Notice Of Privacy Practices
We understand the value of your personal information and respect your right to privacy. Goodwill is committed to maintaining your confidence and trust. This commitment includes protecting the personal information that we obtain from you. We do not sell, lease or trade the names of our donors to any third parties and we do not use telemarketers to solicit funds.
This Notice of Privacy Practices is effective as of February 1, 2010.
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.
Our staff is committed to protecting your health information, which is a right you have and one explained in the federal Health Insurance Portability and Accountability Act (HIPAA) of 1996.
Your health information is any information Goodwill receives or creates about you, including all information that can be used to identify you as a user of Goodwill services. Health information refers to any gathered facts held in your Goodwill service record or known about you.
If you have any questions or requests, please contact the Goodwill Director for your program services:
Paulette Griffin, Vice President, Workforce Development Services
Diane Hoff-Weekley, Director, Vocational Services
WE MUST PROTECT HEALTH INFORMATION ABOUT YOU
We must protect the privacy of your protected health information or “PHI” for short. This Notice explains the ways we will use your PHI. It also explains the ways we will share, or disclose, PHI about you. In addition, we may make other uses and disclosures that occur as a result of the permitted uses and disclosures described in this Notice.
We must follow this Notice. We may change this Notice. We may make these changes apply to all PHI we already have if we:
- Post the new notice at all our locations
- Make copies of the new notice available if someone asks for it
- Post the new notice on our website: www.goodwillsp.org
WE MAY USE AND SHARE YOUR PHI WITHOUT YOUR PERMISSION IN CERTAIN SITUATIONS
- We may use and share your PHI to provide services to you. Goodwill may use and share your PHI to provide, coordinate or manage your employment and training services. For example, Goodwill may share your PHI with case managers, counselors or others who are involved in your employment and training activities. These people may work for Goodwill or for other service providers.
- We may use and share your PHI to get paid for services. Goodwill may use and share your PHI so the treatment and services you receive from us can be billed. For example, we may need to give your employment information, training plan or PHI to the service provider who referred you so they will pay Goodwill for services you receive.
- We may use and share your PHI for program services business activities. Goodwill may use and share PHI to perform business activities supporting our employment and training programs. These uses and sharing are necessary to run Goodwill and to make sure all of our consumers receive quality care. Two examples are: 1) Goodwill may use PHI to do a quality review of our treatment and/or services; or 2) we may use information to evaluate the performance of our staff who works with you. Goodwill may also combine PHI about many consumers to decide what additional services we should offer, what services are not needed, whether certain new practices are working, or to compare how Goodwill is doing with other organizations.
- We may use and share your PHI in other situations without your permission. These situations include when the use or sharing:
- is required by law.
- is needed for public health.
- is about the abuse or neglect of a child or adult with a disability.
- is for health oversight activities.
- is for legal proceedings.
- is for police or other law enforcement purposes.
- relates to a person who has died.
- relates to organ, eye or tissue donation.
- relates to research.
- is to prevent a serious threat to health or safety.
- relates to special government purposes.
- relates to someone who is in jail, prison or police custody.
YOU HAVE SEVERAL RIGHTS REGARDING YOUR PHI
- You have the right to ask us to limit the uses and sharing of your PHI. You must ask us in writing. We do not have to agree to your request. Even if we agree to your request, in certain situations your limits may not be followed. You may ask for a limit by filling out a form that you can get from the Goodwill staff who is working with you.
- You have the right to ask for different ways to communicate with you. You have the right to ask how and where we contact you about PHI. For example, you may ask that we contact you at your work address or phone number instead of contacting you at home. If your request is reasonable then we must do what you ask, if we can. In order for us to do this, you must give us information about another way to reach you. You may provide us this information by filling out a form that you can get from the Goodwill staff who is working with you.
- You have the right to see and copy your PHI. You must ask us in writing by filling out a form that you can get from the Goodwill staff who is working with you. We may charge you a fee for doing this. There are some situations where we do not have to do what you ask.
- You have the right to ask for changes to your PHI. You may ask us in writing by filling out a form that you can get from the Goodwill staff who is working with you. You must tell us why you want us to make this change. We do not have to make the change.
- You have the right to a list of certain people or organizations who have gotten your PHI from us. If you ask in writing, you can get a list of sharing of your PHI with certain people or organizations. Goodwill can provide you with a list of releases of your information made since November 1, 2007 when this law first applied to Goodwill. (The law requires the listing to include the last six (6) years when it can apply.) The list we give you must include certain disclosures. If you ask for a list of disclosures more than once in 12 months, we may charge you a reasonable fee. You may ask us in writing for this list by filling out a form you can get from the Goodwill staff who is working with you.
- You have the right to a copy of this Notice. You can get a copy of this Notice at any time by asking the Goodwill staff who is working with you. We will give you a copy on the first day you come in for services at any Goodwill location.
YOU MAY HAVE ADDITIONAL RIGHTS UNDER OTHER LAWS
Some North Carolina laws guard privacy better than federal laws. We must follow both federal and state law.
Before you begin your program, we will ask for your approval to use and share your PHI as needed to provide you employment and training services. Your voluntary consent will allow Goodwill to share your personal information to manage and coordinate your services. Other related activities such as payment and quality oversight may be included in these managerial processes.
In addition, release of sensitive information about you may require your specific permission. Examples of this type of situation include: HIV or AIDS, maternity, sexual/physical/mental abuse, abortion, alcohol/substance abuse/mental health records, sexually transmitted or other communicable diseases.
YOU MAY FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint with either Goodwill or with the Office of Civil Rights, Department of Health and Human Services.
To file a complaint with Goodwill, contact the Privacy Officer:
Shannon Drolet, Director, Corporate Compliance
PO Box 668768
Charlotte, NC 28266
By Telephone: 704-332-0325
By Fax: 704-372-3228 (State on the fax-Attention: Shannon Drolet, Director, Corporate Compliance)
By E-Mail: privacy.officer@Goodwillsp.org
To file a complaint with the Office of Civil Rights, call: 1-800-368-1019
A complaint can be filed by mail, email or by fax.
YOU MAY ACKNOWLEDGE RECEIPT OF THIS PRIVACY NOTICE
We will ask you to sign a separate form to confirm you have received a copy of this Notice. This form will be filed with your records. However, you do not have to sign this form to receive services from Goodwill.