HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 City of Montclair Date: , 2022 By: By: Print Name: Xxxx Xxxx Print Name: Its: Acting Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES
HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 20 City of Yucaipa Date: , 20 By: By: Print Name: Print Name: Its: Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SERVICES Contracting Agency shall be a member of the CONFIRE EMS Division Subsidiary Committee as set forth in Administrative Committee Policy 6.002, attached hereto as Exhibit A-1. As a member of the CONFIRE EMS Division Subsidiary Committee Contracting Agency shall share in the responsibility of the collaborative development and implementation of a regionally shared EMS delivery system, that provides Advanced Life Support and Basic Life Support Ground Ambulance Services. Contracting Agency shall also benefit from the regionally shared EMS delivery system, that provides Advanced Life Support and Basic Life Support Ground Ambulance Services. EXHIBIT A-1 to CONTRACTING AGENCY AGREEMENT CONSOLIDATED FIRE AGENCIES MANUAL OF ADMINISTRATIVE COMMITTEE POLICIES Policy: 6.002 Title: EMS Division Subsidiary Committee Adopted: [09.13.2022]
HIPPA BUSINESS ASSOCIATE AGREEMENT. Provider, as a Business Associate of County, shall comply with, and assist County in complying with, the privacy requirements of the Health Insurance Portability and Accountability Act (HIPAA), as outlined in Exhibit “D”. If County becomes aware of a pattern of activity that violates this section and reasonable steps to cure the violation are unsuccessful, County will terminate the Agreement, or if not feasible; report the problem to the Secretary of Health and Human Services (“HHS”).
HIPPA BUSINESS ASSOCIATE AGREEMENT. Section 13.01. Exhibit “B”, the Xxxxx County Business Associate Agreement, attached hereto and incorporated herein by reference, is added to this agreement to comply with the privacy requirements of the Health Insurance Portability and Accountability Act (HIPPA). COUNTY OF XXXXX XXXXX MEDICAL CENTER, Inc. By: Chairman / Board of Supervisors By: Print or type name Dated: , 20 Dated: , 20 ATTEST: By: County Administrative Officer and Clerk of the Board of Supervisors APPROVED AS TO FORM: By: Chief of Probation By: Sheriff By: County Counsel ON-SITE SERVICES AND OFF SITE SERVICES A RECEIVING SCREENING (Adult and Juvenile Facilities) Medical Screening will be performed by trained correctional staff on all inmates, including transferees, immediately upon arrival at the Xxxxx County Correctional facilities. Screening shall include: ● Visual observation and inquiry for medical and mental health problems and developmental disabilities ● Inquiry regarding current illnesses or medications, communicable diseases, drug or alcohol abuse, seizure disorders, suicidal ideation, gynecological problems, possibility of current pregnancy, recent history of childbirth, miscarriage or abortion Observation of: ● Behavior – consciousness, mental status, appearance, conduct, tremors and sweating ● Body deformities and ease of movement, presence of medical prosthesis ● Condition of skin – trauma markings, bruises, lesions, jaundice, rashes and infestations, needle marks or other indications of drug use ● Slowness of speech or lack of comprehension of questions suggestive of developmental, disabilities Disposition: ● Referral to appropriate health care staff, for follow-up and treatment ● Emergency room for evaluation and treatment for those conditions that are beyond the capability of on-site health services staff ● Recommendations for housing (i.e., general population, isolation, or special observation All findings will be recorded on the Intake Health Screening form. The individual conducting the screening will document all answers noting: Yes, No, Refused to Answer, or Unable to Answer to all questions on the form. A copy of the Intake Health Screening form will be included in the inmate’s medical record.
HIPPA BUSINESS ASSOCIATE AGREEMENT. RECITALS
HIPPA BUSINESS ASSOCIATE AGREEMENT. The "Business Associate Agreement" is set forth in Exhibit E.
