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HIPAA BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement ("Agreement") is entered into on this date of December
27, 2016 (the "Effective Date"), by and between City of Fort Collins ("Covered Entity") and
Innovu, LLC ("Business Associate").
RECITALS:
WHEREAS, Covered Entity and Business Associate mutually desire to outline their
individual responsibilities with respect to the use and/or disclosure of Protected Health
Information ("PHI") as mandated by the Privacy Rule promulgated under the Administrative
Simplifications subtitle of the Health Insurance Portability and Accountability Act of 1996
("HIPAA") including all pertinent regulations issued by the U.S. Department of Health and
Human Services as outlined in 45 C.F.R. Parts 160, 162 and 164; (“HIPAA Privacy Rules and/or
Security Standards”)and
WHEREAS, Covered Entity and Business Associate understand and agree that the HIPAA
Privacy Rules and Security Standards requires the Covered Entity and Business Associate
enter into a Business Associate Agreement which shall govern the use and/or disclosure of PHI
and the security of PHI and ePHI.
NOW, THEREFORE, the parties hereto agree as follows:
Article I Definitions. When used in this Agreement and capitalized, the following
terms have the following meanings:
Section 1.01 "Breach" shall mean the unauthorized acquisition, access, use, or
disclosure of PHI which comprises the security or privacy of such information. However,
the term 'breach' shall not include (1) any unintentional acquisition, access, or use of PHI
by an employee or individual acting under the authority of a covered entity or business
associate if such acquisition, access, or use was made in good faith and within the
course and scope of the employment or other professional relationship of such
employee or individual, respectively, with the covered entity or business associate; and
such information is not further acquired, accessed, used, or disclosed by any person; or
(2) any inadvertent disclosure from an individual who is otherwise authorized to access
protected health information at a facility operated by a covered entity or business
associate to another similarly situated individual at same facility; and (3) any such
information received as a result of such disclosure is not further acquired, accessed,
used, or disclosed without authorization by any person.
Section 1.02 "Electronic Protected Health Information" or “ePHI” shall mean
Protected Health Information transmitted by electronic media or maintained in electronic
media.
Section 1.03 "Individual" shall have the same meaning as the term "Individual"
in 45 C.F.R. §164.501 and shall include a person who qualifies as a personal
representative in accordance with 45 C.F.R. §164.502(g).
Section 1.04 "Privacy Rule" shall mean the Standards for Privacy of Individual
Identifiable Health Information as set forth at 45 C.F.R. Parts 160 and 164 Subparts A
and E.
Section 1.05 "Protected Health Information" or "PHI" shall have the same
meaning as the term "protected health information" in 45 C.F.R. § 164.501, limited to the
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information created or received by Business Associate from or on behalf of Covered
Entity.
Section 1.06 "Required by Law" shall have the same meaning as the term
"required by law" in 45 C.F.R. § 164.501.
Section 1.07 "Secretary" shall mean the Secretary of the Department of Health
and Human Services or his or her designee.
Section 1.08 “Security Incident” shall mean any attempted or successful
unauthorized access, use, disclosure, modification or destruction of information or
systems operations in an electronic information system.
Section 1.09 “Security Rule” shall mean the Standards for Security of PHI,
including ePHI, as set forth at 45 C.F.R. Parts 160 and 164 Subpart C.
Section 1.10 “Unsecured Protected Health Information” shall mean protected
health information that is not rendered unusable, unreadable, or indecipherable to
unauthorized individuals through the use of a technology or methodology specified by
the Secretary.
Terms used but not defined in this Agreement shall have the same meaning as those terms in
the HIPAA regulations.
Article II. Obligations and Activities of Business Associate Regarding PHI.
Section 2.01 Business Associate agrees to not use or further disclose PHI other
than as permitted or required by this Agreement or as Required by Law.
Section 2.02 Business Associate agrees to use appropriate safeguards to
prevent use or disclosure of the PHI other than as provided for by this Agreement.
Section 2.03 Business Associate agrees to ensure that any agents, including
sub-contractors (excluding entities that are merely conduits), to whom it provides PHI
agree to the same restrictions and conditions that apply to Business Associate with
respect to such information.
Section 2.04 Business Associate agrees to provide access, at the request of
Covered Entity, and in a reasonable time and manner designated by Covered Entity, to
PHI in a Designated Record Set that is not also in Covered Entity's possession, to
Covered Entity in order for Covered Entity to meet the requirements under 45 C.F.R.
§ 164.524.
Section 2.05 Business Associate agrees to make any amendment to PHI in a
Designated Record Set that the Covered Entity directs or agrees to pursuant to 45
C.F.R. § 164.526 in a reasonable time and manner designated by Covered Entity.
Section 2.06 Business Associate agrees to make internal practices books and
records relating to the use and disclosure of PHI available to the Secretary, in a
reasonable time and manner as designated by the Covered Entity or Secretary, for
purposes of the Secretary determining Covered Entity's compliance with the Privacy
Rule. Business Associate shall immediately notify Covered Entity upon receipt or notice
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of any request by the Secretary to conduct an investigation with respect to PHI received
from the Covered Entity.
Section 2.07 Business Associate agrees to document any disclosures of PHI
that are not excepted under 45 C.F.R. § 164.528(a)(1) as would be required for Covered
Entity to respond to a request by an Individual for an accounting of disclosures of PHI in
accordance with 45 C.F.R. § 164.528.
Section 2.08 Business Associate agrees to provide to Covered Entity or an
Individual, in a time and manner designated by Covered Entity, information collected in
accordance with paragraph (g) above, to permit Covered Entity to respond to a request
by an Individual for an accounting of disclosures of PHI in accordance with 45 C.F.R.
§ 164.528.
Section 2.09 Business Associate agrees to use or disclose PHI pursuant to the
request of Covered Entity; provided, however, that Covered Entity shall not request
Business Associate to use or disclose PHI in any manner that would not be permissible
under the Privacy Rule if done by Covered Entity.
Article III. Permitted Uses and Disclosures of PHI by Business Associate.
Section 3.01 Business Associate may use or disclose PHI to perform functions,
activities or services for, or on behalf of, Covered Entity provided that such use or
disclosure would not violate the Privacy Rule if done by Covered Entity.
Section 3.02 Business Associate may use PHI for the proper management and
administration of Business Associate and to carry out the legal responsibilities of
Business Associate.
Section 3.03 Business Associate may disclose PHI for the proper management
and administration of Business Associate and to carry out the legal responsibilities of
Business Associate if:
(i) such disclosure is Required by Law, or
(ii) Business Associate obtains reasonable assurances from the person to
whom the information is disclosed that such information will remain
confidential and used or further disclosed only as Required by Law or for
the purposes for which it was disclosed to the person, and the person
agrees to notify Business Associate of any instances of which it is aware
that the confidentiality of the information has been breached.
Section 3.04 Business Associate shall limit the PHI to the extent practicable, to
the limited data set or if needed by the Business Associate, to the minimum necessary to
accomplish the intended purpose of such use, disclosure or request subject to
exceptions set forth in the Privacy Rule.
Section 3.05 Business Associate may use PHI to provide Data Aggregation
services to Covered Entity as permitted by 42 C.F.R. § 164.504(e)(2)(i)(B).
Article IV. Obligations of Covered Entity Regarding PHI.
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Section 4.01 Covered Entity shall provide Business Associate with the notice of
privacy practices that Covered Entity produces in accordance with 45 C.F.R. § 164.520,
as well as any changes to such notice.
Section 4.02 Covered Entity shall provide Business Associate with any changes
in, or revocation of, authorization by an Individual to use or disclose PHI, if such changes
affect Business Associate's permitted or required uses and disclosures.
Section 4.03 Covered Entity shall notify Business Associate of any restriction to
the use or disclosure of PHI that Covered Entity has agreed to in accordance with 45
C.F.R. § 164.522, if such restrictions affect Business Associate's permitted or required
uses and disclosures.
Section 4.04 Covered Entity shall require all of its employees, agents and
representatives to be appropriately informed of its legal obligations pursuant to this
Agreement and the Privacy Rule and Security Standards required by HIPAA and will
reasonably cooperate with Business Associate in the performance of the mutual
obligations under this Agreement.
Article V. Security of Protected Health Information.
Section 5.01 Business Associate has implemented policies and procedures to
ensure that its receipt, maintenance, or transmission of all protected health information
(“PHI”), either electronic or otherwise, on behalf of Covered Entity complies with the
applicable administrative, physical, and technical safeguards required protecting the
confidentiality, availability and integrity of PHI as required by the HIPAA Privacy Rules
and Security Standards.
Section 5.02 Business Associate agrees that it will ensure that agents or
subcontractors agree to implement the applicable administrative, physical, and technical
safeguards required to protect the confidentiality, availability and integrity of PHI as
required by HIPAA Privacy Rules and Security Standards.
Section 5.03 Business Associate agrees to report to Covered Entity any
Security Incident (as defined 45 C.F.R. Part 164.304) of which it becomes aware.
Business Associate agrees to report the Security Incident to the Covered Entity as soon
as reasonably practicable, but not later than 10 business days from the date the
Business Associate becomes aware of the incident.
Section 5.04 Business Associate agrees to establish procedures to mitigate, to
the extent possible, any harmful effect that is known to Business Associate of a use or
disclosure of PHI by Business Associate in violation of this Agreement.
Section 5.05 Business Associate agrees to immediately notify Covered Entity
upon discovery of any Breach of Unsecured Protected Health Information (as defined in
45 C.F.R. §§ 164.402 and 164.410) and provide to Covered Entity, to the extent
available to Business Associate, all information required to permit Covered Entity to
comply with the requirements of 45 C.F.R. Part 164 Subpart D.
Section 5.06 Covered Entity agrees and understands that the Covered Entity is
independently responsible for the security of all PHI in its possession (electronic or
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otherwise), including all PHI that it receives from outside sources including the Business
Associate.
Article VI. Term and Termination.
Section 6.01 Term. This Agreement shall be effective as of the Effective Date
and shall remain in effect until the Business Associate relationship with the Covered
Entity is terminated and all PHI is returned, destroyed or is otherwise protected as set
forth in Section 7(d).
Section 6.02 Termination for Cause by Covered Entity. Covered Entity may
terminate its contract(s) or business association with Business Associate if Covered
Entity determines that Business Associate has violated a material term of the contract, to
include this Agreement.
Section 6.03 Termination by Business Associate. This Agreement may be
terminated by Business Associate upon 30 days prior written notice to Covered Entity in
the event that Business Associate, acting in good faith, believes that the requirements of
any law, legislation, consent decree, judicial action, governmental regulation or agency
opinion, enacted, issued, or otherwise effective after the date of this Agreement and
applicable to PHI or to this Agreement, cannot be met by Business Associate in a
commercially reasonable manner and without significant additional expense.
Section 6.04 Effect of Termination. Upon termination of this Agreement for any
reason, at the request of Covered Entity, Business Associate shall return or destroy all
PHI received from Covered Entity, or created or received by Business Associate on
behalf of Covered Entity. Business Associate shall not retain any copies of the PHI
unless necessary for proper document retention/archival purposes only or if such PHI is
stored as a result of backup email systems that store emails for emergency backup
purposes. If the return or destruction of PHI is infeasible, Business Associate shall
extend the protections of this Agreement to such PHI and limit further uses and
disclosures of such PHI to those purposes that make the return or destruction infeasible,
for so long as Business Associate maintains such PHI.
Article VII. Amendment.
The parties may agree to amend this Agreement from time to time in any other respect that
they deem appropriate. This Agreement shall not be amended except by written instrument
executed by the parties.
Article VIII. Severability.
The parties intend this Agreement to be enforced as written. However, (i) if any portion or
provision of this Agreement will to any extent be declared illegal or unenforceable by a duly
authorized court having jurisdiction, then the remainder of this Agreement, or the application of
such portion or provision in circumstances other than those as to which it is so declared illegal
or unenforceable, will not be affected thereby, and each portion and provision of this Agreement
will be valid and enforceable to the fullest extent permitted by law; and (ii) if any provision, or
part thereof, is held to be unenforceable because of the duration of such provision, the Covered
Entity and the Business Associate agree that the court making such determination will have the
power to modify such provision, and such modified provision will then be enforceable to the
fullest extent permitted by law.
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Article IX. Notices.
All notices, requests, consents and other communications hereunder will be in writing, will be
addressed to the receiving party's address set forth below or to such other address as a party
may designate by notice hereunder, and will be either (i) delivered by hand, (ii) made facsimile
transmission, (iii) sent by overnight courier, or (iv) sent by registered mail or certified mail, return
receipt requested, postage prepaid.
If to the Covered Entity:
City of Fort Collins
Attn: Lynn Sanchez
PO Box 580
Fort Collins, CO 80522
Copy:
If to the Business Associate:
Innovu, LLC
Attn: Michael Bauer
100 West Station Square Drive, Ste. 500
Pittsburgh, PA 15219
Article X. Regulatory References.
A reference in this Agreement to a section in the Privacy Rule means the referenced section
or its successor, and for which compliance is required.
Article XI. Headings and Captions.
The headings and captions of the various subdivisions of the Agreement are for convenience
of reference only and will in no way modify or affect the meaning or construction of any of the
terms or provisions hereof.
Article XII. Entire Agreement.
This Agreement sets forth the entire understanding of the parties with respect to the subject
matter set forth herein and supersedes all prior agreements, arrangements and
communications, whether oral or written, pertaining to the subject matter hereof.
Article XIII. Binding Effect.
The provisions of this Agreement shall be binding upon and shall inure to the benefit of
both Parties and their respective successors and assigns.
Article XIV. No Waiver of Rights, Powers and Remedies.
No failure or delay by a party hereto in exercising any right, power or remedy under this
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
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Agreement, and no course of dealing between the parties hereto, will operate as a waiver of any
such right, power or remedy of the party. No single or partial exercise of any right, power or
remedy under this Agreement by a party hereto, nor any abandonment or discontinuance of
steps to enforce any such right, power or remedy, will preclude such party from any other or
further exercise thereof or the exercise of any other right, power or remedy hereunder. The
election of any remedy by a party hereto will not constitute a waiver of the right of such party to
pursue other available remedies. No notice to or demand on a party not expressly required
under this Agreement will entitle the party receiving such notice or demand to any other or
further notice or demand in similar or other circumstances or constitute a waiver of the right of
the party giving such notice or demand to any other or further action in any circumstances
without such notice or demand. The terms and provisions of this Agreement may be waived, or
consent for the departure therefrom granted, only by written document executed by the party
entitled to the benefits of such terms or provisions. No such waiver or consent will be deemed
to be or will constitute a waiver or consent with respect to any other terms or provisions of this
Agreement, whether or not similar. Each such waiver or consent will be effective only in the
specific instance and for the purpose for which it was given, and will not constitute a continuing
waiver or consent.
Article XV. Governing Law.
This Agreement will be governed by and construed in accordance with the laws of the
State of Colorado.
Article XVI. Interpretation.
It is the Parties' intent to comply strictly with all applicable laws, including without limitation,
HIPAA, state statutes, or regulations (collectively, the "Regulatory Laws"), in connection with
this Agreement. In the event there shall be a change in the Regulatory Laws, or in the reasoned
interpretation of any of the Regulatory Laws or the adoption of new federal or state legislation,
any of which are reasonably likely to materially and adversely affect the manner in which either
Party may perform or be compensated under this Agreement or which shall make this
Agreement unlawful, the Parties shall immediately enter into good faith negotiations regarding a
new arrangement or basis for compensation pursuant to this Agreement that complies with the
law, regulation or policy and that approximates as closely as possible the economic position of
the Parties prior to the change. In addition, the Parties hereto have negotiated and prepared
the terms of this Agreement in good faith with the intent that each and every one or the terms,
covenants and conditions herein be binding upon and inure to the benefit of the respective
Parties. To the extent this Agreement is in violation of applicable law, then the Parties agree to
negotiate in good faith to amend this Agreement, to the extent possible consistent with its
purposes, to conform to law.
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IN WITNESS WHEREOF, the parties have executed this Business Associate Agreement as
of the Effective Date.
BUSINESS ASSOCIATE:
By:
Print Name:
Title:
COVERED ENTITY:
CITY OF FORT COLLINS
By:
Gerry Paul
Purchasing Director
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Chief Oerating Officer
Michael Bauer