06/20/2007 Agreement
11...11111.
Circuft c.n
Danny L. Kolhage
-
Office (305) 295.3130 Fax (305) 295-3663
Memnrandum
To:
Deb Barsell, Director
Community Services
Attn:
Sandy Molina
Isabel C. DeSantis, ~
Deputy Clerk
From:
Date:
Monday, July 02, 2007
At the BOCC meeting held on June 20, 2007, the Board approved the following:
Business Associate/Qualified Service Organization Agreement between Monroe
County and Guidance Clinic of the Middle Keys (GCMK) to comply with the Health
Insurance Portability and Accountability Act of 1996 (HIPAA) and 42 CFR Part 2 of the
Federal Register; Monroe County agrees to provide referral services to GCMK.
Attached hereto is a duplicate original of the subject document for your handling.
Should you have any questions concerning the above, please do not hesitate to contact this
office.
cc: Finance
County Attorney
File
BUSINESS ASSOCIATE IQUALlFIED SERVICE ORGANIZATION
AGREEMENT (BAlQSO Agreement)
This Agreement is made effective the _ 20th_ day of .June_, 2007 _ by
and bel\veen the Guidance Clinic of the Middle Keys, Inc., hereinafter referred to
as the "Clinic", and _Monroe County Social Services hereinafter referred to as
"Business Associate". The Business Associate agrees to provide the Clinic with
the following services: Referral Services
WITNESSETH:
WHEREAS, Sections 261 through 264 of the Federal Health Insurance
Portabililty and Accountability Act of 1996, Public Law 104-191 ,known as "the
Administrative Simplification provisions," direct the Department of Health and
Human Services to develop standards to protect the security, confidentiality and
integrity of health information; and
Pursuant to the Administrative Simplification provisions, the Secretary of
Health and Human Services has issued regulations modifying 45 CFR Parts 142,
160, 162, and 164 (the "HIPAA Privacy Rule") and, pursuant to 42 CFR Part 2
which sets forth the federal regulations governing the Confidentiality of Alcohol
and Drug Abuse Patient Records,
The Business Associate may have access to Protected information
(as defined below) in fulfilling its responsibilities under such an agreement.
In consideration of the Parties' continuing obligations for compliance with
the HIPAA Privacy Rule and 42 CFR Part 2, which prohibits disclosure of any
PHI as defined below except as permitted or defined by law, and to protect the
interests of both Parties, the Parties agree to the provisions of this Agreement.
I. DEFINITIONS
Except as otherwise defined herein, any and all capitalized terms in this Section
shall have the definitions set forth in the HIPAA Privacy Rule and 42 CFR Part 2.
In the event of an inconsistency between the provisions of this Agreement and
mandatolry provisions of the HIPAA Privacy Rule, as amended, the HIPAA
Privacy Ftule shall control except as provided in 42 CFR Part 2 . Where
provisions of this Agreement are different from those mandated in the HIPAA
Privacy Ftule, but are nonetheless permitted by the HIPAA Privacy Rule, the
provisions of this Agreement shall control.
The term "protected information" means individually identifiable information
including" without limitation, all information, data, documentation, and materials,
including without limitation, demographic, medical and financial information, that
relates to the past, present, or future physical or mental health or condition of an
individual; the provision of health care to an individual; or the past, present, or
future payment for the provision of health care to an individual; and that identifies
the individual or with respect to which there is a reasonable basis to believe the
information can be used to identify the individual.
Furthermore, the Business Associate:
acknowledges that in receiving, transmitting, transporting, storing, processing, or
otherwise dealing with any information created by or received from the Clinic
identifying or otherwise relating to the clients of the Clinic (protected information)
is fully bound by the provisions of the Federal regulations, 42 C.F.R. Part 2 and
45 C.F.R. Parts 160 and 164 and may not use or disclosure the information
except as permitted or required by this Agreement or by law:
II. CONFIDENTIALITY REQUIREMENTS
(A) Business Associate agrees:
(i) to use or disclose any Protected information solely: (1) for meeting
its obligations as set forth in any agreements between the Parties
evidencing their business relationship or (2) as required by applicable
law, rule or regulation, or by accrediting or licensing organizations to
whom the Clinic is required to disclose such information or as
otherwise permitted under this Agreement, or the HIPAA Privacy
Rule and 42 CFR Part 2, and (3) as would be permitted by the HIPAA
Privacy Rule and 42 CFR Part 2 if such use or disclosure were made
by the Clinic;
(ii) to make available its internal practices, books, and records, including
policies and procedures, relating to the use and disclosure of
protected information received from the Clinic, or created or received
by the Business Associate on behalf of the Clinic, to the Clinic or to
the Secretary of the Department of Health and Human Services for
purposes of the Secretary determining the Clinic's compliance with
HIPAA;
(iii) to ensure that its agents, including subcontractors, to whom it
provides protected Information received from or created by Business
Associate on behalf of Clinic, agrees to the same restrictions and
conditions that apply to the Business Associate with respect to such
information. In addition, the Business Associate agrees to take
reasonable steps to ensure that its employees' actions or omissions
do not cause Business Associate to breach the terms of this
Agreement.
(iv) to document disclosures of protected information, and information
related to such disclosures, as would be required for the program to
BA.QSO Agreement Revised 3.07
respond to a request by an individual or an accounting of disclosures
in accordance with 45 C.F.R. Section 164.528.
(v) to resist any efforts in judicial proceedings to obtain access to the
protected information except as expressly provided for in the
regulations governing the Confidentiality of Alcohol and Drug Abuse
Client Records, 42 CFR Part 2.
(vi) to use appropriate safeguards to prevent the unauthorized use or
disclosure of the protected information. In addition, the Business
Associate agrees to mitigate, to the extent practicable, any harmful
effect that is known to the Business Associate of a use or disclosure
of protected information by the Business Associate in violation of the
requirements of this Agreement.
(vii) to report to the Clinic any use or disclosure of the protected
information not provided for by this Agreement of which it becomes
aware.
(viii) to provide access to the protected information at the request of the
Clinic or to an individual as directed by the Clinic in order to meet the
requirements of 45 C.F.R. Part 164.524 which provides clients with
the right to access and copy their own protected information.
(ix) to make amendments to the protected information as directed or
agreed to by the Clinic pursuant to 45 C.F.R. art 164.526.
(x) to provide the Clinic or an individual in accordance to this agreement
to permit the Clinic to respond to a request by an individual for an
accounting of disclosures in accordance with 45 C.F.R. 164.528.
(xi) at termination of this Agreement, the Agreement (or any similar
documentation of the business relationship of the Parties), or upon
request of Clinic, whichever occurs first, if feasible, the Business
Associate will return or destroy all protected information received
from or created or received by the Business Associate on behalf of
Clinic that Business Associate still maintains in any form and retain
no copies of such information. The Business Associate shali retain
any copies of the protected information. If such return or destruction
is not feasible, the Business Associate will extend the protections of
this Agreement to the information and limit further uses and
disclosures to those purposes that make the return or destruction of
the information not feasible. This provision shall apply to protected
information that is in the possession of subcontractors of the
Business Associate.
(B) Notwithstanding the prohibitions set forth in this Agreement, Business
Associate may use and disclose protected information as follows:
BA.QSO Agreement Revised 3.07
(i) If necessary, for the proper management and administration of the
Business Associate or to carry out the legal responsibilities of Business
Associate, provided that as to any such disclosure, the following requirements
are met:
(a) The disclosure is required by law; or
(b) Business Associate obtains reasonable assurances from the
pierson to whom the information is disclosed that it will be held
confidentially and used or further disclosed only as required by law or for
the purpose for which it was disclosed to the person, and the person
notifies Business Associate of any instances of which it is aware in which
the confidentiality of the information has been breached;
(Ii) for data aggregation services, if to be provided by Business
Associate for the health care operations of Clinic pursuant to any agreements
between the Parties evidencing their business relationship. For purposes of
this Agreement, data aggregation services means the combining of protected
information by Business Associate with the protected information received
by Business Associate in its capacity as a business associate of another
covered entity, to permit data analyses that relate to the health care
operations of the respective covered entities.
III. TERMINATION
Notwithstanding anything in this Agreement to the contrary, Clinic shall have the
right to terminate this Agreement immediately if Clinic determines that Business
Associatl3 has violated any material term of this Agreement. If Clinic reasonably
believes that Business Associate will violate a material term of this Agreement
and, where practicable, Clinic gives written notice to Business Associate of such
belief within a reasonable time after forming such belief, and Business Associate
fails to provide adequate written assurances to Clinic that it will not breach the
cited term of this Agreement within a reasonable period of time given the specific
circumstances, but in any event, before the threatened breach is to occur, then
Clinic shall have the right to terminate this Agreement immediately.
IV. M!SCELLANEOUS
Except as expressly stated herein or the HIPM Privacy Rule or 42 CFR Part 2,
the parties to this Agreement do not intend to create any rights in any third
parties. The obligations of Business Associate under this Section shall survive
the expiration, termination, or cancellation of this Agreement, the Arrangement
Agreement and/or the business relationship of the parties, and shall continue to
bind Business Associate, its agents, employees, contractors, successors, and
assigns as set forth herein.
This Agreement may be amended or modified only in a writing signed by the
Parties. No Party may assign its respective rights and obligations under this
Agreement without the prior written consent of the other Party. None of the
BA.QSO Agreement Revised 3.07
provisions of this Agreement are intended to create, nor will they be deemed to
create any relationship between the Parties other than that of independent
parties Gontracting with each other solely for the purposes of effecting the
provisions of this Agreement and any other agreements between the Parties
evidencing their business relationship. This Agreement will be governed by the
laws of the State of Florida. No change, waiver or discharge of any liability or
obligation hereunder on anyone or more occasions shall be deemed a waiver of
performance of any continuing or other obligation, or shall prohibit enforcement
of any obligation, on any other occasion.
The parties agree that, in the event that any documentation of the arrangement
pursuant to which Business Associate provides services to Clinic contains
provisions relating to the use or disclosure of protected information which are
more restrictive than the provisions of this Agreement, the provisions of the more
restrictive documentation will control. The provisions of this Agreement are
intended to establish the minimum requirements regarding Business Associate's
use and disclosure of Protected Health Information.
In the event that any provision of this Agreement is held by a court of competent
jurisdictiion to be invalid or unenforceable, the remainder of the provisions of this
Agreement will remain in full force and effect. In addition, in the event a party
believes in good faith that any provision of this Agreement fails to comply with the
then-current requirements of the HIPAA Privacy Rule and/or 42 CFR Part 2, such
party shall notify the other party in writing. For a period of up to thirty days, the
parties shall address in good faith such concern and amend the terms of this
Agreement, if necessary to bring it into compliance. If, after such thirty-day
period, the Agreement fails to comply with the HIPAA Privacy Rule and/or 42
CFR Part 2, then either party has the right to terminate upon written notice to the
other party.
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the
day and year written above.
CLINIC:
~~". By: O~OrO!E~, FL
N~"e a d Title Name and Title MAY R MARIO Iro,,~~ ::'i
3000 41st St. Ocean Marathon FL 33050 1100 Simonton Street,Key ~~,- FLr:,330@
Address Address '-,-,0,,:":::J
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Date: 4/"11/07 Date: ~ /'2.. 0 /0 7 ;2]' ~~ ~ r;
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MONROE COUNTY ATTORNEY
A~~TO~r:
YNTHIA L. HALL
ASS~T COUNTY ATTORNEY
Date J..4. 1 I, a. 00 ':J
.
BA.QSO Agreement Revised 3.07