Forward-Thinking Executives with Solid Senior Health Care Experience
Executives in senior health care today need new skills to manage the economic and demographic issues shaping our society. Senior health care executives need to be able to balance short-term senior health care planning with long-term insight and vision, to properly prepare for the ever-growing population of adults turning 65. Thankfully, we can confidently say that the Avamere Family of Companies leadership team owns these necessary skills, and is comprised of a solid group of forward-thinking and experienced senior health care executives.
Rick Miller (Karl R. Miller, Jr.)
Founder and Chairman of the Board
Rick Miller founded the Avamere Group in 1995 with the acquisition of a single skilled nursing facility in Hillsboro, Oregon. With a progressive agenda to keep seniors healthy, independent, and in their home of choice for as long as practical, he led the growth and diversification of Avamere, sustaining an annual growth rate approaching 20% until 2012, when he became Chairman.
A highlight of his leadership occurred in 2010 when he wanted to understand, first hand, the customer and employee experience. Rick moved into and lived full time, for a year, in three different locations including independent living, assisted living, and skilled nursing. This experience resulted in many operational changes and was an evolutionary time in the history of the company.
In 2010 Rick co-founded the venture capital firm, Rogue Venture Partners. Rogue invests primarily in Oregon based entrepreneurs and early stage businesses with funding and mentorship.
• Portland State University, Board of Trustee’s – Vice Chair
• Portland State University, Finance & Administration Committee – Chair
• Portland State University, Executive & Administrative Committee – Member
• Portland Community Church – Elder
• Lake Oswego Corporation – Treasurer
• Young President’s Organization – Current Member and Past Chair
• Oregon Health Care Association, Tigard, OR – Past Chair
• American Health Care Association, Washington, DC – Past Chair
• Radar, Portland, OR – Board Member
• Diabetomics, Portland, OR – Board Member
• Payless Pharmacy, Portland OR – Board Member
• Ardon Pharmacy, Portland OR – Board Member
• SightBox, Portland OR – Board Member
• Portland State University, Simon Benson Award 2013
• Portland State Business Schools Distinguished Graduate Alumni 2012
• Oregon’s Most Admired Companies – “Health Care” 2010
• Portland Business Journal’s “Forty Under 40” 2004
• Oregon MBA Advanced Strategy Certificate, University of Oregon 2015
• Master of Business Administration, Portland State University 1991
• B.A. – Marketing and Management, University of Oregon 1987
Chief Executive Officer, Avamere Family of Companies
In October 2012, John joined the Avamere Family of Companies as Chief Executive Officer. Together with a strong leadership team, John is responsible for providing strategic direction and leadership to the organization to assist in the attainment of annual and long term objectives. John has more than 30 years of experience working in the health care industry and has previously led some of the most innovative and well-known companies in the healthcare services, medical device and biotech industries.
Prior to joining Avamere, John served as president of Cambia Health Solutions’ Direct Health Solutions division, overseeing the growth and development of the company’s portfolio of healthcare services and healthcare IT companies, and was responsible for Cambia’s corporate and business development function. He remains a member of Cambia’s board of directors. Prior to Cambia, John held chief executive officer positions at HemCon Inc., Curon Medical (NASDAQ: CURN) and Epitope Inc. (NASDAQ: EPTO).
John is also a member of the board of directors of the Oregon Health Care Association and the Oregon Business Council, and is the outgoing chairperson of the Oregon Innovation Council which directs investments in support of innovation and job creation in the state of Oregon. He serves on the American Health Care Associations’ Council for Post-Acute Care and is co-founder of the Coalition for Dwarf Advocacy. John is a graduate of the University of Arizona where he received his degree in Economics and Public Administration.
Owner and Vice-Chair of the Board Rick joined the Avamere Family of Companies in 1997 and has directly contributed to the growth of the Avamere Family of Companies as one of the Northwest’s largest senior health care and senior housing providers.
Prior to joining the Avamere Family of Companies, Rick worked for another health care provider for more than ten years, rising to director of operations. Rick is a past president of the Oregon Health Care Association and past chair of the Washington Health Care Association. Rick holds a Masters of Business Administration (MBA) from Portland State University and a Bachelor of Arts in Business Administration from Azusa Pacific University. Rick is also a licensed nursing home administrator.
Ron Odermott, CPA
Chief Financial Officer, Avamere Family of Companies
Ron Odermott joined the Avamere Family of Companies in 2003. As chief financial officer, he is responsible for all financial matters of all the Avamere Family of Companies. He provides general counsel about business growth opportunities and collaborates with debt and equity partners. He works closely with the executive team to execute staff success and growth plans while raising awareness and knowledge of financial management matters.
Ron began his professional career at Price Waterhouse in Portland, Oregon. He began his career in health care as controller/CFO of a regional Long Term Care company and has been working in healthcare for over 17 years. Ron has a Bachelor’s of Science degree in Accounting from Portland State University.
President, Avamere Family of Companies
Gary joined the Avamere Family of Companies in February 2009. Gary is responsible for leading and directing the overall organization in obtaining Avamere’s strategic objectives.
Prior to joining Avamere, Gary was the co-founder of another regional health care provider within the Pacific Northwest. In addition, he participated in the start-up and successful operation of a regional pharmacy, and other ancillary businesses including a medical supply company, a contract rehab therapy company, as well as Home Care and a Home Health Company.
Bob Thomas, PT
President, Signature Services Bob joined the Avamere family in 1999. As President of Signature Services, Bob is responsible for the growth, strategic leadership and culture development for Signature Home Health, Home Care and Hospice. He began his career as a physical therapist and most recently as president of Infinity Rehab, Avamere Family of Companies flagship ancillary company. Prior to joining Avamere Family of Companies, he served as regional manager for a national rehab services company. He is an active professional contributing to numerous industry publications and journals and lecturing across the country on reimbursement, rehabilitation and other topics in the sub acute and long term care arena.
Bob serves currently on the board of the Section on Geriatrics of the American Physical Therapy Association and has served on the boards of the Oregon Physical Therapy Association, the Oregon Gerontological Association and the National Association for Rehab Providers and Agencies. He received his BS in psychology from Eastern University and his MS in physical therapy from Pacific University.
Michael Billings, PT, DHSc, CEEAA
President, Infinity Rehab
Michael has been in the rehab industry since 1991 with a focus on older adult rehab since 1995. He currently serves as President of Infinity Rehab, a contract rehab company providing inpatient and outpatient therapy services in 9 states. His special interests include managing program clinical intensity and patient outcomes with special emphasis on therapeutic exercise for the older adult.
Michael has been a member of the American Physical Therapy Association (APTA) since 1992 including membership in the Geriatric, Cardiopulmonary and Health Policy sections. He has been active in the Oregon Physical Therapy Association, including service on multiple committes. He has lectured locally and nationally on long-term care issues. He served as an adjunct professor at Pacific University in Forest Grove, OR from 2000 to 2007. In 2010 he received his Certification as Exercise Expert for Aging Adults (CEEAA) from the APTA.
Michael received a Bachelor of Science degree in Psychology from the University of Oregon and a Master of Science degree in Physical Therapy from Duke University. In 2016, he earned Doctor of Health Science degree in Leadership and Organizational Behavior.
Executive Vice-President / General Counsel
Avamere Family of Companies Larry Lopardo joined the Avamere Family of Companies as its first General Counsel in 1999. As General Counsel, he is responsible for all legal, risk management and compliance functions. This includes transaction negotiations, litigation management, licensing and regulatory compliance, insurance acquisition, and advising all Avamere companies on legal matters. Before the Avamere companies’ growth, Larry also headed the companies’ risk management and human resource functions.
Larry came to the Avamere companies after ten years as chief administrative officer of an electronics manufacturer and eight years as a California business trial attorney.
Larry holds three degrees from the University of California, Berkeley, where he was named to Phi Beta Kappa: Bachelor of Science in Business Administration (cum laude), Bachelors of Arts in History, and Juris Doctor.
Vice President of Organizational Development
and Program Excellence Matt began his journey in health care as an Activity Assistant in his home town of Eugene, Oregon. It was then that he decided to dedicate his career to senior care and received a Bachelor of Arts degree from Concordia University in Portland, Oregon. Matt is a responsive leader and persuasive communicator with a great passion for taking care of seniors.
Matt was promoted to VP of Operations in 2012 and VP of Organizational Effectiveness and Professional Development in 2016. Prior to this, he served as a Regional Director of Operations. Matt takes an active role in the executive and growth and development teams at the Avamere Group. He is currently a member of both the Oregon and Washington Health Care Associations. Matt was honored to be nominated and chosen to be part of the American Health Care Association 2006 Future Leaders. Matt has served as a member of the AHCA Quality Committee and the OHCA Payment for Service Committee.
Vice President of Human Resources, Avamere Family of Companies
Bill serves as Vice President Human Resources for The Avamere Family of Companies (since 2008). He is responsible for all human resource programs for the companies with emphasis on workforce development and benefits administration.
Bill has over 20 years of human resources generalist experience in the long-term care and assisted living industries. Previously, he served in the roles of Senior Vice President, Vice President and Divisional Vice President of Human Resources for several nationally recognized senior care providers.
Bill has a Bachelor of Science degree in Business Administration from the University of Maine, received a Certification in Management from the Yale School of Management and is a Certified Human Resources Professional. He is a member of SHRM, and has participated on ALFA’s Human Resources Executive Roundtable.
Chief Information Officer, Avamere Family of Companies
As Chief Information Officer, Mike Woodrow provides the technology vision and leadership to the Avamere family of companies. Mike is responsible for leading and managing a complex Information technology portfolio of people, infrastructure systems, applications, processes, and operational needs that support the strategic and tactical needs of the Avamere Family of Companies.
Mike has over 20 years of technology and information security experience. Mike joined Avamere in 2015 and served as the company’s Information Security Manager. Prior to Avamere Mike served in many IT leadership capacities in the financial and health care industries. Mike served as the Director of Network Operations at a financial services company that processed over $30 billion in transactions annually and was instrumental in helping the company become PCI compliant for the first time. Mike holds many technology certifications including multiple forensic certifications and the highly respected CISSP (Certified Information Systems Security Professional).
Vice President of Sales & Marketing, Avamere Family of Companies
Lisa began her career serving seniors in 1994 working for the State of Oregon, transitioning into long-term care in 1995. She served as a licensed Nursing Home Administrator from 1997 to 2011 for non-profit, for-profit, large-chain and independently owned companies. Lisa joined the Avamere Family of Companies in 2008, serving at the administrator for The Pearl at Kruse Way, and later becoming the Regional Director of Operations in 2011. During that time, she created cultures of excellence resulting in the Skilled Rehabilitation facilities under her leadership achieving multiple deficiency free surveys, exceeding budgeted revenues and excelling in program outcomes.
Lisa now leads the Sales and Marketing strategy for the Avamere Family of Companies as the Vice President of Sales and Marketing.
Vice President of Clinical Services, Avamere Living
Carl started with Avamere in 2012 as Vice President of Clinical Services. Carl has focused his 34 year career in serving the needs of the post-acute care patient. Carl began his career as a nursing assistant at the age of 16. He has held numerous positions including Charge Nurse, RCM, DNS, Administrator, Nurse Consultant to SNFs and ALFs, Risk Manager, RDO, Area Education Director, Area Director of Clinical Services, and VP of Operations. He holds multiple Baccalaureate degrees from Portland State University including Biology and Psychology. He graduated with a BSN with high honors from the Oregon Health Sciences University School of Nursing. Carl earned his Certificate in Wound Management Education from the University of Washington and holds national certification as a Certified Wound Care Nurse through the Wound Ostomy Continence Nurse Credentialing Board. He also earned a Certificate in Risk Management through Temple University and has worked as an independent nurse consultant for multiple law firms in Seattle and Portland.
Carl was recently selected to participate in training to be held at Florida Atlantic University to become a certified Interact II instructor. Carl has completed his first year in a post graduate Advanced Practice Nurse program at Seattle Pacific University and hopes to complete his studies to serve indigent populations in rural settings or via medical missionary programs.
Vice President of Strategic Development, Avamere Family of Companies Jake started his career as a physical therapist for a rehab staffing company in 1996. In the course of 18 years, he has served in a variety of functions in the acute care environment, post-acute care setting and medical device industry. He has used his quantitative skills, analytical discipline and organizational expertise to help large multi-enterprise and multinational companies deal with ambiguous business issues. The past seven years have been devoted to bringing certainty and order in the areas of innovation management, business intelligence, future product development, acquisitions, strategic partnerships and program development.
Jake joined the Avamere Family of Companies in 2010 to support Bob Thomas in laying down the foundation for clinical and operational excellence in Signature Hospice, Home Health and Home Care. He now leads the charge in positioning Avamere for success in the ever evolving Affordable Care Act environment.
Jake received a BS in Physical Therapy from the University of the Philippines and an MBA from Copenhagen Business School.
Vice President and Controller, Avamere Family of Companies Kevin joined the Avamere Family of Companies in 2013 as Vice President and Corporate Controller. Kevin is responsible for accounting, the annual budgeting and audit process, third-party reimbursement and he supports acquisitions and development. Kevin has worked in long-term care since 1997.
Immediately prior to joining the Avamere Family of Companies, Kevin served as Vice President and Corporate Controller for a regional seniors housing company in Oregon. Previous to this, he served as Vice President of Reimbursement and Business Planning for a seniors housing company in Arizona and as the Reimbursement Consultant for a large sub-acute care company in Connecticut. Kevin has an MBA in Finance with an emphasis in accounting.
Dr. Deborah Nedelcove
Vice President Risk Management, Chief Compliance & Privacy Officer, Avamere Family of Companies Deborah joined the Avamere Family of Companies in 2003. She works closely with all of the companies and assists with oversight, interpretation, training, and implementation of risk and compliance programs, as well as patient privacy.
Prior to joining Avamere, Deborah completed both her doctorate and masters in health care; served as the compliance, quality and risk director for a large California home health and hospice company; and started off her career as a U.S. Air Force Electronic Warfare Engineering Officer stationed overseas.
Deborah’s current health care certifications include Compliance, Risk Management, Quality, Privacy, and Geriatrics. She is past president of the Oregon Risk Management Association and the 2014 recipient of the Distinguished Faculty Award for University of Phoenix College of Health Sciences and Nursing.
Vice President of Network Development, Avamere Family of Companies Donna draws from more than 30 years in healthcare as a nurse, physical therapist, consultant and program specialist for skilled nursing facilities. She has led business development for Infinity Rehab since 2001, and many current growth initiatives for the Avamere Family of Companies.
In her former role as Vice President of Business Development for Infinity Rehab, she assisted more than 100 facilities to secure appropriate ancillary services, develop niche clinical programs, evaluate emerging technology, and subsequently improve operations. She now leads the growth of Signature CareConnect for the Avamere Family of Companies. Donna earned her Bachelor of Science in Physical Therapy at the University of Washington. She is a life-long learner and has completed extensive continuing education coursework in all areas of clinical practice and leadership. In 1999, she completed an Executive Training Curriculum by Yale University School of Business Management.
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Childrenâ€™s Online Privacy Protection
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Limits of Confidentiality
As part of its day-to-day business activities, Avamere Family of Companies must disclose certain aggregate level information about Avamere Family of Companies. Members to certain third parties; principally, (1) Avamere Family of Companies' Network Partners, and (2) Marketers who use Avamere Family of Companies' network. Below is the information and circumstances under which Avamere Family of Companies may be required to disclose information to third parties.
(1) Network Partners: When a Avamere Family of Companies. Member registers through the Web site of a Network Partner, Avamere Family of Companies is obligated to disclose to that particular Network Partner the information submitted by the Avamere Family of Companies. Member during the registration process. In addition to the foregoing information, Avamere Family of Companies may also disclose aggregate level information to the Network Partner about Avamere Family of Companies. Members who registered through that particular Network Partner's site. Such aggregate information may include, for example, the number of individuals who registered through the Network Partner's site; the turnover rate of Avamere Family of Companies. Members who have registered through the Network Partner's site; with respect to any particular campaign, the response rates of the Avamere Family of Companies. Members who registered through the Network Partner';s site; and statistics on the interest categories selected by the Avamere Family of Companies. Members who have registered through the Network Partner's site. Subject to the exceptions discussed below, Avamere Family of Companies will not knowingly disclose any personally identifiable information about a Avamere Family of Companies. Member to a Network Partner unless such personally identifiable information was provided during the registration process through the Network Partner's Web site.
(2) Marketers: Avamere Family of Companies will disclose aggregate level information about Avamere Family of Companies. Members to marketers as reasonably necessary to explain the services that Avamere Family of Companies can offer, to report on the advertising campaigns that Avamere Family of Companies undertakes for any particular marketer, and/or to implement and explain campaign strategies. Subject to the exceptions discussed below, Avamere Family of Companies will not knowingly disclose any personally identifiable information about a Avamere Family of Companies. Member to a marketer. Due to the existing legal, regulatory and security environment, Avamere Family of Companies may be required, under certain circumstances, to disclose aggregate level and/or personally identifiable information about its members. Avamere Family of Companies will use its best efforts to limit such disclosure to the following: where Avamere Family of Companies believes in good faith that it is required to do so in response to a subpoena or other legal process; where reasonably required to do so in order to maintain, update or otherwise implement Avamere Family of Companies' data security measures, equipment, technical operations and the like; or where reasonably necessary to identify, contact or bring legal action against persons or entities to preserve and/or enforce Avamere Family of Companiesâ€™s rights.
Use of Information
Avamere Family of Companies uses member information to deliver the Avamere Family of Companies. services. Thus, member information is used by Avamere Family of Companies in identifying information that may be of interest to its members. A member's email address will be used by Avamere Family of Companies to contact that member about member-selected interests. Avamere Family of Companies also uses member information to monitor, interpret, analyze and report campaign results. Avamere Family of Companies does not use member information for purposes unrelated to the services offered by Avamere Family of Companies.
Protection of Member Information
Avamere Family of Companies undertakes substantial efforts to protect the confidentiality of the identity, preferences and other information it has collected about individual members and will never knowingly allow access to this information to anyone outside Avamere Family of Companies other than to the member or as described above under the heading Limits of Confidentiality.
Avamere Family of Companies has made a substantial investment in its server, database, backup and firewall technologies to protect the information assets of the Avamere Family of Companies Network, including the confidentiality of information collected about Avamere Family of Companies. Members. These technologies are deployed as part of a sophisticated security architecture and protocol. You should also do your part in protecting your information. Your Avamere Family of Companies user name and password are confidential and we recommend that you not divulge them to anyone. Unfortunately, neither Avamere Family of Companies network nor data transmission over the Internet can be guaranteed to be 100% secure. As a result, while we strive to protect member information, Avamere Family of Companies cannot ensure or warrant the security of member information. Thus, any information a member transmits to us is done so at the memberâ€™s own risk. Once we receive member information, Avamere Family of Companies undertakes substantial efforts to protect the confidentiality of this information consistent with this Policy.
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WHO WILL FOLLOW THIS NOTICE
THE AVAMERE AFFILIATED COVERED ENTITY
This Notice describes the privacy practices of the Avamere Family of Companies Affiliated Covered Entity, including skilled nursing facilities, nursing homes, home health, hospice, home care, in and out-patient therapy, nurse practitioner programs and other health care providers and business associates that the organizations operate, as well as any health care facility or provider organization now or in the future sharing common ownership. These independent organizations are part of the Avamere Affiliated Covered Entity (“Avamere ACE.”)
Each of the Avamere affiliates is a separate covered entity under the Health Insurance Portability and Accountability Act of 1996 and the regulations promulgated thereunder (collectively, “HIPAA”). A list of affiliated companies is available from this company.
Pursuant to 45 C.F.R. § 164.105(b), each of the Avamere affiliates hereby designates itself as a single covered entity for purposes of compliance with HIPAA and solely for purposes of compliance with the HIPAA Privacy and Security Rule. Each of the Avamere ACEs is an independent company and having accepted designation as an Avamere ACE does nothing to diminish that independent entity status. This affiliation does not apply to any other legal aspect of business operations or patient care.
The Avamere ACE is required under HIPAA to protect the privacy of your PHI, provide you with notice of our legal duties and privacy practices with respect to PHI and abide by the terms of the Notice currently in effect for the Avamere ACE. This Notice describes how the Avamere ACE may use and disclose your protected health information (“PHI”) and your rights to access and amend your PHI. This Notice does not cover the information practices of attending physicians or other providers not part of the Avamere ACE.
GENERAL DESCRIPTION AND PURPOSE OF THIS NOTICE
This notice describes our information privacy practices and that of:
Any Avamere ACE health care professional authorized to enter information into your medical record created and/or maintained at our affiliated health care companies;
Specific volunteers which we allow to help you while receiving services at our affiliated health care companies;
All health care company workforce members including, but not limited to, employees, contractors, staff, health care students, interns, and other personnel; and
Other entities under contract to assist in providing healthcare in a clinically integrated manner.
The above individuals and affiliated entities may share your protected health information with each other for purposes of treatment, payment, health care operations, or business associate operations, as further described in this notice.
AVAMERE ACE’S POLICY REGARDNG YOUR PROTECTED HEALTH INFORMATION
Certain state and federal laws and regulations require us to implement policies and procedures to safeguard the privacy of your protected health information. This notice will provide you with information regarding our privacy practices and applies to all of your protected health information created and/or maintained at our affiliated health care companies, including any information that we receive from other health care providers or facilities. The notice describes the ways in which we may use or disclose your protected health information and describes your rights and our obligations regarding any such uses or disclosures. We reserve the right to change the terms of this notice of privacy practices and to make new notice provisions effective for all protected health information we maintain. In the event of revision, new copies will be posted in the health care companies, on our website and available upon request.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
The following are the types of uses and disclosures we may make of your health information without your permission. Where state or federal law restricts one of the described uses or disclosures, we follow the requirements of such state or federal law. These are general descriptions only. They do not cover every example of disclosure within a category.
We may use and disclose your protected health information to healthcare professionals or other third parties to provide, coordinate and manage the delivery of your health care. For example, we may disclose PHI about you to your health care provider or to other health care personnel to coordinate your transfer to another level of care within or outside of our affiliates. Our Affiliates may also access and view your health information in our electronic medical record systems. We will also disclose your health information to your physician and other practitioners, providers and health care facilities that provide care for you at their sites, rather than at our sites, for their use in treating you in the future. For example, if you are transferred from one of our nursing facilities to home health at discharge, we will send health information about you to the home health agency.
We will use and disclose your health information for payment purposes. For example, we will use your health information to prepare your bill and we will send health information to your insurance company with your bill. We may also disclose health information about you to other health care providers, health plans and health care clearinghouses for their payment purposes. For example, if you are brought in by medical transport, the information collected may be given to the medical transport provider for its billing purposes. If state law requires, we will obtain your permission prior to disclosing to other providers or health insurance companies for payment purposes.
Health Care Operations
We may use or disclose your health information for our health care operations. For example, members of our workforce may review your health information to evaluate the treatment and services provided, and the performance of our staff in caring for you. In some cases, we will furnish other qualified parties with your health information for their health care operations. The medical transport company, for example, may also want information on your condition to help them know whether they have done an effective job of providing care. If state law requires, we will obtain your permission prior to disclosing your health information to other providers or health insurance companies for their health care operations.
We may contact you as a reminder that you have an appointment for treatment or medical services.
We may contact you to provide information about treatment alternatives or other health-related benefits and services that may be of interest to you.
While you are an inpatient at any Avamere ACE facility, your name, location in the facility, and religious affiliation may be included in a facility directory or its equivalent in our electronic medical record. This information may be provided to members of the clergy and, except for religious affiliation, to other people who ask for you by name. You have the right to request that your name not be included in the directory. We will not include your information in the facility directory if you object or if we are prohibited by state or federal law.
Family, Friends or Others
We may disclose your location or general condition to a family member, your personal representative or another person identified by you. If any of these individuals are involved in your care or payment for care, we may also disclose such health information as is directly relevant to their involvement. We will only release this information if you agree, are given the opportunity to object and do not, or if in our professional judgment, it would be in your best interest to allow the person to receive the information or act on your behalf. In addition, if you are unavailable, incapacitated or in an emergency situation, we may disclose limited information to these persons if we determine in our professional judgment that we believe it is in your best interest. We may also disclose your information to an entity assisting in disaster relief efforts so that your family or individual responsible for your care may be notified of your location and condition.
Some of the activities described above are performed through contracts with outside vendors called business associates. We will disclose your health information to our business associates and allow them to create, use and disclose your health information to perform their services for us. For example, we may disclose your health information to an outside billing company who assists us in billing insurance companies. We require business associates to appropriately safeguard the privacy of your information. Examples of business associates include medical records storage companies, computer software companies and accreditation agencies.
USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION
Uses and Disclosures Not Described Above
We may use or disclose your protected health information pursuant to your written authorization for purposes other than treatment, payment or health care operations. You have the right to revoke a written authorization at any time as long as your revocation is provided to us in writing. If you revoke your written authorization, we will no longer use or disclose your protected health information for the purposes identified in the authorization. Your revocation will not be effective for uses and disclosures made in reliance on your prior authorization. Restrictions on disclosure of Protected Health Information (PHI) to a Health Plan We will abide by your written request to restrict disclosure of protected health information for services for which you will pay out-of-pocket in full. If you would like to request this restriction, please provide a written request and make advance arrangements with the health care companies to self-pay for the services provided.
These are notes made by a mental health professional documenting conversations during private counseling sessions or in joint or group therapy. Many uses or disclosures of psychotherapy notes require your authorization.
We will not use or disclose your protected health information for marketing purposes without your authorization. Moreover, if we will receive any financial remuneration from a third party in connection with marketing, we will tell you that in the authorization form.
We will not sell your protected health information to third parties without your authorization. Any such authorization will state that we will receive remuneration in the transaction.
USES OR DISCLOSURES PERMITTED OR REQUIRED BY LAW
Certain state and federal laws and regulations either require or permit us to make certain uses or disclosures of your protected health information without your permission. These uses or disclosures are generally made to meet public health reporting obligations or to ensure the health and safety of the public at large. The uses or disclosures which we may make pursuant to these laws and regulations include the following:
Public Health Activities We may use or disclose your protected health information to public health authorities that are authorized by law to receive and collect protected health information for the purpose of preventing or controlling disease, injury or disability.
Abuse, Neglect or Domestic Violence
We may notify the appropriate government authority if we believe an individual has been the victim of abuse, physical or financial, neglect, elder abuse, a crime, or domestic violence. Unless such disclosure is required by law (for example, to report a particular type of injury), we will only make this disclosure if you agree or in other limited circumstances when such disclosure is authorized by law.
Health Oversight Activities
We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections and licensure. These activities are necessary for the government to monitor the health care system, government programs and compliance with civil rights laws.
If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute, but only if reasonable efforts have been made to notify you of the request or to obtain an order from the court protecting the information requested.
Worker’s compensation We may use or disclose your protected health information to worker’s compensation programs when your health condition arises out of a work-related illness or injury.
We may release certain health information to law enforcement authorities for law enforcement purposes, such as:
as required by law, including reporting certain wounds and physical injuries,
in response to a court order, subpoena, warrant, summons or similar process,
to identify or locate a suspect, fugitive, material witness or missing person
about the victim of a crime if we obtain the individual's agreement or, under certain limited circumstances, if we are unable to obtain the individual's agreement,
to alert authorities of a death we believe may be the result of criminal conduct,
information we believe is evidence of criminal conduct occurring on our premises, or
in emergency circumstances to report the suspicion of a crime against one of our patients including the location of the crime or the victim’s identity, or a description or location of the person who committed the crime.
We must comply with federal and state laws in making such disclosures for law enforcement purposes.
Following your death, we may disclose health information to a coroner or to a medical examiner as necessary for them to carry out their duties and to funeral directors as authorized by law. In addition, following your death, we may disclose health information to a personal representative (for example, the executor of your estate), and unless you have expressed a contrary preference, we may also release your health information to a family member or other person who acted as a personal representative or was involved in your care or payment for care before your death, if the health information is relevant to such person's involvement in your care or payment for care. We are required to apply safeguards to protect your health information for 50 years following your death.
Coroners, Medical Examiners, or Funeral Directors We may use or disclose your protected health information to a coroner or medical examiner for the purpose of identifying a deceased individual or to determine the cause of death. We also may use or disclose your protected health information to a funeral director for the purpose of carrying out his/her necessary activities.
Organ, Eye or Tissue Donation
We may release health information to organ, eye or tissue procurement, transplantation or banking organizations or entities as necessary to facilitate organ, eye or tissue donation and transplantation.
We may use or disclose your protected health information for research purposes under certain limited circumstances. For example, you may have chosen to participate in a research study with a non-affiliated covered entity.
Threats to Health or Safety
Under certain circumstances, we may use or disclose your health information to prevent a serious and imminent threat to health and safety if we, in good faith, believe the use or disclosure is necessary to prevent or lessen the threat and the disclosure is to a person reasonably able to prevent or lessen the threat (including the target) or is necessary for law enforcement authorities to identify or apprehend an individual involved in a crime.
Specialized Government Functions
We may use and disclose your health information for national security and intelligence activities authorized by law or for protective services of the President. If you are a military member, we may disclose to military authorities under certain circumstances. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose to the institution, its agents or a law enforcement official, health information necessary for your health and the health and safety of other individuals.
Incidental Uses and Disclosures
There are certain incidental uses or disclosures of your information that occur while we are providing service to you or conducting our business. For example, the clinician may need to use your name to identify family members that may be in a waiting area. Other individuals waiting in the same area may hear your name called. We will make reasonable efforts to limit these incidental uses and disclosures.
Access to Health Information
As a resident/patient/client, or their legal representative if the primary is incapacitated, you may inspect and receive a copy of much of the health information we maintain about you, with some exceptions. You may ask for an electronic copy of that portion of your records that is created and maintained electronically. We will provide the information to you in the form and format you requested, assuming it is readily producible. If we cannot readily produce the record in the form and format you request, we will produce it another readable electronic form to which we agree. Please note the portion of your records created and maintained on paper may be provided in that format at the discretion of the entity. We may charge a cost-based fee for producing copies. If you direct us to forward your health information to another person, we will do so, provided your signed, written direction clearly designates the recipient and location for delivery. We may charge a fee for the costs of copying, mailing, and other supplies or work associated with your request. We will respond to your requests to exercise any of the above rights on a timely basis in accordance with our policies and as required by law.
Request for Restrictions
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment or health care operations or to persons involved in your care or payment for your care. We are not required to agree to your request, with one exception explained in the next paragraph, but we will let you know whether we have agreed to your request.
We are required to agree to your request that we not disclose certain health information to your health plan for payment or health care operations purposes if (1) you pay out-of-pocket in full for all expenses related to that service either at the time of service or within time-frames specified by our written policies and (2) the disclosure is not otherwise required by law. Such a restriction will only apply to records that relate solely to the service for which you have paid in full. If we later receive an authorization from you dated after the date of your requested restriction which authorizes us to disclose all of your records to your health plan, we will assume you have withdrawn your request for restriction.
Several different covered entities listed at the start of this Notice use this Notice, including the entities listed in Attachment A that are a single affiliated covered entity known as the Avamere Affiliated Covered Entity (or “Avamere ACE”). This Notice does not cover non Avamere ACE workforce members, such as your personal physician. You must make a separate request to each covered entity from whom you will receive services that are involved in your request for any type of restriction. Contact the Avamere ACE Privacy Officer at the contact information listed below if you have questions.
You may request that we amend certain health information that we keep in your records if you believe that it is incorrect or incomplete. We may require you to give a reason to support your request. We are not required to make all requested amendments, but will give each request careful consideration. If we deny your request, we will provide you with a written explanation of the reasons and your rights. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:
was not created by any Avamere ACE entity,
is not part of the protected health information kept by or for our health care companies,
is not part of the information which you would be permitted to inspect and copy, or
is accurate and complete.
Accounting of Disclosures
You have the right to receive a list of certain disclosures of your health information made by us or our business associates. You must state a time period for your request, which may not be longer than six years. Your right to an accounting of disclosures does not include disclosures for treatment, payment or health care operations and certain other types of disclosures, for example, as part of a facility directory or disclosure in accordance with your authorization. Requests must be in writing. You may contact the Privacy Officer to obtain a form to request an accounting of disclosures.
You have the right to request that we communicate with you about your health information in a different way or at a different place. We will agree to your request if it is reasonable and specifies the alternate means or location to contact you.
Notice in the Case of Breach
You have the right to receive notice of an access, acquisition, use or disclosure of your health information that is not permitted by HIPAA, if such access, acquisition, use or disclosure compromises the security or privacy of your PHI (we refer to this as a breach). We will provide such notice to you without unreasonable delay but in no case later than 60 days after we discover the breach.
How to Exercise These Rights
All requests to exercise these rights must be in writing. We will follow company policies to handle requests and notify you of our decision or actions and your rights.
Contact the Privacy Officer at 503-570-3405 located at Avamere Health Services, LLC, 25117 SW Parkway, Wilsonville, Oregon 97070 for more information or to obtain request forms. To request a copy of your legal health record, please contact the medical records department of the treating affiliated entity to request a release form.
Complaints or Concerns
If you have concerns about any of our privacy practices or believe that your privacy rights have been violated, you may file a complaint with the Avamere ACE Privacy Officer using the contact information at the end of this Notice. You may also submit a written complaint to the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
Avamere ACE Privacy Officer
25117 SW Parkway, Suite B
Wilsonville, OR 97070