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Notice Of Privacy Practices - Vise's Pharmacy

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

DATE OF NOTICE: April 14, 2003

All of us at Vise's Pharmacy value your relationship with us, and we know that respect for your privacy is the basis of that relationship. We are committed to protecting the privacy of your Protected Health Information (PHI) in our possession and only using and disclosing your PHI as necessary to providing you with health care products and services. PHI is any information that we possess, use, and disclose that identifies you and relates to your past, current, or future physical and mental health condition or illness and the health care products and services that have been provided to you.


SECTION A: Uses and Disclosures of Protected Health Information

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that this Notice tell you how we may use and disclose your PHI. These uses and disclosures are summarized below, but if you would like more information about any of these please contact our Pharmacy Privacy Officer at the address or telephone number of our pharmacy. HIPPA allows for certain uses and disclosures of PHI for treatment, payment and health care operations.

1. Treatment. HIPAA defines treatment as "the provision, coordination, or management of health care and related services by one or more health care providers, including the coordination or management of health care by a health care provider with a third party; consultation between health care providers relating to a patient; or the referral of a patient for health care from one health care provider to another." As a pharmacy, we may use and disclose your PHI as necessary to maintain a patient profile on you, which may include information about you; your medical condition, medications, and prescription devices that you use; any allergies that you may have; and other information, such as any health insurance that you may have. We may use and disclose your PHI in dispensing prescription medicines and related products and services, including counseling you and your caregivers about proper use of your medications. We may discuss such problems with your other health care professionals, such as your physician or dentist, and through such discussions we may use and disclose your PHI. Finally, we may use and disclose your PHI to you and your caregivers in our discussions with you and your caregivers about your treatment.

Payment. HIPAA defines payment, in relation to health care providers such as us, as activities to obtain reimbursement for the health care products and services that we provide to you. These activities include primarily billing you directly or someone who pays for your health care, such as a family member or health insurance company, for health care products and services that we provide to you. Activities related to billing may include claims management, collections, and related health care data processing. Depending on who pays for the health care products and services that we provide you, other activities may include determination of eligibility or coverage; medical necessity; review of health care services with respect to medical necessity, coverage under a health plan, appropriateness of care, or justification of charges; utilization review activities, including precertification and preauthorization of services; concurrent and retrospective review of services; and disclosure to consumer reporting agencies PHI necessary for collection of payment. In relation to this, public and private health care insurance programs that may provide or pay for your health care can conduct audits, inspections, and investigations of us in relation to our activities and your activities. We may be required to disclose your PHI to these programs for purposes of audits, inspections, and investigations.

Health care operations. HIPAA defines health care operations as those activities necessary and related to our providing of health care products and services to you. These activities include, but may not be limited to, the following.

A. Conducting quality assessment and improvement activities, case management and care coordination, and contacting of health care providers and patients with information about treatment alternatives.

B. Conducting or arranging for medical review, legal services, and auditing functions, including fraud and abuse detection and compliance programs.

C. Our pharmacy management and general administrative activities, including, but not limited to, activities relating to implementation of and compliance with the requirements of HIPAA.

We will use and disclose your PHI to carry out the above activities as necessary or required, and especially to monitor and improve the quality of the health care products and services that are provided to you by us and other health care professionals. In addition, we may contact you to provide refill reminders, health screenings, wellness events, inoculations, vaccinations or information about treatment alternatives or other health-related benefits and services that may be of interest to you. We also may disclose your PHI to family members who are involved in your care or payment for your care. We may also inadvertently disclose your PHI if you use our drive thru service and there are others in the vehicle with you as PHI is needed for prescription filling and counseling is provided on the proper use of that prescription.. In addition we may contact you for the purpose of fund raising activities.

We may use and disclose your PHI, without your authorization when the pharmacy needs to contact a physician or physician's staff and is permitted or required to do so without individual written authorization. We may use and disclose your PHI if we are contacted by another pharmacy who states they have your request and consent to transfer pharmacy records to them.
From time to time we may employ the services of business associates who may assist us in one or more tasks and who may use, change or create PHI. One of our most common business associates is a health insurance company or a company that processes claims that we submit for payment for health care products and services that we provide to you, if you have health insurance that pays for your prescription medications. Contracts have or will be submitted to all of our Business associates that require them to comply with all the privacy regulations on your behalf.
We may disclose PHI about you without your authorization to comply with workers compensation laws, as required by law enforcement, legal proceedings, public health requirements, health oversight activities, federal and state government agencies and health care insurance programs and as required by law.

Other uses and disclosures will be made only with your written authorization, and you may revoke your authorization by notifying us as described in Section B.

2. You may ask us to restrict uses and disclosures of your PHI to carry out treatment, payment, or healthcare operations, or to restrict uses and disclosures to family members, relatives, friends, or other persons identified by you who are involved in your care or payment for your care. However, we may not be required to agree to your request under certain circumstances.

3. You have the right to request the following with respect to your Protected Health Information; (i) inspection and copying; (ii) amendment or correction; (iii) an accounting of the disclosures of this information by us (we are not required to account to you for disclosures made for treatment, payment, operations, disclosures to you, disclosures to your care givers, for notifications or as otherwise excluded by law); and (iv) the right to receive a paper copy of this notice upon request. All requests should be made in writing on forms that we will provide you. We may require you to pay a reasonable cost based fee for this request to cover our costs of copying, labor and postage. In addition, you may request, and we must accommodate the request, if reasonable, to receive communications of PHI by alternative means or at alternative locations. To make this request please contact, in writing as outlined in Section B:. If we are unable to grant your request with respect to any of your rights outlined in this Notice, we will notify you in writing as to why we are not able to agree to your request. We cannot honor any requests that make your PHI inaccurate or alter your treatment, payment or our health care operations or other instances provided by law.

4. We may use your name to reference your prescriptions and pharmaceutical care services. You may be required to sign a signature log form to acknowledge receipt of service, to acknowledge receipt of this Notice and the disclosure of Protected Health Information as outlined herein. This information may be disclosed by us to other persons who ask for you or your prescriptions by name. You may restrict or prohibit these uses and disclosures by notifying a pharmacy representative in writing of your restriction or prohibition. We may not be required to honor those requests if it makes your PHI inaccurate. We are able to provide treatment services to you even if you object to sign the acknowledgment of the receipt of this Notice or if we decide not to honor a request regarding the information in this document. In the event of an emergency or your incapacity, we will do in our reasonable judgment what is consistent with your known preference, and what we determine to be in your best interest. We will inform you of any such uses or disclosures if uses and disclosures would require your signed authorization under such circumstances and give you an opportunity to object as soon as practicable.

5. We may disclose to one of your family members, to a relative, to a close personal friend, or to any other person identified by you, Protected Health Information that is directly relevant to the person's involvement with your care or payment related to your care. In addition we may use or disclose the Protected Health Information to notify, identify, or locate a member of your family, your personal representative, another person responsible for care, or certain disaster relief agencies of your location, general condition, or death. If you are incapacitated, there is an emergency, or you object to this use or disclosure, we will do in our judgment what is in your best interest regarding such disclosure and will disclose only the information that is directly relevant to the person's involvement with your healthcare. We will also use our judgment and experience regarding your best interest in allowing people to pick-up filled prescriptions, or other similar forms of Protected Health Information.

6. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all Protected Health Information we maintain. You may receive a copy of this Notice by contacting us as outlined in Section B or upon the receipt of pharmacy care services by our pharmacy.

7. If you believe your privacy rights have been violated, you complain to us at the location described in Section B and we will make every effort to resolve the complaint. If no resolution is obtained, we will help you contact the Department of Health and Human Services to file a complaint.


Section B: Contacting Us

You may contact us for further information at:

Attention: Privacy Officer

Vise's Pharmacy has created this privacy statement in order to demonstrate our firm commitment to privacy. The following discloses our information gathering and dissemination practices for this website: www.visespharmacy.com

First - ANY MEDICAL INFORMATION WE OBTAIN IS CONFIDENTIAL BY LAW

We use your IP address to help diagnose problems with our server, and to administer our Web site. Your IP address is used to gather broad demographic information. We use cookies to deliver content specific to your interests.

Our site's form's require users to give us contact information (like their name and email address), unique identifiers (like their social security number), financial information (like their account or credit card numbers), and demographic information (like their zip code, age, or income level).

We use customer contact information from our form's to fill orders sent to us. The customer's contact information is also used to contact the visitor when necessary. Users may opt-out of receiving future mailings; see the choice/opt-out section below.

Financial information that is collected is used to check the users' qualifications for registration and to bill the user for products and services. Unique identifiers (such as social security numbers) are collected to verify the user's identity, for use as account numbers in our record system, and for other purposes.

Demographic and profile data is also collected at our site. We use this data to tailor the visitor's experience at our site, showing them content that we think they might be interested in, and displaying the content according to their preferences.

This site contains links to other sites. www.visespharmacy.com is not responsible for the privacy practices or the content of such Web sites.

Security

This site has security measures in place to protect the loss, misuse and alteration of the information under our control.

Choice/Opt-Out

Our site provides users the opportunity to opt-out of receiving communications from us and our partners at the point where we request information about the visitor.
This site gives users the following options for removing their information from our database to not receive future communications or to no longer receive our service.

You can send email to staff@visespharmacy.com

Correct/Update

This site gives users the following options for changing and modifying information previously provided. email staff@visespharmacy.com

Contacting the Web Site

If you have any questions about this privacy statement, the practices of this site, or your dealings with this Web site, you can contact


Ronnie Vise
Vise's Pharmacy
179 North Tennessee Ave.
Parsons, TN.  38363
ronnie@visespharmacy.com

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