Notice of Pharmacy Privacy Practices

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Southwest CARE Center (SCC) is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information.  If you have questions about any part of this notice or if you want more information about the privacy practices at Southwest CARE Center please contact:

Privacy Officer: Camille Parsons
505-412-4953
649 Harkle Rd. Suite E
Santa Fe, NM 87505

Effective Date of this Notice:     February 27, 2013

I.  How Southwest CARE Center may Use or Disclose Your Health Information

SCC collects health, mental health and case management information from you and stores it electronically.  This is your health record.  The health record is the property of SCC, but the information in the health record belongs to you.  Southwest CARE Center protects the privacy of your health information.  The law permits SCC to use or disclose your health information for the following purposes:

  1. Treatment.  At SCC, treatment includes medical and case management services. Information in your health record may be used by staff to monitor your ongoing health care needs. Information may be provided to other professionals also involved in your health care. We may request your permission to include a photo of you in your health record to protect your identity. From time to time, health or nursing students may wish to sit in on your appointment. You will be asked in advance to grant or deny this.
  2. Payment.  SCC may exchange your medical and financial information, with an outside billing service for the purpose of obtaining or procuring payment on your behalf. From time to time, SCC may disclose relevant medical information to your health plan. We may use or disclose information from your insurance card to obtain payment on your behalf.
  3. Regular health care operations.  For SCC’s normal daily operations, we may use your health record to perform our functions as a health care organization. For example, the New Mexico Department of Health may review records with us for quality assurance. Additionally, we may do statistical analysis in order to provide reports to the various agencies that fund us.
  4. Information provided to you.  From time to time, SCC may provide you with a copy of your bill for services rendered. Additionally, SCC may provide you with information about your medications or treatment.
  5. Appointment reminders.  SCC may use and disclose health information to contact and remind you about appointments.  If you are not home, we may leave this information on your voicemail.
  6. Sign in sheet.  SCC may use and disclose health information about you by having you sign in when you arrive at our office. The sign in sheet will contain only minimal information. We may also call out your name when we are ready to see you.
  7. Notification and communication with family.  SCC may disclose your health information to notify or assist in notifying a family member, your personal representative or another person responsible for your care about your location, your general condition or in the event of a medical emergency or death.  If you are able and available to agree or object, we will give you the opportunity to object prior to making this notification.  If you are unable or unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others. In the event of a disaster, SCC may disclose information to a relief organization so that they may coordinate these notification efforts.
  8. Required by law.  As required by law, SCC may use and disclose your health information, but will limit our use or disclosure to the relevant requirements of the law.  When the law requires us to report abuse, neglect or domestic violence, or respond to judicial or administrative proceedings, or to law enforcement officials, we will further comply with the requirement set forth below concerning those activities.
  9. Public health.  As required by law, SCC may disclose your health information to public health authorities for purposes related to:  preventing or controlling disease, injury or disability; reporting child, elder or other abuse or neglect; reporting domestic violence; reporting to the Food and Drug Administration problems with products and reactions to medications; and reporting disease or infection exposure.
  10. Health oversight activities.  SCC may disclose your health information to health agencies during the course of audits, investigations, inspections, licensure and other proceedings.
  11. Judicial and administrative proceedings.   SCC may disclose your health information if we are ordered to do so in the course of any administrative or judicial proceeding.
  12. Law enforcement.  SCC may disclose your health information to a law enforcement official for purposes such as identifying of locating a suspect, fugitive, material witness or missing person, complying with a court order or subpoena and other law enforcement purposes.
  13. Deceased person information.  SCC may disclose your health information to coroners, medical examiners and funeral directors.
  14. Organ donation. SCC may disclose your health information to organizations involved in procuring, banking or transplanting organs and tissues.
  15. Research.  SCC may disclose your health information to researchers conducting research that has been approved by an Institutional Review Board or Southwest CARE Center’s privacy board. Your health information may be included in SCC’s medical research databases, and may be used in retrospective studies where data is not patient-identified.
  16. Public safety.  SCC may disclose your health information to appropriate persons in order to prevent or lessen a serious and imminent threat to the health or safety of a particular person or the general public.
  17. Specialized government functions.  SCC may disclose your health information for military, national security, or prisoner and government benefits purposes.
  18. Worker’s compensation. SCC may disclose your health information as necessary to comply with worker’s compensation laws.
  19. Breach notification.  In the case of a breach of unsecured protected health information, we will notify you as required by law.
  20. Marketing.  SCC may contact you to give you information about other treatments, support groups or health-related benefits and services that may be of interest to you. From time to time, SCC may review medical records for your potential inclusion in a clinical research trial.
  21. Fund-raising.  SCC may contact you to participate in fund-raising activities for SCC.  SCC maintains a fundraising mailing list that may include you if you have consented in writing to receive such mail from us.
  22. Change of Ownership.  In the event that SCC is sold or merged with another organization, your health information/record will become the property of the new owner.

II. When Southwest CARE Center May Not Use or Disclose Your Health Information

Except as described in this Notice of Privacy Practices, SCC will not use or disclose your health information without your written authorization.  If you do authorize SCC to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.

III. Your Health Information Rights

  1. You have the right to request restrictions on certain uses and disclosures of your health information.  SCC is not required to agree to the restriction that you requested.  If you tell us not to disclose information to your health plan concerning health  care items or services for which you paid for in full out-of-pocket, we will abide by your request, unless we must disclose the information for treatment or legal reasons. We reserve the right to accept or reject any other request, and will notify you of our decision.
  2. You have the right to receive your health information through a reasonable alternative means or at an alternative location.  You are not allowed to limit the manner we can contact you in order to avoid your responsibility to pay for the services rendered to you.
  3. You have the right to inspect and copy your health information with limited exceptions. We may charge a reasonable fee for copies. We may require inspection or copy requests to be in writing. We may deny your request under limited circumstances and you may have a right to appeal our decision.
  4. You have a right to request that SCC amend your health information that is incorrect or incomplete.  SCC is not required to change your health information and will provide you with information about Southwest CARE Center’s denial and how you can disagree with the denial.
  5. You have a right to receive an accounting of disclosures of your health information made by SCC, except that SCC does not have to account for the disclosures described in parts 1 (treatment), 2 (payment), 3 (health care operations), 4 (information provided to you), 6 (directory listings) and 16 (certain government functions) of section I of this Notice of Privacy Practices.
  6. You have a right to a paper copy of this Notice of Privacy Practices.

If you would like to have a more detailed explanation of these rights or if you would like to exercise one or more of these rights, contact

Privacy Officer: Brie Delvin
505-989-8200
649 Harkle Rd. Suite E
Santa Fe, NM 87505

IV. Changes to this Notice of Privacy Practices

SCC reserves the right to amend this Notice of Privacy Practices at any time in the future, and to make the new provisions effective for all information that it maintains, including information that was created or received prior to the date of such amendment.  Until such amendment is made, SCC is required by law to comply with this Notice. 

Should SCC’s Privacy Practices change, you will be notified in writing at your next medical visit.

V. Complaints

Complaints about this Notice of Privacy Practices or how SCC handles your health information should be directed to:

Privacy Officer: Brie Delvin
505-989-8200
649 Harkle Rd. Suite E
Santa Fe, NM 87505

If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:

Department of Health and Human Services
Office of Civil Rights
Hubert H. Humphrey Bldg.
200 Independence Avenue, S.W.
Room 509F HHH Building
Washington, DC  20201

You may also address your compliant to one of the regional Offices for Civil Rights.  A list of these offices can be found online at http://www.hhs.gov/ocr/regmail.html, or you may also submit your complaint electronically by visiting http://www.hhs.gov/ocr/privacy/index.html

You also have the right to submit a complaint to the NM Department of Health Complaint Hotline: (800) 752-8649.

You will not be penalized for filing a complaint.