundel Lodge, Inc.
2600 Solomons Island Road
Edgewater, MD 21037
443-433-5900, then press 5

Your Right to Confidentiality

Arundel Lodge takes your privacy and confidentiality seriously. We follow strict federal and Maryland state regulations regarding the protection and release of medical records and protected health information (PHI).

Under the Health Insurance Portability and Accountability Act (HIPAA), your health information is protected and may not be used or disclosed without your authorization except in specific situations permitted or required by law.

Examples include:

• Situations involving abuse, neglect, or safety concerns
• Coordination of treatment and care
• Billing and payment processing
• Healthcare operations and quality improvement activities

These protections are designed to safeguard your personal information while ensuring access to quality healthcare services.

You may request a copy of our Notice of Privacy Practices at any time.

For additional information regarding privacy practices or confidentiality concerns, please contact:

Human Resources
Arundel Lodge, Inc. 2600 Solomons Island Road
Edgewater, MD 21037
443-433-5900, then press 5

USDA Nondiscrimination Statement

Arundel Lodge complies with all applicable federal civil rights laws and U.S. Department of Agriculture (USDA) regulations and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, sexual orientation, or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Individuals with disabilities who require alternative methods of communication to access program information — such as Braille, large print, audiotape, or American Sign Language — may contact the state or local agency administering the program or the USDA TARGET Center at (202) 720-2600 (voice and TTY). Assistance is also available through the Federal Relay Service at (800) 877-8339.

Filing a Discrimination Complaint

If you believe you have experienced discrimination related to a USDA program or activity, you may file a complaint by completing Form AD-3027, the USDA Program Discrimination Complaint Form.

The form may be obtained:

• Online through the USDA website
• From any USDA office
• By calling (866) 632-9992
• By submitting a written letter containing:
  • Your name, address, and telephone number
  • A description of the alleged discriminatory action
  • The date and nature of the incident

Completed forms or written complaints may be submitted to USDA through one of the following methods:

Mail

U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410

Fax

• (833) 256-1665
• (202) 690-7442

Email

program.intake@usda.gov

Arundel Lodge is an equal opportunity provider.

Notice of Privacy Practices

Uses and Disclosures of Protected Health Information

The following are examples of the types of uses and disclosures of your protected health care information that the provider is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures.

Treatment: We will use and disclose health information to provide, coordinate, or manage your health care and any related services. For example, your protected health information may be provided to a doctor to whom you have been referred to insure that the doctor has the necessary information to diagnose or treat you.

Payment: Your protected health information will be used, as needed, in activities related to obtaining payment for your health care services. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to your health insurance company to obtain approval for the hospital admission.

Healthcare Operations: We may use or disclose, as needed, your protected health information as it relates to business activities. For example, when we review employee performance, we may need to look at what an employee has documented in your medical record.

Business Associates: We will share your protected health information with third party ‘business associates’ that perform various activities (e.g. billing, transcription services). Whenever an arrangement between us and a business service involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

Marketing: We may use or disclose certain health information in the course of providing you with information about treatment alternatives, health-related services, or fundraising. You may contact us to request that these materials not be sent to you.

Written Authorization

Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization, at any time, in writing.

Opportunity to Object

We may use and disclose your protected health information in the following instances. You have the opportunity to object. If you are not present or able to object, then your provider may, using professional judgment, determine whether the disclosure is in your best interest.

Facility Directories: Unless you object, we will use and disclose in our facility directory your name, the location at which you are receiving care, your condition (in general terms), and your religious affiliation. All of this information, except religious affiliation, will be disclosed to people that ask for you by name. Members of the clergy will be told your religious affiliation.

Others Involved in Your Healthcare: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care.

Emergencies: In an emergency treatment situation, your provider shall try to provide you a Notice of Privacy Practices as soon as reasonably practicable after the delivery of treatment.

Communication Barriers: We may use and disclose your protected health information if your provider attempts to obtain acknowledgement from you of the Notice of Privacy Practices but is unable to do so due to substantial communication barriers and the provider determines, using professional judgment that you would agree.

Without Opportunity to Object

We may use or disclose your protected health information in the following situations without your authorization or opportunity to object:

Public Health: for public health purposes to a public health authority or to a person who is at risk of contracting or spreading your disease.

Health Oversight: to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.

Abuse or Neglect: to an appropriate authority to report child abuse or neglect, if we believe that you have been a victim of abuse, neglect, or domestic violence.

Food and Drug Administration: as required by the Food and Drug Administration to track products.

Legal Proceedings: in the course of legal proceedings.

Law Enforcement: for law enforcement purposes, such as pertaining to victims of a crime or to prevent a crime.

Coroners, Funeral Directors, and Organ Donation: for the coroner, medical examiner, or funeral director to perform duties authorized by law and for organ donation purposes.

Research: to researchers when their research has been approved by an Institutional Review Board.

Soldiers, Inmates, and National Security: to military supervisors of Armed Forces personnel or to custodians of inmates, as necessary. Preserving national security may also necessitate sharing protected health information.

Workers’ Compensation: to comply with workers’ compensation laws.

Compliance: to the Department of Health and Human Services to investigate our compliance.

In general, we may use or disclose your protected health information as required by law and limited to the relevant requirements of the law.

Your Rights

You have the right to:

Inspect and copy your protected health information. However, we may refuse to provide access to certain psychotherapy notes or information for a civil or criminal proceeding.

Request a restriction of your protected health information. You may ask us not to use or disclose certain parts of your protected health information for treatment, payment or healthcare operations. You may also request that information not be disclosed to family members or

friends who may be involved in your care. Your request must state the specific restriction requested and to whom you want the restriction to apply. We are not required to agree to a restriction that you may request, but if we do agree, then we must behave accordingly.

Request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request.

Ask your provider to amend your protected health information. You may request an amendment of protected health information about you. If we deny your request for an amendment, you have the right to file a statement of disagreement with us, and your medical record will note the disputed information.

Receive an accounting of certain disclosures we may have made. This right applies to disclosures for purposes other than treatment, payment, or healthcare operations. It excludes disclosures we may have made for you, for a facility directory, to family members or friends involved in your care, or for notification purposes. You have the right to receive specific information regarding these disclosures. The right to receive this information is subject to certain exceptions, restrictions, and limitations.

Obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.

Updated August 2016. Printed from HIPAA in 24 Hours, and Overview of HIPAA Privacy Standards manuals with permission from the authors Roy Rada, M.D., Ph.D., & Susan Sugar Nathan.