Notice of Privacy Practices
Effective Date: September 23, 2013
Our Pledge and Responsibilities Regarding Your Medical Information
We know that your information and your health is a personal matter. We are committed to protecting your health information. We will disclose information to others other than you only when permitted under federal or state law. In some circumstances, the law allows us to use and disclose your health information without your express permission, as described in this notice. In all other circumstances, we will obtain your written authorization before using or disclosing your health information.
By law we are obliged to:
- Make sure that health information that identifies you is kept private (with certain exceptions);
- Inform you of your legal rights and duties regarding your medical information; and
- Comply with the terms of the Notice of Privacy Practices that are currently in effect.
How We May Use and Disclose Your Health Information
Disclosure at your request
We may disclose information when requested by you. We may require you to submit a request in writing using an AHF form.
Disclosure at your request
For Healthcare Operations
We may use your health information or disclose that information to a partner or commercial foundation to raise money for our charitable activities. We will only disclose demographic information and the dates you received treatment or services. If you do not wish to be contacted about these fundraising efforts, please notify our Privacy Officer in writing (see below for contact information).
Marketing or Commercialization Activities
We will not use or disclose your medical information for marketing purposes to third parties without your written authorization.
Sale of Medical Information
We will not sell your health information without your written authorization, and the written authorization must acknowledge that we will receive compensation for the health information.
We may hire business associates to perform certain functions or activities on our behalf, such as payments and healthcare operations. These business associates must agree to protect your health information.
People involved in your care or payment for your care
In some circumstances, we may use and disclose your health information for research purposes. However, all research projects are subject to a special approval process and protocols to protect your privacy.
As required by law
We will disclose your health information when required to do so by federal, state or local law.
To avoid a serious threat to health or safety
We may use and disclose your health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. However, any disclosure would only be to someone who can help prevent or lessen the threat.
Organ and tissue donation
We may disclose medical information to organizations that handle organ procurement, tissue or eye transplantation, or to an organ donation bank, as necessary to facilitate tissue and organ donation and transplantation.
Military and Veterans
We may disclose your health information for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.
Public Health Activities
We may disclose your medical information for public health activities. These activities generally include the following:
- Prevent or control illness, injury or disability; Report reactions to medications or problems with products;
- Inform people of recalls of used products;
- Notify the person who has been exposed to a disease or may be at risk of contracting or spreading a disease or condition;
- Notify the appropriate government authority if we believe a patient has been a victim of abuse, neglect or domestic violence.
Health Supervision Activities
Lawsuits and Controversies
Compliance with laws
- In response to a court order, subpoena, warrant, notice or similar process;
- To identify or locate a suspicious person, fugitive, material witness or missing person;
- About the victim of a crime, if under certain limited circumstances, we are unable to obtain the person’s agreement;
- Regarding the death that we believe may be the result of criminal conduct;
- On criminal conduct in the pharmacy; and
- In emergency situations to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
Coroners, Health Examiners and Funeral Directors
National Security and Intelligence Activities
Protective Services for the President and Others
We may disclose your health information to authorized federal officials to protect the president, other authorized persons or foreign heads of state or to conduct special investigations.
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your health information to the correctional institution or law enforcement official. This disclosure will be necessary, for example, (1) for the institution to provide you with medical care; (2) to protect your health and safety or the health and safety of others; or (3) for the health and safety of the correctional institution.
Multidisciplinary Staff Teams
We may disclose medical information to multidisciplinary staff teams relating to the prevention, identification, management or treatment of an abused child and the child’s parents or elder abuse and neglect.
Special Categories of Information
Your rights regarding your Medical Information
You have the following rights regarding your medical information that we maintain.
Right of Inspection and Copy
Derecho a enmienda
If you believe that medical information we have about you is incorrect or incomplete, we may ask you to amend that information. You have the right to request an amendment for as long as the information is kept by or for AHF.
To request an amendment, your request must be made in writing and addressed to our Privacy Officer (see below for contact information). You must also provide a reason to support your request.
We may deny your request for an amendment if it is not in writing or does not include a reason to support your request. Additionally, we may deny your request if you ask us to amend information that:
- It was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
- It is not part of the medical information maintained by or for AHF;
- It is not part of the information that could be permitted to be inspected and copied; either
- It is accurate and complete.
Even if we deny your request for amendment, you have the right to submit a written addendum, not to exceed 250 words, regarding any item or statement in your record that you believe is incomplete or incorrect. If you clearly indicate in writing that you want the addendum to be part of your medical record, we will add it to your record and include it whenever we make a disclosure of the item or a statement that you believe is incomplete or incorrect.
Right to be informed about a breach of medical information
Right to a Record of Disclosures
Right to request restrictions
You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a restriction or limitation on the disclosure of your medical information to someone involved in your care or payment for your care, such as a family member or friend. For example, you can request that we not use or disclose your information about a surgery you had.
We are not required to agree to your request, unless you ask us to limit your health information to a health plan, as long as (a) the disclosure is for purposes of carrying out payment or health care operations and is not, otherwise required by law and (b) the medical information pertains exclusively to a health care matter or service for which you have paid us in full. If we agree to your requested restriction, we will comply with your request, unless the information is necessary to provide you with emergency treatment.
Right to Request Confidential Communications
Right to a Paper Copy of this Notice
You have the right to receive a paper copy of this notice. You may ask us to provide you with a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still authorized to receive a paper copy of this notice. To obtain a paper copy of this notice, please contact our Privacy Officer (see below for contact information).
Changes to this notice
Concerns about our use of your Medical Information
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint, please contact our Privacy Officer (see below for contact information). All claims or demands must be submitted in writing. You will not be penalized for filing a claim.
Other Uses of Medical Information
Other uses and disclosures of your health information not covered by this notice or applicable laws will be made only with your written permission. If you authorize us to use or disclose your health information, you may revoke that permission in writing at any time. If you revoke your permission, this will stop any further use or disclosure of your health information for the purposes covered by your written authorization, except if we or others have already acted on your permission. You understand that we cannot take back disclosures already made with your permission and must retain them for our records of care provided.