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Our policies

The Office of Privacy and Corporate Compliance is committed to providing Yale New Haven Health System, and all of its individual delivery networks, with respect to its vision, mission and values, with clear and ethical compliance direction relating to all federal and state health care program requirements and regulations.

About Us

The YNHHS Compliance Program is designed to prevent and detect violations of applicable law, Code of Conduct and company policies. While it is expected that employees, contractors and agents will comply with applicable laws, Code of Conduct and policies, the System understands that the implementation of the Compliance Program cannot eliminate all risk of improper conduct. In the event that the System becomes aware of possible violations of law or Code of Conduct or policies, the Office of Privacy and Corporate Compliance will investigate the matter and, where appropriate, recommend disciplinary action and implement corrective measures to prevent future violations.

Compliance is not a “policing” action, but a way to ensure everyone is “doing the right thing”. To support this, YNHHS’ Corporate Compliance Department works with departments all across the health system to carry out primary functions such as:

  • Establishing compliance policies and procedures
  • Business structure and responsibility that includes a Compliance Officer and committee
  • Education and training
  • Reporting mechanisms that include effective lines of communication
  • Response/prevention and enforcement through well publicized disciplinary guidelines
  • Monitoring and Auditing
  • Responding to detected offenses and developing corrective actions
  • Comprehensive Fraud and Abuse Plans—procedures to voluntarily self-report potential fraud or misconduct

Once an issue is identified, the Compliance Department works with the applicable departments to investigate and resolve the issue. All issues are recorded and tracked for timely resolution.

Contact Us

We encourage you to call the Office of Corporate Compliance at 203-688-8416 or email us at [email protected] to discuss any potential compliance concerns. In addition, the Compliance Hotline is available to everyone 24 hours a day, seven days a week by calling 888-688-7744 or visiting

You can make a report either anonymously or by using you name. All reports received by either the Office of Privacy & Corporate or Hotline are appropriately investigated.


YNHHS Code of Conduct

The YNHHS Code of Conduct is the foundation of our Compliance and Privacy Program. It outlines the duties and responsibilities of the Compliance Program and of those who are associated with and employed by Yale New Haven Health System and its affiliates.

Code of Conduct


Message from YNHHS CEO Christopher M. O’Connor, FACHE

Dear Colleagues,

Yale New Haven Health System is a leader in providing safe, high-quality, comprehensive patient care. We are committed to excellent service in day-to-day interactions with our patients and their families, visitors, other staff members and the communities we serve.

We rely on our education, training and experience, but it’s our values – integrity, patient-centered care, respect, accountability and compassion – that guide us as individuals and as an organization in the work we do.

In our work, often we face new and difficult situations involving issues like patient confidentiality, conflicts of interest or financial reporting. To be best positioned to address these challenges, we all need a thorough understanding of our policies, and the rules and regulations that govern our work and our actions and decisions.

The Yale New Haven Health System Code of Conduct reflects our commitment to ethical business behavior, provides guidelines for making informed decisions, and presents an overview of the policies to which we must all adhere.

If you are unsure about an issue or concerned about a possible violation, your organization’s corporate compliance officer will provide guidance. Or, you may call the Compliance Hotline at 1-888-688-7744 or go to the Corporate Compliance/Privacy website. Thank you for your continued commitment to providing safe, high-quality care to the patients we are privileged to serve.


Christopher M. O’Connor, FACHE
Christopher M. O'Connor 


Why We Have a Code of Conduct

Our Code of Conduct reflects our collective commitment and responsibility to uphold our organization’s reputation, practice ethical business behavior, meet rigorous professional standards, and comply with the laws, regulations and policies that govern our work.
The Yale New Haven Health System (YNHHS) Code of Conduct applies to every individual affiliated with YNHHS, whether employee, volunteer, member of the medical staff or Auxiliary at YNHHS and its Bridgeport, Greenwich, Lawrence + Memorial, Westerly, Yale New Haven and Northeast Medical Group delivery networks.

The YNHHS Code of Conduct provides:

  • An overview of the commitments that govern our work
  • Tools for reporting concerns or suspected violations without fear
    of retaliation
  • Guidance in making choices that may seem questionable or confusing

We as individuals have a shared commitment to meeting applicable laws and industry standards and applying them to our day-to-day interactions.



The YNHHS Code of Conduct articulates our commitment to our values and ethical business behavior while reminding us that our overriding responsibility is
to use sound judgment and personal integrity.

It is the responsibility of each of us to understand and comply with all applicable organization policies and procedures and be able to locate them and review them periodically.


Vision Mission and Values

vision mission values


Corporate Compliance Program

The purpose of the Compliance and Privacy Program is to provide the system with clear ethical and compliance direction. In addition, the Compliance and Privacy Program is designed to prevent and detect violations of applicable law, Code of Conduct, and company policies.

Our Corporate Compliance Program is designed to enhance our understanding of acceptable behavior and appropriate decision-making.

It is everyone’s duty to promptly report any activity that appears to violate the Code of Conduct or any laws, regulations, or organizational policies.

All YNHHS policies (including compliance and privacy) can be found on the YNHHS intranet.


Learn more about compliance

To access the Corporate Compliance Program page on the YNHHS intranet, go to Corp. Compliance/Privacy in the top navigation bar.


How to view compliance and privacy policies

To view specific Corporate Compliance policies, from the corporate compliance intranet page, click "Policies and Procedures" in the upper-left navigation box.


How to Report an Issue

If you wish to obtain guidance on ethics or compliance issues, or if you are unsure about reporting a suspected violation, you may take any of the following actions:

  • Contact your direct supervisor.
  • Contact a higher level of management.
  • Contact Human Resources if the issue involves a human resources concern such as work conditions, discrimination or harassment, theft or abuse of property and personal security.
  • Contact the YNHHS Compliance Office 203-688-8416 or your delivery network Compliance Officer.
  • To make an anonymous report, call the Compliance Hotline at 1-888-688-7744 or visit the Corporate Compliance/Privacy website at


Calling the Compliance Hotline

If you feel uncomfortable about your activities or those of others around you and are hesitant about making a report in person, call the 24-hour Compliance Hotline at 1-888-688-7744 or make a report on the Corporate Compliance/ Privacy website at:

The hotline is outsourced to an independent company that has trained professional personnel available to speak with you. You are not required to identify yourself. The hotline is not set up for caller ID and cannot trace calls.

However, you may decide to identify yourself in order to provide information that may be helpful in an investigation.

Information you provide will remain confidential to the extent possible.

You will be given a case number and a call-back date. You may call back again on or after the call-back date to determine whether action has been taken, but the nature and outcome of an investigation are always confidential.


Non-retaliation for reporting

We will protect any employee who reports a concern in good faith. While you are accountable for your own wrong-doing, anyone who retaliates against you for reporting a concern in good faith will be subject to disciplinary action.

Report any retaliation or harassment immediately to your supervisor, another manager, the Compliance Office or the Compliance Hotline. Please see the YNHHS Non-Retaliation and Non-Retribution for Reporting policy for more information.


Why Call the Compliance Hotline

These are just a few of the concerns that might prompt you to call the hotline:

  • Confidentiality of patient information
  • Improper billing or practices
  • Medical record documentation concerns
  • Conflicts of interest
  • Inappropriate use of YNHHS computers or equipment
  • Workplace safety
  • Theft
  • Any situation which places you, a patient, a co-worker or YNHHS at risk


Key Compliance Topics


Gifts & gratuities

No employee, member of the medical staff, volunteer, or member of the Board of Trustees may solicit or encourage a gift or gratuity from a patient or visitor. When gifts of a personal nature are offered by patients or visitors, they should be discouraged.

The patient or visitor should be politely thanked, but told that employees, medical staff, volunteers and trustees are not permitted to accept gifts or gratuities. YNHHS personnel may never accept cash or cash equivalents, such as gift certificates or gift cards.


Gifts & business courtesies from vendors guidelines

YNHHS personnel may not offer or receive gifts unless such gifts are of a nominal value and are in accordance with these guidelines. Refer to policy on intranet for details.

Under no circumstances may YNHHS personnel offer or receive a gift when the intent is to generate healthcare business. YNHHS personnel must disclose and, as appropriate, seek prior approval from their department manager when receiving or soliciting gifts as YNHHS personnel.


Protection of Patient Health Information (PHI)

Employees and medical staff should request, use or disclose only the minimum amount of information necessary from patients’ records, and only for patient treatment, payment or healthcare operations (TPO). Employees should use caution to never disclose PHI to any non-covered individual through any form of communication – verbal, written, electronic mail, social media, etc.


Social Media

Employees who publish or post content on user-generated media on the internet (including, but not limited to, social media sites, blogs, wikis, chat rooms, message boards, etc.) should exercise good judgment, respect and discretion, and follow YNHHS’ policy on “Social Networking and Online Communications”.
Employees’ right to access Protected Health Information (PHI)

Employees may not use work access privileges to view the records of family members, friends, colleagues or others. Employees are granted access to electronic medical records (EMRs) for treatment, payment, or operations (TPO) purposes only.


Government exclusion from participation

YNHHS does not employ, contract with or otherwise utilize the services of any individual or organization that has been debarred or excluded from, or is otherwise ineligible to participate in, any federal healthcare program.


False claims & payment fraud prevention

All employees, contractors, agents and volunteers of YNHHS must immediately report to the delivery network Compliance & Privacy Officers or Chief Compliance & Privacy Officer any suspicion of fraud, waste or abuse in connection with the business of YNHHS. YNHHS engages in specific compliance efforts to detect and prevent fraud, waste and abuse.


Non-retaliation & non-retribution for reporting

YNHHS prohibits any acts of retribution, discrimination, harassment or retaliation against any employee who, in good faith, provides information or otherwise assists in an investigation or proceeding regarding any conduct which the employee reasonably believes to be in violation.


Compliance Examples


Accessing Family Information

My mother-in-law is in the hospital and I’m a nurse working on another floor. Can I look up her lab results in Epic to see what is wrong and consult with her tonight? No. Family members, friends and co-workers are entitled to the same privacy as any other patient. You must obtain a release of information and request the records through Health Information Management (HIM) or MyChart proxy access.


Social Media

May I post something that includes the YNHHS logo or has patient information on social media? If an employee chooses to be identified as related to the System, its hospitals or other entities, he/she must make it clear to the readers that the views expressed are the employee’s alone and that they do not necessarily reflect the views of the System. Employees must avoid making defamatory statements about the System or its employees, patients, clients, partners, affiliates and others, including competitors. Disclosing any protected or confidential information (e.g., patient/employee/business) on social media or online is prohibited.


Entertainment & Gifts

What if a patient gives me a gift card to my favorite store? This would not be permitted. Thank the patient and direct him or her to your delivery network’s Development/Foundation office to make a charitable contribution.


Patient Privacy

I saw a co-worker photographing a celebrity in the hospital waiting room with his phone. I didn’t take the picture – do I need to report it? This is a breach of patient privacy and you are required to report it.


Patient Billing

I noticed a few instances in which the physician’s office where I work was billing twice for services with a Medicare patient. Should I wait for someone to catch the error later? Billing and coding are high-risk areas and this may be considered a fraudulent claim. It should be reported immediately to your manager and/or the Compliance Department or Hotline.

Policy updated 2/27/2017



Our Privacy Policies

We work hard to ensure the privacy of patients and maintain the confidentiality their information and medical records. Like all accredited healthcare institutions, we follow a federal law called the Health Insurance Portability and Accountability Act (HIPAA), which is designed to protect the privacy and confidentiality of patient information. We insist that our staff observe patient confidentiality – respecting your right to privacy about your medical records and experience at our hospital.

Authorization for Access/Release of Information (English)

View or download a fillable PDF.

For Bridgeport, Greenwich and Yale New Haven Hospitals: 
Authorization for Access/Release of Information pdf

For Lawrence + Memorial Hospital:
Authorization for Access/Release of Information pdf

For Westerly Hospital:
Authorization for Access/Release of Information pdf

(Policies revised 7/19, 11/18, 11/19)

Authorization for Access/Release of Information (Spanish)

View or download the PDF.

Authorization for Access/Release of Information (Spanish) pdf

(Policy revised 7/19)

Notice of Privacy Practices (English)

Yale New Haven Health & Yale University

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions, please contact our privacy office at the phone number at the bottom of this notice.

Our pledge to you:

We understand that medical information about you is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive to provide quality care and to comply with legal requirements. This notice applies to all of the records of your care generated by any of the separate facilities and providers described below. We are required by law to:

  • Keep medical information about you private;
  • Give you this notice of our legal duties and privacy practices with respect to medical information about you; and
  • Follow the terms of the notice that is currently in effect.

How we may use and disclose medical information about you:

We may use and disclose medical information about you without your prior authorization for treatment, such as sending medical information about you to a specialist as part of a referral (this includes psychiatric or HIV information if needed for purposes of your diagnosis and treatment); to obtain payment for treatment, such as sending billing information to your insurance company or Medicare; and to support our healthcare operations, such as comparing patient data to improve treatment methods or for professional education purposes (Note: only limited psychiatric or HIV information may be disclosed for billing purposes without your authorization). If you are treated in a specialized substance abuse program, your special authorization is required for most disclosures other than emergencies.

Other examples of such uses and disclosures include contacting you for appointment reminders and telling you about or recommending possible treatment options, alternatives, health-related benefits or services that may be of interest to you. We may also contact you to support our fundraising efforts. It is always your choice to opt out of receiving fundraising communications from us.

We may use or disclose medical information about you without your prior authorization for several other reasons. Subject to certain requirements, we may give our medical information about you, without prior authorization for public health purposes, abuse or neglect reporting, health oversight audits or inspections, medical examiners, funeral arrangements and organ donation, workers' compensation purposes, emergencies, national security and other specialized government functions, and for members of the Armed Forces as required by Military Command authorities. We also disclose medical information when required by law, such as in response to a request from law enforcement in specific circumstances, or in response to valid judicial or administrative orders or other legal process.

Under certain circumstances, we may use and disclose health information about you for research purposes, subject to a special approval process. We may also allow potential researchers to review information that may help them prepare for research, so long as the health information they review does not leave our facility, and so long as they agree to specific privacy protection. For more information on research and how to opt out of research use of your records see or 1-877-978-8343.

If admitted as an inpatient, unless you tell us otherwise, we will list in the patient directory your name, location in the hospital, your general condition (good, fair, etc.) and your religious affiliation, and may release all but your religious affiliation to anyone who asks about you by name. Your religious affiliation may be disclosed only to clergy members, even if they do not ask for you by name.

We may disclose medical information about you to a friend or family member whom you designate or in appropriate circumstances, unless you request a restriction. We may also disclose information to disaster relief authorities so that your family can be notified of your location and condition.

Other uses of Medical Information:

In any other situation not covered by this notice, including the use or disclosure of psychotherapy notes, we will ask for your written authorization before using or disclosing medical information about you. If you choose to authorize use or disclosure, you can later revoke that authorization by notifying us in writing of your decision.

Who will follow this notice?

Yale New Haven Health System (YNHHS) and Yale School of Medicine (YSM) facilities provide health care to our patients in partnership with other professionals and healthcare organizations. The information privacy practices in this notice will be followed by:

  • Any healthcare professional who treats you at any of our locations
  • All departments and affiliated covered entities of Yale New Haven Health System, including; Bridgeport Hospital, Greenwich Hospital, Northeast Medical Group, Westerly Hospital, Lawrence + Memorial Hospital and Yale New Haven Hospital
  • Yale School of Medicine
  • The clinical care providers of Yale School of Nursing as well as their affiliates
  • All employees, medical staff, affiliates, trainees, students, or volunteers of the entities listed above

While each of these facilities and affiliates operates independently, they may share your health information for coordination of care, treatment, payment, and healthcare operations purposes.

Right to Be Notified of a Breach:

We will notify you in the event that the confidentiality of your information has been breached.

Right to Access and or Amend Your Records:

In most cases, you have the right to look at or get a copy of medical information that we use to make decisions about your care. All requests for copies or access must be submitted in advance, in writing. If your request for inspection is granted, we will arrange for a convenient time and place for you to look at your record. If you request copies, we may charge a fee for the cost of copying, mailing, or other related supplies. If we deny your request to review or obtain a copy, you may submit a written request for a review of that decision.

If you believe that information in your record is incorrect or that important information is missing, you have the right to request that we correct the records, by submitting a request in writing that provides your reason for requesting the amendment. We could deny your request to amend a record if the information is not maintained by us; or if we determine that your record is accurate. You may submit a written statement of disagreement with a decision by us not to amend a record.

Right to an Accounting:

You have the right to request a list accounting for any disclosures of your health information we have made, except for uses and disclosures for treatment, payment, and healthcare operations, circumstances in which you have specifically authorized such disclosure and certain other exceptions. as required by law.

To request this list of disclosures, indicate the relevant period which must be within the past six years. You must submit your request in writing to the Medical Record or Billing Department as appropriate.

Right to Request Restrictions:

You may request, in writing, that we not use or disclose medical information about you for treatment, payment or healthcare operations or to persons involved in your care except when specifically authorized by you, when required by law, or in an emergency. We will consider your request and work to accommodate it when possible, but we are not legally required to accept it unless all of the conditions below are met:

  • You request that your information is not shared with an insurer for purposes of payment or other purposes unrelated to your treatment;
  • You pay all charges associated with the services you received out-of-pocket in full; and
  • We are not required by law to release your information to the insurer.

We will inform you of our decision on your request. All written requests or appeals should be submitted to our Privacy Office listed below.

Requests for Confidential Communications:

You have the right to request that medical information about you be communicated to you in a confidential manner, such as sending mail to an address other than your home, by notifying us in writing of the specific way or location for us to use to communicate with you.

Right to request a paper copy of this Notice:

You may receive a paper copy of this Notice from us upon request, even if you have agreed to receive this notice electronically.

Changes to this Notice:

We may change our policies at any time. Changes will apply to medical information we already hold, as well as new information after the change occurs. Before we make a significant change in our policies, we will change our notice and post the new notice in waiting areas, exam rooms, and on our Web site at You can receive a copy of the current notice at any time. The effective date is listed at the end. Copies of the current notice will be available each time you come to our facility for treatment. You will be asked to acknowledge in writing your receipt of this notice.


If you are concerned that your privacy rights may have been violated, or you disagree with a decision we made about access to your records, you may contact our Privacy Office listed below.

If you are not satisfied with our response, you may send a written complaint to the U.S. Department of Health and Human Services Office of Civil Rights. Our Privacy Office can provide you the address. Under no circumstances will you be penalized or retaliated against for filing a complaint.

YNHHS Office of Privacy and Compliance
Toll Free: 1-888-688-7744
[email protected]

Yale University HIPAA Privacy Office
[email protected]

Yale New Haven Health System Acknowledgement of Receipt of Notice Of Privacy Practices

Printed Name of Patient: 

Patient's Medical Record Number:

Patient's Date of Birth:

Patient's Address:

Patient's Personal Representative & Relationship:



If Applicable, Reason for Patient Refusal to Sign:


Version effective 9/10/2019

Notice of Privacy Practices (Spanish)

Yale New Haven Health and Yale University

Aviso sobre las prácticas de privacidad

Este aviso describe cómo se puede utilizar y divulgar su información médica y de qué manera usted puede acceder a ella. Por favor lea este aviso con cuidado. Si tiene alguna pregunta, comuníquese con nuestra oficina de privacidad al número telefónico que aparece al final de este aviso.

Nuestro compromiso con usted:

Entendemos que su información médica es personal. Nos comprometemos a proteger su información médica. Para ofrecerle atención de calidad y cumplir con los requisitos legales, creamos un expediente de la atención y los servicios que recibe. Este aviso se aplica a todos estos expedientes médicos generados por cualquiera de nuestros centros y proveedores independientes mencionados a continuación. La ley nos exige:

  • Proteger la privacidad de su información médica;
  • Entregarle este aviso sobre nuestras obligaciones legales y prácticas de privacidad relacionadas con su información médica; y
  • Respetar las condiciones del aviso que se encuentre vigente.

De qué modo podemos usar y divulgar su información médica:

 Podemos usar y divulgar información médica sobre usted sin su autorización previa por razones de tratamiento, como por ejemplo enviar su información médica a un especialista como parte de un remitido (incluyendo información psiquiátrica y sobre el VIH si fuera necesario para su diagnóstico y tratamiento); para obtener el pago de un tratamiento, por ejemplo enviar información de su estado de cuenta a la compañía de seguros o a Medicare; y para apoyar nuestros servicios de atención de salud, como por ejemplo comparar datos sobre los pacientes para mejorar los métodos de tratamiento o con fines educativos para profesionales (Nota: sólo se puede divulgar sin su autorización una cantidad limitada de información psiquiátrica o sobre el VIH con el fin de facturar los servicios médicos). Si usted recibe tratamiento en un programa especializado por abuso de substancias, se requerirá su autorización especial para la mayoría de las divulgaciones que no sean por una emergencia. Otros ejemplos de tales usos y divulgaciones incluyen comunicarse con usted para recordarle que tiene una cita y mencionarle o recomendarle posibles opciones de tratamiento, alternativas, beneficios o servicios relacionados con la salud que puedan serle de interés. También podríamos comunicarnos con usted para que apoye nuestros esfuerzos para recaudar fondos. En cualquier momento, usted puede optar por no recibir información sobre nuestras campañas para recaudar fondos.
Podemos usar o divulgar información médica sin su autorización previa por varias otras razones. Podemos divulgar sin autorización previa la información médica que tenemos sobre usted, siempre que se cumplan ciertos requisitos, por razones de salud pública, denuncias de abuso o negligencia, auditorías o inspecciones de vigilancia de la salud, evaluadores médicos, arreglos funerarios y donación de órganos, por razones de indemnizaciones laborales, emergencias, seguridad nacional y otras funciones gubernamentales especializadas y para miembros de las Fuerzas Armadas según lo exigen las autoridades de Comando Militar. También divulgamos información médica cuando la ley lo requiere, como por ejemplo en cumplimiento de una solicitud de la policía en circunstancias específicas, o en respuesta a órdenes judiciales o administrativas válidas u otros procesos legales.

Podemos usar y divulgar su información con fines de investigación científica, bajo ciertas circunstancias y siempre que se cumpla un proceso de autorización especial. También podríamos permitir que potenciales investigadores analicen la información que pueda ayudarlos a prepararse para una investigación, siempre que la información médica que analicen no salga de nuestras instalaciones, y siempre que acepten cumplir con mecanismos específicos de protección de la privacidad. Para obtener más información sobre las investigaciones científicas o sobre cómo evitar el uso de su expediente para investigaciones vea la página de internet o llame al 1-877-978-8343.

Si lo ingresan al hospital, incluiremos en el directorio de pacientes su nombre, ubicación en el hospital, su estado de salud general (bueno, regular, etcétera) y su afiliación religiosa y podremos divulgar dicha información, excepto su afiliación religiosa a cualquiera que pregunte sobre usted por su nombre, a menos que nos solicite lo contrario. Su afiliación religiosa sólo puede ser divulgada a miembros del clero, aunque no pregunten por su nombre.

Podemos divulgar su información médica a un amigo o pariente que usted haya designado o en determinadas circunstancias, a menos que usted solicite una restricción. También podemos divulgar información a las autoridades que brindan asistencia en caso de desastre para poder notificar a su familia sobre su ubicación y estado de salud.

Otros usos de la información médica:

 En cualquier otra situación que no esté contemplada en este aviso, incluyendo el uso o divulgación de las notas de las consultas de psicoterapia, solicitaremos su autorización por escrito antes de usar o divulgar información médica sobre su persona. Si usted elige autorizar el uso o la divulgación, puede revocarla más adelante notificándonos su decisión por escrito.

¿Quiénes deben seguir las normas de este aviso?

Las instalaciones de Yale New Haven Health System (YNHHS) (El Sistema de Servicios de Salud de Yale New Haven) y Yale University School of Medicine (YSM) (la Facultad de Medicina de la Universidad de Yale) brindan atención médica a nuestros pacientes, en colaboración con otros profesionales y otras organizaciones de atención de la salud. La información que contiene este aviso sobre las prácticas de privacidad será acatada por:

  • Cualquier profesional de la salud que lo atienda en cualquiera de nuestros centros.
  • Todos los departamentos y entidades afiliadas cubiertas del Yale New Haven Health System, incluyendo el Bridgeport Hospital, el Greenwich Hospital, el Westerly Hospital, el Lawrence + Memorial Hospital, Northeast Medical Group y el Yale New Haven Hospital.
  • La Facultad de Medicina de la Universidad de Yale
  • El personal clínico de la Facultad de Enfermería de Yale, así como sus instituciones afiliadas.
  • Todos los empleados, el personal médico, afiliados, personal en entrenamiento, estudiantes o voluntarios de las entidades mencionadas anteriormente.
Aunque cada uno de nuestros centros y afiliados funciona de manera independiente, pueden compartir la información sobre su salud a fin de coordinar su atención médica, tratamiento, pago, y asuntos de salud.

Derecho a que se le notifique si ha habido fuga de información:

Le notificaremos si ha ocurrido alguna fuga de su información confidencial.

Derecho a obtener y rectificar su historial:

En la mayoría de los casos, usted tiene derecho a ver u obtener una copia de la información médica que usamos para tomar decisiones sobre su cuidado. Todas las solicitudes de copias del expediente médico o las solicitudes para tener acceso al mismo se deben de presentar con anticipación y por escrito. Si se le concede su solicitud, programaremos la hora y el lugar convenientes para que pueda revisar su expediente. Si solicita copias, podríamos cobrarle una tarifa por el costo del copiado, envío u otros suministros relacionados. Si denegamos su solicitud de revisar u obtener una copia, puede presentar una solicitud por escrito para que se reconsidere dicha decisión.

Si usted opina que la información que aparece en su historial es incorrecta o que falta información importante, tiene derecho a que rectifiquemos su historial presentando una petición por escrito expresando la razón por la cual ha solicitado la enmienda. Podríamos denegar su solicitud de corrección si la información no está a nuestro cargo; o si determinamos que su registro es correcto. Si nuestra decisión es no enmendar su historial, puede presentar por escrito una declaración de desacuerdo.

Derecho a recibir un informe:

Usted tiene derecho a solicitar un informe de las divulgaciones que hayamos hecho de su información de salud, excepto cuando se usó o divulgó para tratamiento, pago, servicios de atención de salud, aquellas circunstancias para las cuales haya autorizado dicha divulgación y otras excepciones según lo exige la ley.
Para solicitar esta lista de divulgaciones, indique el período relevante, que debe estar comprendido dentro de los últimos seis años. Usted debe presentar la solicitud por escrito al Departamento de Archivos Médicos (Medical Records) o al Departamento de Facturación (Billing Department), según sea apropiado.

Derecho a solicitar restricciones:

Usted puede solicitar por escrito que no usemos o divulguemos su información médica para tratamiento, pago o servicios de cuidado de la salud, o a personas involucradas en su cuidado, excepto cuando usted lo autorice específicamente, cuando lo exija la ley o en una emergencia. Consideraremos su solicitud y trataremos de ajustarnos a la misma, cuando sea posible, pero no estamos obligados por ley a aceptarla, a menos de que se cumplan todas las condiciones que aparecen a continuación:

  • Que solicite que no se divulgue su información al seguro para propósitos de pago u otros propósitos no relacionados con su tratamiento;
  • Que usted pague por su cuenta la totalidad de los cargos relacionados con los servicios que recibió; y
  • Que la ley no exija que divulguemos su información a la compañía de seguros.

Le informaremos nuestra decisión sobre su solicitud.  Todas las solicitudes y apelaciones escritas deben ser presentadas ante la Oficina de Privacidad indicada más adelante.

Solicitudes de comunicaciones confidenciales:

Usted tiene derecho a solicitar que su información médica le sea comunicada de forma confidencial como por ejemplo el envío de correspondencia a una dirección distinta a la de su hogar, notificándonos por escrito cuál es el modo específico o qué dirección debemos utilizar para comunicarnos con usted.

Derecho a solicitar una copia impresa de este aviso:

Usted puede recibir una copia impresa de este aviso si así lo solicita, aunque haya aceptado recibir este aviso por vía electrónica.

Cambios a este aviso:

Podemos cambiar nuestras políticas en cualquier momento. Los cambios serán aplicables tanto a la información médica que ya tengamos como a la nueva información que obtengamos después de ocurrido el cambio. Antes de realizar un cambio importante en nuestras políticas, cambiaremos nuestro aviso y lo colocaremos en las salas de espera, salas de examen médico y en nuestro sitio de Internet: Usted puede recibir una copia del aviso vigente en cualquier momento. La fecha de vigencia aparece al final del mismo. Habrá copias del aviso vigente disponibles cada vez que usted visite nuestro centro para tratamiento. Se le pedirá que reconozca por escrito que recibió de este aviso.


Si a usted le preocupa que se hayan violado sus derechos de privacidad, o si está en desacuerdo con una decisión que hayamos tomado respecto al acceso a su historial, puede comunicarse con nuestra Oficina de Privacidad (indicada más adelante).

 Si no queda satisfecho con nuestra respuesta, puede enviar una queja escrita al Departamento de Salud y Servicios Humanos de los Estados Unidos, Oficina de Derechos Civiles [U.S. Department of Health and Human Services Office of Civil Rights]. Nuestra Oficina de Privacidad puede proporcionarle la dirección. Bajo ninguna circunstancia será sancionado o sufrirá represalias por presentar una queja.

YNHHS Office of Privacy & Compliance
(Departamento de Cumplimiento de Normas y Privacidad)
Número telefónico gratuito: 1-888-688-7744

Yale University HIPAA Privacy Office
(Departamento de Asesoría Jurídica,
Cumplimiento de Normas y Confidencialidad (HIPPA) de la Universidad de Yale)

Yale New Haven Health System Recibí el Aviso sobre las prácticas de privacidad

Nombre del paciente en letra de imprenta: 

No de récord médico del paciente:

Fecha de nacimiento del paciente:

Dirección del paciente:

Representante personal del paciente y vínculo:



Si corresponde, motivo por el que el paciente rehusó firmar:

Version effective 9/10/2019

Online Privacy and Terms of Use

The information and content on Yale New Haven Health’s (“YNHHS”) websites, applications and social media platforms are provided for your convenience and general educational information only, and are not intended as medical advice nor to replace the relationship that you have with your healthcare professionals. If you have a question related to your medical care, please communicate with your provider through MyChart, which is secured for that purpose.

Online Privacy Policies

Yale New Haven Health is committed to protecting your privacy and the confidentiality of your medical information. This policy applies to,,,,,, and other online properties and social media platforms under YNHHS’ control.

Patient Privacy

Please review our Patient Rights if you are looking for information about your Patient Rights or the Notice of Privacy Practices.

Online Privacy

Information collection and use: To communicate effectively with visitors to YNHHS digital properties, we may ask you for personally-identifiable information that can include, by way of illustration, name, email address or phone number. YNHHS will never share personally-identifiable information you voluntarily provide to us, except in situations where we must provide information for legal purposes or investigations. 

Use of “Cookies”: Unless you take steps to browse the Internet anonymously, or opt-out, YNHHS, like most institutions and organizations on the Internet, tracks web browsing patterns to inform how our websites are being used. Generic information is collected through the use of “cookies,” which are text files placed on your computer, to evaluate usage patterns so that we can improve both content and distribution. You may refuse the use of cookies by selecting the appropriate settings on your browser; however, doing so may prevent you from using the full functionality of all of our websites.

Some sections of YNHHS-owned websites use Google Analytics, a web analytics service provided by Google, Inc. Google Analytics uses cookies to help us analyze how users use our sites. The information generated by the cookie about your use of the website includes your IP address. This information will be transmitted to and stored by Google on its servers. Google will use this information for the purpose of evaluating your use of the website, compiling reports on website activity, and providing other services relating to Internet usage. Google may also transfer this information to third parties where required to do so by law, or where such third parties process the information on Google’s behalf. Google will not associate your IP address with any other data held by Google. By using this website, you consent to the processing of data about you by Google in the manner and for the purposes set out above.

Please visit the following pages for more information on Google Analytics terms of use and Google’s privacy practices.

Data Security: YNHHS makes every reasonable effort to ensure that all of the transactions that occur on our websites are secure. We store all data with Secure Socket Layer (SSL) encryption to protect information you may submit on our site. SSL is the industry standard protocol. All off-line information is securely stored and is accessible only by authorized staff. That being said, YNHHS cannot ensure or warrant the security of any information you transmit to us, and you do so at your own risk. We have taken reasonable steps to ensure the integrity and confidentiality of personally identifiable information that you may provide. You should understand, however, that electronic transmissions via the internet are not necessarily secure from interception, and so we cannot absolutely guarantee the security or confidentiality of such transmissions.

User Name and Password: In the event you access any service requiring a User Name and Password, you are solely responsible for keeping such User Name and Password strictly confidential.

Forms: YNHHS’ websites contain secure forms through which users may request information or supply feedback to us. This information may be shared with a patient relations representative, employee or medical expert who is most able to address your inquiry. Once the information is sent to our websites, it is kept in secure databases accessible only by authorized YNHHS users. In some cases, telephone numbers, email addresses or return addresses are required so that we can supply requested information to you. Submissions may be reviewed infrequently, and so no material of an urgent nature should be submitted. There is no guarantee or expectation of a personal response to any individual submission, regardless of the subject matter.

Surveys: Occasionally, YNHHS may survey visitors to our websites. The information from these surveys is used in aggregate form to help us understand the needs of our visitors so that we can make improvements. The information may be shared with third parties with whom we have a business relationship. Those third parties have agreed to keep all data from surveys confidential. We generally do not ask for information in surveys that would personally identify you. If we do request contact information for follow-up, you may decline to provide it. 

SMS Terms and Conditions

When you opt-in to the service, we will send you a message to confirm your signup. Text SIGNUP to 96447 to receive Yale New Haven Health updates. Message and data rates may apply. Message frequency may vary.

Text “HELP” for help. Text “STOP” to cancel.

You can cancel this service at any tie. Text “STOP” to 96447. After you send the message “STOP” to us, we will send you a reply to confirm that you have been unsubscribed. After this, you will no longer receive messages from us.

If you want to join again, just sign up as you did the first time we will start sending messages to you again.

If at any time you forget what keywords are supported, just text “HELP” to 96447. After you send the message “HELP” to us, we will respond with instructions on how to use our service as well as how to unsubscribe.

Participating Tier 1 Carriers:

AT&T, Sprint/Boost/Virgin, T-Mobile, MetroPCS, Verizon Wireless.

T-Mobile is not liable for delayed or undelivered messages.

As always, message and data rates may apply for any messages sent to you from us and to us from you. If you have any questions about your text plan or data plan, it is best to contact your wireless provider.

For all questions about the services provided by this short code, you can send an email to [email protected].

Email: YNHHS provides users with the opportunity to receive email communications. If you subscribe to a newsletter produced by YNHHS and distributed via email, we will keep your email address in a private distribution list. You can unsubscribe from our newsletters at any time.

Email communications that you send to YNHHS via the email links on our websites may be shared with a patient relations representative, employee or medical expert who is most able to address your inquiry. We make every effort to respond in a timely fashion once communications are received. Once we have responded to your communication, it is discarded or archived, depending on the nature of the inquiry.

The email functionality on our websites does not provide a completely secure and confidential means of communication. It is possible that your email communication may be accessed or viewed by another internet user while in transit. If you wish to keep your communication private, do not use email. Please do not email patient health information, as that information is confidential and should only be discussed with your physician. If you have a question related to your medical care, please communicate with your provider through MyChart, which is secured for that purpose.

"Phishing" is a scam designed to steal your personal information. If you receive an email that looks like it is from YNHHS asking you for your personal information, do not respond. We will never request your password, user name, credit card information or other personal information through email.

Voice Applications: For voice applications such as those enabled by Amazon and Google, YNHHS collects a unique identifier from your Amazon and Google account. This information is used to enhance user experience and is not personally identifiable to you. We collect no additional information from your account.
Google and Amazon collect and store both the spoken utterance from the customer, and the skill's response, to improve and troubleshoot the voice experience.

You may delete this data in both applications:

Acceptance of Terms

Please read these Terms of Use (the “Terms”) carefully before accessing or participating in any website or other online platform or service available on or through,,,,,, or other Yale New Haven Health sites (the “Site” or “Sites”). The Terms are an enforceable agreement between Yale New Haven Health System (“YNHHS”) and you, the user of the Sites. By using and accessing the Sites, you acknowledge that you have read the Terms and agree to be bound by and comply with them. If you do not agree to be bound by and comply with the Terms, you are not authorized to use the Sites. YNHHS reserves the right to modify the Terms at any time in its sole discretion, and will publish notice of any such modifications on this site. Any modified Terms are effective immediately upon posting. By continuing to access any Site after YNHHS posts notification of modified Terms, you agree to be bound by and comply with them. If you do not agree to the Terms, please do not enter the Sites. If you are not yet eighteen years of age, a parent or guardian may agree to be bound by the Terms on your behalf.

Nothing in the Terms overrides the application of other rules and policies of YNHHS or other agreements between you and YNHHS. 

Medical Information

If you are experiencing a medical emergency, you should not rely on any information on the Site and should seek appropriate emergency medical assistance, such as calling “911”. You should always talk to your healthcare professionals for diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Statements made by any persons on these Sites are not intended to substitute for discussion or evaluation with your healthcare professional or provide any guarantee as to outcomes. Nothing on these Sites represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Health information changes quickly. Therefore, you should always confirm information with your healthcare professionals.

The Sites are intended for a United States audience. If you live outside the United States, you may see information on the Sites about products or therapies that are not authorized in your country.

Use of the Site - Code of Conduct

You agree not to use the Sites or any other YNHHS computing resources to engage in any of the following conduct. Such conduct is unacceptable and may result in the termination of your use of the Sites.

  • Interfering with the operation of the Sites, or, restricting, disrupting or inhibiting any other user from using and enjoying the Sites and services;
  • Posting or otherwise transmitting any unlawful, fraudulent, threatening, harassing, libelous, defamatory, discriminatory, obscene, or similarly objectionable or harmful material or information of any kind;
  • Posting or otherwise transmitting any advertisement, promotion, or solicitation of goods or services for commercial or partisan political purposes;
  • Posting or otherwise transmitting any information or software that contains a virus, worm, time bomb, Trojan horse, or other harmful or disruptive component that may compromise the security of the Sites;
  • Posting, transmitting or otherwise using materials in violation of another party’s copyright, privacy, publicity or other proprietary right, or the terms of any contractual agreement or fiduciary relationship;
  • Using the Sites or services for any commercial, partisan political or unlawful purposes;
  • Copying, scraping, downloading, exporting, storing or otherwise capturing any data obtained via the Sites without proper written authorization by YNHHS;
  • Modifying, adapting, sublicensing, translating, selling, reverse engineering, decompiling, or disassembling any portion of the Sites;
  • Misrepresenting your identity, or, sharing or otherwise transferring user account information to any person other than the registered user authorized by YNHHS to use such account;
  • Accessing or attempting to access any portion of the Sites to which you have not been explicitly granted access;
  • Directly or indirectly authorizing anyone else to take actions prohibited in this section; or
  • Otherwise using the Sites or any services, information and content available on or through the Sites in violation of the Terms or applicable law.

Protecting Children's Privacy

We are committed to protecting children's privacy on the internet, and we do not knowingly collect personal information from children.

Submissions to the Site by You 

Where authorized, you may submit any text, images, data, information, content or other materials (collectively, “Materials”) to the Sites. In doing so, such Materials will be considered non-personal and non-confidential (except for personal information as described in the Privacy Policies), and you hereby grant to YNHHS a royalty-free, perpetual, irrevocable, non-exclusive, sublicensable, assignable, worldwide right and license to link to, use, reproduce, transmit, modify, adapt, practice, publish, display, perform, distribute, translate, and create derivative or collective works from, any such Materials, in whole or in part, throughout the world in any media, including all intellectual property rights therein, unless otherwise agreed in writing with YNHHS. You acknowledge and agree that any Materials submitted by users of any Site represent the opinions of the specific author and are not statements of advice, opinion or information of YNHHS. Any such Materials is no substitute for your own research and should not be relied upon for any purpose.

By submitting Materials to any Site, you certify ownership authority to grant such rights to YNHHS and acknowledge that the burden of determining whether any such Materials are protected by copyright rests solely with you.

Further, you are solely responsible for Materials submitted by you, and YNHHS assumes no responsibility or liability for Materials submitted by you or any other visitor to the Sites. We may, but are not obligated to, restrict or remove any and all Materials that we determine in our sole discretion violates the Terms or is otherwise harmful to us, other Site visitors or any third party. We reserve the right to remove Materials you submit at any time, but you understand that we may preserve and access a backup-copy, and we may disclose such Materials if required to do so by law or in a good faith belief that such access, preservation or disclosure is required by law or in the best interests of YNHHS.

Any Materials you submit will be routed through the Internet and you understand and acknowledge that you have no expectation of privacy with regard to any such Materials. Never assume that you are anonymous and cannot be identified by your submissions. You hereby grant YNHHS and any of its sublicensees the right to use the name that you submit in connection with the Materials, if they choose. You represent and warrant that you own or otherwise control all of the rights to the Materials submitted by you; that such Materials are accurate; that use of such Materials does not violate the Terms, and will not cause injury to any person or entity; and that you will indemnify YNHHS and its officers, trustees, employees, representatives and agents for all third-party claims resulting from Materials you submit.

Links to Our Sites 

You may not create links to any Site from any website with content that is fraudulent, threatening, harassing, libelous, defamatory, discriminatory, obscene, or similarly objectionable or harmful, or in a manner that would constitute or encourage a criminal offense, violate the rights of any party (directly or indirectly), or otherwise give rise to liability, violate any law or falsely imply YNHHS’ sponsorship, endorsement or approval of your or another party’s site or activities. Additionally, YNHHS, in its sole discretion, has the right to require that you remove links to any Site.

Links to Third-Party Sites 

As a courtesy, the Sites may contain links to websites controlled by third parties. YNHHS is not responsible for these third-party sites or their content, activities or privacy practices. The inclusion of links on the Sites does not imply YNHHS’ endorsement of the linked web sites, their content, or any associated organization or activity. YNHHS makes no representation or warranty whatsoever about the nature of the linked sites. You should read the privacy policies and terms of use that govern your use of other sites before accessing and using their services.

Trademarks and Copyrights

All trademarks, service marks and logos or copyrights displayed and used on these Sites are the property of their respective owners. Nothing on the Sites should be construed as granting any right or license to use any Trademark without the written permission of its owner. You may download and reprint a single copy of the materials from the Sites ONLY for your own personal, noncommercial use, provided you include all applicable notices and disclaimers. Any other use of the materials is strictly prohibited without the prior written permission of YNHHS and the permission of the applicable rights holder(s).

Disclaimers of Warranties

The Sites and services, information and content available on or through any of them are provided “as is” and “as available.” YNHHS does not warrant that the Sites or any such services, information or content will be uninterrupted or error-free. There may be delays, omissions, interruptions and inaccuracies in such services, information and content. YNHHS makes no representations or warranties about the accuracy, completeness, timeliness, reliability or non-infringement thereof, including user content, or of any services, information or content available through links to other websites. YNHHS reserves the right to correct any errors or omissions in the Sites. If you rely on any services, information and/or content available on or through the Sites, you do so entirely at your own risk.

You specifically acknowledge that YNHHS is not liable for the defamatory, offensive or illegal conduct of other users or third parties, and that the risk of injury from this type of conduct rests entirely with you. Your sole remedy for dissatisfaction with any Site or any services, information and/or content available on or through any Site is to stop using the Site and/or those services, information and content.

To the maximum extent permitted under law, YNHHS disclaims all express or implied warranties with respect to the Sites and any services, information and content that are available on or through them, including without limitation, any warranty of merchantability, fitness for a particular purpose (even if that purpose has been disclosed) and non-infringement.

Although YNHHS intends to take reasonable steps to prevent the introduction of viruses, worms, “Trojan horses” or other malicious code to the Sites, YNHHS does not guarantee or warrant that the Sites, or any services, information and content that may be available on or through the Sites, are free from such destructive features. YNHHS is not liable for any damages or harm attributable to such features. It is up to you to take any and all precautions to ensure that the services, information and content you access and use from any Site or any hyperlinked website is free of such items of a destructive nature.

Limitation of Liability

YNHHS and its officers, trustees, employees, representatives and agents are not liable for any claim of any nature whatsoever based on loss or injury because of errors, omissions, interruptions or inaccuracies in the Sites or any services, information or content available on or through the Sites, including loss or injury that results from your breach of any provision of the Terms. 

Under no circumstances will YNHHS or its officers, trustees, employees, representatives or agents be liable for any direct, indirect, incidental, consequential, special, punitive, or exemplary damages (including, but not limited to, procurement of substituted services or materials; loss of use, data, revenues or profits; or business interruption) arising in any way out of or in connection with your use of any Site or any services, information or content available on or through the Sites or the Terms, however caused and regardless of the theory of liability, whether in tort (including negligence of any kind), contract, statutory, or any other legal or equitable theory, even if advised of the possibility of such damages. 

Some states do not allow the limitation of liability for certain kinds of damages, so some of these limitations or exclusions may not apply to you.


The Terms are the complete agreement between you and YNHHS regarding the subject matter hereof, and any and all prior or contemporaneous written or oral agreements existing between you and YNHHS regarding such subject matter are expressly canceled. We may terminate this agreement at any time for any reason. If you breach any of the Terms, your license to access and use the Sites, including all services, information and content available on or through the Sites, terminates immediately. Upon such termination, you must stop using the Sites, including all services, information and content available on or through the Sites, and return or destroy all copies, including electronic copies, thereof in your possession or control. Any heading, caption, or paragraph title contained in the Terms is inserted only as a matter of convenience and in no way defines or explains any paragraph or provision contained within the Terms. If any provision of the Terms is found to be invalid by any court having competent jurisdiction, the invalidity of such provision shall not affect the validity of the remaining provisions thereof, which shall remain in full force and effect. No waiver of any of the Terms shall be deemed a further or continuing waiver of such term or condition or any other term or condition. You may not transfer or assign any rights or obligations under this agreement. In the event of termination hereunder, you shall have a continuing obligation thereafter to comply with any provision of the Terms that by its sense and context is intended to survive termination.

Choice of Law/Forum Selection

You agree that any dispute arising out of or relating to the Terms, the Sites or any services, information and content available on or through them, including copies and republication thereof, whether based in contract, tort, statutory or other law, will be governed by the laws of the State of Connecticut, excluding its conflicts of law provisions. You irrevocably agree to bring any claim or dispute relating to your use of the Sites or any services, information and content available on or through them, and the Terms exclusively in the applicable state courts located in New Haven County, Connecticut or the United States District Court for the District of Connecticut (sitting in New Haven), to submit to the exclusive jurisdiction of those courts, and to waive any objections based on jurisdiction, venue, or inconvenience of the forum. In any action to enforce this agreement, the prevailing party will be entitled to costs and attorneys’ fees. If a court determines that any provision of the Terms is unenforceable for any reason, then that provision will be deleted and the remaining provisions will be enforceable to the fullest extent permitted by law.

Policy changes

YNHHS necessarily reserves the right to change this policy from time to time, without advance notice. We will promptly post any changes to our privacy policy and terms of use on all sites owned by YNHHS.


  • If you are concerned about your patient privacy rights, please contact the Office of Corporate Compliance at 888.688.7744 or [email protected]
  • If you have an issue relating to a Yale New Haven Health website, email us at [email protected], and we will forward your concern to the appropriate unit for response or resolution.

These Terms of Use were last updated on Oct. 26, 2018


Detecting and Preventing Fraud, Waste, Abuse and Misconduct

Although no precise measure of health care fraud exists, those intent on abusing the system can cost taxpayers billions of dollars while putting beneficiaries' health and welfare at risk. Medicare fraud and abuse increases the strain on the Medicare Trust Fund. The impact of these losses and risks magnify as Medicare continues to serve a growing number of people.   - CMS Medicare Learning Network

It is the policy of the Yale New Haven Health System to provide healthcare services in a manner that complies with all applicable federal and state laws. Such compliance is critical to the Health System's commitment to operating pursuant to the highest business, professional and ethical standards. In compliance with the Federal Deficit Reduction Act of 2005, YNHHS maintains a vigorous Compliance and Privacy Program and has implemented a system-wide policy regarding the detection and prevention of fraud, waste, abuse and misconduct.

Contact Us

We encourage you to call the Office of Corporate Compliance at 203-688-8416 or email us at [email protected] to discuss any potential compliance concerns. In addition, the Compliance Hotline is available to everyone 24 hours a day, seven days a week by calling 888-688-7744 or by visiting

You can make a report either anonymously or by using your name. All reports received by either the Office of Privacy amp; Corporate Compliance or the Hotline are appropriately investigated.

False Claims and Fraud Protection Policy


The purpose of this policy is to inform employees, contractors, volunteers and agents of Yale New Haven Health System (YNHHS) of the federal False Claims Act (referenced in this policy as "FCA") the Federal Program Fraud Civil Remedies Act, the Connecticut False Claims Act (“CFCA”), and all other state False Claims Acts; to provide general information regarding YNHHS’s efforts to combat fraud, waste, and abuse; and to describe the remedies and fines for violations that can result from certain types of fraudulent activities.

In addition, this policy conforms to the Deficit Reduction Act (DRA) “Employee Education Provision” intended to bolster Medicaid fraud and abuse enforcement with the following:

  1. Establish fraud and abuse policies and an effective and comprehensive education plan; included in annual health stream training “corporate compliance: A Proactive Stance Course”
  2. Provide detailed explanation of administrative remedies pertaining to civil or criminal penalties for false claims.
  3. Provide specific discussion to the rights of employees regarding whistleblower protection under such laws.
  4. Ensure the entity has a non-retaliation policy available to all employees.


This policy applies to YNHHS, and each of its affiliated entities, its affiliated hospitals (Bridgeport Hospital, Greenwich Hospital, Yale New Haven Hospital, Lawrence + Memorial Hospital, Westerly Hospital, and any other hospital that affiliates with YNHHS), its affiliated providers (including but not limited to Northeast Medical Group and Visiting Nurse Association of Southeastern Connecticut), and each of their subsidiary entities



  1. Abuse- excessive or improper use of a thing, or to use something in a manner contrary to the natural or legal rules for its use. Abuse can occur in financial or non-financial settings.
  2. Fraud- the wrongful or criminal deception intended to result in financial or personal gain. Fraud includes false representation of fact, making false statements, or by act of the hiding of information.
  3. Waste- the thoughtless or careless spending of, mismanagement, or abuse of resources to the harm (or potential harm) of the U.S. government. Waste also includes incurring unnecessary costs resulting from inefficient or ineffective practices, systems, or controls.


All employees, contractors, agents, and volunteers of YNHHS must not create any false or misleading documents or financial or electronic records for any purpose. No one may instruct you to so.

Reporting Fraud, Waste, or Abuse

All employees, contractors, agents, and volunteers of YNHHS must immediately report any suspicion of fraud, waste, or abuse in connection with the business of YNHHS to the Office of Privacy and Corporate Compliance. YNHHS engages in specific compliance efforts to detect and prevent fraud, waste, and abuse, such as the Corporate Compliance Program. It is the policy of YNHHS that an employee, contractor, or agent of YNHHS who knowingly and intentionally submits a false claim will be reported to the necessary authorities by the Office of Privacy and Corporate Compliance.

The identification of fraud, waste or abuse involving a particular Medicare Advantage organization will be reported to the Medicare Advantage organization to the extent required by law or pursuant to contract. If not provided by the Medicare Advantage organization, the form and manner of such report shall be determined by the Office of Privacy and Corporate Compliance in consultation with the Legal and Risk Services Department.


If you would like more information on the Corporate Compliance Program and specific compliance policies or on how to report any concerns, please contact the Office of Privacy and Corporate Compliance (203-688-8416). Compliance Policies may also be accessed via the YNHHS Intranet.


Detailed Information of the Federal False Claims Act [31 U.S.C. 3729-3733}

The Federal False Claims Act (FCA) imposes civil penalties on people and companies who knowingly submit a false claim or statement to a federally-funded program or otherwise conspire to defraud the government in order to receive payment. Failure to report and return overpayments from Medicare and Medicaid within certain timeframes might also constitute a violation of the FCA. The FCA also protects people who make efforts to stop the suspected fraud.

The FCA is not confined to healthcare claims, but extends to any payment requested of the federal government or the federal government’s contractor, grantee, or other party, if the payment is to be spent or used on the government’s behalf or to advance a government program or interest and the government provides any portion of the payment or will reimburse the contractor, grantee, or other party. The FCA applies to billing and claims sent from YNHHS to any government payor program, including Medicare and Medicaid.

It is the policy of YNHHS that an employee, contractor, or agent of YNHHS who knowingly and intentionally submits a false claim will be reported to the necessary authorities. Anyone or any company that submits a false claim or statement to the government may be fined under the FCA between $10,957 and $21,916 for each such claim submitted, regardless of the size of the false claim, and the person or company could be required to pay an additional fine of three times the value of any charges. Where a person who violated the FCA reports the violation to the government under certain conditions, the FCA provides that the person shall be liable for not less than double damages.

Part of the FCA's purpose is to create an environment where employees and others feel safe reporting concerns about fraud. Any person, who lawfully attempts to stop any FCA violations or reports information about false claims or suspected false claims that are submitted by others, may not be retaliated against, demoted, suspended, threatened, or harassed for such actions. The FCA also protects individuals who assist in an investigation, provide testimony, or participate in the government's handling of a false claim. Individuals have the right to FCA whistle blower protection from retaliation in any form as to the result of their whistle blowing.

These protections include reinstatement without loss of seniority if fired, recovery of two times lost wages plus interest and recovery of attorney fees and other reasonable costs in connection with pursuing retaliation claim. Confidentiality will be maintained to the extent possible. The FCA’s provisions are generally enforced by the U.S. Department of Justice. The FCA provides that an individual may initiate a formal claim under certain circumstances. If any funds are recovered, a portion of the funds may be paid to the person who initiated the formal claim, at the discretion of a federal court. This amount, if awarded, generally is between 15% and 30% of the total damage amount.

If a person wishes to file a claim regarding fraud or suspected fraud related to a healthcare payment directly with the government, he or she must first present a formal complaint, along with all material evidence relating to the alleged fraud, to the authorities at the U.S. Department of Justice. The authorities have 60 days to investigate, during which time the complaint is kept confidential. Upon completion of the investigation, the government will decide either to pursue the case on its own or decline to proceed with the case. If the federal government declines the case, the individual may still proceed with the case on his or her own, but without the government's assistance, and at his or her own expense.

A private legal action under the FCA must be brought within six years from the date that the false claim was submitted to the government. (A government-initiated claim may be brought up to ten years after the false claim, depending on the circumstances.)

Detailed Information of the Federal Program Fraud Civil Remedies Act

Persons or companies that commit fraud on the federal government, by false claim or statement, can be assessed monetary penalties in addition to the penalties of the False Claims Act because of a law called the Program Fraud Civil Remedies Act (referenced in this policy as "PFCRA"). Specifically, PFCRA penalties of $5,000 per false claim or statement apply if a person or company submits a claim to the federal government that: the person or company knows or has reason to know is false, fictitious, or fraudulent; includes or is supported by written statements containing false, fictitious, or fraudulent information; includes or is supported by written statements that omit a material fact, which causes the statements to be false, fictitious, or fraudulent and the person submitting the statement has a duty to include the omitted fact; or is for payment of property or services that are not provided as claimed.

The $5,000 penalty also applies if a person or company provides written back-up or materials relating to the claim in which the person or company asserts a material fact that is false, fictitious, or fraudulent; or omits a fact that the individual had a duty to include, the omission causes the statement to be false, fictitious, or fraudulent, and the statement contains a certification of accuracy.

State Laws - Connecticut

In 2009, the Connecticut General Assembly enacted the Connecticut False Claims Act (“CFCA”). The CFCA is very similar to the FCA and prohibits any individual or entity from knowingly presenting or causing to be presented a false or fraudulent claim for payment or approval under the medical assistance programs administered by the Connecticut Department of Social Services or knowingly making or causing to be made a false statement in order to get such a claim approved, or knowingly concealing, avoiding, or decreasing any obligation to pay or transmit money or property to the state. Any individual or entity that violates this prohibition can be subjected to civil monetary penalties of $5,000 to $10,000 per violation as well as up to three times the damages sustained by the state as a result of the false claim.

The CFCA provisions are generally enforced by the Connecticut Attorney General. However, like the FCA, under certain circumstances, the CFCA permits private individuals to initiate civil actions and protects these individuals from workplace retaliation. If any funds are recovered, a portion of the funds may be paid to the person who initiated the formal claim, at the discretion of a court. This amount, if awarded, general is between 15% and 30% of the total damage amount. A legal action under the CFCA cannot be initiated more than six years after the date the violation occurs or more than three years after the date when a state official knew or should have reasonably known the violation, but in no event more than ten years after the date that the violation occurs.

In addition, there are also other Connecticut laws that prohibit fraudulent billing. It is a crime in Connecticut to fraudulently bill Medicaid or general assistance programs. All employees, contractors, and agents of YNHHS must immediately report suspicion of any criminal activity, including criminal fraud, to the System Compliance Operations Officer.

Anyone who provides services to a state Medicaid beneficiary and seeks or accepts payment for unnecessary or improper services is subject to possible imprisonment and/or criminal fines under state law. Depending upon the extent of the fraudulent services involved, such offenses carry potentially significant penalties, with a maximum of 20 years in prison and a maximum fine of $15,000.

Anyone who provides services to a recipient of Connecticut's general assistance program and seeks or accepts payment for unnecessary or improper services is also subject to civil and criminal penalties. Depending upon the amount of the fraudulent services involved, such offenses carry a minimum one-year prison sentence and a maximum of 20 years, as well as a maximum fine of $15,000. Any person who defrauds Connecticut's general assistance program is also excluded from participating in the program for a minimum of one year.

Connecticut law protects employees who report suspected violations of state or federal law, including reports of criminal fraud. An employer may not discharge, discipline, or otherwise penalize an employee for reporting a violation of the law, or suspected violation, as long as the employee does not know the information being reported is false.

Other States

Additionally, other state laws inclusive of New York, New Jersey, Massachusetts and Rhode Island will be reviewed as required for compliance purposes.


YNHHS is dedicated to creating an environment where employees and others feel safe reporting concerns about fraud. YNHHS shall not unlawfully retaliate against individuals who: lawfully attempt to stop fraudulent billing practices or violations of the FCA, CFCA, or any other federal or state law or regulation regarding false or fraudulent claims; report information about false claims or suspected false claims that are submitted by YNHHS; or assist in any investigation, provides testimony, or participate in the government’s handling of a false claim investigation.


Approved 4/17/2020


Vendor Policy

Yale New Haven Health System Supply Chain Management staff is focused on working with vendors to deliver high-quality supplies, services and equipment, at the lowest total cost.


Financial policies

Billing and Collection

Visit our Resources page for billing information and our Billing and Collection policy. 

Financial Assistance Program

  • Visit Financial Assistance at Yale New Haven Health for policies, applications and related material.


Language Assistance

Language Assistance Policy

All patients and visitors at Yale New Haven Health and its member organizations have the right to receive information in a language they understand, free of charge. YNHHS complies with the Department of Health and Human Services' Section 1557 rule of the Affordable Care Act — which sets guidelines about language assistance for people with limited English proficiency or those who are deaf or hard-of-hearing — and takes reasonable steps to provide meaningful access to people with limited English proficiency who may require assistance within the health system.

Learn more
(Policy updated 1/1/2020)



Non-discrimination Statement

Discrimination is Against the Law

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Yale New Haven Health complies with applicable civil rights laws and does not discriminate against, exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex.

Yale New Haven Health:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages
If you need these services, contact Patient Relations:

  • Bridgeport Hospital: 203-384-3704
  • Greenwich Hospital: 203-863-4746
  • Northeast Medical Group: 203-502-6527
  • Lawrence + Memorial Hospital: 860-442-0711, ext. 5032
  • Westerly Hospital: 860-442-0711, ext. 5032
  • Yale New Haven Hospital: 203-688-3430

If you believe that Yale New Haven Hospital has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:

  • Bridgeport Hospital: Patient Relations, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610; 203-384-3704; Fax 203-384-3999; [email protected].
  • Greenwich Hospital: Patient and Guest Relations, Greenwich Hospital, 5 Perryridge Road, Greenwich, CT 06830; 203-863-4746; Fax 203-863-4546; GH[email protected].
  • Westerly Hospital: Patient Relations, Westerly Hospital, 25 Wells Street, Westerly, RI 02891; 860-442-0711, ext. 5032; [email protected].
  • Lawrence + Memorial Hospital: Patient Relations, Lawrence + Memorial Hospital, 365 Montauk Ave., New London, CT 06320; [email protected]
  • Northeast Medical Group: Patient Relations, 99 Hawley Street, Stratford, CT 06614; 203-502-6527; Fax 203-502-6556; [email protected].
  • Yale New Haven Hospital: Patient Relations, 20 York Street, New Haven, CT 06510; 203-688-3430; Fax 203-688-1667; [email protected].

You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Patient Relations can help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at


Policy updated 12/2016