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BRACC Notice of Privacy Practice (Cont'd)

• Complaint/Incident Surveys. We may use and disclose health information about you to the Michigan Department of Consumer & Industry Services for Complaint/Incident Surveys. During the survey, certain resident health information, including individually identifiable health information, may be disclosed to the Michigan Department of Consumer & Industry Services. BRACC is required by law to provide access to the Michigan Department of Consumer & Industry Services and to provide it with access to resident records and information to the extent necessary for them to carry out their functions under the law. During the time of the survey, it is possible that certain health information and records about you may be disclosed for purposes of permitting the Michigan Department of Consumer & Industry Services to carry out their survey, certification and enforcement activities. Please note that the Michigan Department of Consumer & Industry Services officials, themselves, are subject certain confidentiality and other requirements, to ensure that resident health information is properly handled and protected from unauthorized disclosure.

• Fundraising Activities. We may use health information about you to contact you in an effort to raise money for BRACC and its operations. We may disclose health information to a foundation related to BRACC so that the foundation may contact you in raising money for BRACC. We only would release contact information, such as your name, address and phone number and the dates you received treatment or services at BRACC.

• BRACC Directory. We include your name and room number in the BRACC directory while you are a resident at BRACC. The directory information may be released to people who ask for you by name. This is so your family, friends and clergy can visit you at BRACC.

• Wayfinding. We post your name and photograph outside your room to assist you, staff, clergy and visitors with locating your room during your stay with us.

• Individuals Involved in Your Care or Payment for Your Care. We may release health information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. We may also tell your family or friends your condition and that you are in BRACC. In addition, we may disclose health information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location.

• Research. Under certain circumstances, we may use and disclose health information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who received one medication to those who received another, for the same condition. All research projects, however, are subject to a special approval process to balance the research needs with patients' need for privacy of their health information. Under the control and oversight of Botsford Rehabilitation and Continuing Care Center, a researcher may have access to your name, address or other information that reveals who you are, or will be involved in your care at BRACC.

• To Avert a Serious Threat to Health or Safety. We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.

SPECIAL SITUATIONS

DISCLOSURES AS REQUIRED BY LAW OR REGULATION OR TO ASSIST IN LAW ENFORCEMENT OR NATIONAL SECURITY

We may disclose health information, including individually identifiable health information about you as required by State or Federal laws and regulations relating to any or all of the following, as such may apply to you:

1. Community/ Public Health activities and reports such as disease control, abuse or neglect, and health and vital statistics.

2. Administrative oversight for such things as audits, investigations, licensure, or determining cause of death.

3. Court Order or other legal processes related to law enforcement activities including custody of inmates, legal actions, or national security activities.

4. Military and Veteran reporting on members of the armed forces of U.S. or foreign military as required by military command authorities.

5. Organ and Tissue Donation and Transplant reports as required by regulatory organizations as necessary to facilitate organ or tissue donation and transplant.

6. Workers' Compensation or other rehabilitative activities reporting as required by law or insurers in order to provide benefits for work-related or victim injuries or illnesses.

7. Law Enforcement. We may release health information if asked to do so by a law enforcement official:

• To identify or locate a suspect, fugitive, material witness, or missing person;
• About the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement;
• About a death we believe may be the result of criminal conduct;
• About criminal conduct at BRACC; and
• In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.

8. Coroners, Medical Examiners and Funeral Directors. We may release health information to a coroner or medical examiner. This may be necessary, for example, to prepare the death certificate. We may also release health information about patients of BRACC to funeral directors as necessary to carry out their duties.

9. National Security and Intelligence Activities. We may release health information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

10. Protective Services for the President and Others. We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.