File #: A 14-185    Name: Amend. for OCHIN A 11-307
Type: BoS Agreement Status: Passed
File created: 7/3/2014 In control: Board of Supervisors
On agenda: 7/22/2014 Final action: 7/22/2014
Title: Approve and authorize the Director of Health to sign Amendment No. 7 to Master System Agreement No. A-11307, with Oregon Community Health Information Network, Inc., to replace "Exhibit D, HIPAA Compliance Terms and Exhibit D-A, Additional HIPAA Compliance Terms" with a new Exhibit D, to include HIPAA compliance language as related to the Health Information Technology for Economic and Clinical Health Act (HITECH Act) regulations.
Sponsors: Ray Bullick
Attachments: 1. OCHIN Amendment to Exhibit D and D-A.pdf, 2. OCHIN Original Agreement.pdf, 3. OCHIN A-1.pdf, 4. OCHIN EMR Agr (2009) A-2.pdf, 5. OCHIN A-3 (SSA).pdf, 6. OCHIN A-4 (Add Software & PH).pdf, 7. OCHIN A-5 (Care Everywhere).pdf, 8. OCHIN A-6.pdf, 9. Completed Board Order
Title
Approve and authorize the Director of Health to sign Amendment No. 7 to Master System Agreement No. A-11307, with Oregon Community Health Information Network, Inc., to replace "Exhibit D, HIPAA Compliance Terms and Exhibit D-A, Additional HIPAA Compliance Terms" with a new Exhibit D, to include HIPAA compliance language as related to the Health Information Technology for Economic and Clinical Health Act (HITECH Act) regulations.  
 
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health to sign Amendment No. 7 to Master System Agreement No. A-11307, with Oregon Community Health Information Network, Inc., to replace "Exhibit D, HIPAA Compliance Terms and Exhibit D-A, Additional HIPAA Compliance Terms" with a new Exhibit D, to include HIPAA compliance language as related to the Health Information Technology for Economic and Clinical Health Act (HITECH Act) regulations.  
 
SUMMARY/DISCUSSION:
Membership in the Oregon Community Health Information Network, Inc. (OCHIN) enables the Monterey County Health Department to utilize Epic's Practice Management (PM) and Electronic Medical Record (EMR) Systems. In June, 2007, The Health Department's Clinic Services Bureau (Clinic Services) entered into an agreement with OCHIN for EMR and PM services.  
 
The U.S. Department of Health and Human Services Health Information Portability and Accountability Act (HIPAA) mandated specific language regarding protected health information be included in service agreements that have the potential for an exchange of patient health information.  Exhibits D and D-A of the Agreement with OCHIN specifically address required HIPAA compliance language.  From time to time, this language is updated as required by Federal or State mandates.  
 
In September, 2013, the Health Information Technology for Economic and Clinical Health Act (HITECH Act) mandated updated HIPAA language.  To be compliant with this new HIPAA language requirement, OCHIN has requested that Exhibits D and D-A of the Master System Agreement, addressing HIPAA language and compliance, be replaced with Exhibit D which includes the newly updated HITECH Act-specific language.  
 
OTHER AGENCY INVOLVEMENT:
County Counsel and Contracts/Purchasing has reviewed and concur with this recommendation.
 
FINANCING:
Authorization of this Amendment incurs no financial impact as this is a change to HIPAA language only and does not affect any fiscal terms previously set through the original agreement and subsequent amendments.
Prepared by: Robin Kimball, Management Analyst, 1344
Approved by: Ray Bullick, Director of Health, 4526
 
Attachments:
Agreement A-11307 is on file with the Clerk of the Board
Amendment No. 1 is on file with the Clerk of the Board
Amendment No. 2 is on file with the Clerk of the Board
Amendment No. 3 is on file with the Clerk of the Board
Amendment No. 4 is on file with the Clerk of the Board
Amendment No. 5 is on file with the Clerk of the Board
Amendment No. 6 is on file with the Clerk of the Board
Amendment No. 7 is on file with the Clerk of the Board