City of Pittsburgh
Emergency Medical Services
Robert J. McCaughan Luke Ravenstahl
EMS Chief Mayor
The City of Pittsburgh, Bureau of Emergency Medical Services cares about protecting its patients’ privacy.
In accordance with the Health Insurance Portability & Accountability Act (HIPAA) of 1996, the Bureau is
providing you with an explanation of your patient rights, information about the use of certain information
collected and the procedures for acquiring your patient tripsheet.
COLLECTING OF INFORMATION
We collect and retain information necessary for us to provide services you have requested or
utilized when calling 911. During our interaction with you or a family member, we may collect
non-public information from you because of your injury or illness.
SHARING OF INFORMATION
We may share information with certain departments within the hospital, legal representatives acting
on your behalf or family members regarding your benefits and health coverage in order to comply
with legal or regulatory requirements.
INTERNAL PROTECTION OF INFORMATION
We will restrict access to non-public personal information about you to those employees whom have
a need to know. Our EMS is in full compliance with HIPAA, which focuses on protecting your
personal patient information, however we will review records for Quality Assurance and Quality
Improvement and Billing purposes only. We maintain both electronic and physical procedural
safeguards to comply with Federal and State regulations with regards to protecting this information.
This notice is being sent to you for informational purposes and may be amended and updated as
pa.us/ems . No action is necessary to ensure your privacy and no response is required. Your
information will only be disclosed in accordance with HIPAA.
PATIENT RIGHTS & ACCESS
All patients have the right to access their patient health information (PHI). You may request to
amend your records and or request a copy of your tripsheet, which must be submitted in writing. If
you have questions about your tripsheet you should contact the EMS Office at 412-622-6940,
[Monday through Friday 9:00 a.m. until 4:00 p.m.]. There is a charge for access and a processing
fee. On behalf of the Bureau of EMS we thank you for your cooperation.
EMS Office, 700 Filbert Street, Pittsburgh, PA 15232 Chief’s Office:(412)622-6932 Fax:(412)622-6941
“The Most Important Thing In Our Life . . . Is Your Life!”