Inter: Privacy Notice.043
|
|
NORTHERN CALIFORNIA COMMUNITY BLOOD BANK Notification Of Privacy Practices |
This Notice describes how Medical Information about you may be used and disclosed by Northern California Community Blood Bank (NCCBB) and how you can obtain access to this information. Please review it carefully. Protected Health Information includes personal information such as your telephone number which can lead to your medical information.
Effective Date –
Legal Requirements
NCCBB will maintain the confidentiality of your Protected Health Information. We will also provide you with this Notification of our Privacy Practices, our legal responsibilities, and your rights regarding your Protected Health Information. NCCBB is required to follow the practices listed in this Notification.
This Notification may change at any time, consistent with prevailing federal and state laws. New notices will be posted, when changed, and will be made available upon request.
How do we use and disclose your health information?
NCCBB uses and discloses your Protected Health Information for treatment, payment and healthcare operations in compliance with HIPAA. HIPAA is an abbreviation for the federal privacy protection law.
Treatment: We may use or disclose your Protected Health Information to a healthcare provider who will be providing treatment to you. For example, information received by your nurse will be recorded in your record and used to determine your course of treatment.
Payment: We may use or disclose your Protected Health Information to your insurance company in order to obtain payment for services provided by us.
Healthcare Operations: We may use or disclose your Protected Health Information during the course of our internal operations, including, but not limited to, quality control; quality improvement; training; employee evaluations; or licensing.
Donor Recruiting: We may use or disclose your Protected Health Information to contact you for donating blood.
Appointments: We may use or disclose your Protected Health Information to contact you to make appointment reminders.
Emergency Notification: NCCBB may use or disclose your Protected Health Information in the event of a medical emergency and/or to notify a family member or other person responsible for your care in the event of a medical emergency.
Marketing: NCCBB will not use your Protected Health Information for any marketing under any circumstances.
Intimidation and Retaliation: We will not refuse treatment, intimidate nor retaliate against any individuals exercising their rights under HIPAA or as outlined in this Notification.
Authorization for Release of Information: Except as required by law, we will not release your Protected Health Information to a third party without a duly executed authorization from you. You may rescind such authorization at any time for any reason.
When Required by Law: We may use or disclose your Protected Health Information when required to do so by law such as infectious disease prevention or control.
What are your rights?
Access Rights: You have the right to view, obtain a copy of, restrict, and correct your Protected Health Information although we are not legally required to agree to a requested restriction. You must submit requests in writing, to the address that appears at the top of this Notification. Your request must be made to the attention of the Privacy Officer as described below.
Disclosure Rights: You have the right to obtain an accounting of disclosures stating to whom and where your Protected Health Information has been disclosed for purposes other than treatment, payment, health care operations or where you specifically authorized a use or disclosure in the past six (6) years, but not prior to April 14, 2003. The request must be in writing and state the time period desired for the accounting. In such instances, NCCBB will notify you, in writing, of such use or disclosure and will further outline the steps taken to mitigate and resolve such use or disclosure.
Questions and Complaints
If you have questions about this Notification or about our privacy practices, please contact us by calling (707) 443-8004 and requesting to speak with the Privacy Officer or by writing to us at the address at the top of this Notification, Attn: Privacy Officer. Alternatively, you may send an electronic mail (e-mail) message to the following address: myprivacy@nccbb.org
If you have any concerns about your privacy rights, or feel
that we have violated them, or you disagree with a decision regarding access to
your Protected Health Information, you may use the same contact information as
above to register a formal complaint. You also may submit a written
complaint to the U.S. Department of Health and Human Services Office of Civil
Rights,