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Information Sharing Agreement WA Imms
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2018-06-19 10:00 AM - Commissioners' Agenda
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Information Sharing Agreement WA Imms
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Last modified
6/14/2018 1:49:51 PM
Creation date
6/14/2018 1:49:43 PM
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Meeting
Date
6/19/2018
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
l
Item
Request to Approve a Washington State Immunization Information System Information Sharing Agreement for Exchange of Immunization Data
Order
12
Placement
Consent Agenda
Row ID
45638
Type
Agreement
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Page 2 of 8 <br /> <br />If you have a disability and need this document in another format, please call 1 -800-525-0127 (711-TTY relay). <br />DOH 348-576 November 2017 <br /> <br /> <br /> <br /> <br />THEREFORE, the Parties agree, <br /> <br />1. DEFINITIONS <br /> <br />“Agreement” means this Agreement. <br />“CDC” means the Centers for Disease Control and Prevention. <br />“De-identified immunization data” means any immunization data that does not identify nor provide a <br />reasonable or ready basis to identify an individual. <br />“llS Immunization Data” means demographics and immunization status of individual persons collected by <br />IIS regardless of whether in the form of raw data or appearing in other IIS features and functions as <br />described in Paragraph 7. Once an immunization record is entered into IIS, the record stored in the IIS <br />database is IIS Immunization Data. <br />“IIS patient record” means the IIS Immunization Data for an individual. <br />“Immunization record” means any record regardless of source documenting the status of individual <br />persons. <br />“Party” or “Parties” means either or both DOH and Provider/Plan. <br />“Provider-verified immunization record” means a valid record produced or verified by a health care <br />professional or facility documenting the immunization status of an individual. To be valid, the record <br />must be in writing, dated, and indicate the name of the health care provider responsible for <br />administering or reviewing each immunization, or a unique stamp of the provider or facility at which the <br />provider practices. <br />2. DATA TRANSMISSION <br />a. Provider/Plan shall transmit to DOH all immunization records for patients who obtain health care <br />services from Provider/Plan. Provider/Plan shall fill all IIS data fields for which Provider/Plan has <br />data. <br />b. DOH shall transmit or make available to Provider/Plan all IIS Immunization Data for patients <br />receiving health care services from Provider/Plan. <br /> <br />3. DATA FORMAT. The Parties shall exchange the immunization records using any of the following formats: <br />a. Current version of the CDC’s HL7 “Implementation Guide for Immunization Messaging.” <br />b. Web-based access, which is direct entry of data into IIS. <br />c. Flat file exchange through secure file transfer protocol (SFTP). <br /> <br />4. DATA QUALITY <br />a. Both Parties shall make best efforts to provide true, accurate, and complete information including <br />initiating entries for new patients, updating data for existing patients, and editing records that are <br />incorrect or inaccurate. <br />b. Provider/Plan shall not enter immunization records that Provider/Plan did not provide, except that <br />Provider/Plan may enter (1) Provider-verified immunization records and (2) a patient’s self-report of <br />influenza vaccine and pneumococcal polysaccharide vaccine (PPSV) as necessary to complete IIS <br />patient records. <br />c. If at any time either Party has reason to believe that the data transmitted is not true, accurate, or <br />complete, that Party shall promptly notify the other Party. <br />d. DOH does not warrant the accuracy of information DOH receives from other Providers/Plans. <br />e. Knowingly or intentionally providing false, materially inaccurate, or materially incomplete <br />immunization data is a material breach of this Agreement subject to termination for cause under <br />Paragraph 10.
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