Medical emergencies account for over 70% of the department’s
total emergency calls. The department has four advanced life support (ALS)
ambulances stationed throughout our district, each of which carries the latest
in state-of-the-art equipment. Emergency ambulance service is fee-free for
residents of the fire district, and they will also respond to neighboring
communities for mutual aid as requested and available.
Harlem-Roscoe Fire is proud of the high level of medical
services they have to offer. In 1980, Harlem-Roscoe became the first volunteer
fire service with a state certified paramedic in the area. They now staff
two ALS ambulances 24/7. There are also EMTs and firefighters scheduled on
all duty shifts, which are backed up by the volunteer EMTs and firefighters
working from all three stations in the district. All EMS personnel are highly
trained and truly dedicated to seeing that the residents receive the very
best care possible: emphasizing proficiency, compassion and dignity.
Celebrating EMS WEEK May 16 -
May 22, 2010
"May is the the month that we recognize and celebrate
those in EMS (Emergency Medical Services). It is the commitment and dedication
of all the personnel that make us second to none. We are proud of them for
going above and beyond the call of duty. Our communities deserve the best,
and all of them have seen that they receive it! Thank you to the following
EMS personnel that serve Harlem-Roscoe." Chief Don Shoevlin
EMT-Paramedics: Jay Alms, Ramona Baldoni-Lake, John Bergeron,
Rob Gonia, Chris Kaiser, Jerry McCormick, Mike Morrison, Mike Powell, John
Presley, Zak Prielipp, John Morgan, and Keith Lincoln.
EMT - Bs: Tom Aaker, Ryan Alms, Adam Arnould, Tim Bergeron,
Jeff Brandenburg, Adam Cox, John Donovan, Adam Eich, Chris Farr, Josh Hoffland,
Mike Huffman, Radi Huggard, Scott Jensen, Gina Kaiser, Ron Klaman, Bryson
Knox, Joe Koeninger, Tom Lake, Randy Lovelace, Rob Lukowski, Jeff Morris,
Maurice Radke, Mark Schafman, Eric Schweitzer, Mike Sherbon, Don Shoevlin,
Steve Shoevlin, Mark Soppe, Brandon Tietz, Greg Wernick, and Christi Wilson.

PATIENT'S HEALTH INFORMATION PRIVACY RIGHTS
1. Patients have the right to receive and review a copy of HRFPD
Health Information Privacy Policy.
2. Patients may request that certain information not be disclosed to designated
parties.
3. Patients may request that they be contacted only at a designated alternative
address other than their home address.
4. Patients may make reasonable request of HRFPD as to time and place for
a copy of their Protected Health Information (PHI), subject to a copying and
mailing expense fee.
5. Patients have the right to request a correction of actual errors in the
PHI.
6. Patients have the right, upon request, to be informed of disclosures of
PHI by court orders, investigations and subpoenas.
7. Patients have a right to revoke, in writing, prior consents to disclosure
of PHI.
8. Parents of minors or legal guardians can sign the release or acknowledgment
of Notice of Disclosure form for their children and/or legal wards.
PROTECTED HEALTH INFORMATION (PHI) PRIVACY
POLICY PURSUANT TO THE HEALTH INSURANCE PORTABLITY AND ACCOUNTABLITY ACT.
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No member of the HRFPD shall disclose any Patient's
Health Information in violation of the patient's privacy rights.
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All patients shall be asked to sign the HRFPD Notice
of Disclosure, Release of Medical Information, and Notice of HRFPD Protected
Health Information (PHI) Privacy Police form, hereinafter referred to
as the PHI form. If a patient refuses to sign or is unable to sign the
PHI form, a witness should be obtained in writing to the request to sign
and refusal or inability to sign by the patient. If the patient is advised
of the PHI Notice and Policy and refuses to sign or is unable to sign
before a witness in writing, they still have received the PHI notice.
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All signed or witnessed PHI documents must be retained
for six years. All PHI documents must be maintained in lockable and secure
storage.
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The parent of a minor child or guardian of a legally
disabled patient may sign the PHI form on behalf of the patient.
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All disclosure of patient PHI shall be limited to persons
and business associates (BA) within HRFPD treatment, payment and healthcare
operation (TPO) and shall be based upon notice or consent obtained prior
to providing care, except for the following circumstances where disclosure
of health information may be made for TPO purposes prior to obtaining
written consent or notice:
- In the case of an emergency as determined by the healthcare provider
on the scene, using his or her "professional judgment" as
defined and included in the Department of Health and Human Services
HIPAA Standards: "Healthcare providers must exercise professional
judgment to determine whether obtaining a written consent (or now
a signed notice) would interfere with the timely delivery of necessary
healthcare. If, based on professional judgment, a provider reasonably
believes at the time the patient presents for treatment that a delay
involved in obtaining the patient's written consent of use or disclosure
of information would compromise the patient's care, the provider may
use or disclose PHI that was obtained during the emergency treatment,
without prior consent, to carry out TPO."; or
- When required by law, such as in the case of receipt of lawful
subpoena or court order of proper jurisdiction; or
- When there are substantial communication barriers.
Notwithstanding the above exceptions to prior notice or consent, the
provider must attempt to obtain written acknowledgment of notice and
consent as soon as reasonably practicable after the provision of treatment.
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HRFPD must secure prior authorization to disclose
PHI to a patient's employer or attorney before disclosure.
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All disclosures, when made, are to disclose the least
amount of PHI necessary for the purpose.
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Any PHI used for training purposes, or given as an
example, must be de-identified by removal of the patient's name, address,
date of birth, Social Security number, dates of treatment, telephone/fax
numbers, invoice/account number, health insurance number, driver's or
vehicle license numbers, codes, pictures, fingerprints, or any other identifying
features or information.
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No disclosure to any business associate (BA) shall
be made without a prior written contract between HRFPD and the BA obligating
that BA to fully comply with the Privacy Policy and insure nondisclosure
of PHI except for purposes of compliance with the TPO and requiring the
BA to promptly notify the HRFPD of any violations of that Privacy Policy.
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The Fire Chief shall appoint a Privacy Policy Compliance
Officer to implement, oversee and train as to the HRFPD Privacy Police.
All HRFPD personnel are to receive Privacy Policy training annually appropriate
to each person's function with the HRFPD. The Privacy Police Officer shall
insure that records of personal privacy training shall be maintained and
that PHI records maintained by HRFPD shall be kept secure against unauthorized
disclosure.
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The Fire Chief shall appoint a Privacy Policy Complaint
Officer who shall be designated to receive, document, investigate and
resolve complaints alleging violation of patient privacy rights. All violations
of the Privacy Policy and resolutions therefore shall be reported in writing
to the Fire Chief as soon as practicably possible. Upon receipt of such
written report, the Fire Chief shall present said written report to the
Board of Trustees in such a form and manner as not to cause further violation
of the Privacy Policy.
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Any HRFPD personnel found to have violated the Privacy
Policy shall be subject to disciplinary sanctions up to and including
suspension or discharge as appropriate to the circumstances of the unauthorized
disclosure. Such disciplinary action shall be by the majority vote of
the Board of Trustees upon recommendation of the Fire Chief.
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All persons or entities acting as billing agents for
HRFPD (Business Associates) shall be provide a copy of this PHI privacy
policy and shall be required and expected to conform to the requirements
hereof as well as the requirements and spirit of all federal and state
laws appertaining to patient's privacy rights. Furthermore, said business
associates shall be required to notify HRFPD of any actual or suspected
violation of a patient's privacy rights and the privacy policy. Upon notice
of violation of patient's privacy rights, the HRFPD shall take action
as reasonably necessary and appropriate to avoid future violations.
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A copy of this HRFPD Privacy Policy shall be given
to each volunteer and, in addition, be posted and kept posted in public
view at all times in the general personnel areas of the fire station as
well as the HRFPD website, if any.
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This Privacy Police shall be in full force and effect
immediately upon approval of the HRFPD Board of Trustees.
Approved and adopted this 23rd day of February, 2004.
James L. Burdick - President
Jerold R. Ocker - Secretary
Barton C. Munger - Treasurer

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