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I. Native Health (“NH”) Responsibilities
We are required to:
NH reserves the right to change its privacy practices and to make the new provisions effective for all protected health information (PHI) it maintains. NH will post any revised Notice of Privacy Practices at public places within its health care facilities and on its web site at www.nativehealthphoenix.org and you may request a copy of the Notice.
NH understands that health information about you is personal and is committed to protecting your health information. NH will not use or disclose your health information without your permission, except as described in this notice and as permitted by law.
II. Entities Covered Under This Notice
Native Health and Native American Community Health Center, Inc.
III. Your Rights
You have several rights regarding your health information. Those include the right to:
IV. How NH may use and disclose Health Information about you.
The following categories describe how we may use and disclose health information about you.
For Treatment. We will use and disclose your personal health information to provide you with treatment and services. For example, we may disclose your personal health information to physicians, nurses, physical therapists, counselors, medical assistants or outside providers who are caring for you..
For Payment Purposes. We may use and disclose your personal health information so that we can bill and receive payment for the treatment and services you receive. For example , we may disclose your personal health information to your representative, an insurance or managed care company, Medicare, Medicaid or another third-party payer to obtain payment, to confirm your coverage or to request prior approval for a proposed treatment or service.
For Health Care Operations. We may use and disclose your health information for our regular health care operations, for example, to evaluate your care and treatment outcomes with our quality improvement team.
Business Associates. We use outside people and entities to provide services for us. Examples include medical transcription companies, consultants, billing companies and attorneys. We may disclose your health information to business associates so that they can perform their jobs. We require our business associates to protect and safeguard your health information in accordance with all applicable Federal laws.
Notification. We may use or disclose information to notify or assist in notifying a family member, personal representative or another person responsible for your care, of your location and general condition. This may include disclosures to a public or private entity assisting in disaster relief efforts.
Communication with Family. We may disclose to a family member, other relative, close personal friend, or any other person involved in your care health information that is relevant to that person’s involvement with your care or payment for such care.
Research. We may disclose information to researchers when certain conditions have been met.
Organ Procurement Organizations. Consistent with applicable law, we may disclose your health information to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of facilitating organ, eye, or tissue donation and transplant.
Uses and Disclosures about Decedents. We may disclose your health information to funeral directors, coroners or medical examiners to carry out their duties consistent with applicable law.
Food and Drug Administration (FDA). We may disclose to the FDA, or to a person or entity subject to jurisdiction of the FDA, health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recall, repairs or replacement
Appointment Reminders. We may contact you with reminder that you have an appointment for medical care at a NH facility or to advise you of a missed appointment.
Workers Compensation. We may disclose your health information for workers compensation purposes as authorized or required by law.
Public Health. We may disclose your health information to public health or other appropriate government authorities charged with preventing or controlling disease, injury or disability.
Correctional Institution. If you are an inmate of a correctional institution, we may disclose to the institution or its agents, health information necessary for your health and the health, safety and security of other individuals such as officers or employees or other inmates.
Law Enforcement. In some circumstances, we may need to disclose health information to law enforcement officials. For example, we may disclose your health information in response to a search warrant or a grand jury subpoena, or to assist law enforcement officials in identifying or locating an individual, to report deaths that may have resulted from criminal conduct, and to report criminal conduct at one of our offices. We may also disclose health information necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
Judicial Proceedings. We may be ordered to disclose health information by a judge in a court or administrative proceeding or in response to a subpoena.
Health Oversight Authorities. We may disclose your health information to a government agency that oversees our operations or our personnel, such as state Department of Health Services, the federal or state agencies that oversee Medicare and Medicaid, and professional licensing boards that license and investigate medical and nursing professionals. These agencies need health information to monitor our operations and its personnel’s compliance with state and federal laws.
Military, Veterans, National Security and Other Government Purposes. We may disclose health information about members of the armed forces, as required by military command authorities or to the Department of Veterans Affairs. If requested to do so, we may also provide information to federal officials for intelligence and national security purposes or for presidential protective services.
Disclosure Required by Law. Federal, state, or local laws sometimes require us to disclose your health information. For instance, we are required to report child abuse or neglect and must provide information to law enforcement officials in domestic violence cases.
Charitable Contributions. We may contact you in the future to raise donations for us or our programs. You have the right to opt out of receiving such communications. If you do not want to be contacted for fundraising please call (602) 279-5262, ext. 3126 or e-mail: firstname.lastname@example.org
Information with Additional Protection. Certain types of medical information have additional protection under federal and state law. In some circumstances, we will require your consent to disclose information about communicable disease and HIV/AIDS, genetic testing, and mental health treatment. Substance use disorder (SUD) information held by our substance use disorder treatment program is subject to protection under 42 USC 290gg and its regulations and such information is subject to use and limited disclosure. We will comply with federal law when using and disclosing your SUD information.
Psychotherapy Notes. Our counselors may maintain psychotherapy notes, which are not part of your medical record. We will not use or disclose psychotherapy notes without your authorization, unless the use is by the person who wrote the notes for purposes of treatment, for training of medical or counseling professionals, or for us to defend ourselves in a legal proceeding brought by you. In addition, any other disclosure or use of psychotherapy notes must be to the Department of Health and Human Services; required by law; for the health oversight of the practitioner that wrote the notes; to the coroner or medical examiner; or to avert a serious threat to the health or safety of a person or the public.
Disclosure by Whistleblowers. A Native Health employee or contractor (business associate) who in good faith believes that we have engaged in conduct that is unlawful or otherwise violates clinical and professional standards, or that the care or services provided by us has the potential of endangering one or more patients or members of the workplace or the public, may disclose your information to an appropriate government agency and/or to an attorney to determine his or her legal options.
Disclosure by Workforce Member Crime Victim. Under certain circumstances, a NH workforce member who is a victim of a crime on or off a NH facility’s premises may disclose limited information about the suspect to law enforcement officials.
Any other uses and disclosures will be made only with your written authorization, which you may later revoke in writing at any time. (Such revocation would not apply where the health information already has been disclosed or used or in circumstances where NH has taken action in reliance on your authorization or the authorization was obtained as a condition of obtaining insurance coverage and the insurer has a legal right to contest a claim under the policy or the policy itself.)
To exercise your rights under this Notice, to ask for more information, to report a problem or submit a complaint if you believe your privacy rights have been violated, contact the NATIVE HEALTH HIPAA Compliance Officer at (602) 279-5262, ext. 3138 or email: Jmolina@nachci.com
To file a complaint with the Office of Civil Rights you may submit a complaint online at: https://www.hhs.gov/hipaa/filing-a-complaint/index.html or to the OCR at:
U.S. Department of Health and Human Services
Office for Civil Rights
Centralized Case Management Operations
200 Independence Ave., S.W.
Suite 515F, HHH Building
Washington, D.C. 20201
Customer Response Center: (800) 368-1019
Fax: (202) 619-3818 TDD: (800) 537-7697
We will not penalize you or retaliate against you in any way for filing a complaint with the federal government.
Effective Date August 2020