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Data Sharing Agreement
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01. January
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2019-01-15 10:00 AM - Commissioners' Agenda
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Data Sharing Agreement
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Last modified
2/1/2019 12:13:28 PM
Creation date
2/1/2019 12:13:02 PM
Metadata
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Template:
Meeting
Date
1/15/2019
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
j
Item
Request to Approve an Agreement with the Washington State Department Health for Data Sharing
Order
10
Placement
Consent Agenda
Row ID
50670
Type
Agreement
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WAC 246-490-010-246-490-020 -Requesting vital records information without personal <br />identifiers <br />5. ACCESS TO INFORMATION <br />METHOD OF ACCESS/TRANSFER <br />D DOH Web Application (indicate application name): <br />~ Washington State Secure File Transfer Service (sft.wa.gov) <br />D Encrypted CD/DVD or other storage device <br />D Health Information Exchange (HIE)** <br />D Other: (describe the methods for access/transfer)** <br />**Note: DOH Chief Information Security Officer must approve prior to Agreement <br />execution. DOH Chief Information Security Officer will send approval/denial directly to <br />DOH Contracts Office and DOH Business Contact. <br />FREQUENCY OF ACCESS/TRANSFER <br />D One time: DOH shall deliver information by _____ (insert date) <br />D Repetitive: frequency or dates _____ (insert dates if applicable) <br />@ As available within the period of performance stated in section 2. <br />6. REIMBURSEMENT TO DOH <br />Payment for services to create and provide the information is based on the actual expenses <br />DOH incurs, including charges for research assistance when applicable. <br />Billing Procedure <br />• Information Recipient agrees to pay DOH by check or account transfer within <br />30 calendar days of receiving the DOH invoice. <br />• Upon expiration of the Agreement, any payment not already made shall be <br />submitted within 30 days after the expiration date or the end of the fiscal year, <br />which is earlier. <br />Charges for the services to create and provide the information are : <br />0 $50 per year per CHARS and Linked Birth-CHARS data file <br />D $20 per year per Vital Statistics data file <br />~ No charge. <br />Page 16 of 26 <br />09/2017
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