Notice of Privacy Practicies
This detailed notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Who will Follow This Notice?
Our Pledge Regarding Health and Disability Information
We understand that health and disability information about you and your health or disability is personal. We are committed to protecting health and disability information about you. We create a record of the care and services you receive at the Health and Wellness Center. We need this record 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 HWC personnel.
This notice will tell you about the ways in which we may use and disclose health and disability information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of health and disability information.
We are required by law to:
Understanding Your Health Record/Information
Understanding what is in your record and how your health and disability information is used helps you to:
How We May Use and Disclose Health and Disability Information About You
We will use your health and disability information for treatment.
We will use your health information for payment.
We will use your health information for regular health care operations.
Business Associates. There are some services provided in our organization through contracts with business associates. Examples include UPMC Altoona and reference laboratories. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we have asked them to do. We require these associates to agree that they will protect the privacy of your health information in the same manner that we do.
Appointment Reminders. We may use and disclose health information to contact you as a reminder that you have an appointment for treatment or health care at the Health and Wellness Center.
Treatment Alternatives. We may use and disclose health/disability information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Health-Related Benefits and Services. We may use and disclose health/disability information to tell you about health-related benefits or services that may be of interest to you.
Individuals Involved in Your Care. In life threatening/extreme emergency situations, we may use or disclose health/disability information to notify, or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition. We may release health/disability information about you to a friend or family member who is involved in your health care. In addition, we may disclose health/disability information about you to an organization assisting in a disaster relief effort so that your family can be notified about your condition, status and location. You have the opportunity to agree to, prohibit or restrict the use or disclosure of health/disability information to these individuals.
Research. Under certain circumstances, we may use and disclose health/disability 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 receive another, for the same condition. All research projects are subject to a special approval process. This process evaluates a proposed research project and its use of health/disability information, trying to balance the research needs with patients’ needs for privacy of their health/disability information. Before we use or disclose health/disability information for research, the project will have been approved through this research approval process.
As Required by Law. We will disclose health/disability information about you when required to do so by federal, state or local law.
To Avert a Serious Threat to Health and Safety. We may use and disclose health/disability information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent that threat.
Coroners, Medical Examiners and Funeral Directors. We may disclose health/disability information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or to determine the cause of death. We may also disclose health information about patients of the Health and Wellness Center to funeral directors as necessary to carry out their duties.
Public Health Risks. We may disclose health/disability information about you for public health activities. These activities generally include the following:
Health Oversight Activities. We may disclose health/disability information to a health/disability oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
Military and Veterans. If you are a member of the United States armed forces or foreign military personnel, we may disclose health/disability information about you as requested by military command authorities to assure the proper execution of the military mission, if the appropriate military authority has published a notice in the Federal Register with the following information:
Workers’ Compensation. We may disclose health/disability information to the extent authorized by and to the extent necessary to comply with laws relating to workers’ compensation or other similar programs established by law.
Lawsuits and Disputes. In connection with a lawsuit or a dispute, we may disclose health/disability information about you in response to a court or administrative order. We may also disclose health/disability information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute. We may use and disclose health/disability information in defending or asserting a lawsuit involving your treatment at the Health and Wellness Center.
Law Enforcement. We may disclose health information if asked to do so by a law enforcement official:
National Security and Intelligence Activities. We may disclose health/disability information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
Protective Services of the President of the United States and Others. We may disclose health/disability information about you to authorized federal officials so they may provide protection to the President of the United States, other authorized persons or foreign heads of state or conduct special investigations.
Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose health/disability information about you to the correctional institution or law enforcement official. This disclosure would be necessary (1) for the institution to provide you with health/disability care; (2) to protect your health and safety or the health and safety of others; (3) for the safety and security of the correctional institutions.
We will not sell your health/disability information, or use it for marketing of fundraising purposes without receiving written authorization.
In order to provide the best continuity of care, the local hospital, UPMC Altoona, will provide information to the Health and Wellness Center regarding any services that you receive there. If you would prefer that this information not be shared with HWC, please let the UPMC staff know at the time of your visit.
Notification of Breach of Unsecured Health/disability Information
In the event of a breach of your health/disability information, you will receive notification from the Health and Wellness Center, the Penn State Privacy Office, or a responsible Business Associate.
Your Rights Regarding Health Information About You
You have the following rights regarding health/disability information we maintain about you:
Right to Inspect and Copy. You have the right to inspect and copy health/disability information that may be used to make decisions about your care. Usually, this includes health and billing records, but does not include psychotherapy notes.
To inspect and copy health/disability information that may be used to make decisions about you, you must submit your request in writing to the Director of the Health and Wellness Center. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies associated with your request.
We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health/disability information, you may request that the denial be reviewed. Another licensed health care professional chosen by the Health and Wellness Center will review your request and the denial. The person conducting the review will not be the person who denied your request.
Right to Amend. If you feel that health/disability information we have about you is 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 Health and Wellness Center.
To request an amendment, your request must be made in writing and submitted to the Director of the Health and Wellness Center. 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. In addition, we may deny your request if you ask us to amend information that:
Right to an Accounting of Disclosures. You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of health/disability information about you. This list will not include disclosures we made to you, disclosures made for the purposes of treatment, payment or our operations or those authorized by you.
To request this list or accounting of disclosures, you must submit your request in writing to the Director of the Health and Wellness Center. Your request must state a time period, which may not be longer than six (6) 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). This first list you request within a (12) twelve-month period will be free. For additional lists, we may charge you for the cost of providing the 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 the health/disability information we use or disclose about you for treatment, payment or health care operations. We are not required to agree to your request. To request restrictions, you must make your request in writing to the Director of the Health and Wellness Center. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosure to your spouse.
You have the right to pay out of pocket for specific services, and restrict the disclosure of information pertaining to these services to third-party payers.
Right to Request Confidential Communications. You have the right to request that we communicate with you about health 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 communications, you must make your request in writing to the Director of the Health and Wellness Center. We will not ask you 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. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. To obtain a paper copy of this notice you may stop by the Health and Wellness Center.
Changes To This Notice
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in the Health and Wellness Center and on the website noted above. This notice will contain on the first page, in the top right-hand corner, the effective date. In addition, each time you register at the Health and Wellness Center for treatment or health/disability care services, we will offer you a copy of the current notice in effect.
If you believe your privacy rights have been violated, you may file a complaint with the Health Operations Manager at the Health and Wellness Center, Penn State or with the Secretary of the Department of Health and Human Services. To file a complaint with the Health and Wellness Center, contact the Health Operations Manager at 814-949-5540 or by mail at Health Operations Manager, Penn State Altoona Health and Wellness Center, 3000 Ivyside Park, Altoona, PA 16601. To file a complaint with Penn State, contact the Penn State Privacy Officer at 814-863-3049 or by mail at Chief Privacy Officer, Penn State University, 227 West Beaver Avenue, Suite 103, State College, PA 16801 or email privacy @psu.edu or HIPAA@psu.edu. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Other Uses of Health/disability Information
Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with written permission. If you provide us permission to use or disclose health/disability information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health 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.