This privacy practice notice describes the privacy practices of the Valley Hope Association, which includes Valley Hope facilities located in Arizona, Colorado, Kansas, Missouri, Nebraska, Oklahoma, and Texas. The term “Valley Hope Association” refers to all of these facilities, both individually and collectively. When your protected health information is used or disclosed, we are required by law to abide by the terms of this privacy notice, or any other Notice of Privacy Practices that is currently in effect at the time of the information’s use or disclosure, and to provide you with notice of our legal duties and privacy practices with respect to your protected health information. You may direct any questions about the Valley Hope Association privacy practices to the Valley Hope Association Privacy Officer at 785-877-5111.
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.
As a drug and alcohol treatment provider we are covered by two distinct federal laws that protect the privacy and confidentiality of information about your health, health care, and payment for services related to your health.
We may use or disclose your protected health information if you have signed a consent or authorization form that meets requirements set forth in 42 C.F.R. Part 2 and HIPAA. You may revoke your information release authorization at any time, except to the extent that we have already taken action upon the authorization. If you are currently receiving care and wish to revoke your authorization, you will need to deliver a written statement to your counselor or the facility Business Office. If you have been discharged, your will need to deliver a written statement to the attention of the facility Business Office.
We may use or disclose your protected health information (including information obtained when you are applying for or receiving services for drug or alcohol abuse) under the conditions indicated below, even if you have not signed a consent or authorization form.
a. Internal Program Communications/Treatment
Program staff may use or disclose your protected health information to other staff within the program, or to an entity having direct administrative control over that program, if the recipient needs the information in connection with duties that arise out of the provision of alcohol or drug abuse diagnosis, treatment, referral or coordination of care. For example, program counselors may consult among themselves if their work facilitating your alcohol or drug treatment so requires.
b. Health Care Operations (The examples below are for illustration only and do not constitute an exclusive list of all of the potential uses and disclosures that may be made for health care operations).
Program staff may use or disclose your protected health information for health care operations, such as internal administration and planning, that improve the quality and effectiveness of the care provided. We may disclose information to government agencies that regulate a program (state licensure or certification agencies,) private agencies that provide third party payments, and peer review organizations that conduct program audits or evaluations (the Joint Commission on Accreditation of Healthcare Organizations). Any reports compiled as a result of these activities will not disclose, directly or indirectly, any individual patient identity. We may disclose your protected health information to an agent or agency which provides services to Valley Hope Association facilities under a Qualified Service Organization Agreement. This agreement includes a statement in which the agent or agency agrees to abide by applicable federal law and related regulations (42 C.F.R. Part 2 and HIPAA).
c. Payment for Care
We may disclose your protected health information to private agencies that provide third party payments. A group health plan, or health insurance issuer or HMO may disclose protected health information to the sponsor of the plan.
d. Medical Emergencies
We may disclose your protected health information to medical personnel to the extent necessary to treat a condition which poses an immediate threat to your health and which requires immediate medical intervention.
We may disclose to a parent or guardian, or other person authorized under state law to act on behalf of a minor, those facts about a minor which are relevant to reduce a threat to the life or physical wellbeing of the minor or any other individual, if the facility Program Director judges that the threat will be reduced by communicating the relevant facts to such a person.
f. Incompetent or Deceased Patients
Legal guardians appointed by the court may sign consent forms on behalf of an individual who has been declared incompetent by a court. If a patient has not been declared incompetent by the court, but the Program Director determines that his or her medical conditions prevents “knowing or effective action on his or her own behalf,” the Program Director may authorize disclosures without patient consent for the sole purpose of obtaining payment for services from a third party payer.
Protected patient information of deceased patients may be disclosed through authorization of a personal representative, guardian, or other person authorized by state law in accordance with 42 C.F.R. Part 2.
We may disclose protected health information to a coroner, medical examiner, or other authorized persons under laws requiring the collection of death or other vital statistics, or which permit inquiry into the cause of death.
g. Judicial and Administrative Proceedings
Your protected health information may be disclosed in response to a court order that meets the requirements of 42 C.F.R. Part 2 concerning Confidentiality of Alcohol and Drug Abuse Patient Records.
h. Commission of a Crime on Facility Premises or Against Program Personnel
Your protected health information may be disclosed to a law enforcement agency if you commit a crime or threaten to commit a crime on program premises or against program personnel. The information disclosed will be limited to information regarding the circumstances of the incident, the suspect’s name, address, last known whereabouts, and status as a patient in the program.
h. Child Abuse
Federal laws and regulations do not protect any information about suspected child abuse or neglect from being reported under state law to appropriate state or local authorities.
i. Duty to Warn
If a program learns that a patient has made a specific threat of serious physical harm to another individual or individuals, the program will take appropriate steps to protect the intended victim(s) against such danger. This will include carefully considering options supported by 42 C.F.R. that would permit a disclosure to the intended victim(s) or appropriate authorities.
This notice is effective on February 6, 2013.
We may change the terms of this notice at any time. If the terms of this notice are changed, the new terms will be made effective to all protected health information maintained by the Valley Hope Association, including any information created or received prior to issuing the new notice. The new notice will be posted in public access areas at our service sites and on our Internet site atvalleyhope.org. You may also obtain any new notice by contacting the Valley Hope Association office at 785-877-5111.
You have the right to communicate concerns or complaints if you feel your privacy and/or confidentiality rights have been violated, without fear of prejudice or penalty. For further information about your privacy and confidentiality rights, or if you are concerned that your privacy rights have been violated, or if you have concerns about our breach notification process, please contact the Valley Hope Association Privacy Officer at 785-877-5111.You may file a written complaint with the Secretary of the United States Department of Health and Human Services. Upon request, we will provide you with the correct address. You may also file a complaint with the Office of Civil Rights at the regional office in which the violation occurred. Violation of federal law and regulations on Confidentiality of Alcohol and Drug Abuse Patient Records is a crime and suspected violations may be reported to the United States Attorney in the district in which the violation occurs.
The purpose of this statement is to tell you how Valley Hope Association may use the personally identifiable information that it collects from you when you use valleyhope.org.
Assuring security and confidentiality are hallmarks of the Valley Hope Association. Here is how we pledge to protect your privacy and ensure the highest level of security possible while on our Web site:
Valley Hope does NOT:
Valley Hope uses the data to:
Collection of Information
Valley Hope Association is committed to helping its visitors’ experience to be as smooth and hassle-free as possible. To aid in that commitment, you can visit and enjoy our website without disclosing any personal information about yourself. However, there may be times, such as when you subscribe to our e-newsletter, make a donation or sign-up for our customer services, at which we will ask you to provide certain information about yourself, such as your name, mailing/billing address, telephone number, e-mail address, credit card information, birth date, gender, occupation, etc. Whether or not you choose to provide such information is completely your own choice, but if you choose not to provide the information we request, you may be unable to access certain services and content on our website.
Using your Information
We use the personally identifiable information you provide for purposes such as analyzing trends and statistics and providing you with information about Valley Hope Association.
To help us serve you better, we collect information that does not identify you personally, but rather identifies your computer or browser. This is done by using files called “cookies” and by tracking IP addresses. Cookies operate in the background and can be turned off if you wish. If you choose not to accept cookies, some pages or services on the site may not function properly.
Links to Third Party Sites
As mentioned above, VHA will occasionally send material of interest via e-mail or by other means. If you do not want to receive such materials, you can remove yourself from our e-mail list at any time by opting-out. Click here to opt-out.
COPYRIGHT NOTICE. Copyright © 2005 – 2016 Valley Hope Association All rights reserved. Any rights not expressly granted herein are reserved.
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