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HomeMy WebLinkAboutWashington State Department of Health (DOH) re Data Sharing- 121922J DATA SHARING AGREEMENT DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data FOR CONFIDENTIAL INFORMATION OR LIMITED DATASET(S) BETWEEN STATE OF WASHINGTON DEPARTMENT OF HEALTH AND JEFFERSON COUNTY PUBLIC HEALTH This Agreement documents the conditions under which the Washington State Department of Health shares confidential information or limited Dataset(s) with other entities. CONTACT INFORMATION FOR ENTITIES RECEIVING AND PROVIDING INFORMATION INFORMATION RECIPIENT INFORMATION PROVIDER Organization Name: Jefferson County Public Health Washington State Department of Health (DOH) Contract Manager Name: Denise Banker Sonja Morris Title: Community Health Director COVID-19 Operations Supervisor Address: 615 Sheridan St Port Townsend, WA PO Box 47843 Olympia, WA 98504 Telephone: 360-385-9438 360-236-3545 Email Address: dbanker@co.jelLerson.wa.us 5onia.Morris@Ddoh.wa.r2v Data User Contact Name: Ocean Mason Meredith Cook Title: Public Health Nurse Epidemiologist Address: 615 Sheridan St Port Townsend, WA 98368 PO Box 47843 Olympia, WA 98504 Telephone: 360-379-4480 360-236-3381 Email Address: omason@co.iefferson.wa.us meredith.cook@doh.wa.Rov IT Security Contact Name: DJ Dimick John Weeks Title: Network Administrator Chief Information Security Officer Address: 615 Sheridan St Port Townsend, WA 98368 PO Box 47890 Olympia, WA 98504-7890 Telephone: 360-385-9246 360-999-3454 Email Address: dolsen@co.jefferson.wa.us Securitv@dohma.gov N-22-059 Page i of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data Privacy Contact Name: Veronica Shaw Jennifer Brown Title: Deputy Director DOH Chief Privacy Officer Address: 615 Sheridan St Port Townsend, WA 98368 P. O. Box 47890 Olympia, WA 98504-7890 Telephone: 360-385-9409 1 (360) 236-4437 Email Address: I veronica@co.iefferson.wa.us I Privacv.officer@dohma.> ov Page 2 of 34 Revision 07/2022 OSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data DEFINITIONS Authorized user means a recipient's employees, agents, assigns, representatives, independent contractors, or other persons or entities authorized by the data recipient to access, use or disclose information through this agreement. Authorized user agreement means the confidentiality agreement a recipient requires each of its Authorized Users to sign prior to gaining access to Public Health Information. Breach of confidentiality means unauthorized access, use or disclosure of information received under this agreement. Disclosure may be oral or written, in any form or medium. Breach of security means an action (either intentional or unintentional) that bypasses security controls or violates security policies, practices, or procedures. Confidential information means information that is protected from public disclosure by law. There are many state and federal laws that make different kinds of information confidential. In Washington State, the two most common are the Public Records Act RCW 42.56, and the Healthcare Information Act, RCW 70.02. Data storage means electronic media with information recorded on it, such as CDs/DVDs, computers and similar devices. Data transmission means the process of transferring information across a network from a sender (or source), to one or more destinations. Direct identifier Direct identifiers in research data or records include names; postal address information ( other than town or city, state and zip code); telephone numbers, fax numbers, e- mail addresses; social security numbers; medical record numbers; health plan beneficiary numbers; account numbers; certificate /license numbers; vehicle identifiers and serial numbers, including license plate numbers; device identifiers and serial numbers; web universal resource locators ( URLs); internet protocol (IP) address numbers; biometric identifiers, including finger and voice prints; and full face photographic images and any comparable images. Disclosure means to permit access to or release, transfer, or other communication of confidential information by any means including oral, written, or electronic means, to any party except the party identified or the parry that provided or created the record. Encryption means the use of algorithms to encode data making it impossible to read without a specific piece of information, which is commonly referred to as a "key". Depending on the type of information shared, encryption may be required during data transmissions, and/or data storage. Page 3 of 34 Revision 07/2022 OSA Contract # :19-JEF-MVIDVax-0 COVID Vaccine Data Human subjects research; human sublect means a living individual about whom an investigator (whether professional or student) conducting research obtains (1) data through intervention or interaction with the individual, or (2) identifiable private information. Identifiable data or records contains information that reveals or can likely associate the identity of the person or persons to whom the data or records pertain. Research data or records with direct identifiers removed, but which retain indirect identifiers, are still considered identifiable. Limited dataset means a data file that includes potentially identifiable information. A limited dataset does not contain direct identifiers. Potentially identifiable information means information that includes indirect identifiers which may permit linking an individual to that person's health care information. Examples of potentially Identifiable information include: • birth dates; • admission, treatment or diagnosis dates; healthcare facility codes; • other data elements that may identify an individual. These vary depending on factors such as the geographical location and the rarity of a person's health condition, age, or other characteristic. Restricted confidential information means confidential information where especially strict handling requirements are dictated by statutes, rules, regulations or contractual agreements. Violations may result in enhanced legal sanctions. State holidays State legal holidays, as provided in RCW 1.16.050. Health care information means any information, whether oral or recorded in any form or medium, that identifies or can readily be associated with the identity of a patient and directly relates to the patient's health care...." RCW 70.02.010(7) Health Information is any information that pertains to health behaviors, human exposure to environmental contaminants, health status, and health care. Health information includes health care information as defined by RCW 70.02.010 and health related data as defined in RCW 43.70.050. Health Information Exchange (HIE) means the statewide hub that provides technical services to support the secure exchange of health information between HIE participants. Human research review is the process used by institutions that conduct human subject research to ensure that: the rights and welfare of human subjects are adequately protected; Page 4 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data • the risks to human subjects are minimized, are not unreasonable, and are outweighed by the potential benefits to them or by the knowledge gained; and • the proposed study design and methods are adequate and appropriate in light of the stated research objectives. Research that involves human subjects or their identifiable personal records should be reviewed and approved by an institutional review board (IRB) per requirements in federal and state laws and regulations and state agency policies. Identifiable data or records: contains information that reveals or can likely associate with the identity of the person or persons to whom the data or records pertain. Research data or records with direct identifiers removed, but which retain indirect identifiers, are still considered identifiable. Indirect identifiers are indirect identifiers in research data or records that include all geographic identifiers smaller than a state , including street address, city, county, precinct, Zip code, and their equivalent postal codes, except for the initial three digits of a ZIP code; all elements of dates ( except year ) for dates directly related to an individual, including birth date, admission date, discharge date, date of death; and all ages over 89 and all elements of dates ( including year) indicative of such age, except that such age and elements may be aggregated into a single category of age 90 or older. Normal business hours are state business hours Monday through Friday from 8:00 a.m. to 5:00 p.m. except state holidays. Page 5 of 34 Revision 07/2022 DSA Contract * :19-JEF-COVIDVax-0 COVID Vaccine Data GENERAL TERMS AND CONDITIONS I. USE OF INFORMATION The Information Recipient agrees to strictly limit use of information obtained or created under this Agreement to the purposes stated in Exhibit I (and all other Exhibits subsequently attached to this Agreement). For example, unless the Agreement specifies to the contrary the Information Recipient agrees not to: • Link information received under this Agreement with any other information. • Use information received under this Agreement to identify or contact individuals. The Information Recipient shall construe this clause to provide the maximum protection of the information that the law allows. II. SAFEGUARDING INFORMATION A. CONFIDENTIALITY Information Recipient agrees to: • Follow DOH small numbers guidelines as well as dataset specific small numbers requirements. (Appendix D) • Limit access and use of the information: • To the minimum amount of information. ■ To the fewest people. ■ For the least amount of time required to do the work. • Ensure that all people with access to the information understand their responsibilities regarding it. • Ensure that every person (e.g., employee or agent) with access to the information signs and dates the "Use and Disclosure of Confidential Information Form" (Appendix A) before accessing the information. • Retain a copy of the signed and dated form as long as required in Data Disposition Section. The Information Recipient acknowledges the obligations in this section survive completion, cancellation, expiration or termination of this Agreement. Page 6 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data B. SECURITY The Information Recipient assures that its security practices and safeguards meet Washington State Office of the Chief Information Officer (OCIO) security standard 141.10 Sewrina Information Technology Assets. For the purposes of this Agreement, compliance with the HIPAA Security Standard and all subsequent updates meets OICIO standard 141.10 "Securing Information Technology Assets." The Information Recipient agrees to adhere to the Data Security Requirements in Appendix B. The Information Recipient further assures that it has taken steps necessary to prevent unauthorized access, use, or modification of the information in any form. Note: The DOH Chief Information Security Officer must approve any changes to this section prior to Agreement execution. IT Security Officer will send approval/denial directly to DOH Contracts Office and DOH Business Contact. C. BREACH NOTIFICATION The Information Recipient shall notify the DOH Chief Information Security Officer (securityowdohma.gm within one (1) business days of any suspected or actual breach of security or confidentiality of information covered by the Agreement. III. RE -DISCLOSURE OF INFORMATION Information Recipient agrees to not disclose in any manner all or part of the information identified in this Agreement except as the law requires, this Agreement permits, or with specific prior written permission by the Secretary of the Department of Health. If the Information Recipient must comply with state or federal public record disclosure laws, and receives a records request where all or part of the information subject to this Agreement is responsive to the request: the Information Recipient will notify the DOH Privacy Officer of the request ten (10) business days prior to disclosing to the requestor. The notice must: • Be in writing; • Include a copy of the request or some other writing that shows the: • Date the Information Recipient received the request; and • The DOH records that the Information Recipient believes are responsive to the request and the identity of the requestor, if known. Page 7 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data IV. ATTRIBUTION REGARDING INFORMATION Information Recipient agrees to cite "Washington State Department of Health" or other citation as specified, as the source of the information subject of this Agreement in all text, tables and references in reports, presentations and scientific papers. Information Recipient agrees to cite its organizational name as the source of interpretations, calculations or manipulations of the information subject of this Agreement. V. OTHER PROVISIONS With the exception of agreements with British Columbia for sharing health information, all data must be stored within the United States. VI. AGREEMENT ALTERATIONS AND AMENDMENTS This Agreement may be amended by mutual agreement of the parties. Such amendments shall not be binding unless they are in writing and signed by personnel authorized to bind each of the parties VII. CAUSE FOR IMMEDIATE TERMINATION The Information Recipient acknowledges that unauthorized use or disclosure of the data/information or any other violation of sections II or III, and appendices A or B, may result in the immediate termination of this Agreement. Vlll. CONFLICT OF INTEREST The DOH may, by written notice to the Information Recipient: Terminate the right of the Information Recipient to proceed under this Agreement if it is found, after due notice and examination by the Contracting Office that gratuities in the form of entertainment, gifts or otherwise were offered or given by the Information Recipient, or an agency or representative of the Information Recipient, to any officer or employee of the DOH, with a view towards securing this Agreement or securing favorable treatment with respect to the awarding or amending or the making of any determination with respect to this Agreement. In the event this Agreement is terminated as provided in (a) above, the DOH shall be entitled to pursue the same remedies against the Information Recipient as it could pursue in the event of a breach of the Agreement by the Information Recipient. The rights and remedies of the DOH provided for in this section are in addition to any other rights and remedies provided by law. Any determination made by the Contracting Office under this Page 8 of 34 Revision 07/2022 DSA Contract q : 19 JEF-COVIDVax-0 COVID Vaccine Data clause shall be an issue and may be reviewed as provided in the "disputes" clause of this Agreement. IX. DISPUTES Except as otherwise provided in this Agreement, when a genuine dispute arises between the DOH and the Information Recipient and it cannot be resolved, either party may submit a request for a dispute resolution to the Contracts and Procurement Unit. The parties agree that this resolution process shall precede any action in a judicial and quasi-judicial tribunal. A party's request for a dispute resolution must: • Be in writing and state the disputed issues, and • State the relative positions of the parties, and • State the information recipient's name, address, and his/her department agreement number, and • Be mailed to the DOH contracts and procurement unit, P. O. Box 47905, Olympia, WA 98504-7905 within thirty (30) calendar days after the party could reasonably be expected to have knowledge of the issue which he/she now disputes. This dispute resolution process constitutes the sole administrative remedy available under this Agreement. X. EXPOSURE TO DOH BUSINESS INFORMATION NOT OTHERWISE PROTECTED BY LAW AND UNRELATED TO CONTRACT WORK During the course of this contract, the information recipient may inadvertently become aware of information unrelated to this agreement. Information recipient will treat such information respectfully, recognizing DOH relies on public trust to conduct its work. This information may be hand written, typed, electronic, or verbal, and come from a variety of sources. XI. GOVERNANCE This Agreement is entered into pursuant to and under the authority granted by the laws of the state of Washington and any applicable federal laws. The provisions of this Agreement shall be construed to conform to those laws. In the event of an inconsistency in the terms of this Agreement, or between its terms and any applicable statute or rule, the inconsistency shall be resolved by giving precedence in the following order: Page 9 of 34 Revision 07/2022 DSA Contract # :194EF-COVIDVax-0 COVID Vaccine Data • Applicable Washington state and federal statutes and rules; Any other provisions of the Agreement, including materials incorporated by reference. XII. HOLD HARMLESS Each party to this Agreement shall be solely responsible for the acts and omissions of its own officers, employees, and agents in the performance of this Agreement. Neither party to this Agreement will be responsible for the acts and omissions of entities or individuals not party to this Agreement. DOH and the Information Recipient shall cooperate in the defense of tort lawsuits, when ppssible. XIII. LIMITATION OF AUTHORITY Only the Authorized Signatory for DOH shall have the express, implied, or apparent authority to alter, amend, modify, or waive any clause or condition of this Agreement on behalf of the DOH. No alteration, modification, or waiver of any clause or condition of this Agreement is effective or binding unless made in writing and signed by the Authorized Signatory for DOH. XIV. RIGHT OF INSPECTION The Information Recipient shall provide the DOH and other authorized entities the right of access to its facilities at all reasonable times, in order to monitor and evaluate performance, compliance, and/or quality assurance under this Agreement on behalf of the DOH. XV. SEVERABIUTY If any term or condition of this Agreement is held invalid, such invalidity shall not affect the validity of the other terms or conditions of this Agreement, provided, however, that the remaining terms and conditions can still fairly be given effect. XVI. SURVIVORSHIP The terms and conditions contained in this Agreement which by their sense and context, are intended to survive the completion, cancellation, termination, or expiration of the Agreement shall survive. XVIL TERMINATION Either party may terminate this Agreement upon 30 days prior written notification to the other party. If this Agreement is so terminated, the parties shall be liable only for Page 10 of 34 Revision 07/2022 DSA Contract g : 19JEF-COVIDVax-0 COVID Vaccine Data performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. XVIII. WAIVER OF DEFAULT This Agreement, or any term or condition, may be modified only by a written amendment signed by the Information Provider and the Information Recipient. Either parry may propose an amendment. Failure or delay on the part of either party to exercise any right, power, privilege or remedy provided under this Agreement shall not constitute a waiver. No provision of this Agreement may be waived by either party except in writing signed by the Information Provider or the Information Recipient. XIX. ALL WRITINGS CONTAINED HEREIN This Agreement and attached Exhibit(s) contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement and attached Exhibit(s) shall be deemed to exist or to bind any of the parties hereto. XX. PERIOD OF PERFORMANCE This Agreement shall be effective from 01/01/2023 through 12/31/2024. IN WITNESS WHEREOF, the parties have executed this Agreement as of the date of last signature below. INFORMATION PROVIDER State of Washington Department of Health Signature Tawney Harper, OI Deputy Director Print Name January 5, 2023 Date INFORMATION RECIPIENT Jefferf4n Coun Public Health Signature Heidi Eisenhour, Chair Jefferson County Board of Commissioners Print Name Dat— e Page 11 of 34 Revision 07/2022 DSA Contract # :19 JEF-COMMax-0 COVID Vaccine Data EXHIBIT I 1. PURPOSE AND JUSTIFICATION FOR SHARING THE DATA Provide a detailed description of the purpose and justification for sharing the data, including specifics on how the data will be used. The purpose of this Agreement is public health surveillance as it allows for a public health authority to identify, monitor, assess, or investigate potential public health signals, onsets of disease outbreaks, or conditions of public health importance. It is therefore exempt from consideration as research, per federal Common Rule (46 C.F.R. Part 46, Subpart A). Further, because the purpose of the data sharing under this agreement is not'research' as defined in RCW 42.48.010(4), chapter 42.48 RCW does not apply. WA DOH will provide patient level COVID-19 vaccine administration level data from the Washington State Immunization Information System (WAITS). Data will include doses administered to Jefferson County residents as well as doses administered within Jefferson County facilities. Additionally, linked COVID-19 case surveillance data (listed in variable list in Appendix E) will be included when these data become available. Availability of COVID-19 case surveillance data are still being determined. Is the purpose of this agreement for human subjects research that requires Washington State Institutional Review Board (WSIRB) approval? ❑ Yes ® No If yes, has a WSIRB review and approval been received? If yes, please provide copy of approval. If No, attach exception letter. ❑ Yes ❑ No 1. Agreement is for a de -identified limited data set: ❑ Yes ® No 2. Data will not be used to re -identify or contact individuals. ® Yes ❑ No 3. Data will not be linked with any other information. ® Yes ❑ No If any of the criteria above are marked "No", attach an Exempt Determination Request to this DSA. Page 12 of 34 Revision 07/2022 DSA Contract # :194EF-COVIDVax-0 COVID Vaccine Data 2. PERIOD OF PERFORMANCE This Exhibit shall have the same period of performance as the Agreement unless otherwise noted below: Exhibit shall be effective from through 3. DESCRIPTION OF DATA information Provider will make available the following information under this Agreement Database Name(s): Washington State Immunization Information System (WAITS) Data Elements being provided: See Appendix E for list of variables that will be made available. The information described in this section is: ® Restricted Confidential Information (Category 4) ❑ Confidential Information (Category 3) ❑ Potentially identifiable information (Category 3) ❑ Internal [public information requiring authorized access] (Category 2) ❑ Public Information (Category 1) Any reference to data/information in this Agreement shall be the data/information as described in this Exhibit. Page 13 of 34 Revision 07/2022 DSA Contract # :194EF-COVIDVax-0 COVID Vaccine Data 4. STATUTORY AUTHORITY TO SHARE INFORMATION DOH statutory authority to obtain and disclose the confidential information or limited Dataset(s) identified in this Exhibit to the Information Recipient: RCW 43.20.050—Powers and duties of state board of health RCW 43.70.050 — Collection, use, and accessibility of health -related data RCW 70.02.050 — Disclosure without patient's authorization WAC 246-101-515 — Handling of case reports and medical information. Information Recipient's statutory authority to receive the confidential information or limited Dataset(s) identified in this Exhibit S. ACCESS TO INFORMATION METHOD OF ACCESS/TRANSFER ❑ DOH Web Application (indicate application name): ® Washington State Secure File Transfer Service (sft.wa.gov) ❑ Encrypted CD/DVD or other storage device ❑ Health Information Exchange (HIE)** ❑ Other: (describe the methods for access/transfer)** **NOTE: DOH Chief Information Security Officer must approve prior to Agreement execution. DOH Chief Information Security Officer will send approval/denial directly to DOH Contracts Office and DOH Business Contact. FREQUENCY OF ACCESS/TRANSFER ❑ One time: DOH shall deliver information by (insert date) ® Repetitive: frequency or dates Weeld (insert dates if applicable) ❑ As available within the period of performance stated in Section 2. 6. REIMBURSEMENT TO DOH Payment for services to create and provide the information is based on the actual expenses DOH incurs, including charges for research assistance when applicable. Billing Procedure Page 14 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data Information Recipient agrees to pay DOH by check or account transfer within 30 calendar days of receiving the DOH invoice. • Upon expiration of the Agreement, any payment not already made shall be submitted within 30 days after the expiration date or the end of the fiscal year, which is earlier. Charges for the services to create and provide the information are: Z No charge. 7. DATA DISPOSITION Unless otherwise directed in writing by the DOH Business Contact, at the end of this Agreement, or at the discretion and direction of DOH, the Information Recipient shall: ❑ Immediately destroy all copies of any data provided under this Agreement after it has been used for the purposes specified in the Agreement . Acceptable methods of destruction are described in Appendix B. Upon completion, the Information Recipient shall submit the attached Certification of Data Disposition (Appendix C) to the DOH Business Contact. ❑ Immediately return all copies of any data provided under this Agreement to the DOH Business Contact after the data has been used for the purposes specified in the Agreement, along with the attached Certification of Data Disposition (Appendix C) ® Retain the data for the purposes stated herein for a period of time not to exceed one year (e.g., one year, etc.), after which Information Recipient shall destroy the data (as described below) and submit the attached Certification of Data Disposition (Appendix C) to the DOH Business Contact. ❑ Other (Describe): Page 15 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data S. RIGHTS IN INFORMATION Information Recipient agrees to provide, if requested, copies of any research papers or reports prepared as a result of access to DOH information under this Agreement for DOH review prior to publishing or distributing. In no event shall the Information Provider be liable for any damages, including, without limitation, damages resulting from lost information or lost profits or revenue, the costs of recovering such Information, the costs of substitute information, claims by third parties or for other similar costs, or any special, incidental, or consequential damages, arising out of the use of the information. The accuracy or reliability of the Information is not guaranteed or warranted in anyway and the information Provider's disclaim liability of any kind whatsoever, including, without limitation, liability for quality, performance, merchantability and fitness for a particular purpose arising out of the use, or inability to use the information. If checked, please submit the following: • Copies of (insert fist of items) to the attention of: _(insert name of DOH employee) at (insert address to which material is sent) 9. ALL WRITINGS CONTAINED HEREIN This Agreement and attached Exhibit(s) contains all the terms and conditions agreed upon by the parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement and attached Exhibit(s) shall be deemed to exist or to bind any of the parties hereto. Page 16 of 34 Revision 07/2022 DSA Contract 9 :19-JEF-aMDVax-0 COVID Vaccine Data IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature below. INFORMATION PROVIDER State of Washington Department of Health Signature Tawney Harper, OI Deputy Director Print Name January 5, 2023 Date Approved as To form only: December 13, 2022 Philip C. Hunsucker DATE Chief Civil Deputy Prosecuting Attorney INFORMATION RECIPIENT Jeff n Cou y Public Health Signature Heidi Eisenhour, Chair Jefferson County Board of Commissioners Print Name i z�j� r2Z Dace Page 17 of 34 Revision 07/2022 DSA Contract # :191EF-COVIDVax-0 COVID Vaccine Data EXHIBIT 11 APPROVED SCOPE OF DEATH DATA 1. PURPOSE OF DATA AUTHORIZED BY THE DEPARTMENT DOH death data contribute to populating a death field in IIS. Requestors will receive IIS data extracts that include this death field. Requestors are authorized to use this death data for identifying individuals who should not be contacted during outreach efforts. This could include filtering out deceased individuals before calculating certain coverage rates and before sending out reminders about overdue vaccinations (reminder recall). The Information Recipient is permitted to contact individuals. ❑ Yes ® No If yes: Contacting individuals that is authorized by the Department. The data is permitted to be linked with other information. ❑ Yes ® No If yes: Linking authorized by the Department. The data is permitted to be re -disclosed. ❑ Yes ® No If ves: Re -disclosure that is autnorizeo Dy the Page 18 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data 2. DESCRIPTION OF DATA The Department will make available the following information under this Agreement: ❑ WA Death Annual Statistical ❑ WA Death Cause of Death Literals ® WA Death Names ❑ WA Death Geocode The information described in this section is: ❑ Restricted Confidential Information (Category 4) ® Potentially Identifiable/Confidential Information (Category 3) ❑ Internal [public information requiring authorized access] (Category 2) ❑ Public Information (Category 1) Any reference to data/information in this Agreement shall be the data/information as described in this Exhibit. 3. USE OF INFORMATION The Information Recipient agrees and understands that, unless stated otherwise in this Exhibit, it is not permitted to: • Use the information received under this Agreement for any commercial purposes. • Sell the information to another individual or organization. • Share or give information received under this Agreement with anyone not authorized by the Department or for any reason beyond the purposes stated in this Exhibit. 4. ACCESS TO INFORMATION METHOD OF ACCESS/TRANSFER ❑ DOH Web Application (indicate application name): ❑ DOH Y: Drive (Internal DOH only) ® Washington State Secure File Transfer Service (sft.wa.gov) ❑ Health Information Exchange (HIE)** ❑ Other: (describe the methods for access/transfer)** **Note: The Department's Chief Information Security Officer must approve prior to Agreement execution. The Department's Chief Information Security Officer will send approval/denial directly to the Department's Contracts Office and Business Contact. FREQUENCY OF ACCESS/TRANSFER ❑ Repetitive: frequency ® As available or requested. Page 19 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data S. REIMBURSEMENT TO DOH The Information Recipient shall pay the Department the applicable fees required by WAC 246-492- 990 for the information provided under this Agreement. Billing Procedure Information Recipient agrees to provide payment to the Department before receiving the data, and understands that the Department will not provide data until payment has been made. Upon expiration of the Agreement, any payment not already made shall be submitted within 30 days after the expiration date or the end of the fiscal year, whichever is earlier. 6. RIGHTS IN INFORMATION information Recipient agrees to provide, if requested, copies for review by the Department of any research papers or reports prepared as a result of access to Department information under this Agreement prior to publishing or distributing. If requested, submit the copies of any research papers or reports to the Department's Business Contact listed in this Agreement. In no event shall the Department be liable for any damages, including, without limitation, damages resulting from lost information or lost profits or revenue, the costs of recovering such Information, the costs of substitute information, claims by third parties or for other similar costs, or any special, incidental, or consequential damages, arising out of the use of the information. The accuracy or reliability of the Information is not guaranteed or warranted in any way and the Department disclaims liability of any kind whatsoever, including, without limitation, liability for quality, performance, merchantability and fitness for a particular purpose arising out of the use, or inability to use the information. IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature below. INFORMATION PROVIDER State of Washington Department of Health /1�lat&tz� Signature Katherine Hutchinson Print Name 1 /04/2023 Date INFORMATION RECIPIENT Jeffer n County Public Health Signature pp Print Name l � Heidi Eisenhour, Chair (Z- Jefferson County Board of Commissioners Date Page 20 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data APPENDIX A USE AND DISCLOSURE OF CONFIDENTIAL INFORMATION People with access to confidential information are responsible for understanding and following the laws, policies, procedures, and practices governing it. Below are key elements: A. CONFIDENTIAL INFORMATION Confidential information is information federal and state law protects from public disclosure. Examples of confidential information are social security numbers, and healthcare information that is identifiable to a specific person under RCW 70.02. The general public disclosure law identifying exemptions is RCW 42.56. B. ACCESS AND USE OF CONFIDENTIAL INFORMATION 1. Access to confidential information must be limited to people whose work specifically requires that access to the information. 2. Use of confidential information is limited to purposes specified elsewhere in this Agreement. C. DISCLOSURE OF CONFIDENTIAL INFORMATION 1. An Information Recipient may disclose an individual's confidential information received or created under this Agreement to that individual or that individual's personal representative consistent with law. 2. An Information Recipient may disclose an individual's confidential information, received or created under this Agreement only as permitted under the Re - Disclosure of information section of the Agreement, and as state and federal laws allow. D. CONSEQUENCES OF UNAUTHORIZED USE OR DISCLOSURE An Information Recipient's unauthorized use or disclosure of confidential information is the basis for the Information Provider immediately terminating the Agreement. The Information Recipient may also be subject to administrative, civil and criminal penalties identified in law. E. ADDITIONAL DATA USE RESTRICTIONS: (if necessary) Signature: Date: Page 21 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data APPENDIX B DATA SECURITY REQUIREMENTS Protection of Data The storage of Category 3 and 4 information outside of the State Governmental Network requires organizations to ensure that encryption is selected and applied using industry standard algorithms validated by the NIST Cryptographic Algorithm Validation Program. Encryption must be applied in such a way that it renders data unusable to anyone but authorized personnel, and the confidential process, encryption key or other means to decipher the information is protected from unauthorized access. All manipulations or transmissions of data within the organizations network must be done securely. The Information Recipient agrees to store information received under this Agreement (the data) within the United States on one or more of the following media, and to protect it as described below: A. Passwords 1. Passwords must always be encrypted. When stored outside of the authentication mechanism, passwords must be in a secured environment that is separate from the data and protected in the same manner as the data. For example passwords stored on mobile devices or portable storage devices must be protected as described under section F. Data storage on mobile devices or portable storage media. 2. Complex Passwords are: • At least 8 characters in length. • Contain at least three of the following character classes: uppercase letters, lowercase letters, numerals, special characters. • Do not contain the user's name, user ID or any form of their full name. • Do not consist of a single complete dictionary word but can include a passphrase. • Do not consist of personal information (e.g., birthdates, pets' names, addresses, etc.). • Are unique and not reused across multiple systems and accounts. • Changed at least every 120 days. B. Hard Disk Drives / Solid State Drives — Data stored on workstation drives: 1. The data must be encrypted as described under section F. Data storage on mobile devices or portable storage media. Encryption is not required when Potentially Identifiable Information is stored temporarily on local workstation Hard Disk Drives/Solid State Drives. Temporary storage is thirty (30) days or less. Page 22 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data 2. Access to the data is restricted to authorized users by requiring logon to the local workstation using a unique user ID and Complex Password, or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards. Accounts must lock after 5 unsuccessful access attempts and remain locked for at least 15 minutes, or require administrator reset. C. Network server and storage area networks (SAN) 1. Access to the data is restricted to authorized users through the use of access control lists which will grant access only after the authorized user has authenticated to the network. 2. Authentication must occur using a unique user ID and Complex Password, or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards. Accounts must lock after 5 unsuccessful access attempts, and remain locked for at least 15 minutes, or require administrator reset. 3. The data are located in a secured computer area, which is accessible only by authorized personnel with access controlled through use of a key, card key, or comparable mechanism. 4. If the servers or storage area networks are not located in a secured computer area or if the data is classified as Confidential or Restricted it must be encrypted as described under F. Data storage on mobile devices or portable storage media. D. Optical discs (CDs or DVDs) 1. Optical discs containing the data must be encrypted as described under F. Data storage on mobile devices or portable storage media. 2. When not in use for the purpose of this Agreement, such discs must be locked in a drawer, cabinet or other physically secured container to which only authorized users have the key, combination or mechanism required to access the contents of the container. E. Access over the Internet or the State Governmental Network (SGN). 1. When the data is transmitted between DOH and the Information Recipient, access is controlled by the DOH, who will issue authentication credentials. 2. Information Recipient will notify DOH immediately whenever: a) An authorized person in possession of such credentials is terminated or otherwise leaves the employ of the Information Recipient; Page 23 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data b) Whenever a person's duties change such that the person no longer requires access to perform work for this Contract. 3. The data must not be transferred or accessed over the Internet by the Information Recipient in any other manner unless specifically authorized within the terms of the Agreement. a) If so authorized the data must be encrypted during transmissions using a key length of at least 128 bits. Industry standard mechanisms and algorithms, such as those validated by the National Institute of Standards and Technology (NIST) are required. b) Authentication must occur using a unique user ID and Complex Password (of at least 10 characters). When the data is classified as Confidential or Restricted, authentication requires secure encryption protocols and multi - factor authentication mechanisms, such as hardware or software tokens, smart cards, digital certificates or biometrics. c) Accounts must lock after 5 unsuccessful access attempts, and remain locked for at least 15 minutes, or require administrator reset. F. Data storage on mobile devices or portable storage media 1. Examples of mobile devices are: smart phones, tablets, laptops, notebook or netbook computers, and personal media players. 2. Examples of portable storage media are: flash memory devices (e.g. USB flash drives), and portable hard disks. The data must not be stored by the Information Recipient on mobile devices or portable storage media unless specifically authorized within the terms of this Agreement. If so authorized: a) The devices/media must be encrypted with a key length of at least 128 bits, using industry standard mechanisms validated by the National Institute of Standards and Technologies (NIST). • Encryption keys must be stored in a secured environment that is separate from the data and protected in the same manner as the data. b) Access to the devices/media is controlled with a user ID and a Complex Password (of at least 6 characters), or a stronger authentication method such as biometrics. c) The devices/media must be set to automatically wipe or be rendered unusable after no more than 10 failed access attempts. Page 24 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data d) The devices/media must be locked whenever they are left unattended and set to lock automatically after an inactivity activity period of 3 minutes or less. e) The data must not be stored in the Cloud. This includes backups. f) The devices/ media must be physically protected by: • Storing them in a secured and locked environment when not in use; • Using check-in/check-out procedures when they are shared; and • Taking frequent inventories. 4. When passwords and/or encryption keys are stored on mobile devices or portable storage media they must be encrypted and protected as described in this section. G. Backup Media The data may be backed up as part of Information Recipient's normal backup process provided that the process includes secure storage and transport, and the data is encrypted as described under F. Data storage on mobile devices or portable storage media. H. Paper documents Paper records that contain data classified as Confidential or Restricted must be protected by storing the records in a secure area which is only accessible to authorized personnel. When not in use, such records is stored in a locked container, such as a file cabinet, locking drawer, or safe, to which only authorized persons have access. I. Data Segregation 1. The data must be segregated or otherwise distinguishable from all other data. This is to ensure that when no longer needed by the Information Recipient, all of the data can be identified for return or destruction. It also aids in determining whether the data has or may have been compromised in the event of a security breach. 2. When it is not feasible or practical to segregate the data from other data, then all commingled data is protected as described in this Exhibit. J. Data Disposition If data destruction is required by the Agreement, the data must be destroyed using one or more of the following methods: Page 25 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data Data stored on: Is destroyed by: Hard Disk Drives / Solid State Using a "wipe" utility which will overwrite the data at Drives least three (3) times using either random or single character data, or Degaussing sufficiently to ensure that the data cannot be reconstructed, or Physically destroying the disk, or Delete the data and physically and logically secure data storage systems that continue to be used for the storage of Confidential or Restricted information to prevent any future access to stored information. One or more of the preceding methods is performed before transfer or surplus of the systems or media containing the data. Paper documents with On -site shredding, pulping, or incineration, or Confidential or Restricted Recycling through a contracted firm provided the information Contract with the recycler is certified for the secure destruction of confidential information. Optical discs (e.g. CDs or DVDs) Incineration, shredding, or completely defacing the readable surface with a course abrasive. Magnetic tape Degaussing, incinerating or crosscut shredding. Removable media (e.g. floppies, Using a "wipe" utility which will overwrite the data at USB flash drives, portable hard least three (3) times using either random or single disks, Zip or similar disks) character data. Physically destroying the disk. Degaussing magnetic media sufficiently to ensure that the data cannot be reconstructed. K. Notification of Compromise or Potential Compromise The compromise or potential compromise of the data is reported to DOH as required in Section II.C. Page 26 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data APPENDIX C CERTIFICATION OF DATA DISPOSITION Date of Disposition ❑ All copies of any Datasets related to agreement DOH# have been deleted from all data storage systems. These data storage systems continue to be used for the storage of confidential data and are physically and logically secured to prevent any future access to stored information. Before transfer or surplus, all data will be eradicated from these data storage systems to effectively prevent any future access to previously stored information. ❑ All copies of any Datasets related to agreement DOH# have been eradicated from all data storage systems to effectively prevent any future access to the previously stored information. ❑ All materials and computer media containing any data related to agreement DOH # have been physically destroyed to prevent any future use of the materials and media. ❑ All paper copies of the information related to agreement DOH # have been destroyed on -site by cross cut shredding. ❑ All copies of any Datasets related to agreement DOH # that have not been disposed of in a manner described above, have been returned to DOH. ❑ Other The data recipient hereby certifies, by signature below, that the data disposition requirements as provided in agreement DOH # , Section J, Disposition of Information, have been fulfilled as indicated above. Signature of data recipient Date Page 27 of 34 Revision 07/2022 DSA Contract #i :19 JEF-COVIDVax-0 COVID Vaccine Data APPENDIX D DOH SMALL NUMBERS GUIDELINES • Aggregate data so that the need for suppression is minimal. Suppress all non -zero counts which are less than ten. • Suppress rates or proportions derived from those suppressed counts. • Assure that suppressed cells cannot be recalculated through subtraction, by using secondary suppression as necessary. Survey data from surveys in which 80% or more of the eligible population is surveyed should be treated as non -survey data. • When a survey includes less than 80% of the eligible population, and the respondents are unequally weighted, so that cell sample sizes cannot be directly calculated from the weighted survey estimates, then there is no suppression requirement for the weighted survey estimates. • When a survey includes less than 80% of the eligible population, but the respondents are equally weighted, then survey estimates based on fewer than 10 respondents should be "top -coded" (estimates of less than 5% or greater than 95% should be presented as 0-5% or 95-100%). Page 28 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data APPENDIX E DATA ELEMENTS reWIM1Q Immunisatinn Rpe itn LHl Data nirti[ataty Field Name DataType Field Definition Field Values The name of the physical clinic or facility that reported the vaccination, refusal, or missed appointment. In some cases, this could be the same as the AdministeredAtLocatlon varchar(50) 1 responsible organization. 1(Commercial vaccination service provider) 2 (Corrections/detention health services) 3 (Health center —community) 4 (Health center —migrant or refugee) 5 (Health center —occupational) 6 (Health center—STD/HIV clinic) 7 (Health center —student) 8 (Home health care provider) 9 (Hospital) 10 (Indian Health Service) 11(Tribal health) 12 (Medical practice —family medicine) 13 (Medical practice —pediatrics) 14 (Medical practice — internal medicine) 15 (Medical practice — OB/GYN) 16 (Medical practice — other specialty) 17 (Pharmacy —chain) 18 (Pharmacy — independent) 19 (Public health provider — public health clinic) 20 (Public health provider — Federally Qualified Health Center) 21(Public health provider — Rural Health Clinic) 22 (Long-term care — nursing home, skilled nursing facility, federally certified) 23 (Long-term care — nursing home, skilled nursing facility, non -federally certified) 24 (Long-term care — assisted living) 25 (long-term care — intellectual or developmental disability) 26 (Long-term care — combination) 27 (Urgent care) The characteristic of the 28 (Other) provider site that reported the UNK (Unknown) AdministeredAtLocationTy vaccination, refusal, or missed pe int appointment The city component of where the vaccine is being administered/planned to be administered. For long-term care facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should be where the clinic is being AdministrationAddressClty varchar(5o) held. Page 29 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data The county component of where the vaccine is being administered/planned to be administered. For long-term pre facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should AdministrationAddressCou be where the clinic is being nty int held. The state component of where the vaccine is being administered/planned to be administered. For long-term pre facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should AdministrationAddressStat be where the clinic is being e varchar(2) held. The street component of where the vaccine is being administered/planned to be administered. For long-term pre facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should AdministrationAddressStre be where the clinic is being et varchar(50) held. The street 2 component of where the vaccine is being administered/planned to be administered. For long-term pre facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should AdministrationAddress5tre be where the clinic is being et2 varchar(50) held. The zip code component of where the vaccine is being administered/planned to be administered. For long-term pre facilities, the recipient's address will be the same as the administration address. For mobile clinics, the administration address should AdministrationAddressVpC be where the clinic is being ode int held. The date the vaccination event occurred (or was intended to AdministrationDate date occur) ASIISFACID int WAIIS Facirdy ID Page 30 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data Dose # in vaccination series provided dose is considered valid (e.g., counts towards DoseNumber lnt immunity). WalisinsertDate datetime WAILS Vaccination Insert Date The lot number of the vaccine administered: Unit of Use (UoU) Is preferred if both UoU and LotNumber varchar(20) Unit of Sale (UoS) are available. The manufacturer ofthevaccine https://www2a.cdc.gov/vacdnes/Osti6standards/vaccin MVX varchar(5) administered es.a 7r t=mvx The vaccine type that was https://www2a.cdc.gov/vaccines/lis/ilsstandards/vamin CVX int administered. es as 7rpt-m The vaccine product that was administered. Unit of Use (UoU) Is preferred if both UoU and httPs://www2a.cdc.gov/vaccines,41s/lisstandards/ndq_c NDC varchar(20) Unit of Sale (Uos) are available. rosswalk.asp PatlentLanguage varchar(25) Recipient's Language The city component of the Red ientAddressCity varchar(50) recipient's address The county component of the Reci ientAddressCoun Int recipient's address The state component of the Red ientAddressState varchar(2) recipient's address The street component of the RecipientAddressStreet varchar(50) recipient's address The steet 2 component of the RecipientAddressStreet2 varchar(SO) recipient's address The zip code of the recipient's address (5 digit or 10 digits, with RecipientAddressZipCode int hyphen, are aqx TLable) Reci lentDateOfBirth date Recipient's date of birth 2135-2 (Hispanic or Latino) 2186-5 (Not Hispanic or Latino) UNK (Unknown ethnidty) RecipIentEthnIcItV varchar(10) The ancestry of the patient POL (Unable to report to do policy/law) Unique ID for this recipient. This can be the ID used by your system or a randomly assigned unique identifier. However, the ID must be consistent across reports to allow linking doses to Reci ientid int the same recipient ID. ReciplentNameFirst varcha SO) Recipient's first name Page 31 of 34 Revision 07/2022 DSA Contract # :19-1EF-COVIDVax-0 COVID Vaccine Data RecipientNameLast varchar(100) Recipient's last name RecipientNameMiddle varchar(50) Red lent's middle name 1002-5 (American Indian or Alaska Native) 2029-9 (Asian) 2076-8 (Native Hawaiian or Other Pacific Islander) 2054-5 (Black or African American) 2106-3 (White) 2131-1(Other Race) UNK(Unknown) POL (Unable to report due to policy/law) RecipientRacel varchar(10) Patient's race Patients race. Fields recipient race 2-6 support recipients with See Value Set in "RecipientRace V field more than i race. (Skip if only RecipientRace2 varchar(10) one race reported). Patient's race. Fields recipient race 2-6 support recipients with See Value Set in "RecipientRace 1" field more than i race. (Skip if only Reci IentRace3 varchar(10) one race reported). Patient's race. Fields recipient race 2-6 support recipients with See Value Set in "RecipientRace V field more than 1 race. (Skip if only ReciplentRace4 varchar(10) one race reported). Patient's race. Fields recipient race 2-6 support recipients with See Value Set in "RecipientRace 1" field more than 1 race. (Skip if only RecipientRace5 varchar(10) one race reported). Patient's race. Fields recipient See Value Set in "RecipientRace 1" field race 2-6 support redpients with more than 1 race. (Skip if only RecipientRace6 varchar(10) one race reported). M (Male) F (Female) U (Unknown/undifferentiated) Reci ientSex varchar(3) Recipient sex The name of the parent organization or health system that originated and is accountable for the content of the record. If an organization has several clinics or facilities, this would be the organization that represents all of the clinics/fadiities. (The "Administered at location" field is the name of individual ResponsibleOrganization varchar(50) physical location.) Page 32 of 34 Revision 07/2022 DSA Contract # :19 JEF-COVIDVax-0 COVID Vaccine Data The vaccination events unique Identifier within the system. This should be a unique identifier for each vaccination VaccinationEventld varcha 50) event. Yes - Vaccination was refused VAccinationRefusal varchar(2) Vaccination was refused. No - Vaccine was administered Yes - Series is complete Report if the vaccination series No - More doses are required VAccinatlonSer-esComplete varchar(S) is complete. UNK - Unknown or cannot be calculated IT (Left thigh) LA (left arm) LD (left deltoid) LG (left gluteus medius) LVL (left vastus lateralis) LLFA (left lower forearm) RT (right thigh) RA (right arm) RD (right deltoid) RG (right gluteus medius) RVL (right vastus lateralis) The body site of vaccine RLFA (right lower forearm) VacdneAdministedn a varchad6) administration. The expiration date of the VaccineExpirationDate date vaccine administered. C38238 (Intraderrnal) C28161 (Intramuscular) C38284 (Nasal) C38276 (Intravenous) C38288 (Oral) C38676 (Percutaneous) The route of vaccine C38299 (Subcutaneous) VacdneRouteofAdministrat administration (e.g., oral, C3g305 (Transderrnal) Ion varcha 10 subcutaneous This is the 6-ftit Provider PIN in VrrckS. For VFC providers, this is the VFC PIN. This ID is being used for linking across data sources. If the event is reported as historical, assign the PIN of the VTrckSProviderPiN varchar(13) reporting entity. Flag to identify recipients who have multiple records with differing RecipientAddressCounty or LHIChan a varchar(i) AdministrationAddressCoun i - Different counties between records Washington Disease Reporting WDRS PAT ID varchar(SO) System ID SerologyDrawDate (Not available right away) Date Date specimen was collected Page 33 of 34 Revision 07/2022 DSA Contract # :19-JEF-COVIDVax-0 COVID Vaccine Data 56=5ARS-CoV-2 V qualitative 57=SARS-CoV-2 RdRp gene result 58--SARS-CoV-2 result 58=overall SARS-CoV-2 result 60=SARS-CoV-2 N gene result 61=SARS-related CoV result SerologyTypeCode 62=SAR5-CoV-2 ORFlab region result (Not available right away) Type of test performed 63=SARS-CoV-2 Ab qualitative i=Positive 2=Negative 3dmmune 4--Non-Immune S=Reactive 6=Non-reactive SerologyResultld 7=Indeterminate (Not available fight away) Result of test 9--Intermediate CENSUS TRACT' Census tract used in geocoding Not available r' ht away) INT for recipient's address GEOCODE_X' X coordinate used in geocoding (Not available right away) INT for recipients address GEOCODE_Y* Y coordinate used in geocoding Not available right away) INT for recipients address PAT DEATH DATE Nat available right away) DATE Patient date of death Page 34 of 34 Revision 07/2022 r 615 Sheridan Street Port Townsend, WA 98368 �efeuon www.JeffersonCountyPublicHealth.org 66* Consent Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS } AGENDA REQUEST TO: Board of County Commissioners Mark McCauley, County Administrator FROM: Apple Martine, Jefferson County Public Health Director Denise Banker, Community Health Division Director DATE: December 19, 2022 SUBJECT: Agenda item — Data Sharing Agreement, WA DOH; January 1, 2023 — December 31, 2024 STATEMENT OF ISSUE: Jefferson County Public Health, Community Health Division, requests Board approval of Data Sharing Agreement between WA Department of Health (DOH) and Jefferson County Public Health. DOH contract number 19-JEF-COVIDVax-0, January 1, 2023 — December 31, 2024 ANALYSIS/STRATEGIC GOALS/PRO'S and COWS: The purpose of this agreement is public health surveillance as it allows for a public health authority to identify, monitor, assess, or investigate potential public health signals, onsets of disease outbreaks, or conditions of public health importance. DOH will provide patient level COVID-19 vaccine administration level data from the WA State Immunization Information System (WAIIS). Data will include doses administered to Jefferson County residents as well as doses administered within Jefferson County facilities. Additionally, linked COVID-19 case surveillance data (listed in variable list in Appendix E) will be included when these data become available. r FISCAL IMPACT/COST BENEFIT ANALYSIS: There is no charge for this service. There is no fiscal impact. RECOMMENDATION: JCPH management requests approval of Data Sharing Agreement between WA Department of Health (DOH) and Jefferson County Public Health. DOH contract number 19-JEF-COVIDVax-0, January 1, 2023 — December 31, 2024 ;741f) I W.'14�1-3'E Mark McCaule ounty Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f)360-379-4487 360-385-9401 (f) Always working for a safer and healthier community N-22-059 CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Dept of Health Contract No: N-22-059 Contract For: Data Sharing - COVID Vaccine Term: 1/1/2023 - 12/31/2024 COUNTY DEPARTMENT: Public Health Contact Person: Denise Banker Contact Phone: x 438 Contact email: dbanker&o )efferson.wa.us AMOUNT: - 0 - PROCESS: Revenue: Expenditure: Matching Funds Required: Sources(s) of Matching Funds Fund # Munis Org/Obj Exempt from Bid Process Cooperative Purchase Competitive Sealed Bid Small Works Roster Vendor List Bid RFP or RFQ Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES P CE 3.55.080 AND CHAPTER 42.23 RCW. ■ CO � CERTIFIED: N/A: . Dec. 1, 2022 Signature Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: El N/A: ❑� Dec. 1, 2022 ignature Date STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche): Electronically approved by Risk Management on 12/7/2022. State language. STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through LaserFche): Electronically approved as to form by PAO on 12/13/2022. State language - cannot change. STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL