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Welcome to the Family!

Congratulations and welcome to the Alert Medical Alarm family! You have joined with thousands of other individuals across the country who have taken this important step in maintaining or improving their independence.

Our mission is to serve persons of all ages in a manner that values human dignity, respects human diversity and enhances physical, mental and emotional well-being! Thank you for putting your trust in our company and in our service. We value you as a customer and as an important part of our extended family.

If you have any questions regarding the service you are receiving, please call us at1-800-716-8035.

IF YOU ENCOUNTER A MEDICAL EMERGENCY SUCH AS CHEST PAIN, BLEEDING, DIFFICULTY WITH BREATHING, SEVEREBURNS, OR A FALL WITH POSSIBILE INJURIES, WE ENCOURAGE YOU TO CALL 9-1-1. IF YOU ARE UNABLE TO GET TO A PHONE, YOU SHOULD PRESS THE BUTTON ON YOUR PENDANT OR UNIT.

Email Signature
Thank you.
Noah Gifford
Noah Gifford,
Chief Executive Officer

Consumer Bill of Rights and Notifications Policy

Consumer has the right to:

1. Receive at least 30 calendar days advanced written notice of the intent of the company to terminate services. (Certain circumstances may require company to terminate without 30-day notice. Ask company for further information.)   2. Prior to the beginning of services, the Alert Medical Alarms shall provide to the consumer, the consumer’s legal representative or responsible family member an information packet containing the following information in a form that is easily read and understood:   I. HIPAA Notice of the agency’s Privacy Practices with confidentiality of all medical, financial, and personal information.   II. Non-discrimination policy that is practiced at the company.   III. Incident reporting notice.   3. Non-Discriminatory Service. The provider does not exclude or otherwise discriminate against any person on the grounds of race, color, national origin, ancestry, age, sex, creed or disability in services and benefits under any of its services. Complaints of discrimination may be filed with the Office of Equal Opportunity or your state’s Department of Health.   4. Hiring and competency requirements for PERS/Medication Dispenser Installer. The employee(s) who will be installing all PERS/Medication Dispenser units has met the hiring and competency requirements in accordance with state regulations. The employee’s criminal background checks have been completed and cleared. In addition, the employee(s), through a training program, have successfully completed the competency requirements including but not limited to providing services, confidentiality, and reporting abuse or neglect.   5. Choose the PERS/Medication Dispenser company that will provide his/her service.   6. A Personal Emergency Information Data sheet (if requested).   7. Be treated with respect, consideration and kindness, and be served by dependable and responsible employees.   8. Not be abused physically, verbally, emotionally or sexually by employees.   9. Confidentiality regarding all medical and financial and personal information.   10. Contact the PERS call center twenty-four hours a day, seven days a week.   11. Receive services as contracted.   12. Voice complaints and incidents, have them reviewed and, if possible, resolved without interruption in service or personal recrimination. An incident is defined as an occurrence of an event that jeopardizes the health or welfare such as misconduct, abuse, neglect, exploitation, service interruption that threatens safety.   13. Privacy, modesty and security.   14. Have his/her property respected.  
NOTICE: No individual as a result of the individual’s affiliation with Alert Medical Alarms, a PERS company, may assume power of attorney or guardianship over a consumer utilizing the services of that company. The company may not require a consumer to endorse checks over to the company.
CONTACT INFORMATION:   Questions or concerns involving the company may be filed by calling the office at 1-800-716-8035. We welcome your calls! If you leave a voicemail, someone will return your call as soon as possible.

Consumer Non-Discrimination Policy

Policy: Alert Medical Alarms provides all services and employment to any eligible and qualified individual regardless of race, sex, color, national origin, ancestry, religious creed, handicap or age. The nondiscriminatory policies of the agency apply to all patients/families served, employees and contractors.

Procedure:

1. As a recipient of Federal/State financial assistance, Alert Medical Alarms does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, sex, color, national origin, ancestry, religious creed, handicap or age in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by Alert Medical Alarms directly, or through a contractor/any other entity with which Alert Medical Alarms arranges to carry out its programs and activities.

This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91.

In case of questions, please contact Alert Medical Alarms at 1-800-716-8035.

2. PERS/Medication Dispensing services will be provided in a manner that does not discriminate against persons regardless of race, sex, color, national origin, ancestry, religious creed, handicap, or age.

3. Reasonable accommodations will be provided for any handicapped employees.

4. Staff will be assigned to patient cases regardless of race, sex, color, national origin, ancestry, religious creed, handicap or age.

5. All possible issues of discrimination should be reported immediately to an Alert Medical Alarms Administrator.

6. All consumer and Alert Medical Alarms staff/contractors are made aware that complaints of potential discriminatory behavior may be filed with the Office of Equal Opportunity or your state’s Department of Health.

Incident Reporting Notice

Alert Medical Alarms is dedicated to preventing, managing, and reporting all incidents that occur. The main purpose of Alert Medical Alarm’s incident reporting policy is to ensure the health and safety of its consumers. Also, the monitoring and reviewing of incidents may aid in formulating different preventative plans against future incidents.

Critical Incident

An occurrence of an event that jeopardizes the participant’s health and/or welfare is a critical incident. It includes but is not limited to:

  1. Death (other than by natural causes), serious injury, or hospitalization (except in certain cases such as a hospital stay that was preplanned)
  2. Provider and staff misconduct: deliberate, willful and unlawful or dishonest activities.
  3. Abuse: the infliction of injury, unreasonable confinement, intimidation, punishment, mental anguish, sexual abuse or exploitation of a participant. Types of abuse include (but are not necessarily limited to):
    • Physical abuse: a physical act by an individual that may cause physical injury to a participant
    • Psychological abuse: an act, other than physical, that may inflict emotional harm, invoke fear and/or humiliate, intimidate, or degrade a participant
    • Sexual abuse: an act or attempted act such as rape, molestation, sexual exploitation or sexual harassment
  4. Neglect: The failure to provide an individual the reasonable care that he or she requires, including but not limited to food, clothing, shelter, medical care, personal hygiene, and protection from harm.
  5. Exploitation: an act of depriving, defrauding or otherwise obtaining personal property of a participant in an unjust or cruel manner against one’s will, or without one’s consent.
  6. Service interruption: Any event that results in the participant’s inability to receive services that places his or her health or safety at risk.

Individuals and Families

Individuals and families are to notify the provider, or their case manager, regarding any health and safety concerns they may have related to a service they are receiving.

If an individual or family member observes or suspects abuse, neglect, or any inappropriate conduct, whether occurring in the home or out of the home, they should contact the provider or their case manager.

The provider or case manager will then take prompt action to protect the individual, ensure Adult Protective Services are notified, and fulfill any other program specific escalation requirements within 24 hours of being notified.

Incident Reporting Notice

 

Procedure

  1. If any incident occurs, the individual discovering the incident will report it to the office immediately.
  2. A critical incident will be filed in accordance with the standards of the program covering the participant’s services.
  3. If the incident is personnel related, a paper-based incident report must be completed within 24 hours of the incident. The following information must be gathered:
    • Name of the employee, address, phone number
    • Date, time, and location of the incident and name of reporting person
    • List of witnesses of the incident
    • Type of incident
    • Description of the incident
    • Description of any injuries in narrative form
    • Indicate who was notified, and the date and time
    • Follow-up action taken
  4. The supervisor will review the incident report and conduct follow-up as indicated:
    • Incidents will be analyzed, tracked monthly and quarterly, and reported to the quality committee
    • A yearly summary (or quarterly if needed) will be reviewed to identify patterns
    • Identified needs will result in in-service training and staff education
  5. Sentinel events must be reported no later than 5 business days after the event or within 5 business days after the agency becomes aware of the event. Reports must be submitted to the agency’s liability insurance carrier, legal counsel, and local authorities when applicable.

Mandatory Reporting

  1. The provider and staff are required to report critical incidents related to individuals receiving PERS/Medication Dispenser services.
  2. The person who discovers the critical incident is responsible for reporting it to their supervisor.
  3. Participants have the right not to report an incident and may decline further intervention.
  4. It is important to notify the provider or case manager immediately when an incident is discovered.
  5. The provider or case manager must report the incident within 24 or 72 hours depending on the type of incident.
 

HIPAA Privacy Notice

Your Rights and Privacy Notice

Your Rights

  1. Access Your Records: Request electronic or paper copies of your health information. We typically provide this within 30 days and may charge a reasonable fee.
  2. Request Corrections: If information is wrong or incomplete, you can request corrections. We may deny requests but will explain why in writing within 60 days.
  3. Confidential Communication: Ask to be contacted in specific ways or at different addresses. We honor all reasonable requests.
  4. Limit Sharing: Request restrictions on how your information is used for treatment, payment, or operations. We may decline if it affects your care.
  5. Restrict Insurer Access: If you pay out-of-pocket in full, you can ask us not to share information with your insurer.
  6. Get a Disclosure List: Request a list of disclosures made in the past six years (excluding standard operations).
  7. Get a Copy of This Notice: Request a printed copy at any time, even if you have received it electronically.

Your Choices

  1. Family/Friends Involvement: Choose whether we share information with family, friends, or caregivers involved in your care.
  2. Emergencies/Disasters: Decide if your information is shared in urgent or disaster situations.
  3. Fundraising: We may contact you, but you can opt out of further communication.

We will never share your information for marketing or sales without your written permission.

Our Uses and Disclosures

We use your information to support your care, operate effectively, and receive payment. Typical uses include:

  1. Treatment: Sharing with other professionals involved in your care.
  2. Operations: Managing and improving our services, and contacting you as needed.
  3. Billing: Coordinating with insurance or payers for reimbursement.

Other permitted uses (with conditions) include:

  1. Public Health & Safety: Reporting disease, abuse, or threats to safety.
  2. Legal Compliance: Sharing as required by federal or state law, or in response to a court/administrative order or subpoena.
  3. Research: Under strict legal safeguards.
  4. Law Enforcement/Government: Workers’ compensation, national security, and related requirements.
  5. Post-Death: Coordination with coroners, medical examiners, or funeral directors.
Your Rights & Complaints Notice

Your Representatives & Complaints

  1. Authorized Representatives: Legal guardians or power of attorney holders may act on your behalf, if proper documentation is provided.
  2. Complaints: If you believe your rights were violated, you may contact us directly or file a complaint with the U.S. Department of Health & Human Services. We do not retaliate against individuals who file complaints.

Our Responsibilities

  1. We are required by law to keep your health information private and secure.
  2. We will notify you promptly if a data breach occurs.
  3. We will follow the practices described in this notice.
  4. We will only share your information as described unless you provide written permission.

Changes to This Notice

  1. We may update this notice at any time.
  2. Changes apply to all current and future health information.
  3. You may request the latest version at our office.