Compliance & Ethics Program
Our Commitment to You
We are committed to providing care and services with the highest standards of ethics, integrity, and transparency to ensure your safety, rights, and well‑being are fully protected.
Our team commits to provide
- Straightforward and honest professional services
- Care delivered without bias, conflicts of interest, or undue influence
- Respectful, knowledgeable, and competent employees who prioritize your needs
- Professional conduct and strict protection of your privacy and confidentiality
Your trust and well-being are important to us, and we are dedicated to delivering healthcare services that reflect integrity, accountability, and respect at every step of your experience.
Program documents & resources
Code of Ethics - Standards of Conduct for Our Team
Our Code of Ethics defines the professional standards and values every member of our team upholds — ensuring that every patient interaction is grounded in trust, skill, and accountability.
Integrity
Employees will be straightforward and honest in all professional and business relationships.
Employees will not allow bias, conflict of interest, or undue influence of others.
Employees will have a continuing duty to maintain knowledge and skill at the level required to ensure that a patient receives competent services based on current developments in practice, legislation, and techniques. Employees will act diligently and in accordance with applicable standards when providing services.
Employees will respect the confidentiality of information acquired as a result of professional and business relationships and will not disclose any such information to third parties without proper and specific authority unless there is a legal or professional right or duty to disclose. Confidential information acquired as a result of professional and business relationships will not be used for the personal advantage of the employee or third parties.
Employees will comply with the relevant laws and regulations and should avoid any action that discredits the employee or the Company.
Ethics and Compliance Reporting - How to Raise a Concern or Report an Issue
We encourage patients, families, employees, and business partners to raise concerns about potential ethical violations, compliance issues, or misconduct. All concerns are taken seriously, investigated promptly, and handled with discretion. No one will face retaliation for reporting a concern in good faith.
To speak directly with our Compliance Officer, please call:
Compliance Officer
1-800-732-4879
Speak directly with our Compliance Officer to report a concern or ask a compliance-related question.
Quality Program Overview - How We Measure and Improve Care
Our Quality Program is designed to monitor, evaluate, and continuously improve the safety and effectiveness of the pharmacy and infusion services we provide. Quality is embedded in every stage of care — from prescription verification and sterile compounding to delivery, administration, and patient follow-up.
Our quality initiatives include regular clinical outcome tracking, medication error surveillance, infection prevention protocols, patient satisfaction monitoring, and accreditation compliance. We benchmark our performance against industry best practice standards and use findings to drive meaningful improvements.
Quality Program Overview - How We Measure and Improve Care
Our Quality Program is designed to monitor, evaluate, and continuously improve the safety and effectiveness of the pharmacy and infusion services we provide. Quality is embedded in every stage of care — from prescription verification and sterile compounding to delivery, administration, and patient follow-up.
Our quality initiatives include regular clinical outcome tracking, medication error surveillance, infection prevention protocols, patient satisfaction monitoring, and accreditation compliance. We benchmark our performance against industry best practice standards and use findings to drive meaningful improvements.
Privacy and Security Policy - How We Protect Your Information
Access Infusion Care is committed to ensuring the confidentiality of all patient information — whether verbal, written, or electronic — in accordance with HIPAA, HITECH, and all applicable laws and regulations. Our Compliance Officer is responsible for overseeing that all privacy and confidentiality policies are consistently followed.
Before care begins, every patient receives a copy of their Patient Bill of Rights and Responsibilities and our HIPAA Privacy Notice. A signed acknowledgment is retained in the patient's medical record.
- Physical Safeguards
PHI is never displayed in public areas. Medical records are maintained electronically with cloud-based backup. Paper records are stored in physically secured, locked facilities with restricted access - Technical Safeguards
All staff have unique user IDs and passwords. Emails containing PHI are encrypted. Fax transmissions include confidentiality cover sheets. Identity is verified before any verbal PHI disclosure. - Workforce Safeguards
All employees sign a Confidentiality Agreement upon hire. Access to workstations and PHI is limited to staff who require it to perform their daily duties. - Vendor Safeguards
Business Associate Agreements (BAAs) are executed with all vendors as required by law. Vendor security standards are evaluated through a formal due diligence process before engagement.
Any detected breach of patient confidentiality is reported immediately to the Compliance Officer, who initiates an investigation and notifies affected patients. The Department of Health and Human Services (HHS) is notified of any qualifying breach. Patients may request an accounting of disclosures of their PHI at any time.
Privacy complaints may be submitted by telephone, mail, email, or in person. Patients have the right to file a complaint without fear of retaliation.
HIPAA Notice of Privacy Practices - Your Rights Under Federal Health Privacy Law
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. This HIPAA Privacy Notice applies to all subsidiaries under the ownership or control of Access Infusion Care, Inc.
Access Infusion Care's Commitment to Your Privacy
It is our duty to maintain the privacy and confidentiality of your protected health information (PHI). We will create medical records regarding you and the treatment and services we provide. We are required by law to maintain the privacy of your PHI and will share it only as necessary to carry out treatment, payment, or healthcare operations relating to your care.
It is the policy of Access Infusion Care to keep all your medical and personal information confidential. We will use or disclose your health information only to provide information to you or someone who has the legal right to act for you, and to the Secretary of the U.S. Department of Health and Human Services if necessary to ensure your privacy is protected.
How We May Use or Disclose Your Information
We may use or disclose your PHI for the following primary purposes:
- Treatment — Providing services as ordered by your doctor, including coordination and consultations with other healthcare providers, referrals, and coordination with hospitals or diagnostic laboratories.
- Payment — Billing, collections, claims management, prior approval, determinations of eligibility and coverage, and other utilization review activities to obtain reimbursement for your care. A written release may be required for specially protected PHI.
- Healthcare Operations — Quality assurance, case management, receiving and responding to patient comments and complaints, physician reviews, compliance programs, audits, business planning, development, management, and administrative activities. We may also use your PHI to evaluate staff performance and combine PHI to improve services.
Other Uses and Disclosures of Protected Health Information
Under limited circumstances, Access Infusion Care may also use or disclose your health information for the following purposes:
- As required by law — We may disclose information when required to do so by law.
- To persons involved with your care — We may use or disclose your health information to a person involved in your care or who helps pay for your care, such as a family member, when you are unable to speak for yourself or in an emergency.
- To health oversight agencies — For activities permitted by law, such as licensure, governmental audits, and fraud and abuse investigations.
- To public health organizations — For public health activities such as reporting or preventing disease outbreaks, and to the FDA for safety or quality issues related to FDA-regulated products.
- To protection agencies — To avoid a serious health or safety threat to you, another person, or the public, including to public health agencies or law enforcement in an emergency or natural disaster.
- To business associates — To business associates who perform activities on our behalf, provided they are contractually required to protect the privacy of your information.
Note: Incidental uses and disclosures of PHI sometimes occur and are not considered a violation of your rights. They are by-products of otherwise permitted uses or disclosures that are limited in nature and cannot reasonably be prevented.
Special Situations
Under special circumstances and subject to applicable law, Access Infusion Care may also use or disclose your health information for: organ and tissue donation; military and veterans' purposes; workers' compensation; public health activities (including reporting disease, injury, births, deaths, child abuse, or FDA-related matters); health oversight activities; lawsuits and disputes; law enforcement purposes; coroners, medical examiners, and funeral directors; national security and intelligence activities; correctional institutions; and to prevent serious threats to health or safety.
Note: HIV-related information, genetic information, alcohol and/or substance abuse records, mental health records, and other specially protected health information have special confidentiality protections under applicable state and federal law. Any disclosures of these types of records will be subject to these special protections.
Other Uses of Your Health Information
Under any circumstances other than those listed above, Access Infusion Care will ask for your written authorization before we use or disclose your health information. You have the right to revoke that authorization at any time in writing.
Your Rights
As a patient of Access Infusion Care, you have the right to:
- Request Restrictions
Request limitations on our uses and disclosures of your PHI for treatment, payment, and healthcare operations. Submit your request in writing. - Confidential Communications
Request that we communicate with you by alternative means or at alternative locations. Submit your request in writing. - Inspect & Copy PHI
Inspect and obtain a copy of the PHI contained in our records (fees may apply for copies). Submit your request in writing. - Request Amendment
Request an amendment to your PHI if you believe it is inaccurate or incomplete. Submit your request in writing with the reason for your request. - Accounting of Disclosures
Receive an accounting of disclosures of your PHI made over the six years prior to your request. The first accounting per twelve-month period is free. - Breach Notification
Receive notification in the event of a breach of your unsecured PHI that requires notification under the Privacy Rule.
Privacy-Related Complaints
If you believe that your privacy rights have been violated, you should immediately contact Access Infusion Care. We will not take action against you for filing a complaint. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services at 200 Independence Ave. S.W., Washington DC, 20201.
Specialty Infusion Center — Privacy Complaint Filing
Phone: 1-800-732-4879
Mail: 854 Center Ave, Gaylord, Michigan 49735