EFFECTIVE DATE: February 9, 2023
This notice describes how health information about you may be used and disclosed by JUTISO, Inc. dba Seven Starling, the affiliated medical groups listed at the end of this notice (the “Medical Groups”), and licensed providers engaged by JUTISO, Inc. dba Seven Starling or the Medical Groups (collectively “Seven Starling”) and how you can get access to this information. Please review this notice carefully. Seven Starling is committed to protecting the privacy and confidentiality of your personal information and mental health information.
OUR RESPONSIBILITIES
Seven Starling is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to keep your personal health information ("Protected Health Information" or “PHI”) confidential. This Notice describes the ways in which we may use and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information.
USES AND DISCLOSURES
Your Protected Health Information may be used and disclosed for treatment, payment, to support healthcare operations and other purposes permitted, authorized, or required by law. Seven Starling may use and disclose your Protected Health Information for the following purposes:
TREATMENT
We may use or disclose your protected health information to provide medical, telehealth, and therapy, and related services as part of our Seven Starling product and service offerings. We may disclose information to doctors, therapists, or other healthcare providers who are involved in taking care of you and your health.
PAYMENT
We may use and disclose your protected health information so that we can receive payment for the services provided to you.
HEALTHCARE OPERATIONS
We may use and disclose your health information in order to support, operate, and improve Seven Starling products and services. For example, we may use your Protected Health Information to review and/or improve the quality of our telehealth services, or to respond to patient inquiries. We may de-identify your Protected Health Information to remove personal information that identifies you in order to develop new products and/or services, or to work with others who can develop such products and/or services, which we can use to better serve you.
BUSINESS ASSOCIATES
We may disclose your Protected Health Information to other companies or individuals, known as "Business Associates," who provide services to us that are necessary to maintain business operations. Business Associates are also required to protect your medical information and notify us of any improper disclosure of information.
PERSONAL REPRESENTATIVES
We may disclose Protected Health Information about you to an authorized personal representative, such as an attorney, administrator, executor, or other authorized person responsible for you or your estate.
PRESERVATION OF HEALTH AND SAFETY
We may disclose Protected Health Information to prevent or reduce the risk of a serious and imminent threat to your health, or to a third party, or the general public.
COMMUNICATIONS ABOUT OUR PRODUCTS AND SERVICES
We may use and disclose your Protected Health Information to contact you about other Seven Starling products and services which we believe may be of interest to you.
LAW REQUIREMENTS, LAW ENFORCEMENT
We may disclose your Protected Health Information to the police or other law enforcement officials as required by law or in compliance with a court order, warrant, subpoena, summons, or other legal process. In addition, we will disclose your Protected Health Information when required to do so by any applicable federal, state, or local law, court of law, or legal process.
RESEARCH
Occasionally, we may use or disclose your Protected Health Information for research purposes. Research collaborators may require access to protected health information for the purposes of confidential data analysis. These personnel are bound to the same confidentiality and privacy rules that govern Seven Starling as a whole. In preparation for research, we may review limited Protected Health Information to draft research protocols, to identify prospective research participants, or for similar purposes.
USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION
Under HIPAA, we are permitted to disclose your PHI to:
USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION
We will ask for your written authorization before using or disclosing your Protected Health Information for purposes not described above. You may revoke your authorization, in writing, at any time, except for disclosures that the company has already acted upon or are required by law. Seven Starling will not sell or give your identifying information to third-party marketers unless you give us written permission for marketing purposes or sale of your identifying information.
Seven Starling will not disclose psychotherapy notes unless you give us written permission, or as required and authorized by law.
YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION
You have the following rights with respect to your Protected Health Information. To exercise any of these rights, please contact our Privacy Office using the contact information provided at the end of this Notice.
RIGHT TO ACCESS YOUR PROTECTED HEALTH INFORMATION
You, or your authorized or designated personal representative, have the right to inspect or copy the Protected Health Information maintained by us. You must submit a written request to the privacy office to inspect and/or copy your health information records.
RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS
You have the right to request that we communicate with you about your Protected Health Information by alternative means or to an alternative location. Your request must be in writing and must specify the alternative means or location.
RIGHT TO CORRECT, AMEND, OR UPDATE INFORMATION
If you believe the Protected Health Information we maintain about you contains an error, you may request that we correct or update your information. Your request must be in writing and must explain why the information should be corrected or updated. We are not obligated to make a requested amendment.
RIGHT TO AN ACCOUNTING OF CERTAIN DISCLOSURES
You may request a list, or accounting, of certain disclosures of your Protected Health Information made by us or our business associates for purposes other than treatment, payment, healthcare operations and certain other activities. The request must be in writing and state a time period, which may not be longer than the prior six years.
RIGHT TO REQUEST RESTRICTIONS
You have the right to request restrictions on uses and disclosure of your Protected Health Information. While we will consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction except for Payment or Operations restrictions where payment has been made "out-of-pocket" and "paid-in-full."
RIGHT TO A COPY OF THIS NOTICE
You may request and obtain a paper or electronic copy of this Notice.
INFORMATION BREACH NOTIFICATION
We are required to notify you following the discovery of a breach of your unsecured Protected Health Information, unless there is a demonstration, based on a risk assessment, that there is a "low probability" that the Protected Health Information has been compromised. You will be notified in a timely fashion, no later than 60 days after discovery of the breach.
QUESTIONS AND COMPLAINTS
If you have questions or concerns about our privacy practices or would like a more detailed explanation about your privacy rights, please contact our Privacy Office using the contact information below.
If you believe that we may have violated your privacy rights, you may submit a complaint to our Privacy Office. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request. Seven Starling will not take retaliatory action against you and you will not be penalized in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.
REVISIONS TO THIS NOTICE
We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We will promptly post any changes to this Notice on our website or otherwise provide them to you.
CONTACT INFORMATION
When communicating with us regarding this Notice, our privacy practices, or your privacy rights, please contact the Privacy Office using the following contact information:
Attn: Privacy Officer
JUTISO, Inc. dba Seven Starling
700 K Street NW Suite 300
Washington, DC 20001
Medical Groups:
As of the Effective Date, this Notice of Privacy Practices applies to the following entities:
JUTISO, Inc. dba Seven Starling
Starling Medical Group, PC
Starling Medical Group TX, PA
Starling Medical Group CA, PC