HIPAA Notice of Privacy Practices
This notice outlines how your medical information may be used, disclosed, and accessed. Please review it carefully.
As mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), The Facility has developed this Notice of Privacy Practices (Notice). This document explains how the Facility protects your Protected Health Information (PHI) and details your rights regarding the privacy of your PHI. PHI refers to information that identifies you and pertains to your past, present, or future health care. HIPAA regulations require that the Facility ensure the confidentiality of the PHI it handles.
The Facility adheres to the terms described in this notice. For any use or disclosure of your PHI not explicitly listed here, including for purposes such as marketing or selling PHI, the Facility will seek your written consent, which you may revoke at any time as described below. Additionally, the Facility reserves the right to amend its privacy practices and this notice as needed.
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HOW THE FACILITY MAY USE AND DISCLOSE YOUR PHI:
The following categories outline the permitted uses and disclosures of your PHI as authorized by law:
- Treatment: Your PHI may be used to provide you with health care services, including filling prescriptions and coordinating care.
- Payment: Your PHI may be disclosed to insurers or other entities for payment or reimbursement purposes.
- Health Care Operations: St. Joseph Pharmacy may use PHI for quality improvement activities, workforce evaluations, and other operational purposes.
- As Required by Law: Your PHI will be used or disclosed as mandated by applicable federal, state, or local laws.
- Public Health Activities: PHI may be shared with public health authorities for purposes like disease prevention, monitoring adverse drug effects, and ensuring product safety.
- Victims of Abuse, Neglect, or Domestic Violence: PHI may be disclosed to government authorities if abuse or neglect is suspected.
- Health Oversight Activities: PHI may be disclosed for audits, inspections, or investigations conducted by health oversight agencies.
- Individuals Involved in Your Care: PHI may be shared with family members or others directly involved in your care.
- Judicial and Administrative Proceedings: PHI may be disclosed during legal proceedings with appropriate documentation.
- Law Enforcement Purposes: PHI may be shared with law enforcement officials under specific circumstances, such as a court order.
- About the Deceased: PHI may be disclosed to coroners, medical examiners, or funeral directors.
- Organ, Eye, or Tissue Donation: PHI may be shared for organ or tissue donation purposes.
- Research: PHI may be used for research with proper authorization or approval from a review board.
- To Avert Serious Threats: PHI may be disclosed if it is believed necessary to prevent harm.
- Specialized Government Functions: PHI may be disclosed for activities related to national security, military operations, or correctional facilities.
- Workers’ Compensation: PHI may be disclosed as required by workers’ compensation laws.
- Disaster Relief: PHI may be shared with organizations involved in disaster response efforts.
- Business Associates: PHI may be shared with third-party business associates assisting the Facility in providing health care services, provided they maintain strict confidentiality safeguards.
OTHER USES AND DISCLOSURES:
The Facility may contact you regarding the following:
- Treatment Alternatives: Information on alternative treatments or products.
- Health-Related Benefits: Details about benefits or services the Facility provides.
- Fundraising: Demographic information may be used for fundraising efforts, with an option to opt out.
YOUR HEALTH INFORMATION RIGHTS:
You have the following rights concerning your PHI:
- Request Restrictions: You may request additional limitations on how your PHI is used, though the Facility is not obligated to comply.
- Confidential Communication: You may request alternative communication methods, such as a different phone number or address.
- Access to PHI: You may request access to or copies of your PHI, subject to a reasonable fee.
- Amendments: You may request corrections to your PHI if it is incomplete or incorrect.
- Accounting of Disclosures: You may request a list of certain disclosures made by the Facility.
- Paper Copies: You may request a paper copy of this notice at any time.
- Breach Notification: You will be notified of any breaches involving your PHI.
REVISIONS TO THE NOTICE OF PRIVACY PRACTICES:
The Facility reserves the right to update this notice and make the updated version applicable to all PHI it holds. The revised notice will be prominently posted at the Facility.
COMPLAINTS:
If you believe your privacy rights have been violated, you can file a complaint with [Facility Name] or with the U.S. Department of Health and Human Services (HHS). If you wish to file a complaint with the Facility, please contact the pharmacist-in-charge. If you wish to file a complaint with the Secretary, please write to: http://www.hhs.gov/ocr/office/about/rgn-hqaddresses.html.
Filing a complaint will not result in retaliation.
Contact Us:
For questions or concerns regarding this notice, please contact:
ST JOSEPH PHARMACY
7933 N ARMENIA AVE
TAMPA, FL 33604
813-930-6000
