A3B Acceptance Believing Bonding and Belonging DBA as The Johnson Health Center Confidentiality and Privacy Practices
Effective Date: 8/3/2021
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires us to ask each of our patients to acknowledge receipt of our Notice of Privacy Practices. The Notice is published on this page. You acknowledge receipt of this notice by accepting terms and conditions for joining The Johnson Health Center.
A3B and The Johnson Health Center is a single Affiliated Covered Entity (“ACE”) for purposes of compliance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and 42 CFR Part 2. Each of the entities, sites, locations and care providers will follow the terms of this joint notice. In addition, the entities, sites, locations and care providers may share medical information with each other for treatment, payment, or health care operations related to the ACE. This designation may be amended from time-to-time to add new covered entities that are under common control with A3B and The Johnson Health Center responsibilities
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and 42 CFR Part 2, A3B and The Johnson Health center must take steps to protect the privacy of your “Protected Health Information” (PHI). PHI includes information that we have created or received regarding your health or payment for your health. It includes both your medical records and personal information such as your name, social security number, address, and phone number.
Under federal law, we are required to:
Protect the privacy of your PHI. All of our employees and physicians are required to maintain the confidentiality of PHI and receive appropriate privacy training
Provide you with this Notice of Privacy Practices explaining our duties and practices regarding your PHI
Follow the practices and procedures set forth in the Notice
Uses and Disclosures of Your Protected Health Information That Do Not Require Your Authorization
A3B and The Johnson Health Center uses and discloses PHI in a number of ways connected to your treatment, payment for your care, and our health care operations. Some examples of how we may use or disclose your PHI without your authorization are listed below.
Treatment:
To our providers, counselors and care coordinators involved in your health care or treatment.
To our different departments to coordinate such activities as prescriptions and lab work.
To other health care providers treating you who are not on our staff such as dentists, emergency room staff, and specialists.
Payment:
To administer your health benefits policy or contract.
To bill you for health care we provide.
To pay others who provided care to you.
To other organizations and providers for payment activities unless disclosure is prohibited by law.
Healthcare Operations:
To administer and support our business activities or those of other health care organizations (as allowed by law) including providers and plans. For example, we may use your PHI to review and improve the care you receive and to provide training.
TTo other individuals (such as consultants, researchers, and attorneys) and organizations that help us with our business activities. (Note: If we share your PHI with other organizations for this purpose, they must agree to protect your privacy.)
Healthcare Operations:
Required by law – When we are required to do so by state and federal law, including workers’ compensation laws.
Public health and safety – To an authorized public health authority or individual to:
Protect public health and safety.
Prevent or control disease, injury, or disability.
Report vital statistics such as births or deaths.
Investigate or track problems with prescription drugs and medical devices. (Food and Drug Administration.)
Abuse or neglect – To government entities authorized to receive reports regarding abuse, neglect, or domestic violence.
Oversight agencies – To health oversight agencies for certain activities such as audits, examinations, investigations, inspections, and licenses.
Legal proceedings – In the course of any legal proceeding in response to an order of a court or administrative agency and, in certain cases, in response to a subpoena, discovery request, or other lawful process.
Law enforcement – To law enforcement officials in limited circumstances for law enforcement purposes. For example disclosures may be made to identify or locate a suspect, witness, or missing person; to report a crime; or to provide information concerning victims of crimes.
Military activity and national security – To the military and to authorized federal officials for national security and intelligence purposes or in connection with providing protective services to the President of the United States.
We may also use or disclose your Protected Health Information without your authorization in the following miscellaneous circumstances:
De-identify information—If information is removed from your PHI so that you can’t be identified, as authorized by law.
Coroners, funeral directors, and organ donation—To coroners, funeral directors, and organ donation organizations as authorized by law.
Disaster relief—To an authorized public or private entity for disaster relief purposes. For example, we might disclose your PHI to help notify family members of your location or general condition.
Threat to health or safety—To avoid a serious threat to the health or safety of yourself and others.
Correctional facilities—If you are an inmate in a correctional facility we may disclose your PHI to the correctional facility for certain purposes, such as providing health care to you or protecting your health and safety or that of others.
Uses and Disclosures of Your Protected Health Information That Require Us to Obtain Your Authorization
Except in the situations listed in the sections above, we will use and disclose your PHI only with your written authorization. This means we will not use your Protected Health Information in the following cases, unless you give us written permission:
You have the right to:
Request restrictions by asking that we limit the way we use or disclose your PHI for treatment, payment, or health care operations. You may also ask that we limit the information we give to someone who is involved in your care, such as a family or friend. Please note that we are not required to agree to your request except when a restriction has been requested regarding a disclosure to a health plan in situations where the patient has paid for services in full and where the purpose of the disclosure is for payment or healthcare operations. If we do agree, we will honor your limits unless it is an emergency situation.
Ask that we communicate with you by another means. This pertains to address changes, phone number changes etc.
Request an electronic or paper copy of your PHI. We may ask you to make this request in writing and we may charge a reasonable fee for the cost of producing and mailing the copies, which you will receive usually within 30 days. In certain situations we may deny your request and will tell you why we are denying it. In some cases you may have the right to ask for a review of our denial.
You may ask for an amendment to you chart through a written request.
Obtain an account of the disclosures that have been made by asking for the list of the times we have disclosed any PHI. Please include in a written request with the specific information that is needed to respond to the request.
Request a paper copy of this Notice.
Receive written notification of any breach of your unsecured PHI.
File a complaint if you believe your privacy rights have been violated. You can file a written complaint with us at the address below, or with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints.
By utilizing our services or replying to our emails, you acknowledge that you are aware that email is not a secure method of communication, and that you agree to the risks. If you would prefer not to exchange personal health information via email, please notify us at compliance@a3b.health