Common use of Great Clause in Contracts

Great. Thank you. The first question that we see a lot asks whether all mandatory signatories are required to sign the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:05 By January the 30, first, 2023, including those identified in Assembly Bill, 133, who are not required to exchange data under A. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:13 B, 133 until January 30, first, 2026, under Assembly Bill 133. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:20 All mandatory signatures. Tories must sign the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:23 By January the 30 first 2,023. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:25 That is not a negotiable date. Some of these organizations, such as smaller physician practices and clinics, rehabilitation long-term, acute psychiatric and critical access hospitals, and smaller rural acute care, hospitals will have until january [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:45 First, 2,026 to fully implement the data exchange framework, even though they signed the agreement in January 2,023. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:52 The next question is, How can I stay apprised of and provide input? [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:11:56 On new Pnps to ensure our organizations, remain in compliance, to stay up to date. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:12:03 You can first reference the Dxf website for the final and draft Pnps, the frequently asked questions and other information on the Dxf. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:12:14 Secondly, you can join Cdi eyes mailing list by emailing Cdi at ch. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:12:19 Hs. Ca, third, you can join upcoming information is power webinars, and fourth, you can participate in upcoming Iac or Ds a Pnp subcommittee meetings. And now I'll turn it over to rim to continue with some more frequently asked questions that we receive [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:12:40 Thank you, ▇▇▇▇▇▇. You can move on to the next slide, please. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:12:45 One of the questions we get asked. A lot are about how the Dsa. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:12:53 And its policies, procedures relate to what organizations may currently be required to exchange by Federal or State law, regulation, and just to be clear about that participants must follow all appleable State and Federal law when sharing health insurance, services information and that includes if they're [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:13:14 Sharing it through the Dsa. For example, if health, insurance services, information is subject to health insurance, portability and Accountability Act or hipaa, or the Lanternman, Petrus Short Act, or Lps, etc. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:13:31 You still need to follow those laws in sharing information. The Dsa. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:13:35 Does not change that requirement for more information on how to share some types of help in this information. In California. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:13:46 I really recommend that people take a look at Cdis. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:13:51 State health, information, guidance or shig document which is available on the Cdi website as it provides some specific information on how a sensitive information can be shared with others. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:04 Next slide, please. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:09 There are often questions about how to get more information on what the Dsa. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:15 And the policies and procedures mean for my own organization. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:18 Your first line of contact. Starting this month should be the educational entities. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:26 Excuse me. The educational initiative grantee organizations. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:30 They provide specific organizations for groups of stakeholders you can continue to submit other questions that fall outside of their areas of expertise to the Cdi email address that's listed on the screen here. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:14:45 But in all cases a bear in mind that Cdi cannot provide legal advice to your organizations, and so you should continue to check with your own legal counsel for specific questions on how the Dsa. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:00 Or the policies and procedures may specifically apply to you. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:04 We can go on to the next slide quickly. I did not read off the organizations were on that last grantee list, but there is a complex set of stakeholders that they will be serving, and we'll just pause here for a moment, so that you may be able to find your type of organization [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:22 On this list and jot down of the organizations the grantee awardees that may be able to assist you in the coming weeks. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:32 You should be able to find contact information for all of these organizations on the Cdi website [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:46 And these slides will be available on our website. So if you didn't locate your organization here, you can check there. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:54 Let's go on to the next slide. Please [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:15:58 The final set of questions that we want to talk about prior to the Q. A. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:16:03 Session on the Dsa. Or how are signatories? [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:16:07 The day, sharing agreements supposed to share data, the data exchange framework allows participants to provide access to or exchange information through any health information network, any health information exchange, any health information organization or any technology that adheres to the dsa provisions and the policies and [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:16:33 Procedures found on our website. It is a set of rules for the road and not a a specific technology program. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:16:43 It is not intended to be an information technology system or a single repository for data, either it is a collection of organizations that are required to share health and social services, information using national standards and a common set of policies and procedures that are identified in the ps and who [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:04 Are signatories to the data sharing agreement required to share data with data. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:10 Exchange framework requires that every participant provide access to your exchange, healthc and social services, information with every other participant consistent with the permitted, required and prohibited policy purposes, policies and procedures so that is a good policy and procedure for you to review for specifics [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:30 On what the requirements are are. Note the participation. Excuse me that participants are required to share health and social services. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:40 Information. Excuse me, are not required to share health and social services. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:46 Information, if it would violate Federal or State law. Again, the Dsa. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:52 And the policies and procedures do not override Federal or State law. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:17:56 And again organizations may take a look at the FAQ. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:18:02 On the Cdi website for more information about required participants on the exchange. [Rim ▇▇▇▇▇▇▇, CDII CalHHS] 14:18:09 Next slide, please, and with that, if you have additional call questions, please put them in the Q. A. And I will turn things over to ▇▇▇ [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:18:23 Thank you. Rim next slide, please. We're going to look at the portal. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:18:29 Live here in a few minutes. But I'd like to begin by setting the table. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:18:34 This is what the the portal will look like when you get to the landing page, and you can see a u URL at the bottom. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:18:41 Interesting to have. But I will show you that the best way to go is through the Cdi website, the Dxf website and click on the big button there to take you to the portal next slide. Please [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:18:56 Before you go into sign. It's very important to gather some information. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:02 First and foremost, the the initial signatories appreciated some time to look at the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:09 And the policies and procedures round through their legal organizations. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:13 So they were comfortable, with exactly what they were signing. Some have gone through their it organization and ask the question, What will this mean when it's time to exchange data? [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:26 So some prep work is definitely an order. Then decide who's going to sign the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:33 For your organization and what are they going to sign for? One of the key principles here is that a single signatory may sign if they're authorized on behalf of all of their subordinate entities? [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:45 Or the appropriate subordinate identities, and we'll talk a little bit about what that subordinate identity might look like. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:53 And you might want to collect some information on. Have it on hand. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:19:58 It's fairly straightforward and simple contact information. And then to identify the different support identities. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:06 Not, or even yourself, if you're signing as a single entity, is the state license number. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:12 Or the employer id number the tax id number for a physician organizations and medical groups. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:19 So having that work done is really helpful. By the time you get to the the portal itself. Yeah, if you'll switch over and allow me to share at this point [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:35 I will take us to the [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:42 Data exchange framework website this, you're no doubt familiar with Cdi data exchange framework. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:20:51 And if you scroll down here there's a big register here, Block, and this is the simplest the most straightforward way to get to the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:02 Signing portal, and this is where you'll land. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:05 You would register to start [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:10 If you don't have an account you can sign up now. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:15 It's a very simple, straightforward sign up method, your email address. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:19 You'll get sent a verification code standard email verification. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:25 Then password name. The most important part is right here. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:30 The legal name, legal business name of the organization that you're going to enter. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:35 Otherwise, this is contact information for the person that's setting up the account that does not have to be the person that's going to sign [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:21:46 And if we're not creating an account, but we're simply going to sign in, as I will do right now. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:02 When you sign in up in the upper right-hand corner you'll see the name that you entered as the contact person. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:09 And you'll be able to click here on my organizations. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:15 And go directly to the legal business name of the entity that you entered when you signed in. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:21 This has already been populated, but we'll walk around through this for just a minute. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:26 Up here at the top of the page, you'll see a help tab underneath. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:31 Help. There's a complete set of user instructions, so you can't get lost. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:35 And when it comes time to select your type there's a map in there that will help you find the type and subtype quick. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:44 In this case I hear from this primary page. You can see that I've got subordinate organizations, and I've got my primary organization. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:22:53 There's not an account type. I left the account type blank, because as this overall organization, I have a number of different subordinate types. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:04 Number of other entities, and they're all different. So again, the concept to keep in mind is one Dsa can cover multiple entities. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:14 But we do need to keep track of the types because these are types that are required to sign. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:21 If you click on your account name, you can see the type of information that's required. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:27 There's a primary question. Do you have some more than organization? [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:31 Yes or no, and that will determine what you fill in. Notice. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:35 My account type is blank and I don't have to put in my ein or license number at this state, so then, my mailing address, either I can sign as myself or in a large organization. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:51 I can have other side in this case. The CEO of the organization is going to sign the Dsa. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:23:59 And I can always go back to my organizations, and from there you can add your subordinate organizations. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:10 When I get to support that organizations. You see, it's pretty simple. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:14 Just the name, the type, and then that will determine what other data and the address, since we have some of these already populated, let's do a look. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:28 My primary within this. This organization is the medical Center itself, and well, just delete that for the moment, and go look for it. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:38 This half to be an acute care, setting, so I'll select that. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:45 And now it's going to ask me for a subtype. [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:48 I'd already put in cute care hospital, but whoops! [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:24:56 Let me see cute care settings select on the subtype [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:25:01 I'm a I'm a cute care hospital, but you can see I can also be other acute or setting, or a psychiatric hospital [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:25:10 Now I'm populated. Notice the star it what's my license? [▇▇▇▇▇▇ ▇▇▇▇▇▇] 14:25:16