Stevenson Family Pharmacy Summary of the Notice of Privacy Practices What is Protected Health Information (PHI)? When we provide pharmaceutical care for you, health information is created. Health information may be written (prescription), spoken (phoned orders from the doctor?s office) or electronic (information on our computer). All of this is considered your protected health information (PHI). Stevenson Family Pharmacy is a health care provider that protects PHI We are considered a provider of health care, so we must follow certain laws and privacy practices when handling your protected health information. Law permits Stevenson Family Pharmacy to use or disclose health information for the following routine activities: * For treatment purposes * For payment purposes * For health care operations * For refill reminders or new prescription notifications Other examples of permitted uses and disclosures of health information: * Emergencies * Public health activities * Worker?s compensation * Legal proceedings * Law enforcement * Inmates * Military and Veterans Activities that require your written permission In order to use or disclose your PHI for other purposes, we must first obtain your written authorization Activities you can object to You have the right to object for us to disclose your PHI to family members, friends or others involved in your care All information is provided in compliance with HIPAA (the Health Insurance Portability and Accountability Act of 1996) Questions or Comments? Please contact our Privacy officer at 816-238-2424 Notice of Privacy Practices Stevenson Family Pharmacy This notice describes how medical information about you may be used and disclosed and how you can get access to this health information. Please review it carefully. If you have any questions about this notice, please contact the Privacy Officer at Stevenson Family Pharmacy: Melody Berger, CPT 6201 King Hill Ave St. Joseph, MO 64504 Phone-816-238-2424 Fax-816-238-6717 This notice was published and becomes effective April 14, 2003. Our Pledge Regarding Medical Information We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at your pharmacy. This record is used by us to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by our pharmacy or other personnel within our practice. This notice advises you about the ways in which we may use and disclose medical information about you. It also describes your rights and certain obligations we have regarding the use and disclosure of medical information. ?Medical Information? is information about you, including demographic information that may identify you and that relates to your past, present or future health conditions and related pharmaceutical care services. This notice also describes your rights and explains certain obligations we have regarding the use and disclosure of medical information. We are required by law to: * Make sure that medical information that identifies you is kept private; * Give you this notice of our legal duties and privacy practices with respect to medical information about you; and * Follow the terms of the notice that is currently in effect. We may change the terms of this notice at any time. The new notice will be effective for all PHI that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by calling our pharmacy and requesting that a revised copy be sent to you in the mail, or by requesting one during a visit to our pharmacy. How We May Use and Disclose Medical Information about You The following categories describe different ways that we may use and disclose information. For each category of uses or disclosures, we will explain what we mean and provide examples. Not every use or disclosure in a category will necessarily be listed below. However, all of the ways that we are permitted to use and disclose information will fall within one of the categories. PAYMENT We may use and disclose medical information about you so that the treatment and services you receive at Stevenson Family Pharmacy may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to provide health information to your prescription insurance plan about the services or medications that we have provided at our pharmacy so that your prescription plan will pay us or reimburse you for the services. We may also advise your health plan about a treatment or medication you are going to receive to obtain prior approval or to determine whether your plan will cover it. TREATMENT We may use medical information about you to provide you with pharmaceutical treatment or services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other individuals who are involved in your treatment. For example, if you are admitted to the hospital, we may give a list of your most current medications to the nurse trying to list all of your home medications in the chart. Similarly, when requesting refills for your medications from the doctor?s office, we must provide them with information such as when it was last refilled and how many were dispensed at that time. We may also disclose medical information about you to people outside the pharmacy who may be involved in your medical care after you leave here such as family members, home healthcare personnel, or others we may rely upon to assist us in caring for you. HEALTH CARE OPERATIONS We may use and disclose medical information about you for our practice operations. These uses and disclosures are necessary to run the pharmacy and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine medical information about several clients at once, to decide what additional serviced the pharmacy should offer, what services are not needed, and whether certain new treatment are effective. We may also disclose information to doctors, nurses, technicians, medical students, and other personnel for review and learning purposes. We may also combine the health information we have with that of other pharmacies to compare how we can improve the services and the care we offer. We may remove information that identifies you from this set of medical information so others may use it to study health care and health care delivery without learning who the specific patients are. APPOINTMENT/REFILL REMINDERS We may use and disclose medical information to contact you as a reminder that you have an appointment or prescription to pick up. If your physician has so requested, we may remind you that you need to make an appointment to see your physician. TREATMENT ALTERNATIVES We may use and disclose medical information to tell you about or recommend possible treatment or medication options or alternatives that may be of interest to you. For example, we may use your information to determine whether you qualify for an asthma or diabetes education program. HEALTH RELATED BENEFITS AND SERVICES We may use and disclose medical information to tell you about health related benefits or services that may be of interest to you. INDIVIDUALS INVOLVED IN YOUR CARE OR PAYMENT FOR YOUR CARE We may release medical information about you to a friend or family member who is involved in your medical care. We may also give information to someone who helps pay for your care. For example, a babysitter responsible for the care of a child may be provided with certain information about how, when and why to give the child certain medicine. In addition, we may disclose medical information about you to an entity assisting in a disaster relief effort so that your family can be notified about your condition, status and location. Research-Under certain circumstances, we may use and disclose health information about you for research purposes. For example, a research project may involve comparing the health and recovery of all patients who receive one medication to those who received another, for the same condition. We may use or disclose information about you to people preparing to conduct a research project, to help them look for patients with specific health care needs. No identifiable information about you will ever be disclosed or used for research purposes without your written consent. SPECIAL SITUATIONS-Other permitted and required uses and disclosures that may be made without your consent, authorization, or opportunity to object: Emergencies- we may use or disclose your health information in an emergency situation. If someone has reasonably tried to obtain information from you to use for medical treatment purposes and has not been successful, we may provide information relevant to your treatment needs. Communication barriers- we may disclose and use your health information if your doctor or another doctor attempts to obtain consent from you but is unable to do so due to substantial communication barriers and the doctor determines, using professional judgment, that you intend to consent to use or disclose under the circumstances. To avert a serious threat to health or safety- We may use and disclose medical information about you when necessary to prevent or lessen a serious and imminent threat to the health and safety of a person or the public. Any disclosure would only be to someone able to help prevent the threat. As required by law-We will disclose medical information about you when required to do so by federal, state or local law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. Coroners, medical examiners, and funeral directors- we may release health information to a coroner or a medical examiner. This may be necessary, for example to identify a deceased person or determine cause of death. We may also release information to funeral directors as necessary to carry out their duties. Health oversight activities-We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, investigations and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws. Workers? compensation-We may release medical information for workers compensation or similar programs. These programs provide benefits for work related injuries or illness. Public health-We may disclose medical information about you for public health activities. These activities generally include the following: * To prevent or control disease, injury or disability; * To report births and deaths; * To report child abuse or neglect; * To report reactions to medications or problems with products; * To notify people of recalls of products they may be using; * To notify a person who may have been exposed to a disease or may be at a risk for contracting or spreading a disease or condition. * notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. Legal Proceedings-If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court order or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if the efforts have been made to tell you about the request or to obtain an order protecting the information requested. Law enforcement-We may release medical information if asked to do so by a law enforcement official: * To comply with regulations that require the reporting of certain types of wounds or other physical injuries * To respond to a court order, subpoena, warrant, summons or similar process * To identify or locate a suspect, fugitive, material witness, or missing person * About a victim of a crime if under certain limited circumstances, we are unable to obtain the person?s agreement * About a death we believe may be the result if criminal conduct * In emergency circumstances to report a crime; the location of a crime or victims; or the identity, description or location of the person who committed the crime National security and intelligence activities-We may use and disclose the medical information of armed forces personnel, veterans and foreign military personnel for authorized activities under the appropriate circumstances. Further, your medical information may be disclosed to authorized federal officials for the conduction of lawful intelligence, counterintelligence, and other national security activities and specials investigation including the provision of protective services to the President, other authorized persons and foreign heads of state, as authorized by law. Inmates-If you are an inmate of a correctional institution or under custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official. This release would be necessary for the institution to provide you with health care; to protect your health and safety or the health and safety of others; or for the safety and security of the correctional institution. Your Rights Regarding Medical Information About You You have the following right regarding medical information we maintain about you: RIGHT TO INSPECT AND COPY-You have the right to inspect and copy medical information that is in a designated record set for as long as we maintain the record. A designated record set includes medical and billing records and other records. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. Another licensed health care professional chosen by us review your request and the denial. We will comply with the outcome of the review. RIGHT TO AMEND-If you feel that medical information we have about you in a designated record set in incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the pharmacy. To request an amendment, your request must be made in writing and submitted to Privacy Officer. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. Other reasons for a denial of a request include, but not limited to, if you ask us to amend information that: * Was not created by us, unless the person or entity that created the information is no longer available to make the amendment; * Is not part of the medical information kept by or for us; * Is not part of the information which you would be permitted to inspect and copy; or * Is accurate and complete. If your request is denied, you may request a review of the denial. RIGHT TO AN ACCOUNTING OF DISCLOSURES-You have the right to request an accounting of disclosures. This is a list of certain disclosures we made of medical information about you. To request this list of accounting of disclosures, you must submit your request in writing to the Privacy Officer. Your request must state a time period which may not me longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper, electronically). The first list you request within a 12 month period will be free. For additional lists, we may charge you for the cost of providing this list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred. RIGHT TO REQUEST RESTRICTIONS-You have the right to request a restriction or limitation on certain parts of the medical information we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limit on the medical information we disclose about you for notifications purposes to individuals involved in your care or the payment of your care, like a family member or friend. For example, you could ask that we not use or disclose information about a surgery you had. We are not required to agree to your request. If we do agree, we will comply with your requested restrictions unless the information is needed to provide you emergency treatment. Under certain circumstances we may terminate our agreement to a restriction. You may also terminate a restriction request at a later date. To request a restriction, you must make your request in writing to the Privacy Officer. In your request, you must tell us what information you want to limit whether you want to limit our use, disclosure or both; and to whom you want the limits to apply, for example, disclosures to your spouse. RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS-You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communication, you must make your request in writing to the Privacy Officer. We will not ask you for the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted. RIGHT TO A PAPER COPY OF THIS NOTICE-You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Other Uses of Medical Information Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose medial information about you, you may revoke that permission, in writing, or at any time. If you revoke your permission we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.
Welcome to Stevenson Family Pharmacy. As your local Good Neighbor Pharmacy, we offer quality products at affordable prices, while providing the personalized attention and customer service you expect from a local business. As your neighbors, we live, work and play in the same community as you and your family. We’re the local business owners you see in the neighborhood, at the school play, and volunteering at the local charity. We believe it is our responsibility to take care of our community and our neighbors, and it’s one we take very seriously. We thrive on the opportunity to serve you and your family to the best of our abilities because your business and your health are very important to us. Get to know your neighbor – we’re here to help.