The Safeway Companies' Pharmacies (Carr-Gottstein Foods, Dominick's Finer Foods, Genuardi's Family Markets, Randall's Food & Drugs/Tom Thumb; Safeway, and The Vons Companies) (referred to as "we" or the "pharmacy") are required by federal and state laws to maintain the privacy of "Protected Health Information" ("PHI") and to provide you with notice about your rights and our legal duties and privacy practices with respect to your PHI. We must abide by the terms of this Notice while it is in effect. Some of the uses and disclosures described in this Notice may be limited in certain cases by applicable state laws that may be more stringent than the federal standards. This Notice is effective as of April 14, 2003.
PHI is information about you, including demographic information, that can be reasonably used to identify you and that relates to your past, present, or future physical or mental health or condition, the provision of related health care services to you or the payment for that care. This Notice tells you about the ways in which we may collect, use and disclose your PHI to carry out treatment, payment or health care operations and for other specified purposes that are permitted or required by law. Your rights concerning your PHI are also discussed in this Notice.
HOW WE MAY USE AND DISCLOSE YOUR PHI
We may use and disclose your PHI without your authorization for purposes of payment, health care operations and treatment. Examples of these types of uses and disclosures include:
OTHER USES AND DISCLOSURES OF PHI WITH AN AUTHORIZATION
Other uses or disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law. You may revoke an authorization at any time in writing, except to the extent we have already taken action on the information disclosed or if we are permitted by law to use the information.
YOUR RIGHTS REGARDING YOUR PHI
You have certain rights regarding the PHI that we maintain about you. You have a right to:
HEALTH INFORMATION SECURITY
We require our employees to follow the Safeway Companies' security practices that limit access to customer health information only to those employees who need it to perform their job responsibilities. In addition, the Safeway Companies maintain physical, administrative and technical security measures to safeguard your PHI.
CHANGES TO THIS NOTICE
We reserve the right to change the terms of this Notice at any time, effective for PHI that we already have about you as well as any information that we receive in the future. We will provide you with a copy of the new Notice whenever we make a material change to the privacy practices described in this Notice. We will also post a copy of our current Notice on each of our Safeway Companies websites (e.g. www.safeway.com; www.carrsqc.com; www.dominicks.com; www.randalls.com; or www.vons.com.) at the Pharmacy link. Any time we make a material change to this Notice, we will promptly revise and issue the Notice with the new effective date.
If you believe that your privacy rights have been violated, you may file a complaint with us and/or the Secretary of the Department of Health and Human Services. All complaints regarding Safeway Companies pharmacies must be in writing and sent to the HIPAA Privacy Office listed at the end of this Notice. We support your right to protect the privacy of your PHI and we will not retaliate against you for filing a complaint.