NOTICE OF PRIVACY PRACTICES

THIS NOTICE OF PRIVACY PRACTICES (“NOTICE”) DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

References to “Leigh Orthopedic Surgery Center, LLC” “LOSC,” “we”, “us,” and “our” means Leigh Orthopedic Surgery Center, LLC for purposes of compliance with the Health Insurance Portability and Accountability Act (“HIPAA”). LOSC and its employees and workforce members who are involved in providing and coordinating your health care are all bound to follow the terms of this Notice. The members of LOSC will share federally protected health information (i.e., your medical information) with each other for treatment, payment, and health care operations as permitted by HIPAA and this Notice.

Our Pledge Regarding Your Medical Information:

LOSC is committed to protecting medical information about you. We create a record of the medical care and services you receive at LOSC for use in your care and treatment. We need this record to provide you with quality care and to comply with certain legal requirements. This Notice applies to all the records of your care relating to services provided by LOSC, as well as the physicians and other health care professionals who provide services within the facility.  Your personal doctor may have different policies or notices regarding how medical information about you is used or disclosed.

We are required by law to:

• Maintain the privacy of your medical information.
• Provide you this Notice describing our legal duties and privacy practices with respect to your medical information.
• Notify you following a breach of your unsecured medical information; and
• Follow the terms of this Notice.

How We May Use and Disclose Medical Information about You without Your Authorization (Permission)

The following sections describe different ways that we may use and disclose your medical information without your authorization (permission). For each category of uses or disclosures, we will describe them and give some examples. Some medical information, such as certain drug and alcohol information, HIV information, and mental health information, may be entitled to special restrictions by state and federal laws. We abide by all applicable state and federal laws related to the protection of such medical information. Not every use or disclosure will be listed, but all the ways we are permitted to use and disclose medical information about you will fall within one of the following categories.

• Treatment: We may use or disclose medical information about you to provide you with medical treatment or services. We may share medical information about you with LOSC personnel or other health care providers, agencies, or facilities unaffiliated with LOSC to provide or coordinate the different things you need, such as prescriptions, and lab work. We may also disclose medical information about you to people outside of LOSC who may be involved in your continuing medical care after you leave LOSC, such as other health care providers, transport companies, or others providing services that are part of your care. We may disclose medical information about your care to any doctor identified as a provider of medical care to you, even if that doctor is not a direct participant in each episode of care at LOSC. We may also use and disclose photographs, video, or closed-circuit television to monitor or coordinate your care.
• Payment: LOSC may use and disclose your medical information so that it or other entities involved in your care may obtain payment from you, an insurance company, or another third party for treatment and services you receive. We and your physician(s) may disclose your medical information to the Social Security Administration, or any other person or insurance or benefit payer, health care service plan, or worker’s compensation carrier which is, or may be, responsible for all or part of your medical bill. For example, we may give your insurance company medical information about surgery you receive at LOSC so they will pay us or reimburse you for the surgery. We may also tell your insurance company about a proposed treatment to determine whether they will pay for the treatment or to resolve an appeal or complaint/grievance.
• Health Care Operations: We may use and disclose medical information about you for our health care operations and for certain health care operations of other providers who furnish care to you. These uses and disclosures are necessary to operate LOSC and to make sure that all our patients receive quality services. For example, we may use medical information about you to review our treatment and services, to evaluate the performance of our staff, and to survey you on your satisfaction with our treatment and/or services. We may disclose information to doctors, nurses, technicians, students training with LOSC, and other LOSC personnel for review and learning purposes. LOSC may disclose information to private accreditation organizations, to obtain accreditation from these organizations.
• Business Associates: We may share your medical information with certain third parties referred to as “business associates.” Business associates provide various services to or for LOSC. Examples include billing services, transcription services, and legal services. We require our business associates to sign an agreement requiring them to protect your medical information and to use and disclose your medical information only for the purposes for which we have contracted for their services. Individuals Involved in Your Care or Payment for Your Care: Unless you tell us not to, we may release medical information about you to individuals involved in your medical care, such as a friend, a family member, or any individual you identify. We also may give your medical information to someone who helps pay for your care. Additionally, we may disclose medical information about you to your legal representative, meaning generally, a person who has the authority by law to make healthcare decisions for you. LOSC typically will treat your legal representative the same way as we would treat you with respect to your medical information. If a family member, friend, or other individual is present while we discuss your medical information with you, LOSC may presume that you consent to LOSC disclosing such medical information to the individual, unless you tell us otherwise. For example, we may disclose your medical information to a person you bring with you for your surgery appointment.
• Communications with You: We, or our Business Associates, may contact you via telephone, email, or text. These messages may be sent using information from our Electronic Medical Record system. You agree we can communicate with you through these methods via phone calls, emails, text messages, or other means based on the contact information you have on file with us. You also understand and agree that communication via email and text are inherently unsecure and that there is no assurance of confidentiality of information communicated in this manner. You agree that you are the user and/or subscriber of the e-mail address and/or phone number provided to us, and you accept full responsibility for emails, phone calls, and/or text messages made or sent to or from this e-mail address or phone number. If you prefer not to exchange PHI via email, text or over the phone, you can choose not to communicate with us via those means by notifying the Privacy Officer (see contact information at the end of this Notice).
• Sign-In Sheets: We may use sign-in sheets to track your arrival. We may also call your name in the waiting area. If you do not wish to sign the sign-in sheet or have your name called in the waiting area, please let the staff know and we will make a reasonable effort to accommodate your request. Minors: In general, parents and legal guardians are the legal representatives of minor patients. However, in certain circumstances, as allowed by state law, minors can act on their own behalf and consent to their own treatment. In general, we will share the medical information of a patient who is a minor with the minor’s parent(s) or guardian(s) unless the minor could have consented to the care or treatment themselves.
• Research: We may use and disclose medical information about you for certain research purposes in compliance with the requirements of applicable federal and state laws. All research projects, however, are subject to a special approval process, which establishes protocols to ensure that your medical information will continue to be protected. When required, we will obtain a written authorization from you prior to using your medical information for research.
• As Required or Permitted by Law: We will disclose medical information about you when required to do so by federal and/or state law. This includes, but is not limited to, disclosures to mandated patient registries.
• Other Legal Actions: We may disclose medical information about you to courts, attorneys, court employees, and others when we receive a court order, subpoena, discovery request, warrant, summons, or other lawful instructions. We also may disclose medical information about you to those working on LOSC’s behalf in a lawsuit or action involving LOSC.
• Incidental Disclosures: There are certain disclosures of medical information that may occur while we are providing service to you or conducting our business. For example, in a waiting room it may be possible for another patient to overhear your registration information even though the discussion is occurring at an appropriate volume.
• To Avert a Serious Threat to Health or Safety: We may use and disclose medical information about you to help prevent a serious and imminent threat to your health and safety or the health and safety of the public or another person.
• Military: If you are a member of the armed forces, domestic (United States) or foreign, we may release medical information about you to the military authorities as permitted or required by law.
• Workers’ Compensation: We may disclose medical information about you for workers’ compensation or similar programs as permitted or required by law.
• Coroners and Medical Examiners: We may disclose medical information about you to a coroner, or medical examiner as necessary for them to carry out their duties.
• National Security and Intelligence Activities: We may disclose medical information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities as permitted or required by law.
• Inmates: If you are an inmate of a correctional institution or under the custody of law enforcement officials, we may release medical information about you to the correctional institution or law enforcement officials as permitted or required by law. How We May Use and Disclose Medical) Information About You Upon Your Written Authorization (Permission
• Marketing: We must obtain your written permission to use or disclose your medical information for marketing purposes except in certain circumstances. For example, written permission is not required for face‐to‐face encounters involving marketing, or where we are providing a gift of nominal value (for example, a tote bag), or a communication about our own services (for example, we may send you a postcard announcing the arrival of a new surgeon or product).
• Sale of PHI: We must obtain your written permission to disclose your medical information in exchange for remuneration (payment).
• Other Uses and Disclosures of Your Medical Information with Your Authorization (Permission): Other uses and disclosures of your medical information not covered by the categories included in this Notice or applicable laws, rules, or regulations will be made only with your written permission. If you provide us with such written permission, you may revoke it at any time. We are not able to take back any uses or disclosures that we already made in reliance on your written permission.
• Your Rights Regarding Medical Information About You have the following rights regarding your medical information. Copy: With certain exceptions, you have the right to inspect and/or receive a copy of your medical and billing records or any other of your records that are used by us to make decisions about your care. The exceptions to this are any information collected for certain legal proceedings, and any medical information restricted by law. To inspect and/or receive a copy of your medical records, we require that you submit your request in writing to your LOSC care provider or the appropriate medical records department. If you are unsure where to submit your request, please contact the LOSC Privacy Officer (contact information below). If you request a copy of your medical records, we may charge you a reasonable fee for the costs of copying, mailing, or other supplies associated with your request. Your request will be fulfilled in a timely manner not to exceed 30 days. Under certain circumstances, we may deny your request to inspect or copy your medical records, such as if we believe it may endanger you or someone else. If you are denied access to your medical information, you may request that another licensed health care professional review the denial. We will comply with the outcome of the review.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you may ask that we contact you only at home or by mail. If you want us to communicate with you in a certain way, you will need to give us specific details about how you want to be contacted including a valid alternative address. We will not ask you the reason for the request, and 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. We require that you submit your request in writing to your LOSC care provider or the appropriate medical records department. If you are unsure where to submit your request, please contact the LOSC Privacy Officer (contact information below).
• Right to Request an Amendment: If you feel that the medical information, we have about you is incorrect or incomplete, you may ask us to amend the medical information for as long as the medical information is kept by or for LOSC in your medical and billing records. To request an amendment, we require that you submit your request in writing and that you provide the reason for the request. You should direct your request to your LOSC care provider or the appropriate medical records department. If you are unsure where to submit your request, please contact the Privacy Officer (contact information below). If we agree to your request, we will amend your record(s) and notify you of such. In certain circumstances, we cannot remove what was in the record(s), but we may add supplemental information to clarify. If we deny your request for an amendment, we will provide you with a written explanation of why we denied it and explain your rights.
• Right to an Accounting of Disclosures: You have a right to make a written request to receive a list of the disclosures we have made of your medical information in the six years prior to your request. The accounting of disclosures you receive will not include disclosures made for treatment, payment, or healthcare operations activities of LOSC. Additionally, it will not include disclosures made to you. To request an accounting of disclosures, we require that you submit your request in writing to the Privacy Officer (contact information below). You must state the time period for which you want to receive the accounting, which may not be longer than six years and which may not date back more than six years from the date of your request. You must indicate whether you wish to receive the list of disclosures electronically or on paper. The first accounting of disclosures you receive in a 12-month period will be free. We may charge you for responding to additional requests in that same period. We will inform you of the costs involved before any costs are incurred. You may choose to withdraw or modify your request at that time.
• Right to Request Restrictions: You have the right to request a restriction, or limitation, on the medical information we use or disclose about you for treatment, payment, or health care operations. If we agree to your request, we will comply with your request unless the medical information is needed to provide you with emergency treatment or we are required by law to not disclose it. We are not required to agree to your request except in the case where the disclosure is to a health plan for the purposes of carrying out payment or health care operations of the health plan, and the information pertains solely to a health care item or service for which we have been paid out of pocket in full.
• Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice at any time, even if you have previously agreed to receive this Notice electronically. Copies of this Notice are available throughout LOSC or by contacting the LOSC Privacy Officer (contact information below).
• Right to Receive Notification of a Breach: You have the right to receive written notification of any breach of your unsecured medical information.
• Changes to This Notice: We reserve the right to change this Notice from time to time. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any medical information we receive about you in the future. We will post a copy of the current notice on the LOSC website at www.leighortho.com.
• Questions, Requests, or Complaints. If you have questions or believe that your privacy rights have been violated, you may file a complaint with LOSC or with the Secretary of the Department of Health and Human Services. To file a complaint with LOSC, contact the Privacy Officer. You will not be penalized or retaliated against for filing a complaint. The U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 1-833-723-0582.

Privacy Officer Contact Information:

Leigh Orthopedic Surgery Center
6201 E. Virginia Beach Blvd, Suite 200
Norfolk, Va 23502
757-624-0700
Administrative Director: Maureen Hartley, RN mxhartl1@sentara.com

This Notice is effective July 10, 2023, and replaces all earlier versions.

Last updated: August 3, 2021

This Cookies Policy explains what Cookies are and how We use them. You should read this policy so You can understand what type of cookies We use, or the information We collect using Cookies and how that information is used.

Cookies do not typically contain any information that personally identifies a user, but personal information that we store about You may be linked to the information stored in and obtained from Cookies.

For further information on how We use, store and keep your personal data secure, see our Privacy Policy.

We do not store sensitive personal information, such as mailing addresses, account passwords, etc. in the Cookies We use.

Interpretation and Definitions

Interpretation

The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.

Definitions

For the purposes of this Cookies Policy:

• Company (referred to as either “the Company”, “We”, “Us” or “Our” in this Cookies Policy) refers to Leigh Orthopedic Surgery Center, 6201 E. Virginia Beach Blvd, Suite 200, Norfolk, VA 23502.

• Cookies means small files that are placed on Your computer, mobile device or any other device by a website, containing details of your browsing history on that website among its many uses.

• Website refers to leighortho.com, accessible from https://www.leighortho.com/

• You means the individual accessing or using the Website, or a company, or any legal entity on behalf of which such individual is accessing or using the Website, as applicable.

The use of the Cookies

Type of Cookies We Use

Cookies can be “Persistent” or “Session” Cookies. Persistent Cookies remain on your personal computer or mobile device when You go offline, while Session Cookies are deleted as soon as You close your web browser.

We use both session and persistent Cookies for the purposes set out below:

Necessary / Essential Cookies

Type: Session Cookies
Administered by: Us
Purpose: These Cookies are essential to provide You with services available through the Website and to enable You to use some of its features. They help to authenticate users and prevent fraudulent use of user accounts. Without these Cookies, the services that You have asked for cannot be provided, and We only use these Cookies to provide You with those services.

Cookies Policy / Notice Acceptance Cookies

Type: Persistent Cookies
Administered by: Us
Purpose: These Cookies identify if users have accepted the use of cookies on the Website.

Functionality Cookies

Type: Persistent Cookies
Administered by: Us
Purpose: These Cookies allow us to remember choices You make when You use the Website, such as remembering your login details or language preference. The purpose of these Cookies is to provide You with a more personal experience and to avoid You having to re-enter your preferences every time You use the Website.

Tracking and Performance Cookies

Type: Persistent Cookies
Administered by: Third-Parties
Purpose: These Cookies are used to track information about traffic to the Website and how users use the Website. The information gathered via these Cookies may directly or indirectly identify you as an individual visitor. This is because the information collected is typically linked to a pseudonymous identifier associated with the device you use to access the Website. We may also use these Cookies to test new pages, features or new functionality of the Website to see how our users react to them.

Targeting and Advertising Cookies

Type: Persistent Cookies
Administered by: Third-Parties
Purpose: These Cookies track your browsing habits to enable Us to show advertising which is more likely to be of interest to You. These Cookies use information about your browsing history to group You with other users who have similar interests.

Based on that information, and with Our permission, third party advertisers can place Cookies to enable them to show adverts which We think will be relevant to your interests while You are on third party websites.

Social Media Cookies

Type: Persistent Cookies
Administered by: Third-Parties
Purpose: In addition to Our own Cookies, We may also use various third party plug-ins from social media networking websites such as Facebook, Instagram, Twitter or Google to report usage statistics of the Website and to provide social media features. These third party plug-ins may store Cookies. We do not control these Social Media Cookies. Please refer to the relevant social media network’s website privacy policies for information about their cookies.

Your Choices Regarding Cookies

If You prefer to avoid the use of Cookies on the Website, first You must disable the use of Cookies in your browser and then delete the Cookies saved in your browser associated with this website. You may use this option for preventing the use of Cookies at any time.

If You do not accept Our Cookies, You may experience some inconvenience in your use of the Website and some features may not function properly.

If You’d like to delete Cookies or instruct your web browser to delete or refuse Cookies, please visit the help pages of your web browser.

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More Information about Cookies

You can learn more about cookies here: All About Cookies by TermsFeed.

Contact Us

If you have any questions about this Cookies Policy, You can contact us:
• By email: support@leighortho.com

Leigh Orthopedic Surgery Center, LLC is a joint venture between Sentara Hospitals, DBA as Sentara Leigh Hospital, and the following surgeons: Dr. Samuel Robinson, Dr. Kevin Bonner, Dr. Joseph Gondusky, Dr. Jack Siegel, Dr. Louis Jordan, Dr. James Dowd, Dr. Nicholas Midis, Dr. Justin Griffin, Dr. Blake Moore, Dr. Chad Manke, Dr. Lawrence Donato, Dr. Michael Campbell, Dr. Bradley Butkovich, Dr. Paul Warren and Dr. Bradley Carofino.