Notice of Privacy Policy
Notice of Privacy Policy
We value your affiliation with the MJAAA and take your right to personal privacy
seriously. We will inform you of our policies for collecting, using, securing
and sharing personal health information and other non-public personal
information, initially and every year that you continue your affiliation with
this Agency.
Privacy Principles
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We do not sell
personal private information including names and addresses.
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We do not provide
any personal individual information to persons or organizations outside the
MJAAA who are doing business on behalf of this Agency without your written
consent.
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We do not share
any personal individual information to other persons or organizations that
are potential providers of service without your written consent.
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The MJAAA will
collect only the minimum personal information required for your type of
affiliation.
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If there is any
suspected breach of confidential information, the AAA Quality Assurance Manager
must be contacted within two business days. The AAA is responsible to determine
if a breach occurred and will notify the affected individuals within two days.
Information the
MJAAA May Collect
The MJAAA may
obtain information necessary to provide you with employment or services or to
enroll you in a program. Information we may collect, depending on your
affiliation with the Agency, may include:
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Personal data and
information related to health, functioning and finances, as required by the Pa.
Department of Aging to complete a needs assessment process for determining level
of care, unmet needs and eligibility.
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Personal information
(necessary to complete the assessment process) from formal and informal supports
including physicians and family members (with your permission).
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Information required
for employment or required reporting, including name, address, ethnicity,
gender, employment history, education and experience.
Information
Disclosure
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Personal information may be used to further your affiliation with this Agency.
It may be used for employment purposes (if appropriate), to enroll you in a
program or to assess your needs for services, develop a care plan, arrange for
services etc.
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There may be times
that aggregate information will be shared (i.e. for reporting and statistics).
This information will not identify personal information such as names of
individuals.
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Information may be
shared with law enforcement or with public health officials when required by
law.
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If you receive
services from this agency, information may also be shared for the following:
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To communicate with
health care professionals who are caring for you.
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To verify that
services were actually received and to receive payment for these services.
The MJAAA
will not use or disclose your protected health information except as described
in this notice, as authorized by law, or with your written permission.
Your Rights
You have the
right to:
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To request a
restriction on certain uses and disclosures of your protected health
information.
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Receive a copy of
this notice initially and on an annual basis as long as you continue your
affiliation with this agency.
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To expect that all
personal and protected health information be treated as confidential
information.
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Inspect and copy
your protected health information.
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Revoke your consent
to release certain protected health information.
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To expect that the
policies in this document be followed.
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To be notified if a
breach occurs.
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To file a complaint
if you feel your rights have been violated.
The MJAAA may
change its privacy practices and make the new privacy practices effective for
all protected health information we maintain. Should this occur, we will mail
revised notice to the address you have supplied us.
For More
Information
If you have
any questions and would like additional information you may contact the MJAAA
at:
Mifflin-Juniata Area Agency on
Aging Inc.
1 Buena Vista Circle
Lewistown, Pa. 17044
(717) 242-0317 or 1-800-348-2277
Your inquiry
will be directed to the appropriate person or department.
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