Additional Information

Confidentiality

The Oneida Comprehensive Health Division assures that all patient/client rights to privacy are enforced and protected by all of its employees according to the provisions of the Privacy Act of 1974 and any other state and federal laws regarding patient rights to Privacy including the Health Information Portability and Accountability Act (HIPAA) of 1996.

The use of the Electronic Medical Record and improved access to health care information will enhance the coordination of care and positively impact your health care outcomes. Each time your health information is accessed, that information is stored electronically and will make your protected health information more secure.

Patient Rights & Responsibilities

Patient Rights  

The Oneida Comprehensive Health Division assures that its patients are treated in a manner that recognizes their basic human rights by assuring the following:

• Patients are treated with respect, consideration, and dignity. Patient’s rights and responsibilities covered by the Indian Freedom of Religion Act will be strictly observed.
• Patients are assured confidential treatment of their disclosures and records and, except when required by law, are afforded the opportunity to approve or refuse their release.
• Patients are provided, to the degree known, complete information concerning their diagnosis, treatment, and prognosis.
• When it is medically inadvisable to give such information to a patient, such information is made available to an individual designated by the patient or to a legally authorized individual in conformity with the Privacy Act of 1974 and other controlling laws.
• Patients are given the opportunity to participate in decisions involving their health care, unless constrained for medical reasons.
• Patients are informed of their rights to change providers if other qualified providers are available.

Information is available to patients and staff concerning:

• Patient Rights, including those specified above:
  • Patient conduct, responsibilities and participation.
  • Services available through the Comprehensive Health Division and eligibility for such services.
  • Provisions for after-hours and emergency care.
  • Fees for services including what services are provided for through the Indian Health Service and eligibility criteria.
  • Payment policies.
  • Advance directives as required by State and Federal law and regulations.
  • The credentials of all health care professionals working within the Comprehensive Health Division.
  • The process for filing under the Federal Tort Claims Act.
  • How to voice grievances regarding the treatment of care.
  • Methods for providing feedback, including complaints.

Patient Responsibilities

Prior to receiving care, patients are informed of their responsibilities. We expect that our patients will:

• Be responsible to provide for their own needs to the extent of their ability by providing complete and accurate information about his/her health, any medications taken, including over-the-counter products and dietary supplements, and any allergies or sensitivities.
• Encourage their families to be responsible to provide for the needs of their members to the extent of their abilities.
• Follow the treatment plan prescribed by his/her provider and participate in his/her care to the best of their abilities.
• Cooperate with efforts to maintain confidential records.
• Ask questions about diagnosis, treatments, and prognosis to assure adequate understanding of your condition.
• Use established procedures for obtaining after-hours care.
• Be respectful of others needs by keeping appointments and/or notifying the Health Center, or other departments within the health division, in advance, when unable to keep an appointment.
• Behave respectfully toward all the health care professionals and staff as well as other patients.
• Provide complete and accurate information for registration and insurance upon request and accept personal financial responsibility for any charges not covered by insurance or by Indian Health Services.
• Respect Oneida Comprehensive Health Division property.
• Provide feedback to the Oneida Comprehensive Health Division for continuous quality improvement.
• Avoid the use of Cell Phones beyond the waiting areas/lobby areas in accordance with HIPAA regulations.
• With accordance of WI State statute 940.204, any patron who intentionally causes or threatens harm to a staff member can have charges pressed against them that could lead to a Class H felony.

Eligibility

The Oneida Comprehensive Health Division provides a number of services to the Oneida Community through a combination of a compact with the Federal government through the Indian Health Service, Tribal Contribution funds and third party revenues generated by private insurance, Medicaid and Medicare.

Health Services are divided into two categories of care, Direct Care and Purchased/Referred care services.

Direct Care

Service provided directly within the Oneida health care facilities. Persons to whom direct care services may be provided are:

•  Members and/or descendants of a Federally recognized tribe or Alaska Native Group with proof of enrollment and/or descendancy.
• Non-Indian woman, that is not married to an enrolled member, pregnant with an eligible Indian’s child for the duration of her pregnancy through post-partum (usually 6 weeks)
• Non-Indian spouse married to an enrolled member of a Federally recognized tribe or Alaska Native Group.
• Non-Indian Children adopted by an enrolled member of a Federally recognized tribe or Alaska Native Group.
• Indian Children adopted by a Non-Indian family.
• Non-Indian Employees of the Oneida Tribe of Indians of WI.

Purchased/Referred Care (PRC)

Purchased/Referred care services is a financial resource to assist in payment for services that cannot be directly provided within the Oneida health care facilities. Federal regulations require that PRC funds are to be used only after all other alternative resources have paid. Eligibility will be determined by a Purchased/Referred Care Representative based upon federal regulations.

Visit our Purchased/Referred Care webpage for more information.

Forms

Assignment of Benefits

Authorization

PRC Services Packet and Application – Fillable Form

PRC Services Packet and Application – NonFillable

Purchase Referred Care Appeal Form

Dental Health Questionnaire

HIPAA Notice Acknowledgement

Notice of Privacy Practices

Disclose Medical Information

Client Concern – Grievance Form

Cultural Awareness

Oneida Comprehensive Health Division implemented a Cultural Awareness policy on November 20, 2015 to:

1. 1. Ensure Comprehensive Health Division employees are culturally sensitive and competent in working with individuals from the Oneida Nation and surrounding Tribes.
   2. Establish procedures to enhance the value of services being provided and improve patient satisfaction through meeting the needs of individuals from the Oneida Nation and surrounding Tribes.
   3. Ensure the Health education and disease prevention programs are comprehensive and will consider the medical, psychological, social, and cultural needs of the population to be in compliance with accreditation standards of the organization.

Employees can use the Learning Schedule and Approved Activities lists to obtain their culture education hours each month.

For more information about Oneida Culture, events and activities, see the Cultural Heritage webpage.

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