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TSAB NTAWV QHIA TXOG QHOV UAS<br />

COJ UA TSIS PUB LWMTUS PAUB<br />

No yog ib qho kev <strong>qhia</strong> men<strong>tsis</strong> <strong>txog</strong> kev tso koj tej ntaub<strong>ntawv</strong> khomob tawm thiab <strong>qhia</strong> seb leejtwg thiaj saib<br />

tau cov ntaub<strong>ntawv</strong> no. Yog xav <strong>paub</strong> kom meej, thov saib nplooj <strong>ntawv</strong> <strong><strong>ua</strong>s</strong> sau hais tias KABLIS KEV CAI UAS<br />

COJ UA TSIS PUB LWMTUS PAUB (NOTICE OF PRIVACY PRACTICES).<br />

COGLUS<br />

Peb totaub hais tias koj tej ntaub <strong>ntawv</strong> khomob thiab koj li kev nojqab nyobzoo yog koj li xwb thiab peb y<strong>ua</strong>v saibxy<strong><strong>ua</strong>s</strong><br />

tej ntaub<strong>ntawv</strong> ntawd zoo. Peb <strong>ua</strong> tau ib cov ntaub<strong>ntawv</strong> khaws tseg <strong>txog</strong> tej kev tu mob thiab kev pab <strong>txog</strong> mob nkeeg<br />

<strong><strong>ua</strong>s</strong> koj tau los ntawm peb. Peb y<strong>ua</strong>v tsum tau tej no es thiaj pab tau koj rau <strong>qhov</strong> <strong><strong>ua</strong>s</strong> tsimnyog, kom <strong>ua</strong> tau raws li tej<br />

txoj cai tau c<strong>ua</strong>b tseg, thiab thaum m<strong>ua</strong>j kev cheemtsum los kom peb ho m<strong>ua</strong>j. Daim <strong>ntawv</strong> <strong>qhia</strong> no hais <strong>txog</strong> txh<strong>ua</strong> yam<br />

ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> sau tseg <strong>txog</strong> koj nyob hauv lub chaw khomob no, y<strong>ua</strong>v nyiam yog peb cov neeg <strong>ua</strong> tseg losyog kev siv<br />

thiab tso koj tej ntaub<strong>ntawv</strong> khomob tawm raws li tau rhawv m<strong>ua</strong>j hauv lawv <strong>qhov</strong> chaw saib xy<strong><strong>ua</strong>s</strong> mob nkeeg los xij.<br />

Kevcai lijchoj c<strong>ua</strong>b tseg kom peb:<br />

• Saibxy<strong><strong>ua</strong>s</strong> tej ntaub<strong>ntawv</strong> mob nkeeg <strong><strong>ua</strong>s</strong> hais <strong>txog</strong> koj kom zoo.<br />

• Peb m<strong>ua</strong>b daim <strong>ntawv</strong> <strong>qhia</strong> <strong>txog</strong> peb txoj cai thiab kev <strong>tsis</strong> <strong>pub</strong> twg <strong>paub</strong> <strong>txog</strong> koj tej ntaub<strong>ntawv</strong> khomob.<br />

• Ua raws li cov lus <strong><strong>ua</strong>s</strong> hais hauv daim <strong>ntawv</strong> <strong>qhia</strong> es tseem tabtom siv no.<br />

LEEJTWG YUAV UA RAWS LI DAIM NTWV QHIA NO<br />

• Tus neeg <strong><strong>ua</strong>s</strong> raug tso cai sau ntaub<strong>ntawv</strong> rau hauv koj daim <strong>ntawv</strong> khaws ntaub<strong>ntawv</strong> khomob.<br />

• Peb cov chaw <strong>ua</strong> haujlwm thiab cov chaw tu mob hauv tsev khomob.<br />

• Cov neeg <strong><strong>ua</strong>s</strong> yeem <strong>ua</strong> haujlwm <strong>pub</strong> dawb rau peb tu koj thaum peb kho koj.<br />

• Tag nrho cov tub <strong>ua</strong> haujlwm, cov neeg <strong><strong>ua</strong>s</strong> nyob rau hauv, thiab <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> peb ntiav los <strong>ua</strong> haujlwm.<br />

• Aspirus, thiab cov chaw <strong><strong>ua</strong>s</strong> koom kev <strong>ua</strong> haujlwm <strong>ua</strong>ke <strong>tsis</strong> hais <strong>qhov</strong> twg, tag nrho y<strong>ua</strong>v <strong>ua</strong> raws daim <strong>ntawv</strong> <strong>qhia</strong><br />

no. Ntxiv ntawd, cov chaw <strong><strong>ua</strong>s</strong> koom kev <strong>ua</strong> haujlwm no y<strong>ua</strong>v sib koom tau tej ntaub<strong>ntawv</strong> khomob, kev them nqi,<br />

losyog kev khomob <strong>ua</strong>ke raws li hais hauv daim <strong>ntawv</strong> <strong>qhia</strong> no.<br />

PEB YUAV SIV THIAB TSO KOJ COV NTAUBNTAWV KHOMOB TAWM LICAS<br />

Cov nqe lus <strong>qhia</strong> nramqab no hais <strong>txog</strong> tej yam <strong><strong>ua</strong>s</strong> peb siv thiab tso koj tej ntaub<strong>ntawv</strong> khomob tawm:<br />

Txog kev tu mob, kev them nqi, kev <strong>ua</strong> haujlwm, kev ceebtoom sijhawm ntsib thiab kev khomob, tej yam <strong><strong>ua</strong>s</strong> zoo thiab<br />

pab tau, tsev khomob kev taw <strong>qhia</strong>, tus neeg <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j feem tu koj losyog them nqi tu koj, kev nrhiav nyiaj txiag, <strong>ua</strong> raws<br />

li kevcai lijchoj, teebmeem mob nkeeg rau zeejtsoom, kev saibxy<strong><strong>ua</strong>s</strong> kev nojqab nyobzoo, kev haisplaub thiab kev <strong>tsis</strong> sib<br />

haum, tub ceevxwm, cov neeg saib t<strong>ua</strong>g, cov tsh<strong>ua</strong>j neeg t<strong>ua</strong>g, thiab cov thawj pam t<strong>ua</strong>g, kev tshawbfawb, kev tivthaiv<br />

yam <strong><strong>ua</strong>s</strong> aa teebmeem loj rau kev xy<strong>ua</strong>mxwm losyog r<strong>ua</strong>j ntseg, khoom nrogcev thiab cev nqaij <strong>pub</strong> <strong>lwmtus</strong>, tubrog thiab<br />

qub tubrog, kev pabc<strong>ua</strong>m txhawm nqi zog neeg <strong>ua</strong> haujlwm, kev tivthaiv tebchaws, kev tsh<strong>ua</strong>j xwm, thiab cov zov thawj<br />

pwmtsav thiab lwm tus neeg.<br />

HIPAA-012c (8/13 DRAFT)<br />

KOJ TXOJ CAI TXOG KOJ TEJ NTAUBNTAWV KHOMOB<br />

Koj m<strong>ua</strong>j cai raws li nram no <strong>txog</strong> koj tej ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> peb khaws tseg: m<strong>ua</strong>j cai tshawb xy<strong><strong>ua</strong>s</strong> thiab l<strong>ua</strong>m khaws<br />

tseg, m<strong>ua</strong>j cai kho, m<strong>ua</strong>j cai <strong>txog</strong> kev khaws ntaub<strong>ntawv</strong> thiab kev tso tawm, m<strong>ua</strong>j cai rau kev tswj kev txwv kom txhob<br />

m<strong>ua</strong>b, m<strong>ua</strong>j cai thov kom m<strong>ua</strong>j kev sib hais <strong>tsis</strong> <strong>pub</strong> twg <strong>paub</strong>, thiab m<strong>ua</strong>j cai tau cov <strong>ntawv</strong> taw <strong>qhia</strong>.<br />

KEV HLOOV RAU DAIM NTAWV TAW QHIA<br />

Peb m<strong>ua</strong>j cai hloov daim <strong>ntawv</strong> taw <strong>qhia</strong> no, thiab peb y<strong>ua</strong>v tso ib daim <strong>ntawv</strong> taw <strong>qhia</strong> no nyob rau hauv peb lub “Website”<br />

ntawm aspirus.org.


TSAB NTAWV QHIA TXOG QHOV UAS<br />

COJ UA TSIS PUB LWMTUS PAUB<br />

Rooj Txheejtxheem<br />

NPE TEJ PHAB<br />

NPLOOJ<br />

PEB KEV COGLUS TXOG KOJ TEJ NTAUBNTAWV KHOMOB........................................................................... 1<br />

LEEJTWG YUAV UA RAWS LI DAIM NTAWV QHIA NO................................................................................... 1<br />

PEB YUAV SIV THIAB TSO KOJ COV NTAUBNTAWV KHOMOB TAWM LICAS<br />

Hais Txog Kev Tu Mob.................................................................................................................... 2<br />

Hais Txog Kev ThemNqi.................................................................................................................. 2<br />

Hais Txog Kev Ua Haujlwm............................................................................................................. 2<br />

Kev Ceebtoom Sijhawm Ntsib Thiab Kev Khomob ......................................................................... 2<br />

Tej Yam Uas Zoo Thiab Pab Tau..................................................................................................... 3<br />

Tsev Khomob Kev Taw Qhia............................................................................................................ 3<br />

Tus Neeg Uas M<strong>ua</strong>j Feem Tu Koj Losyog Them Nqi Tu Koj.............................................................. 3<br />

Kev Nrhiav Nyiaj Txiag.................................................................................................................... 3<br />

Ua Raws Li Kevcai Lijchoj............................................................................................................... 3<br />

Teebmeem Mob Nkeeg Rau Zeejtsoom.......................................................................................... 3<br />

Kev Saibxy<strong><strong>ua</strong>s</strong> Kev Nojqab Nyobzoo............................................................................................... 4<br />

Kev Hais Plaub Thiab Kev Tsis Sib Haum........................................................................................ 4<br />

Tub Ceevxwm................................................................................................................................. 4<br />

Cov Kws Saib T<strong>ua</strong>g, Kws Tsh<strong>ua</strong>j Neeg T<strong>ua</strong>g, Thawj Pamt<strong>ua</strong>g........................................................... 4<br />

Kev Tshawbfawb............................................................................................................................. 4<br />

Tivthaiv Yam Uas Ua Teebmeem Loj Rau Kev Xy<strong>ua</strong>mxwm losyog R<strong>ua</strong>j Ntseg................................... 5<br />

Khoom Nrogcev Thiab Cev Nqaij Pub Lwmtus................................................................................. 5<br />

Tubrog Thiab Qub Tubrog................................................................................................................ 5<br />

Kev Pabc<strong>ua</strong>m Txhawm Nqizog Neeg Ua Haujlwm............................................................................ 5<br />

Kev Tivthaiv Tebchaws Thiab Kev Tsh<strong>ua</strong>j Xwm................................................................................. 5<br />

Cov Zov Thawj Pwmtsav Thiab Lwmtus............................................................................................ 5<br />

Neeg Raug Txim Thiab Tub Ceevcwm.............................................................................................. 5<br />

KOJ TXOJ CAI TXOG KOJ TEJ NTAUB NTAWV KHOMOB<br />

M<strong>ua</strong>j Cai Tshawb Xy<strong><strong>ua</strong>s</strong> thiab L<strong>ua</strong>m Khaws Tseg............................................................................ 5<br />

Txoj Cai Kho................................................................................................................................... 6<br />

Kev Tswj Kev Hais Kom Txhob M<strong>ua</strong>b............................................................................................... 6<br />

Txoj Cai Hais Kom M<strong>ua</strong>j Kev Sib Hais Tsis Pub Twg Paub............................................................... 7<br />

Txoj Cai Uas Tau lb Tsab Ntawv Taw Zhia No.................................................................................. 7<br />

KEV PAUV RAU DAIM NTAWV TAW QHIA NO............................................................................................... 7<br />

NROO TSIS TXAUS SIAB............................................................................................................................. 8<br />

HIPAA-012c<br />

LWM YAM KEV SIV NTAUBNTAWV KHOMOB................................................................................................ 8


DAIM NTAWV QHIA KEV COJ UA TSIPUB TWG PAUB<br />

Pib Siv Lub: Peb hlis 26, 2013<br />

HOMTHAWJ: DAIM NTAWV QHIA NO HAIS TXOG KEV SIV THIAB TSO KOJ TEJ NTAUBNTAWV KEV KHOMOB TAWM<br />

THIAB KOJ YUAV RHO TAU TEJ NTAUBNTAWV TAWM LICAS. THOV SAIB KOM ZOO.<br />

PEB KEV COGLUS TXOG KOJ TEJ NTAUBNTAWV KHOMOB:<br />

Peb totaub haistias koj tej ntaub<strong>ntawv</strong> khomob thiab koj li kev nojqaab nyobzoo yog koj li xwb thiab peb y<strong>ua</strong>v<br />

saibxy<strong><strong>ua</strong>s</strong> tej ntaub<strong>ntawv</strong> ntawd zoo. Peb <strong>ua</strong> tau ib co ntaub<strong>ntawv</strong> khaws tseg <strong>txog</strong> tej kev tu mob thiab kev pab<br />

<strong>txog</strong> mob nkeeg <strong><strong>ua</strong>s</strong> koj tau ntawm peb. Peb y<strong>ua</strong>v tsum tau tej no es thiaj pab tau koj rau <strong>qhov</strong> <strong><strong>ua</strong>s</strong> tsimnyog,<br />

xwv thiaj <strong>ua</strong> tau raws li kevcai lijchoj c<strong>ua</strong>b tseg, thiab thaum m<strong>ua</strong>j kev cheemtsum y<strong>ua</strong>v los kom peb m<strong>ua</strong>j. Daim<br />

<strong>ntawv</strong> <strong>qhia</strong> no hais <strong>txog</strong> txh<strong>ua</strong> yam ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> sau tseg <strong>txog</strong> koj nyob hauv <strong>qhov</strong> chaw khomob no, y<strong>ua</strong>v<br />

nyiam yog cov <strong><strong>ua</strong>s</strong> peb cov neeg <strong>ua</strong> tseg losyog koj tus kws khomob <strong>ua</strong> tseg los xij. Lwm cov neeg tus mob kuj<br />

y<strong>ua</strong>v m<strong>ua</strong>j cai txawv hais <strong>txog</strong> kev siv thiab tso koj tej ntaub<strong>ntawv</strong> khomob tawm raws li tau rhawv m<strong>ua</strong>j hauv<br />

lawv <strong>qhov</strong> chaw saibxy<strong><strong>ua</strong>s</strong> mob.<br />

Daim <strong>ntawv</strong> <strong>qhia</strong> no y<strong>ua</strong>v <strong>qhia</strong> tau koj <strong>txog</strong> <strong>qhov</strong> <strong><strong>ua</strong>s</strong> peb m<strong>ua</strong>j feem siv thiab tso koj tej ntaub<strong>ntawv</strong> khomob<br />

tawm. Peb kuj hais <strong>txog</strong> koj txoj cai thiab lwmyam feemxy<strong>ua</strong>m <strong><strong>ua</strong>s</strong> peb m<strong>ua</strong>j <strong>txog</strong> kev siv thiab tso ntaub<strong>ntawv</strong><br />

khomob tawm.<br />

Kevcai lijchoj cub tseg kom peb:<br />

• Saibxy<strong><strong>ua</strong>s</strong> tej ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> hais <strong>txog</strong> koj kom zoo;<br />

• Peb m<strong>ua</strong>b daim <strong>ntawv</strong> <strong>qhia</strong> <strong>txog</strong> peb txoj cai thiab kev <strong>coj</strong> <strong>ua</strong> <strong>tsis</strong> <strong>pub</strong> twg <strong>paub</strong> <strong>txog</strong> koj tej ntaub<strong>ntawv</strong><br />

khomob; thiab<br />

• Ua raws li cov lus <strong><strong>ua</strong>s</strong> hais hauv daim <strong>ntawv</strong> <strong>qhia</strong> es tseem tabtom siv no.<br />

LEEJTWG YUAV UA RAWS LI DAIM NTAWV QHIA NO.<br />

Daim <strong>ntawv</strong> <strong>qhia</strong> no hais <strong>txog</strong> peb kev <strong>coj</strong> thiab <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> yog:<br />

• Tus neeg <strong><strong>ua</strong>s</strong> raug tso cai sau ntaub<strong>ntawv</strong> rau hauv koj daim <strong>ntawv</strong> khaws ntaub<strong>ntawv</strong> khomob.<br />

• Peb cov chaw <strong>ua</strong> haujlwm thiab cov chaw tu mob hauv tsev khomob.<br />

• Cov neeg <strong><strong>ua</strong>s</strong> yeem <strong>ua</strong> haujlwm <strong>pub</strong> dawb pab peb thaum peb kho koj.<br />

• Tag nrho cov tub <strong>ua</strong> haujlwm, cov neeg <strong><strong>ua</strong>s</strong> nyob rau hauv, thiab <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> peb ntiav los <strong>ua</strong> haujlwm.<br />

• Aspirus thiab cov chaw <strong><strong>ua</strong>s</strong> koom kev <strong>ua</strong> haujlwm <strong>ua</strong>ke <strong>tsis</strong> hais <strong>qhov</strong> twg, tag nrho y<strong>ua</strong>v <strong>ua</strong> raws daim<br />

<strong>ntawv</strong> <strong>qhia</strong> no. Ntxiv ntawd, cov chaw <strong><strong>ua</strong>s</strong> koom kev <strong>ua</strong> haujlwm no y<strong>ua</strong>v koom tau tej ntaub<strong>ntawv</strong><br />

khomob, kev them nqi, losyog kev khomob <strong>ua</strong>ke raws li hais hauv daim <strong>ntawv</strong> <strong>qhia</strong> no.<br />

HIPAA-012c<br />

- 1 -


PEB YUAV SIV THIAB TSO KOJ COV NTAUBNTAWV KHOMOB TAWM LICAS<br />

Cov nqe lus <strong>qhia</strong> nramqab no hais <strong>txog</strong> tej yam <strong><strong>ua</strong>s</strong> peb siv thiab tso koj tej ntaub<strong>ntawv</strong> mob nkeeg tawm. Hauv<br />

txh<strong>ua</strong> nqe kev siv thiab tso tawm peb y<strong>ua</strong>v <strong>qhia</strong> tias yog licas thiab y<strong>ua</strong>v <strong>ua</strong> zoo m<strong>ua</strong>b lus pivtxwv <strong>txog</strong>. Tsis yog<br />

txh<strong>ua</strong> yam <strong><strong>ua</strong>s</strong> y<strong>ua</strong>v siv thiab tso tawm y<strong>ua</strong>v raug tso huv si. Txawm li ntawd los, yam <strong><strong>ua</strong>s</strong> raug tsocai rau peb siv<br />

thiab tso tawm y<strong>ua</strong>v raug raws li cov nqi lus <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j.<br />

• Hais Txog Kev Tu Mob. Peb y<strong>ua</strong>v siv koj tej ntaub<strong>ntawv</strong> khomob los m<strong>ua</strong>b kev tu thiab pab koj. Y<strong>ua</strong>v tso koj tej<br />

ntaub<strong>ntawv</strong> tawm rau <strong>lwmtus</strong> kws khomob, cov neeg tu mob, cov neeg k<strong>ua</strong>j mob, cov tub kawm khomob, losyog<br />

<strong>lwmtus</strong> neeg khomob <strong><strong>ua</strong>s</strong> nrog kho koj hauv peb lub chaw khomob no. Piv txwv li, tus kws khomob <strong><strong>ua</strong>s</strong> kho koj<br />

vim raug lovceg y<strong>ua</strong>v xav <strong>paub</strong> tias koj p<strong><strong>ua</strong>s</strong> m<strong>ua</strong>j ntshav qabzib vim ntshav qabzib y<strong>ua</strong>v <strong>ua</strong> rau koj zoo qeeb.<br />

Dhau li ntawd, tus kws khomob y<strong>ua</strong>v hais rau tus kws <strong>qhia</strong> kev noj haus es peb thiaj m<strong>ua</strong>b tau yam khoom noj<br />

<strong><strong>ua</strong>s</strong> haum koj. Lwm <strong>qhov</strong> chaw k<strong>ua</strong>j mob hauv tsev khomob no kuj y<strong>ua</strong>v koom lawv koj tej ntaub<strong>ntawv</strong> khomob<br />

<strong>ua</strong>ke lawv thiaj pab tau koj li <strong><strong>ua</strong>s</strong> cheemtsum tau, xwsli kev noj tsh<strong>ua</strong>j, kev k<strong>ua</strong>j mob, thiab kev yees d<strong>ua</strong>b. Peb<br />

kuj y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob tawm rau cov neeg sab nraud <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j feem tx<strong>ua</strong>my<strong>ua</strong>j rau kev tu koj<br />

tus mob, xwsli, tsev neeg, cov xibfwb, losyog <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> peb siv los nrog pab tu koj.<br />

• Hai Txog Them Nqi. Peb y<strong>ua</strong>v siv thiab tso koj tej ntaub<strong>ntawv</strong> khomob tawm <strong>txog</strong> <strong>qhov</strong> <strong><strong>ua</strong>s</strong> peb kho koj thiab<br />

lwmyam <strong><strong>ua</strong>s</strong> koj tau kev pab los ntawm peb <strong>qhov</strong> chaw khomob no kom peb xa tau nqi thiab tau nyiaj txhawm<br />

nqi zog los ntawm koj, cov povhwm, losyog <strong>lwmtus</strong>. Piv txwv li, peb y<strong>ua</strong>v m<strong>ua</strong>b koj tej ntaub<strong>ntawv</strong> povhwm hais<br />

<strong>txog</strong> koj kev phais mob es kom l<strong>ua</strong>g thiaj them losyog ntxiv nyiaj rau peb rau <strong>qhov</strong> <strong><strong>ua</strong>s</strong> phais koj. Peb tseem<br />

y<strong>ua</strong>v <strong>qhia</strong> koj lub chaw povhwm <strong>txog</strong> kev <strong><strong>ua</strong>s</strong> y<strong>ua</strong>v kho koj ntxiv los m<strong>ua</strong>b kev pomzoo <strong>ua</strong>ntej thiaj <strong>paub</strong> tias koj<br />

li povhwm y<strong>ua</strong>v d<strong>ua</strong>v tau <strong>qhov</strong> <strong><strong>ua</strong>s</strong> kho.<br />

• Hais Txog Kev Ua Haujlwm. Peb y<strong>ua</strong>v siv thiab tso koj tej ntaub <strong>ntawv</strong> mob nkeeg tawm rau lub tsev khomob<br />

no kev siv <strong>ua</strong> haujlwm. Cov kev siv no cheemtsum m<strong>ua</strong>j los pab peb txoj kev <strong>ua</strong> haujlwm rau peb cov neeg mob<br />

kom zoo ntxiv. Piv txwv li, peb y<strong>ua</strong>v siv ntaub<strong>ntawv</strong> khomob los xy<strong><strong>ua</strong>s</strong> <strong>txog</strong> kev kho thiab pabc<strong>ua</strong>m thiab nts<strong><strong>ua</strong>s</strong><br />

cov neeg <strong>ua</strong> haujlwm <strong><strong>ua</strong>s</strong> tu koj. Peb tseem y<strong>ua</strong>v siv tej ntaub<strong>ntawv</strong> khomob ntawm cov neeg mob los tso <strong>ua</strong>ke<br />

xam seb yam kev pab twg <strong><strong>ua</strong>s</strong> tsimnyog peb y<strong>ua</strong>v tau npaj m<strong>ua</strong>j ntxiv, yam twg <strong><strong>ua</strong>s</strong> y<strong>ua</strong>v tso tseg <strong>tsis</strong> m<strong>ua</strong>j<br />

lawm, thiab saib seb tsav yam kev khomob tshiab p<strong><strong>ua</strong>s</strong> mus tau zoo. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> tawm rau<br />

<strong>lwmtus</strong> kws khomob, cov neeg tu mob, cov neeg k<strong>ua</strong>j mob, cov tub kawm khomob, losyog <strong>lwmtus</strong> neeg khomob<br />

xy<strong><strong>ua</strong>s</strong> thiab <strong>ua</strong> kev kawm. Peb kuj y<strong>ua</strong>v m<strong>ua</strong>b tej ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> peb tau koom nrog lwm lub chaw<br />

khomob seb peb <strong>ua</strong> tau zoo li cas thiab xy<strong><strong>ua</strong>s</strong> seb yam twg yog yam <strong><strong>ua</strong>s</strong> y<strong>ua</strong>v <strong>ua</strong> kom zoo ntxiv rau tej kev pab<br />

<strong><strong>ua</strong>s</strong> peb m<strong>ua</strong>j. Peb y<strong>ua</strong>v m<strong>ua</strong>b tej ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> <strong>qhia</strong> rau <strong>lwmtus</strong> <strong>paub</strong> <strong>txog</strong> koj rho tawm es <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> saib<br />

tej ntaub<strong>ntawv</strong> khomob ntawd thiaj kawm tau kev khomob thiab lwmyam kev pab khomob yam <strong><strong>ua</strong>s</strong> tsi <strong>paub</strong> tias<br />

tus neeg yog leejtwg.<br />

HIPAA-012c<br />

• Kev Ceebtoom Sijhawm Ntsib thiab Kev Khomob. Peb y<strong>ua</strong>v siv thiab tso koj tej ntaub<strong>ntawv</strong> khomob tawm thiaj<br />

teem tau sijhawm losyog <strong>qhia</strong> koj <strong>paub</strong> <strong>txog</strong> qho yam kev khomob <strong><strong>ua</strong>s</strong> koj xaiv tau losyog xav tias zoo rau koj.<br />

- 2 -


HIPAA-012c<br />

• Tej Yam Uas Zoo thiab Pab Tau. Peb y<strong>ua</strong>v siv thiab tso koj tej ntaub <strong>ntawv</strong> mob nkeeg tawm los <strong>qhia</strong> koj <strong>txog</strong><br />

tej yam <strong><strong>ua</strong>s</strong> zoo losyog pab tau koj <strong><strong>ua</strong>s</strong> koj xav tau. Peb tseem y<strong>ua</strong>v siv thiab tso qho yam ntaub <strong>ntawv</strong> mob<br />

nkeeg <strong>txog</strong> koj rau lwmyam kev siv taw <strong>qhia</strong>, kev txiavtxim siab, thiab kev nrhiav nyiaj txiag, no yog nyob ntawm<br />

koj seb y<strong>ua</strong>v kam siv thiab tso tawm los tsi kam xwb.<br />

• Tsev Khomob Kev Taw Qhia (<strong>pub</strong> rau tsev khomob siv xwb). Peb y<strong>ua</strong>v tso qho yam ntaub<strong>ntawv</strong> <strong>txog</strong> koj rau<br />

hauv cov <strong>ntawv</strong> taw <strong>qhia</strong> lub sijhawm <strong><strong>ua</strong>s</strong> koj m<strong>ua</strong>j mob es t<strong>ua</strong>j hauv tsev khomob. Cov ntaub<strong>ntawv</strong> no yog<br />

xwsli koj npe, nyob <strong>qhov</strong> twg hauv tsev khomob, koj nyob licas (xwsli, zoo men<strong>tsis</strong>, khov lawm, etc.), thiab koj li<br />

kev teevtiam. Tej ntaub<strong>ntawv</strong> taw <strong>qhia</strong> ts<strong><strong>ua</strong>s</strong> tshwj hais <strong>txog</strong> kev teevtiam, kuj y<strong>ua</strong>v raug tso tawm rau tus neeg<br />

<strong><strong>ua</strong>s</strong> nug <strong>txog</strong> koj npe <strong>paub</strong> thiab. Koj li kev teevtiam los kuj y<strong>ua</strong>v tso rau tus <strong><strong>ua</strong>s</strong> yog xibhwb, xws li tus “priest”<br />

losyog tus “rabbi”, txawm tias lawv tsi nug kiag koj npe los xij. Qhov no yog <strong>ua</strong> kom koj tsev neeg, phoojywg,<br />

thiab tus xibhwb t<strong>ua</strong>j saib tau koj hauv tsev khomob thiab ho <strong>paub</strong> tias koj khees licas lawm.<br />

• Tus Neeg Uas M<strong>ua</strong>j Feem Tu Koj losyog Them Nqi Tu Koj. Peb y<strong>ua</strong>v tso tej ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> hais <strong>txog</strong><br />

koj rau tus phoojywg losyog tsev neeg tus <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j feem tu koj. Peb kuj y<strong>ua</strong>v m<strong>ua</strong>b cov ntaub<strong>ntawv</strong> ntawd rau<br />

tus <strong><strong>ua</strong>s</strong> pab them nqi tu koj. Yog tias koj pw hauv tsev khomob, peb y<strong>ua</strong>v <strong>qhia</strong> koj tsev neeg losyog tus phoojywg<br />

<strong>txog</strong> koj tus mob thiab <strong>qhia</strong> tias koj nyob hauv tsev khomob. Dhau ntawd, peb y<strong>ua</strong>v tso tej ntaub<strong>ntawv</strong> <strong>txog</strong> koj<br />

kev mob nkeeg rau cov neeg <strong><strong>ua</strong>s</strong> saibxy<strong><strong>ua</strong>s</strong> <strong>txog</strong> kev piamsij es thiaj <strong>qhia</strong> tau rau koj tsev neeg <strong>txog</strong> koj tu mob<br />

seb zoo licas thiab nyob <strong>qhov</strong> twg.<br />

• Kev Nrhiav Nyiaj Txiag. Peb y<strong>ua</strong>v siv cov ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> hais <strong>txog</strong> (npe, chawnyob, lwm yam c<strong>ua</strong>g tau koj,<br />

hnoob nyoog, seb yog poj niam txiv neej, hnub yug, cov hnub <strong><strong>ua</strong>s</strong> koj tau txais kev khomob losyog kev pab,<br />

<strong>qhov</strong> chaw koj tau txias kev pab, koj tus kws khomob, seb thaum kawg zoo licas, thiab kev p<strong><strong>ua</strong>s</strong> m<strong>ua</strong>j pab kas<br />

phais kho mob) tawm hauv koj cov ntaub<strong>ntawv</strong> khomob los hu c<strong>ua</strong>g koj los <strong>ua</strong> kev nrhiav nyiaj, thiab y<strong>ua</strong>v tso<br />

cov ntaub<strong>ntawv</strong> no rau Aspirus Foundation nrhiav nyiaj. Koj m<strong>ua</strong>j cai <strong>tsis</strong> txais cov xov xwm nrhiav nyiaj no ts<strong>ua</strong>v<br />

yog koj tiv tauj <strong>qhov</strong> chaw yog thaum koj txais tau <strong>qhov</strong> xov xwm.<br />

Txoj cai Tsi Pub Twg Paub Hauv Xeev Cai Lijchoj (The Privacy Rules and State Law) tso rau peb siv thiab tso koj<br />

tej ntaub<strong>ntawv</strong> tawm yam tsi y<strong>ua</strong>v koj li lus tsocai losyog pomzoo raws li tau hais nramqab no.<br />

• Ua Raws Li Cai Lijchoj. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> tawm thaum <strong><strong>ua</strong>s</strong> txoj cai lijchoj hauv tebchaws, hauv<br />

xeev thiab hauv cheebtsam xwv kom peb tso.<br />

• Teebmeem Mob Nkeeg Rau Zeejtsoom. Peb y<strong>ua</strong>v tso koj tej ntaub <strong>ntawv</strong> mob nkeeg tawm hais <strong>txog</strong> zeejtsoom<br />

kev nojqaab nyobzoo. Nws m<strong>ua</strong>j li nramqab no:<br />

- Tivthaiv losyog tswj kab mob, kev raug mob losyog kev zoo tsi tsheej;<br />

- Qhia kev yug thiab tag sim neej;<br />

- Qhia kev meny<strong>ua</strong>m raug tsim losyog tsi saibxy<strong><strong>ua</strong>s</strong>;<br />

- Qhia <strong>txog</strong> y<strong>ua</strong>m tsh<strong>ua</strong>j losyog teebmeem tsh<strong>ua</strong>j;<br />

- Qhia <strong>txog</strong> kev hu thim tej yam tsh<strong>ua</strong>j <strong><strong>ua</strong>s</strong> neeg siv rov qab;<br />

- Qhia tus neeg <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j feem kis tau kab mob losyog ntxim li y<strong>ua</strong>v kis tau losyog <strong>coj</strong> mus kis tau;<br />

thiab<br />

- Qhia rau tsoomhwv <strong>qhov</strong> chaw tswjxwm <strong><strong>ua</strong>s</strong> peb ntseeg tau tias m<strong>ua</strong>j tus neeg mob raug tsim, tsi<br />

saibxy<strong><strong>ua</strong>s</strong> <strong>txog</strong>, losyog m<strong>ua</strong>j kev heev tsim. Peb ts<strong><strong>ua</strong>s</strong> <strong>qhia</strong> tej no yog tias koj pomzoo xwb losyog raug<br />

kev cai lijchoj xwv kom hais.<br />

- 3 -


• Kev Saibxy<strong><strong>ua</strong>s</strong> Kev Nojqab Nyobzoo. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob tawm rau ib lub chaw <strong><strong>ua</strong>s</strong><br />

saibxy<strong><strong>ua</strong>s</strong> kev nojqab nyobzoo es raug tsocai ntawm kev cai lijchoj. Cov <strong><strong>ua</strong>s</strong> saibxy<strong><strong>ua</strong>s</strong> li no yog xws li, cov tsh<strong>ua</strong>j<br />

ntaub<strong>ntawv</strong>, cov txoj taug teebmeem, cov saib kev xy<strong>ua</strong>mxwm, thiab cov <strong>ua</strong> <strong>ntawv</strong> tsocai. Tej no m<strong>ua</strong>j feem rau<br />

tsoomhwv kev tswj xwm tus kev khomob nkeeg, tsoomhwv li txheemtxheem, thiab <strong>ua</strong> raws li cov cai lijchoj <strong><strong>ua</strong>s</strong><br />

kav pejxeem txoj cai.<br />

• Kev Haisplaub thiab Kev Tsis Sib Haum. Yog koj m<strong>ua</strong>j feem rau ib qho kev sib haisplaub losyog kev tssi<br />

sib haum, peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob tawm raws li tsev haisplaub losyog cov tswjcai hais. Peb<br />

tseem y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob tawm raw li kevcai los ntawm <strong>lwmtus</strong> <strong><strong>ua</strong>s</strong> raug haisplaub raws li<br />

kevcai lijchoj hauv tsoomhwv loj, hauv xeev, losyog hauv cheebtsam thiab.<br />

• Tub Ceevxwm. Peb y<strong>ua</strong>v tso tau koj tej ntaub<strong>ntawv</strong> khomob tawm yog tub ceevxwm hais kom tso:<br />

- Ua li tsev txiavplaub hais, <strong>ntawv</strong> y<strong>ua</strong>m kom mus, <strong>ntawv</strong> tso cai ntes mus, <strong>ntawv</strong> hu kom mus losyog<br />

lwmyam <strong><strong>ua</strong>s</strong> zoo li hais no;<br />

- Nrhiav tus neeg <strong>ua</strong> txhaum, neeg khi txim, tus <strong>ua</strong> timkhawv, losyog tus neeg ploj lawm.<br />

- Txog tus raug limhiam yog tias, qho yam, <strong>ua</strong> rau peb m<strong>ua</strong>b <strong>tsis</strong> tau kev pomzoo ntawm nws;<br />

- Txog kev <strong>ua</strong> y<strong>ua</strong>m cai hauv lub tsev khomob no; thiab<br />

- Thaum m<strong>ua</strong>j xwm tites titaw y<strong>ua</strong>v <strong>qhia</strong> kev <strong>ua</strong> txhaum cai; <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j <strong>ua</strong> txhaum cai; losyog<br />

<strong>qhia</strong> tus neeg, piav <strong>txog</strong>, losyog <strong>qhia</strong> <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> tus neeg <strong>ua</strong> txhaum cai lijchoj nyob.<br />

• Cov Kws Saib T<strong>ua</strong>g, Kws Tsh<strong>ua</strong>j Neeg T<strong>ua</strong>g, Thawj Pamt<strong>ua</strong>g. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob mus<br />

rau tus kws saib t<strong>ua</strong>g losyog tus tsh<strong>ua</strong>j neeg t<strong>ua</strong>g. Y<strong>ua</strong>v tau <strong>ua</strong> li no, piv txwv li, yog <strong>ua</strong> los <strong>qhia</strong> seb tus t<strong>ua</strong>g<br />

yog leejtwg losyog <strong>qhia</strong> tias yog vim licas t<strong>ua</strong>g. Peb haj tseem y<strong>ua</strong>v tso cov ntaub<strong>ntawv</strong> khomob <strong>txog</strong> tug t<strong>ua</strong>g<br />

hauv tsev khomob rau tus thawj pam t<strong>ua</strong>g kom lawv thiaj <strong>ua</strong> tau lawv txoj haujlwm.<br />

• Kev Tshawbfawb. M<strong>ua</strong>j qho zaug, peb y<strong>ua</strong>v siv losyog tso koj cov ntaub<strong>ntawv</strong> khomob tawm los siv <strong>ua</strong> kev<br />

tshawbfawb.<br />

HIPAA-012c<br />

Piv txwv li, <strong>qhov</strong> kev tshawbfawb no yog m<strong>ua</strong>j feem sib piv kev nojqab nyobzoo thiab kev zoo mob ntawm txh<strong>ua</strong><br />

tus neeg mob <strong><strong>ua</strong>s</strong> tau siv ib yam tsh<strong>ua</strong>j piv rau <strong>lwmtus</strong> es siv lwm yam tsh<strong>ua</strong>j rau tib hom mob. Tag nrho<br />

txh<strong>ua</strong> yam kev tshawbfawb p<strong>ua</strong>vleej y<strong>ua</strong>v tsum tau kev pomzoo yam tshwjxeeb. Qhov no yog xy<strong><strong>ua</strong>s</strong> <strong>txog</strong> tej<br />

<strong><strong>ua</strong>s</strong> tshawbfawb thiab kev siv ntaub<strong>ntawv</strong> khomob, los pab xy<strong><strong>ua</strong>s</strong> <strong>txog</strong> kev cheemtsum ntawm kev tshawbfawb<br />

thiab tus neeg mob tej <strong><strong>ua</strong>s</strong> <strong>tsis</strong> <strong>pub</strong> <strong>lwmtus</strong> <strong>paub</strong> <strong>txog</strong> lawv tej kev mob nkeeg. Uantej peb siv losyog tso<br />

cov ntaub<strong>ntawv</strong> khomob tawm <strong>ua</strong> kev tshawbfawb, yam kev tshawbfawb no twb yeej tau lus pomzoo raws li<br />

kabke tshawbfawb lawm. Peb kuj y<strong>ua</strong>v siv losyog tso koj cov ntaub<strong>ntawv</strong> khomob tawm rau cov neeg npaj<br />

m<strong>ua</strong>j kev tshawbfawb, piv txwv li, tso pab lawv nrhiav cov neeg <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j tseem tus mob <strong><strong>ua</strong>s</strong> xav nrhiav <strong>txog</strong>,<br />

yog tias lawv y<strong>ua</strong>v tsi nqa tej ntaub<strong>ntawv</strong> no tawm hauv lub tsev khomob no mus. Peb ib txwm nug y<strong>ua</strong>v koj<br />

li lus tsocai yog tus neeg tshawbfawb xav tau koj npe, chawnyob, losyog lwmyam ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> y<strong>ua</strong>v <strong>qhia</strong><br />

tau rau l<strong>ua</strong>g tias koj yog leejtwg, losyog m<strong>ua</strong>j feem rau kev kho koj hauv lub tsev khomob no.<br />

- 4 -


• Tivthaiv Yam Uas Ua Teebmeem Loj Rau Kev Xy<strong>ua</strong>mxwm losyog R<strong>ua</strong>j Ntseg. Peb y<strong>ua</strong>v siv thiab tso koj tej<br />

ntaub<strong>ntawv</strong> khomob tawm thaum tsimnyog lawm los <strong>ua</strong> kev tivthaiv yam <strong><strong>ua</strong>s</strong> <strong>ua</strong> teebmeem loj rau kev nojqab<br />

nyobzoo thiab kev r<strong>ua</strong>j ntseg ntawm lajmej pejxeem losyog <strong>lwmtus</strong> neeg. Kev siv li no, ts<strong><strong>ua</strong>s</strong> yog siv rau tus<br />

<strong><strong>ua</strong>s</strong> m<strong>ua</strong>j c<strong>ua</strong>bkav tivthaiv tau <strong>qhov</strong> teebmeem no nkaus xwb.<br />

• Khoom Nrog Cev thiab Cev Nqaij Pub Lwmtus (yog cov neeg hauv tsev khomob xwb). Yog tias koj yog ib<br />

tus neeg <strong><strong>ua</strong>s</strong> <strong>pub</strong> khoom nrog cev, peb y<strong>ua</strong>v tso cov ntaub<strong>ntawv</strong> khomob rau cov koomhaum <strong><strong>ua</strong>s</strong> saibxy<strong><strong>ua</strong>s</strong><br />

khoom nrog cev losyog, khoom nrog cev, <strong>qhov</strong>m<strong>ua</strong>g, losyog kev hloov cev nqaij, losyog lub chaw rau khoom<br />

nrog cev <strong>pub</strong> dawb, los pab khaws khoom nrog cev losyog cev nqaij thiab kev hloov cev nqaij. M<strong>ua</strong>j qho zaug,<br />

txoj cai tsi<strong>pub</strong> twg <strong>paub</strong> tsocai rau peb siv losyog tso koj tej ntaub<strong>ntawv</strong> khomob tawm rau kev <strong>ua</strong> haujlwm<br />

ntawm tsoomhwv.<br />

• Tubrog thiab Qub Tubrog. Yog tias koj yog tswvc<strong>ua</strong>b ntawm tubrog, peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob<br />

tawm raws li tsoom thawj tubrog hais. Peb haj tseem y<strong>ua</strong>v tso tej ntaub<strong>ntawv</strong> khomob <strong>txog</strong> tubrog txawv<br />

tebchaws rau cov chaw thawj tubrog txawv tebchaws thiab.<br />

• Kev Pabc<strong>ua</strong>m Txhawm Nqi Zog Neeg Ua Haujlwm. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob rau tus<br />

txheejtxheem kev pabc<strong>ua</strong>m txhawm nqi zog neeg <strong>ua</strong> haujlwm losyog lwm tus txheejtxheem. Cov txheejtxheem<br />

no <strong>pub</strong> kev pabc<strong>ua</strong>m rau cov neeg <strong><strong>ua</strong>s</strong> <strong>ua</strong> haujlwm raug mob.<br />

• Txog Kev Tivthaiv Tebchaws thiab Kev Tsh<strong>ua</strong>j Xwm. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob rau tsoomhwv<br />

cov neeg tsh<strong>ua</strong>j xwm, ntxeev xwm, thiab lwm hom xy<strong><strong>ua</strong>s</strong> kev tivthaiv tebchaws xwv tso raws txoj cai.<br />

• Cov Zov Thawj Pwmtsav thiab Lwmtus. Peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob tawm raws tsoomhwv<br />

cai xwv thiaj m<strong>ua</strong>b tau kev tivthaiv rau Thawj Pwmtsav, <strong>lwmtus</strong> neeg raug tsocai losyog neeg thawj txawv<br />

tebchaws, losyog m<strong>ua</strong>j kev sojnts<strong>ua</strong>m <strong>txog</strong>.<br />

• Neeg Raug Txim thiab Tub Ceevxwm. Yog koj yog neeg raug txim hauv ib lub tsev kho neeg raug txim losyog<br />

raug tub ceevxwm m<strong>ua</strong>b tau, peb y<strong>ua</strong>v tso koj tej ntaub<strong>ntawv</strong> khomob rau lub tsev kho neeg raug txim losyog<br />

tub ceevxwm. Qhov no yog m<strong>ua</strong>b tau (1) rau lub chaw kho neeg raug txim pab kev nojqab nyobzoo; (2) pab<br />

koj kev nojqab nyobzoo thiab tivthaiv koj losyog <strong>lwmtus</strong>; losyog (3) tivthaiv <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> kho neeg raug txim.<br />

HIPAA-012c<br />

KOJ TXOJ CAI TXOG KOJ TEJ NTAUBNTAWV KHOMOB.<br />

Koj m<strong>ua</strong>j cai raws li nram no <strong>txog</strong> koj tej ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> peb khaws tseg:<br />

• M<strong>ua</strong>j Cai Tshawb Xy<strong><strong>ua</strong>s</strong> thiab L<strong>ua</strong>m Khaws Tseg. Koj m<strong>ua</strong>j cai tshawb xy<strong><strong>ua</strong>s</strong> thiab l<strong>ua</strong>m tej ntaub<strong>ntawv</strong><br />

khomob khaws tseg cia <strong>ua</strong> kev siv los pab txiavtxim xaiv kev kho koj. Txeev txeev m<strong>ua</strong>j li yog, ntaub<strong>ntawv</strong><br />

khomob thiab <strong>ntawv</strong> nqi, tabsis <strong>tsis</strong> m<strong>ua</strong>j cov <strong><strong>ua</strong>s</strong> sau <strong>txog</strong> kev k<strong>ua</strong>j txoj kev xav. Koj m<strong>ua</strong>j cai mus m<strong>ua</strong>b tau<br />

cov qauv ntawm cov ntaub<strong>ntawv</strong> tso hauv hl<strong>ua</strong>v taws xob no yog tias tej no twb m<strong>ua</strong>j tso rau hauv hl<strong>ua</strong>v taws<br />

xob lawm.<br />

- 5 -


Yog yauv tshawb xy<strong><strong>ua</strong>s</strong> thiab l<strong>ua</strong>m ntaub<strong>ntawv</strong> khomob khaws cia <strong>coj</strong> los siv txiavtxim <strong>txog</strong> koj, koj y<strong>ua</strong>v tsum<br />

tau sau <strong>ntawv</strong> thov <strong>txog</strong> lub rooj saibxy<strong><strong>ua</strong>s</strong> Health Information Management hauv Aspirus <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> kho<br />

koj. Yog koj xav tau ib daim l<strong>ua</strong>m khaws tseg, peb y<strong>ua</strong>v kom koj them nqi l<strong>ua</strong>m <strong>ntawv</strong>, xa <strong>ntawv</strong>, losyog<br />

lwmyam <strong><strong>ua</strong>s</strong> siv los m<strong>ua</strong>b koj li <strong>ntawv</strong> rau koj.<br />

Peb y<strong>ua</strong>v <strong>tsis</strong> kam m<strong>ua</strong>b li koj tau hais kom tshawb xy<strong><strong>ua</strong>s</strong> thiab l<strong>ua</strong>m ntaub<strong>ntawv</strong> khaws tseg. Yog tias <strong>tsis</strong><br />

kam koj m<strong>ua</strong>b tau koj cov ntaub <strong>ntawv</strong> khomob, koj m<strong>ua</strong>j cai hais kom lawv rov xy<strong><strong>ua</strong>s</strong> koj tej lus thov d<strong>ua</strong>.<br />

Y<strong>ua</strong>v m<strong>ua</strong>j ib tus neeg saibxy<strong><strong>ua</strong>s</strong> mob rov los xy<strong><strong>ua</strong>s</strong> d<strong>ua</strong> <strong>qhov</strong> <strong><strong>ua</strong>s</strong> koj thov thiab <strong>qhov</strong> <strong><strong>ua</strong>s</strong> <strong>tsis</strong> kam m<strong>ua</strong>b. Tus<br />

neeg <strong><strong>ua</strong>s</strong> rov los saibxy<strong><strong>ua</strong>s</strong> <strong>tsis</strong>yog tus <strong><strong>ua</strong>s</strong> ntxov <strong>tsis</strong> kam rau koj lawm. Peb y<strong>ua</strong>v <strong>ua</strong> raws li kev saibxy<strong><strong>ua</strong>s</strong><br />

zaum no.<br />

• Txoj Cai Kho. Yog koj xav tias cov ntaub<strong>ntawv</strong> khomob <strong><strong>ua</strong>s</strong> peb m<strong>ua</strong>j <strong>txog</strong> koj ntawd <strong>tsis</strong> raug thiab <strong>tsis</strong> m<strong>ua</strong>j<br />

tas, koj y<strong>ua</strong>v hais kom hloov los tau. Koj m<strong>ua</strong>j cai hais kom m<strong>ua</strong>b kev hloov ntev li <strong><strong>ua</strong>s</strong> ntev tau yog tias cov<br />

ntaub<strong>ntawv</strong> no y<strong>ua</strong>v cia khaws tseg rau hauv lub chaw khomob no.<br />

Yog xav kom hloov, koj y<strong>ua</strong>v tsum sau <strong>ntawv</strong> thiab xa mus rau hauv Aspirus, Attention Privacy Officer, 333<br />

Pine Ridge Boulevard, Wausau, WI 54401. Ntxiv ntawd, koj y<strong>ua</strong>v tsum m<strong>ua</strong>j <strong>qhov</strong> los txhawb koj kev thov<br />

hloov no. Peb y<strong>ua</strong>v <strong>tsis</strong> kam koj li kev thov hloov yog <strong>tsis</strong> sau <strong>ntawv</strong> losyog <strong>tsis</strong> m<strong>ua</strong>j tus qabhau txhawb koj<br />

kev thov.<br />

Ntxiv ntawd, peb y<strong>ua</strong>v <strong>tsis</strong> kam hloov yog koj kom peb hloov cov ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong>:<br />

- Tsisyog peb <strong>ua</strong>, ts<strong><strong>ua</strong>s</strong> tshwj tias ntshe tus neeg losyog <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> <strong>ua</strong> cov ntaub<strong>ntawv</strong> hloov <strong>tsis</strong><br />

tau lawm xwb,<br />

- Tsisyog tej ntaub <strong>ntawv</strong> <strong><strong>ua</strong>s</strong> peb losyog lub <strong>qhov</strong> chaw khomob khaws tseg;<br />

- Tsisyog ib co ntaub <strong>ntawv</strong> <strong><strong>ua</strong>s</strong> koj m<strong>ua</strong>j cai tshawb xy<strong><strong>ua</strong>s</strong> losyog l<strong>ua</strong>m khaws tseg; losyog<br />

- Hais yog thiab hais meej lawm.<br />

Yog hais <strong>txog</strong> y<strong>ua</strong>v y<strong>ua</strong>v cov ntaub<strong>ntawv</strong> no losyog tej ntaub<strong>ntawv</strong> khaws tseg, koj y<strong>ua</strong>v tsum sau <strong>ntawv</strong> hais<br />

mus rau hauv Health Information Management hauv Aspirus <strong>qhov</strong> chaw <strong><strong>ua</strong>s</strong> koj mus khomob. Koj daim <strong>ntawv</strong><br />

y<strong>ua</strong>v tsum hais <strong>txog</strong> ib lub sijhawm <strong><strong>ua</strong>s</strong> <strong>tsis</strong> <strong>pub</strong> ntev dhau li rau lub xyoos thiab <strong>tsis</strong> <strong>pub</strong> m<strong>ua</strong>j cov hnub <strong><strong>ua</strong>s</strong> yog<br />

<strong>ua</strong>ntej lub 4 hlis 14, 2003. Koj daim <strong>ntawv</strong> y<strong>ua</strong>v tsum hais meej tias koj y<strong>ua</strong>v tej ntaub<strong>ntawv</strong> li cas (xwsli: yog<br />

tso hauv <strong>ntawv</strong> losyog hauv electronically). Thawj cov <strong>ntawv</strong> <strong><strong>ua</strong>s</strong> koj hais kom m<strong>ua</strong>b hauv thawj 12 lub hlis yog<br />

dawb xwb. Yog y<strong>ua</strong>v ntxiv, peb y<strong>ua</strong>v kom koj them tus nqi <strong><strong>ua</strong>s</strong> npaj cov <strong>ntawv</strong> rau koj. Peb y<strong>ua</strong>v <strong>qhia</strong> tus nqi<br />

rau koj thiab seb koj y<strong>ua</strong>v y<strong>ua</strong>v losyog <strong>tsis</strong> y<strong>ua</strong>v losyog xaiv tso tseg tej yam <strong>ntawv</strong> lub sijhawm <strong><strong>ua</strong>s</strong> <strong>tsis</strong> tau xam<br />

tus nqi rau.<br />

HIPAA-012c<br />

• Kev Tswj Kev Hais Kom Txhob M<strong>ua</strong>b. Koj m<strong>ua</strong>j cai hais kom tswj losyog tso m<strong>ua</strong>j nrim rau cov ntaub<strong>ntawv</strong><br />

khomob <strong><strong>ua</strong>s</strong> peb siv losyog tso tawm <strong>txog</strong> koj los <strong>ua</strong> kev tu mob, them nqi, losyog khomob. Koj haj tseem<br />

m<strong>ua</strong>j hais kom tso m<strong>ua</strong>j nrim <strong>txog</strong> tej ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> peb tso <strong>txog</strong> koj mus rau <strong>lwmtus</strong> es m<strong>ua</strong>j feem kho koj<br />

losyog them nqi kho koj, xws li koj tsev neeg losyog tus phoojywg. Piv txwv li, koj y<strong>ua</strong>v hais tau kom peb txhob<br />

siv losyog tso cov ntaub<strong>ntawv</strong> tawm hais <strong>txog</strong> koj kev phais mob.<br />

- 6 -


Peg y<strong>ua</strong>v <strong>tsis</strong> tag <strong>ua</strong> li koj tau hais, tshwj yog thaum koj twb tau them tag nrho tus nqi kho mob thiab tau<br />

thov kom <strong>tsis</strong> txhob xa cov xov xwm mus rau hom kev kho mob mus kom l<strong>ua</strong>g them nqi lossis <strong>ua</strong> haujlwm<br />

kho mob. M<strong>ua</strong>j cai tso tawm yog tias <strong>ua</strong> kev kho mob lawm. Yog tias peb kam, peb y<strong>ua</strong>v <strong>ua</strong> raws li koj hais<br />

lawm ts<strong><strong>ua</strong>s</strong> tshwj tias cov ntaub<strong>ntawv</strong> yog siv los kho koj thaum m<strong>ua</strong>j xwm tites titaw.<br />

Yog y<strong>ua</strong>v hais kom txhob m<strong>ua</strong>b, koj y<strong>ua</strong>v tsum hais los ntawm kev sau <strong>ntawv</strong> mus rau Aspirus, Attention<br />

Privacy Officer, 333 Pine Ridge Boulevard, Wausau, WI 54401. Hauv koj daim <strong>ntawv</strong>, koj y<strong>ua</strong>v tsum <strong>qhia</strong> peb<br />

(1) seb koj y<strong>ua</strong>v kom m<strong>ua</strong>b raws nrim li cas; (2) seb koj y<strong>ua</strong>v txwv <strong>qhov</strong> <strong><strong>ua</strong>s</strong> siv losyog tso tawm losyog ob qho<br />

tib si; thiab (3) leejtwg <strong><strong>ua</strong>s</strong> koj xav kom txwv <strong>tsis</strong> m<strong>ua</strong>b rau, piv txwv li, tso tawm rau koj tus txwjnkawm.<br />

• Txoj Cai Hais Kom M<strong>ua</strong>j Kev Sib Hais Tsis Pub Twg Paub. Koj m<strong>ua</strong>j cai hais kom peb tham nrog koj <strong>txog</strong><br />

kev mob nkeeg raws li qho txoj kev <strong>ua</strong> losyog qho <strong>qhov</strong> chaw. Xwsli, koj hais kom peb ntsib koj ntawm <strong>qhov</strong><br />

chaw <strong>ua</strong> haujlawm losyog ntsib los ntawm kev sau <strong>ntawv</strong> xwb.<br />

Yog xav hais kom <strong>ua</strong> <strong>qhov</strong> <strong><strong>ua</strong>s</strong> sib hais <strong>tsis</strong> <strong>pub</strong> twg <strong>paub</strong>, koj y<strong>ua</strong>v tsum hais los ntawm kev sau <strong>ntawv</strong> mus<br />

rau Aspirus, Attention Privacy Officer, 333 Pine Ridge Boulevard, Wausau, WI 54401. Peb y<strong>ua</strong>v <strong>tsis</strong> nug seb<br />

yog tim licas. Peb y<strong>ua</strong>v <strong>ua</strong> li tau hais lawd. Koj y<strong>ua</strong>v tsum <strong>qhia</strong> seb yog koj xav ntsib licas thiab yog ntsib nyob<br />

rau <strong>qhov</strong> twg.<br />

• Txoj Cai Uas Tau Ib Tsab Ntawv Taw Qhia No. Koj m<strong>ua</strong>j txoj cai <strong><strong>ua</strong>s</strong> tau ib <strong>tsab</strong> <strong>ntawv</strong> taw <strong>qhia</strong> no. Koj<br />

y<strong>ua</strong>v hais kom peb m<strong>ua</strong>b ib <strong>tsab</strong> rau koj thaumtwg los tau. Txawm yog tias koj twb pomzoo tau ib <strong>tsab</strong> li no<br />

electronically los xij, koj tseem m<strong>ua</strong>j cai tau ib <strong>tsab</strong> <strong>ntawv</strong> taw <strong>qhia</strong> <strong><strong>ua</strong>s</strong> yog tseem <strong>ntawv</strong>.<br />

Yog xav tau ib <strong>tsab</strong> <strong>ntawv</strong> taw <strong>qhia</strong> no l<strong>ua</strong>m tseg <strong>ua</strong> tseem <strong>ntawv</strong>, thov mus xy<strong><strong>ua</strong>s</strong> hauv peb <strong>qhov</strong> Website<br />

ntawm www.aspirus.org losyog sau <strong>ntawv</strong> mus rau Health Information Management tim Aspirus <strong>qhov</strong> chaw<br />

<strong><strong>ua</strong>s</strong> koj mus khomob.<br />

NTAWV QHIA TXOG KEV UA DHAU CAI: Koj m<strong>ua</strong>j cai tau txais xov xwm <strong>qhia</strong> <strong>txog</strong> tej kev <strong>ua</strong> dhau cai hais <strong>txog</strong> koj<br />

cov ntaub<strong>ntawv</strong> khomob.<br />

KEV PAUV RAU DAIM NTAWV TAW QHIA NO.<br />

Peb m<strong>ua</strong>j cai pauv daim <strong>ntawv</strong> taw <strong>qhia</strong> no. Peb m<strong>ua</strong>j cai kho d<strong>ua</strong> tshiab losyog hloov sijhawm siv ntawm cov <strong>ntawv</strong><br />

khomob <strong><strong>ua</strong>s</strong> peb twb m<strong>ua</strong>j es hais <strong>txog</strong> koj lawm, nrog rau tej ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> peb tseem y<strong>ua</strong>v tau los yav pems<strong>ua</strong>b.<br />

Peb y<strong>ua</strong>v lo ib daim <strong>ntawv</strong> taw <strong>qhia</strong> no rau hauv peb <strong>qhov</strong> chaw <strong>ua</strong> haujlwm. Daim <strong>ntawv</strong> taw <strong>qhia</strong> no thawj nplooj,<br />

ntawm lub kaum <strong>ntawv</strong> saum toj sab xis, yog hnub <strong><strong>ua</strong>s</strong> pib siv. Ntxiv ntawd, txh<strong>ua</strong> zaug koj t<strong>ua</strong>j ntsib losyog raug<br />

t<strong>ua</strong>j khomob losyog t<strong>ua</strong>j k<strong>ua</strong>j mob tam li yog ib tug t<strong>ua</strong>j pw losyog t<strong>ua</strong>j ntsib, peb y<strong>ua</strong>v m<strong>ua</strong>b ib daim <strong><strong>ua</strong>s</strong> m<strong>ua</strong>j siv<br />

tamsim no rau koj.<br />

HIPAA-012c<br />

- 7 -


NROO TSIS TXAUS SIAB.<br />

Yog koj ntseeg tias koj txoj cai <strong>tsis</strong> <strong>pub</strong> twg <strong>paub</strong> raug y<strong>ua</strong>m lawm, koj y<strong>ua</strong>v nroo mus rau hauv <strong>qhov</strong> chaw khomob<br />

tau losyog rau tus Secretary of the Department of Health and Human Services tau. Yog y<strong>ua</strong>v nroo <strong>txog</strong> lub tsev<br />

khomob no, thov sau <strong>ntawv</strong> nroo mus rau Aspirus, Attention Privacy Officer at 333 Pine Ridge Boulevard, Wausau,<br />

WI 54401. Txh<strong>ua</strong> yam lus nroo y<strong>ua</strong>v tsum yog m<strong>ua</strong>b sau tseg. Yog koj <strong>paub</strong> ntau ntxiv, koj c<strong>ua</strong>g tau Aspirus Privacy<br />

Officer at 715-847-2181.<br />

Koj y<strong>ua</strong>v tsi raug npl<strong>ua</strong> vim koj nroo.<br />

LWM YAM KEV SIV NTAUBNTAWV KHOMOB.<br />

Lwmyam kev siv thiab tso ntaub<strong>ntawv</strong> khomob tawm <strong><strong>ua</strong>s</strong> <strong>tsis</strong> d<strong>ua</strong>v los ntawm daim <strong>ntawv</strong> taw <strong>qhia</strong> no losyog txoj<br />

cai lijchoj <strong><strong>ua</strong>s</strong> hais raug peb y<strong>ua</strong>v <strong>ua</strong> tau losyog ntawm kev sau <strong>ntawv</strong> tsocai nkaus xwb. Yog koj twb tsocai rau peb<br />

siv losyog tso koj tej ntaub<strong>ntawv</strong> tawm, koj y<strong>ua</strong>v rov tshem <strong>qhov</strong> lus tsocai los tau, los ntawm <strong><strong>ua</strong>s</strong>, sau <strong>ntawv</strong> <strong>qhia</strong>,<br />

thaum twg los tau. Yog koj thim koj cov lus tsocai, peb y<strong>ua</strong>v <strong>tsis</strong> siv losyog tso koj cov ntaub<strong>ntawv</strong> khomob tawm li<br />

<strong><strong>ua</strong>s</strong> koj twb tau sau <strong>ntawv</strong> hais lawm. Koj totaub tias peb y<strong>ua</strong>v m<strong>ua</strong>b <strong>tsis</strong> tau tej ntaub<strong>ntawv</strong> <strong><strong>ua</strong>s</strong> peb twb tso tawm<br />

lawd <strong><strong>ua</strong>s</strong> yog tau koj lus tso cai rov qab, thiab peb xwv y<strong>ua</strong>v tsum khaws peb tej ntaub<strong>ntawv</strong> kev tu mob <strong><strong>ua</strong>s</strong> peb<br />

tau tu koj.<br />

HIPAA-012c<br />

Hloov daim NPP thaum 4-14-03<br />

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