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Child Death Review Case Reporting Data Use Agreement Addendum
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2017-08-01 10:00 AM - Commissioners' Agenda
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Child Death Review Case Reporting Data Use Agreement Addendum
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Last modified
1/16/2018 2:48:20 PM
Creation date
1/16/2018 12:12:36 PM
Metadata
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Meeting
Date
8/1/2017
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
q
Item
Request to Approve a Resolution to Authorize an Amendment to the Child Death Reporting System Data Use Agreement between the Kittitas County Public Health Department and the Michigan Public Health Institute
Order
17
Placement
Consent Agenda
Row ID
38579
Type
Agreement
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Attachment 3 <br />Confidentiality Agreement to be Signed by All Researchers with Access to NCRPCD Data <br />By signing this Agreement, I agree to the following: <br />1. I will safeguard the confidentiality of all confidential information contained in the National <br />CDR dataset to which I have been given access. I will not carelessly handle confidential <br />information. I will not in any way divulge copy, release, sell, loan, review, or alter any <br />confidential information except as within the scope of my duties. <br />2. I will only access confidential information for which I have a need to know and I will use <br />that information only as needed to perform my duties. <br />3. I will not attempt nor permit others to attempt to use the dataset to learn the identity of any <br />decedent. If I inadvertently discover the identity of a decedent, I will make no use of this <br />knowledge, will not permit others to use the knowledge, will not inform anyone else of this <br />knowledge, and will inform NCRPCD of the discovery so it can prevent future discoveries. <br />4. 1 will transmit and store all electronic and hard copy data in a secure and confidential manner <br />and location at all times. <br />5. Upon completion of the performance of my duties, the identifiable dataset will be destroyed <br />and no opportunities will be available to access that data on the network or computer <br />systems. <br />6. I will promptly report activities by any individual or entity that I suspect may compromise <br />the availability, integrity, security, or privacy of confidential information. <br />7. I understand that the ownership of any confidential information referred to in this Agreement <br />is defined by State statutes. <br />8. I understand that violating applicable laws and regulations may lead to other legal penalties <br />imposed by the judicial system. <br />Signature: Date: <br />Print Name: <br />31 <br />
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