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HIPAA Policy/Privacy Policy

This statement describes the policies and practices of Major Hospital regarding the collection and use of your personal information from your visit to our web site and your use of our other Internet services. These include, but are not limited to, our baby pages, giftcard purchases, our education department, employment information, foundation information, online patient classes, feedback and news. This statement is accessible from every page of Major Hospital’s web site. Major Hospital is committed to maintaining the privacy of visitors to our web site and users of our Internet services.

Major Hospital does not offer or sell products or services for purchase by children. If you are under 18 years of age, you may not purchase products or services from Major Hospital, and you should not provide information to Major Hospital without the involvement of a parent or guardian.

1. Alterations:
Alterations will be made to this privacy statement describing any future changes to this web site’s privacy practices. The latest version will always appear on our web site.

2. Information We Collect:
We gather general information about the use of our web site in order to improve the quality of the site. We use web server logs and industry-standard web site statistics software to count the number of users who visit our web site, go to each page, and to collect other general statistics. We do not track individual user’s visits to our web sites.

Major Hospital may share these anonymous aggregate statistics with other parties to provide general information about our services, to sell advertising, or arrange business relationships. We do not share any information about individual users.

Information to Process Transactions
When you use our web site to make appointments, register for events, purchase products or services, or join groups, we will collect information necessary to process the transaction. This may include your name, address, telephone and fax numbers, e-mail address, and credit card number or other payment information. Highly sensitive information is encrypted in order to assure that your private information is transmitted in a secure fashion, but please understand that no one can guarantee that unlawful or inappropriate use by third parties will not happen.

Payment Information
If we collect information for payment purposes, it is stored and used by us or our contractors to process orders and is discarded immediately after the transaction is complete.

Use of Information
We will sometimes use your e-mail address, address, phone number or other information to confirm a transaction, verify your identity, send you general information such as newsletters, or for similar purposes, either directly or through others we contract with. We will not disclose any information to third parties for any other purpose, and we will not sell mailing lists. In some cases, you will be given the choice not to have your information used for some of these purposes. In those cases, you will see information on how to make that choice.

3. Cookies:
Some portions of our web site may use "cookies." Cookies are small data files that are sent by a web site and stored on your computer. Cookies can contain information about your use of the site, but they are not used to identify or track you personally. We use cookies only when the software used with certain features of our web site or Internet services requires them in order to function properly. Most web browsers permit you to choose not to accept cookies automatically, but if you do not, some functions of our web site or services may not work properly.

4. Links to Other Web Sites:
Major Hospital’s web sites and many of our publications contain links to many other web sites. Major Hospital is not responsible for the privacy practices or the content of those other sites, and cannot monitor them. Please check with these sites for their privacy practices.

5. Contacting Major Hospital about Privacy:
You may contact us about our privacy practices at any time:

By e-mail at: privacy@majorhospital.org
By phone at: 317-421-3214
By fax at: (317) 398-5253
By mail at: Major Hospital Robert Carmony
Marketing Director, Major Hospital
150 W. Washington St.
Shelbyville, IN 46176

HIPAA Policy


Our Pledge Regarding Medical Information:
We are required by law to maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices. You personal doctor may have different policies of notices regarding the doctor’s use and disclosure of your medical information created in the doctor’s office or clinic.

We Protect Your Information:
We maintain protocols to ensure the security and confidentiality of your personal information. We have physical security in our building, passwords to protect databases, compliance audits, and virus/intrusion detection software. Within our practice, access to your information is limited to those who need it to perform their jobs.

How We May Use And Disclose Medical Information About You:
The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories. Information may be disclosed in writing, orally, or electronically.

For Health Care Operations.

  • We may use and disclose medical information about you for our business operations. These uses and disclosures are necessary to run Major Hospital and Affiliates and make sure that all of our patients receive quality care.
  • For Example, we may use medical information to review our treatment and services and to evaluate our performance.

We may combine medical information about many patients to decide what additional services we should offer, what services are not needed and whether certain new treatments are effective.

We may disclose information to doctors, nurses, technicians, medical students, and other personnel for review and learning purposes.

We may combine the medical information we have with medical information from other hospitals to compare how we are doing and see where we can make improvements in the care and services we offer.

We may remove information that identifies you from this set of medical information so others may use it to study health care and health care delivery without learning who the specific patients are.

Business Associates.
We contract with outside organizations, called business associates, to perform some of our operational tasks on our behalf. Examples would include billing agencies and a copy service we use when making copies of your health record. When these services are performed, we disclose the necessary health information to these companies so that they can perform the tasks we have asked them to do and bill you or your third-party payer for services rendered. To protect your health information, however, we require the business associate to appropriately safeguard your information.

Appointment Reminders.
We may use and disclose your medical information to remind you of appointments, annual exams or prescription refills.

Treatment Alternatives.
We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you. For example, this may include specific brand name or over the counter pharmaceuticals.

Health-Related Benefits and Services.
We may use and disclose medical information to tell you about health-related benefits or services. For example, this may include a new heart care program that we offer.

Organ and Tissue Donation.
If you are an organ donor, we may release medical information to organizations that handle organ procurement or organ, eye or tissue or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation.

Military and Veterans.
If you are a member of the armed forces, we may release medical information about you as required by military command authorities. We may also release medical information about foreign military personnel to the appropriate foreign military authority.

Workers’ Compensation.
We may release medical information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.

Public Health Risks and Patient Safety Issues.
We may disclose medical information about you for public health activities or to ensure your safety. These activities generally include the following:

  • To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition
  • To notify people of recalls of products they may be using
  • To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure when required or authorized by law
  • To prevent or control disease, injury or disability
  • To report actual or suspected child or elder abuse or neglect
  • To report births and deaths
  • To report reactions to medications or problems with products

Health Oversight Activities.
We may disclose medical 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.

Lawsuits and Disputes.
If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute.

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

  • In response to a court order, subpoena, warrant, summons or similar process
  • To identify or locate s 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 the hospital; 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.

Coroners, Medical Examiners and Funeral Directors.
We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients of the hospital to funeral directors as necessary to carry out their duties.

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

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 authorize persons or foreign heads of state or conduct special investigations.

The rights listed in this notice will not apply to inmates of a correctional institution.

Other Uses of Medical Information.
Other uses and disclosures of medical information not covered by this notice or laws will be made only with your written permission. If you provide us permission to use or disclose medical information, you may revoke that permission, in writing at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. Major Hospital is unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.


Right to Inspect and Copy.

You have the right to inspect and copy medical information that may be used to make decisions about your care. This includes medical and billing records, but does not include psychotherapy notes.

To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to Health Information Management. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request.

We may deny your request to inspect and copy in some limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by Major Hospital will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.

Right To Amend.

If you feel that medical information we have about you is incorrect you have the right to request an amendment.

To request an amendment, your request must be made in writing and submitted to Risk Management. In addition, you must provide a reason that supports your request.

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 us, unless the person or entity that created the information is no longer available to make the amendment;

  • Is not part of the medical information kept by Major Hospital and Affiliates;
  • Is not part of the information which you would be permitted to inspect and copy; of
  • Is accurate and complete.

Right to an Accounting of Disclosures.
You have the right to request an “accounting of disclosures.” This is a list of people who you authorized to see your medical records.

To request this list or accounting of disclosures, you must submit your request in writing to Health Information management. Your request must state a time period which may not be longer than six years and may not include dates before April 14, 2003. The first list you request within a 12 month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

Right to Request Restrictions.
You have the right to request a restriction or limitation on the ways medical information is used. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had.

We are not required to agree to your request.
If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request restrictions, you must make your request in writing to Health Information. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.

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 can ask that we only contact you at work or by mail.

To request confidential communications, you must make your request in writing to Risk Management. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This Notice.
You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agree to receive this notice electronically, you are still entitled to a paper copy of this notice.

Changes To This Notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in all Major Hospital and Affiliates facilities.

The notice will contain the effective date. In addition, each time you register at or are admitted for treatment or health care services we will make a copy of the current notice available to you.


If you believe your privacy rights have been violated, you may file a complaint with Major Hospital or with the Secretary of the Department of Health and Human Services. To file a complaint contact Health Information manager at: (317) 398-5330


By e-mail at: privacy@majorhospital.org
By phone at: (317) 398-5330
By fax at: (317) 398-5331
By mail at: Major Hospital
Sharon Collins
Health Information Manager
150 W. Washington St.
Shelbyville, IN 46176


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Major Hospital | 150 West Washington Street | Shelbyville, Indiana 46176