HomeMy WebLinkAboutAgenda - 06-26-2007-4hORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 26, 2007
Action Agenda
Item No. ~ - ~
SUBJECT: Contract Renewal with UNC Family Medicine and Health Department
DEPARTMENT: Health
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Contract
Addenda A to Contract
Business Associate Agreement
INFORMATION CONTACT:.
Rosemary Summers, 245-2411
PURPOSE: To renew a contract with UNC Family Medicine and Health Department for
Physician Services.
BACKGROUND: This contract covers all physician services for the Health Department,
including communicable disease consultation, clinic supervision and direct. clinical services,
mandated oversight of all nurse practitioners, and consultation on protocol development and
quality assurance. Back-up services are also included in the contract for vacation and sick
leave coverage. The contract amount is up to $150,529 for the year, an 11 % increase over the
previous year. The increase primarily covers an additional 2 hours per week of direct clinical
services and an increase in medical malpractice insurance that UNC Family Medicine has
experienced. The physicians began providing 24-hour call consultation and supervision for the
Health Department's nurse practitioners when the Department began providing primary care
services in 2005. Last year, the Health Department had over 11,000 clinical visits and more
than 2,500 home visiting contacts. In addition, there is a separate addenda to this contract for
$1,000 that includes medical supervision of the nurse practitioner employed by the Chapel Hill
Carrboro City Schools. CHCCS pays the entire cost of this supervision.
FINANCIAL IMPACT: The contract for FY 2007-2008 cost includes an 11 % increase for a total
of up to $150,529 per year. This represents .75 full time equivalent (30 hours) of a physician's
time including medical back-up. These amounts have been included in the Health Department's
requested budget for FY 2007-2008.
RECOMMENDATION(S): The Manager recommends that the Board approve the contract
renewal and authorize the Chair to sign pending approval of the FY 2007-2008 budget and
County Attorney review.
07-08 AGREEMENT Between UNC School of Medicine 2
And Orange County Health Department
May 21, 2007
Page of 9
STATE OF NORTH CAROLINA
COUNTY OF ORANGE HEALTH DEPARTMENT AND
THE DEPARTMENT OF FAMILY MEDICINE, UNIVERSITY OF NORTH CAROLINA AT
CHAPEL HILL
AGREEMENT FOR MEDICAL DIRECTOR SERVICES
THIS AGREEMENT, made and entered into this first day of July 2007, by and between
The University of North Carolina at Chapel Hill, hereinafter referred to as the "University,"
for its Department of Family Medicine in the School of Medicine, hereinafter referred to as
the "Department" and the Orange County Health Department, hereinafter referred to as
the "OCHD."
WITNESSETH:
WHEREAS, the Department desires to provide Medical Director Services, including
general consultation and clinical services, and to participate in the provision of medical
care for the citizens of the community, and;
WHEREAS, OCHD operates a number of "Outpatient Clinics" located at the site of the
Orange County Health Department in Chapel Hill and Hillsborough, North Carolina, or
other sites that may, from time to time, be provided;
NOW, THEREFORE, in consideration of the premises and the following mutual
covenants and conditions and any sums to be paid, OCHD and the University agree as
follows:
1, The Department will provide "Medical Director Services", including the
professional "General Consultation" and "Clinical" services identified below.
2, The Medical Director Services provided by the Department shall include the
following General Consultation Services:
a. act as the principal advisor to OCHD Health Director and OCHD Personal
Health Services Director in matters of medical policy;
b. advise OCHD Health Director and OCHD Personal Health Services
Director on the medical implications of alternatives in clinical program
functioning and management;
c. at the request of OCHD Health Director represent OCHD, and negotiate
on behalf of OCHD, with respect to interagency relationships that involve
medical expertise;
d. advise and interpret the regulatory requirements related to medical
aspects of OCHD'S functions;
e. provide coordination for medical components of the Outpatient Clinics of
OCHD;
f. advise and assist OCHD staff in epidemiological investigations;
07-08 AGREEMENT Between UNC School of Medicine
And Orange County Health Department
May 21, 2007
Page of 9
g. be responsive to community public health concerns directly and in
consultation with OCHD Health Director and OCHD Division Directors;
h. assist OCHD Health Director and OCHD Personal Health Services
Director in establishment of medical procedures and quality/quantity
control mechanisms;
i. assist OCHD staff in data analysis towards identification of public health
concerns;
j. work with OCHD Health Director and OCHD Division Directors on
formulation of responses to public health concerns;
k. assist with evaluation of medical programs and services provided by
OCHD, including recommendations for constructive change;
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I. maintain close contact and availability through on-site visits at OCHD and
phone consultation to assist OCHD in the discharge of OCHD
responsibilities;
m. participate in OCHD Division Head management meetings and OCHD
Division level meetings when requested and appropriate;
n. attend Orange County Board of Health meetings when requested;
o. provide medical direction to school health programs in both school
systems in Orange County and medical consultation to both school and
OCHD staff working in or with school health programs;
p. other miscellaneous duties as provided for in the agreement;
q. discharge the above described responsibilities through and with
knowledge aforehand of OCHD Health Director.
3. The Medical Director Services provided by the Department shall include Clinical
Services in compliance with State and Federal guidelines and program rules for
all Outpatient Clinics conducted by OCHD, including without limitation the
following OCHD Outpatient Clinics: Family Planning (FP), Prenatal Care (PNC),
Child Health (CH), Adolescent Health (ADOL.), Tuberculosis (TB), Sexually
Transmitted Disease (STD), General Communicable Disease Control (GEN),
Adult Health Preventive Services (AH/HP), and Primary Care (PC). The Clinical
Services provided by the Department shall include the following:
a. Collaboration with OCHD to develop and approve protocols for Outpatient
Clinics. For the mutual benefit of the Department, OCHD, and its prenatal
patients, prenatal patients will be managed according to OCHD established
protocols. These protocols will be reviewed annually and be consistent with
07-08 AGREEMENT Between UNC School of Medicine ,
And Orange County Health Department
May 21, 2007
Page of 9
protocols used at UNC Department of OB/GYN and Family Medicine outlying
clinics.
b. Primary medical supervision of the nurse practitioners who are employees of
OCHD to include ongoing monitoring and evaluation of the medical acts
performed by the nurse practitioners; Regular individual meetings with the
nurse practitioners will occur according to an agreed upon schedule to review
records of high-risk or problematic patients; Documentation will be recorded
in the patient record indicating that a review occurred and noting any
recommended changes in the plan of care.
c. Co-signing charts of patients seen by new nurse practitioners of OCHD within
five (5) working days for at least the first six months of their nurse practitioner
practice, and face-to-face consultation on a weekly basis for the first month of
their nurse practitioner practice and at least monthly thereafter for the
succeeding five months;
d. A review of all OCHD prenatal records at 16, 28 and 36 weeks to assure that
appropriate medical care is being provided, with a Maternity Chart Review
form completed at each interval.
e. Weekly group meetings with clinical staff in each site according to an agreed
upon schedule to discuss patient care and clinical operation issues.
f. Overall responsibility for medical Residents and medical students working in
clinics including orientation, supervision of practice and assurance of
compliance with OCHD program and documentation requirements.
g. Provision of routine medical services during scheduled on-site times at OCHD
Outpatient Clinics, including documentation of Clinical Services provided per
established OCHD protocols;
h. Medical consultation visits to OCHD patients during on-site scheduled times
at Outpatient Clinics; medical consultation to OCHD nurse practitioners by
telephone when the Medical Director is not on-site at OCHD outpatient
clinics.
i. Continuing education consultation for OCHD nurse practitioners and other
OCHD staff to include regular informal consultation and periodic formal
sessions as appropriate;
j. After-hours medical consultation for primary care patients of OCHD: UNC
Health Care's HealthLink program provides initial triage of after-hours calls as
per the agreement attached hereto and incorporated as exhibit A ("after-
hours program"). The Department will provide Medical Director consultation
and supervision to OCHD clinicians (3 FNPs) that provide after-hours medical
07-08 AGREEMENT Between UNC School of Medicine
And Orange County Health Department
May 21, 2007
Page of 9
5
consultation (on a rotating basis) for OCHD clients referred by HealthLink.
The Medical Director shall also provide after-hours medical consultation for
HealthLink referred OCHD clients (on a rotating basis) such that each of the 4
clinicians shall provide such after-hours medical consultation 1 week/month.
k. Discharge the above described responsibilities through and with knowledge
aforehand of OCHD Health Director.
4. OCHD Outpatient Clinics are operational during the normal business hours of
8:00 A.M. to 5:00 P.M., Monday through Friday. On Wednesday, the clinics
operate from 10 AM - 5 PM. In addition, one weekday per site the Outpatient
Clinics (Tuesday -Hillsborough; Thursday -Chapel Hill) operate on a flexible
evening schedule (i.e. 9:30 AM - 6:30 PM) to provide greater access to care.
Outpatient Clinics may run beyond their scheduled time. In addition to the above-
described activities during the after-hours program, the Department is
responsible for medical activities conducted in the Outpatient Clinics in
accordance with this agreement during the entirety of the hours specified in this
paragraph.
5. The Department shall provide, at a minimum, the equivalent of .75 Full Time
Equivalent (FTE) personnel to carry out the Medical Director Services described
in this agreement, including the General Consultation and Clinical Services
identified above. Said services will be provided primarily by the "Medical
Director", or "back-up Department physician". The Medical Director shall be
board certified in Family Medicine or an equivalent certification. The Medical
Director will report activities and services performed for OCHD as requested by
OCHD Health Director.
6. The Chair of the Department shall, concurrent with the execution of this
agreement, designate the name of the Medical Director, and the names of four
Department physicians who will rotate as back-up Department physicians, to be
"available" to provide the General Consultation and Clinical Services identified in
this agreement.
a. The Department and OCHD shall indicate their mutual agreement to the
designation of the Medical Director and designated back-up Department
physicians available to be scheduled in the absence of the Medical Director
by signing the "Designation of Medical Director" attachment to this contract.
Any changes in these designations will be mutually agreed to by the Chair of
the Department and OCHD Health Director. In the event that the Medical
Director or any designated back-up Department physician becomes unwilling
or unable to perform the duties required by this agreement, the Department
and OCHD shall attempt to mutually agree upon replacement(s). If such
mutual agreement is not achieved, then this agreement shall terminate and
any payment due as of the date of termination shall be paid as provided for in
paragraph 18 of this agreement.
b. Substitutions in the scheduling of the Medical Director or designated back-up
Department physician will be the responsibility of the Department in
07-08 AGREEMENT Between UNC School of Medicine 6
And Orange County Health Department
May 21, 2007
Page of 9
consultation with OCHD Health Director. Vacation leave, continuing
education, and other assignments requiring temporary back-up coverage will
be mutually agreed upon by the Chair of the Department and OCHD Health
Director.
7. The Medical Director or designated back-up Department physician shall provide a
total of twenty-four (24) hours per week of the foregoing Clinical Services on-site at
OCHD Outpatient Clinics or other sites as provided therefor. Days and times and the
identity of the person or persons scheduled to be on-site to provide this coverage on
behalf of the Department will be mutually agreed to by the Department and OCHD.
Although the Department is not required to provide the attendance of a Medical
Director orback-up Department physician on the premises of OCHD outpatient.
facilities or other sites provided therefor at other times, access should be made
available during other days and times as stipulated in this agreement. Substitute
coverage by a back-up Department physician is expected during vacations and other
anticipated absences of the Medical Director or back-up Department physician
originally scheduled to be available. The Medical Director or designated back-up
Department physician shall be responsible for notifying OCHD of schedule changes.
If attendance as scheduled of the Medical Director or designated back-up Department
physician is impossible due to unremediable circumstances, phone coverage of a
designated back-up Department physician must be provided and nurse practitioner
charts will be signed by the appropriate designated Department physician or back up
Department physician on call within five (5) working days. In addition to the foregoing
described days and hours, at the request of OCHD Health Director, the Medical
Director or designated back-up Department physician will provide on-site medical
supervision at OCHD Outpatient Clinics or other sites provided therefor, as
necessary, during communicable disease incidents or other public health-related
emergencies.
8. The Medical Director or designated back-up Department physician shall be available
six (6 hours per week for the following: phone consultation during business hours
and after-hours program coverage for clinical/patient issues, phone coverage for
consultation and direction for communicable disease/epidemic control, emergency
phone consultation as needed during non-business hours through a pager system,
and direct administrative and/or consultative services as outlined in General
Consultation Services (Paragraph 2).
9. The Department will maintain current registration and licensure of the Medical
Director and designated back-up Department physicians and shall provide
copies to OCHD as appendices to the Designation of Medical Director
attachment to this contract.
11. The Department will assure that the Medical Director and designated back-up
Department physicians are in, and maintain, compliance with OSHA guidelines
regarding bloodborne pathogens including Hepatitis B and TB status as well as
documentation of immunization against measles, mumps, rubella and varicella.
In the event of a bloodborne pathogen exposure, the Department will be
responsible for providing follow-up according to its policies and procedures
governing exposure incidents.
07-08 AGREEMENT Between UNC School of Medicine ']
And Orange County Health Department
May 21, 2007
Page of 9
12. The University will be responsible for the negligence of its employees and agents
to the extent of the North Carolina Tort Claims Act. Further, the University will
provide adequate professional liability insurance for the University and its
personnel who provide the services described in the agreement. The insurance
limits will be stated in a Confirmation of Insurance submitted at the time the
contract is commenced.
13. The Department will offer medical consultation in accordance with the
appropriate medical standards and accepted methods and procedures.
14. OCHD agrees to pay the Department in return for the above services equal
monthly installments of TWELVE THOUSAND AND FIVE HUNDRED FORTY
FOUR DOLLARS ($12,544) for a total of $150,529.
15. The University shall bill OCHD on a monthly basis with the first bill being dated
July 1, 2007 and OCHD shall pay the University within thirty (30) days of receipt
of the University's bill. Any adjustments to the billing shall be taken into account
in the next succeeding bill or as soon thereafter as reasonably practicable.
16 OCHD agrees to furnish all supplies, equipment, office space and a computer as
needed by the Medical Director; to include the Medical Director in all appropriate
conferences, meetings, correspondence and publications necessary to
appropriately discharge the Medical Director's duties within budgetary
constraints.
17. This agreement shall run for a period of TWELVE (12) months, from the 1st
day of July, 2007, to the 30th day of June, 2008, and shall be renewable
annually thereafter upon written notice executed by both parties.
18. This agreement or its renewals may be terminated at any time without penalty by
either party provided that the agreement is terminated either:
a. upon failure of the parties to agree on a replacement Medical Director
or replacement designated back-up Department physician pursuant to
paragraph 6 of this agreement; or
b. upon delivery of written notice of termination furnished to the other
party at least ninety (90) days prior to termination.
In the event of such termination, any payment due shall be prorated to the date
of termination.
19. OCHD hereby agrees with the University that, in their educational and/or
employment practices, OCHD and the University will comply with such non-
discrimination laws as may be applicable to it in the performance of this
agreement. The Department shall abide by pertinent rules and regulations of
OCHD, Orange County, and the North Carolina Department of Health and
Human Services in the conduct of service. The University, the Department and
OCHD shall comply with such confidentiality laws as may be applicable in the
performance of this agreement and acknowledge that in receiving, storing,
processing or otherwise dealing with any confidential information, they will
safeguard and not further disclose the information except as permitted by the
Health Insurance Portability and Accountability Act of 1996, Public Law 104-191,
as amended, and the provisions of the Business Associate Agreement which is
attached hereto and incorporated herein by reference.
07-08 AGREEMENT Between UNC School of Medicine
And Orange County Health Department
May 21, 2007
Page of 9
20. No provision of this agreement shall be construed or interpreted as creating a
pledge of the faith and credit of the County of Orange or OCHD within the
meaning of any constitutional debt limitation. No provision of this agreement
shall be construed or interpreted as creating a delegation of governmental
powers nor as a donation by or a lending of the credit of the County of Orange or
OCHD within the meaning of the Constitution of the State of North Carolina.
This agreement shall and does not directly or indirectly or contingently obligate
the County of Orange or OCHD to make any payments beyond those
appropriated in the sole discretion of the County of Orange or OCHD for any
fiscal year in which this agreement shall be in effect. No deficiency judgment
may be rendered against the County of Orange or OCHD in any action for
breach of a contractual obligation under this agreement and the taxing power of
the County of Orange is not and may not be pledged directly or indirectly or
contingently to secure any moneys due under this agreement.
21. This agreement supersedes any previous agreements between the parties
concerning the matters agreed to herein. This agreement contains the entire
understanding of the parties and shall not be altered, amended or modified,
except by an agreement in writing executed by the duly authorized officials of
both parties.
22. The laws of North Carolina shall govern the validity and interpretation of the
provisions, terms, and conditions of this agreement.
07-08 AGREEMENT Between UNC School of Medicine
And Orange County Health Department
May 21, 2007
Page of 9
IN WITNESS WHEREOF, the parties have hereunto signed this agreement in their
official capacities of the day and year listed below.
FOR AND ON BEHALF OF FOR AND ON BEHALF OF
ORANGE COUNTY HEALTH DEPARTMENT THE UNIVERSITY OF NORTH
CAROLINA
AT CHAPEL HILL
Rosemary L. Summers, MPH, DrPH David R. Perry
Health Director Vice-Chancellor for
Finance and Administration
DATE: ~ DATE:
Warren P. Newton, MD
Chair, Family Medicine
DATE:
William L. Roper, MD, MPH
Dean, School of Medicine
DATE:
FOR AND ON BEHALF OF THE COUNTY OF ORANGE
Moses Carey Jr., Chair
Orange County Board of Commissioners
DATE:
9
ORANGE COUNTY FINANCE DIRECTOR:
"This instrument has been pre-audited in the manner required by the Local Government
Budget and Fiscal Control Act."
DATE:
Ken Chavious
Finance Director
07-08 AGREEMENT Between UNC School of Medicine 10
And Orange County Health Department
May 21, 2007
Page of 9
Designation of Medical Director
Attachment to Contract between the Department of Family Medicine, University of North
Carolina, School of Medicine and the Orange County Health Department for July 1,
2007 through June 30, 2008.
The following physicians are designated by the Department of Family Medicine to fulfill
the terms of the attached contract:
Michael Fisher, MD
Lauren Linsley, MD
Kia Williams MD
Physician
Martha Carlough, MD Physician
Andrew Hannapel, MD Physician
Clark Dennison MD Physician
Copies of current registration and licensure for these physicians are attached.
Signed:
Warren Newton, Chair
Department of Family Medicine
Agreed:
Date
Medical Director
Physician
Rosemary Summers, Health Director
Orange County Health Department Date
May 21, 2007 Final
Addendum A to
Agreement between UNC and OCHD
For Medical Director Services
Whereas, the Chapel HilUCarrboro City Schools (CHCCS) employs one (1)
School Nurse who is a licensed and qualified Nurse Practitioner (Head Start Program),
and;
Whereas, the Chapel HilUCarrboro City Schools (CHCCS) seeks to have the School
Nurse provide limited nurse practitioner services to students at her site, and;
Whereas, the School Nurse Practitioner requires medical supervision, and;
11
Whereas, the Orange County Health Department (OCHD) maintains a Memorandum of
Agreement with the Chapel Hi1UCarrboro City Schools to provide medical direction to
school nurses by the OCHD Medical Director, and;
Whereas, The University of North Carolina at Chapel Hill (`The University') through its
Department of Family Medicine of the UNC School of Medicine (Department) provides
medical supervision to OCHD Nurse Practitioners through its Medical Director contract
and is agreeable to expanding the contract to provide medical supervision to the CHCCS
School Nurse Practitioner.
Therefore, the above parties agree to the following:
1. OCHD Medical Director (or other mutually agreed upon UNC Family Practice
physician) will provide medical supervision to the CHCCS School Nurse
Practitioner from August 1 S, 2007 to June 1 S, 2008 (10 months) in accordance with
the term of the Agreement between The University and OCHD.
2. CHCCS will maintain medical malpractice insurance equal to or exceeding a $1
million per incident and a $3 million upper limit coverage for its School Nurse
Practitioner and will furnish proof of insurance to the OCHD and the Department.
3. CHCCS will submit all nurse practitioner protocols to OCHD for review by the
Medical Director or designee prior to implementation of the protocols.
4. CHCCS will assure the School Nurse Practitioner has an approved Board of
Pharmacy registration and Registration and Approval to Practice by the NC Board
of Nursing and the NC Medical Board. CHCCS will provide OCHD with a copy
of the Nurse Practitioner's current license.
S. CHCCS will assure the School Nurse Practitioner has a Collaborative Practice
Agreement completed with the University's assigned OCHD Supervising
Physician.
May 21, 2007 Final
12
6. CHCCS will assure that the School Nurse Practitioner abides by all laws and
regulations governing the confidentiality of patient information, including HIPAA
privacy rules.
7. OCHD will amend its agreement with CHCCS to include the medical supervision
of its School Nurse Practitioner by the Universi . 's assigned OCHD Medical
Director or designee with its corresponding period of coverage and costs.
8. CHCCS will pay OCHD for medical supervision of its School Nurse Practitioner
the amount of $1000/year (1 hour/month @$97/hour) in one lump payment by
September 30, 2007.
9. OCHD will pay The University for the above services in one lump payment of
$1000 by December 30, 2007.
10. This agreement is in effect from July 1, 2007 through June 30, 2008.
Signatures•
Rosemary Summers, MPH, DrPH
Orange County Health Director
Date
Neil Pedersen, PhD
CHCCS Superintendent
Warren Newton, MD
Chaix, Family Medicine
Date
Date
Orange County Finance Director:
"This instrument has been pre-audited in the manner required by the Local Government
Budget and Fiscal Control Act."
Ken Chavious
Finance Director
Moses Carey, Jr., Chair
Orange County Board of Commissioners
Date
Date
13
BUSINESS ASSOCIATE AGREEMENT
This Agreement is made effective the 1 ~` Day of July, 2007, by and between Orange County
Government, Health Department, hereinafter referred to as "Covered Entity", and UNC Department of Family
Medicine, hereinafter referred to as "Business Associate," (individually, a "Party" and collectively, the "Parties").
WITNESSETH:
WHEREAS, Sections 261 through 264 of the federal Health Insurance Portability 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
WHEREAS, pursuant to the Administrative Simplification provisions, the Secretary of Health and Human
Services has issued regulations modifying 45 CFR Parts 160 and 164 (the "HIPAA Privacy Rule"); and
WHEREAS, the Parties wish to enter into or have entered into an arrangement whereby Business
Associate will provide certain services to Covered Entity, and, pursuant to such arrangement, Business Associate
may be considered a "business associate" of Covered Entity as defined in the HIPAA Privacy Rule (the
agreement evidencing such arrangement is entitled "Agreement for Medical Director Services Between the
County of Orange Health Department and the Department of Family Medicine, University of North Carolina at
Chapel Hill," dated July 1, 2007-June 30, 2008, and is hereby referred to as the "Arrangement Agreement"); and
WHEREAS, Business Associate may have access to Protected Health Information (as defined below) in
fulfilling its responsibilities under such arrangement;
THEREFORE, in consideration of the Parties' continuing obligations under the Arrangement Agreement,
the Parties agree to the provisions of this Agreement in order to address the requirements of the HIPAA Privacy
Rule and to protect the interests of both Parties.
DEFINITIONS
Except as otherwise defined herein, terms used in this Agreement shall have the same meaning as those terms
set forth in the HIPAA Privacy Rule.
II. CONFIDENTIALITY REQUIREMENTS
(a) Business Associate shall:
(i) use or disclose any protected health information solely as permitted or required
by this Agreement, the Arrangement Agreement (if consistent with this Agreement and the HIPAA
Privacy Rule), or as required by law.
(ii) ensure that its agents, including a subcontractor, to whom it provides protected
health information received from or created by Business Associate on behalf of Covered Entity,
agrees to the same restrictions and conditions that apply to Business Associate with respect to
such information. In addition, 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;
(iii) implement appropriate safeguards to prevent use or disclosure of protected
health information other than as permitted or required by this Agreement;
(iv) permit the Secretary of Health and Human Services to audit Business
Associate's records and practices related to use and disclosure of protected health information to
ensure Covered Entity's compliance with the terms of the HIPAA Privacy Rule;
(v) report to Covered Entity any use or disclosure of protected health information
which is not in compliance with the terms of this Agreement of which it becomes aware; and
14
(vi) mitigate, to the extent practicable, any harmful effect that is known to Business
Associate of a use or disclosure of protected health information by Business Associate in violation
of the requirements of this Agreement.
(b) Notwithstanding the prohibitions set forth in this Agreement or the Arrangement
Agreement, Business Associate may use and disclose protected health information
as follows:
(i) if necessary, for the proper management and administration of 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 person 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 such services are to be provided by Business
Associate for the health care operations of Covered Entity pursuant to any agreements between
the Parties evidencing their business relationship.
III. AVAILABILITY OF PROTECTED HEALTH INFORMATION
Business Associate shall:
(a) at the request of Covered Entity, provide access to protected health information in a designated
record set to Covered Entity or, as directed by Covered Entity, to an individual, in a time and manner sufficient to
permit Covered Entity to comply with the requirements of 45 CFR 164.524.
(b) at the request of Covered Entity or an individual, make any amendment(s) to protected health
information in a designated record set that are directed by or agreed to by Covered Entity, in a time and manner
sufficient to permit Covered Entity to comply with the requirements of 45 CFR 164.526.
(c) document disclosures of protected health information and information related to such disclosures
in a manner sufficient to permit Covered Entity to respond to a request by an individual for an accounting of
disclosures of protected health information in accordance with 45 CFR 164.528 and provide such documentation
to Covered Entity or an individual as directed by Covered Entity.
IV. TERMINATION
(a) Term: This Agreement terminates when the Arrangement Agreement terminates or as provided
in Paragraph IV.b. below (termination for cause).
(b) Termination for cause: Upon Covered Entity's knowledge of a material breach by Business
Associate, Covered Entity shall either:
(i) provide an opportunity for Business Associate to cure the breach or end the
violation or, if Business Associate does not cure the breach or end the violation within the time
specified by Covered Entity, terminate this Agreement and the Arrangement Agreement; or
(ii) immediately terminate this Agreement and the Arrangement Agreement if
Business Associate has breached a material term of this Agreement and cure is not possible.
(c) Return or destruction of protected health information: At termination of this Agreement, the
Arrangement Agreement (or any similar documentation of the business relationship of the Parties), or upon
request of Covered Entity, whichever occurs first, Business Associate shall:
15
(i) if feasible, return or destroy all protected health information received from or
created or received by Business Associate on behalf of Covered Entity that Business Associate
still maintains in any form. Business Associate shall only destroy protected health information
with the written approval of Covered Entity. After return or destruction, Business Associate shall
retain no copies of such information.
(ii) if return or destruction is not feasible, Business Associate will provide Covered
Entity with documentation explaining the reason that it is not feasible. If the protected health
information is not returned or destroyed, 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.
(d) Survival: The obligations of Business Associate under this Agreement 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.
V. MISCELLANEOUS
(a) All protected health information that is created or received by Covered Entity and disclosed or
made available in any form, including paper record, oral communication, audio recording, and electronic display
by Covered Entity or its operating units to Business Associate or is created or received by Business Associate on
Covered Entity's behalf shall be subject to this Agreement.
(b) A reference in this Agreement to a section in the HIPAA Privacy Rule means the section as in
effect or as amended.
(c) In the event of an inconsistency between the provisions of this Agreement (including definitions)
and mandatory provisions of the HIPAA Privacy Rule, as amended, the HIPAA Privacy Rule shall control. Where
provisions of this Agreement are different than those mandated in the HIPAA Privacy Rule, but are nonetheless
permitted by the HIPAA Privacy Rule, the provisions of this Agreement shall control.
(d) Except as expressly stated herein or the HIPAA Privacy Rule, the parties to this Agreement do
not intend to create any rights in any third parties.
(e) 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 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 contracting 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.
(f) This Agreement will be governed by the laws of the State of North Carolina.
(g) No change, waiver or discharge of any liability or obligation hereunder on any one 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.
(h) The parties agree that, in the event that any documentation of the arrangement pursuant to which
Business Associate provides services to Covered Entity contains provisions relating to the use or disclosure of
protected health information that are more restrictive than the provisions of this Agreement, the provisions of the
more restrictive documentation will control.
(i) In the event that any provision of this Agreement is held by a court of competent jurisdiction to be
invalid or unenforceable, the remainder of the provisions of this Agreement will remain in full force and effect.
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(j) The headings in this Agreement are for convenience of reference only and shall not define or limit
any of the terms or provisions hereof.
above.
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year written
COVERED ENTITY:
By:
BUSINESS ASSOCIATE:
By:
Title: Title: