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Resolution-Amedment to Child Death Review Agreement
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Resolution-Amedment to Child Death Review Agreement
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Last modified
1/16/2018 3:11:08 PM
Creation date
1/16/2018 12:13:10 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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BOARD OF COUNTY COMMISSIONERS <br />COUNTY OF KITTITAS <br />STATE OF WASHINGTON <br /> <br />RESOLUTION <br />NO. 2017-_______ <br /> <br />RESOLUTION TO AUTHORIZE EXECUTION OF AN AMENDMENT TO THE CHILD <br />DEATH REVIEW CASE REPORTING SYSTEM DATA USE AGREEMENT BETWEEN THE <br />KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT AND THE MICHIGAN PUBLIC <br />HEALTH INSTITUTE <br /> <br />WHEREAS, Kittitas County, through the Kittitas County Public Health Department (KCPHD), is <br />charged with the preservation, promotion, and improvement of health in the County; and <br />WHEREAS, KCPHD and the Michigan Public Health Institute (MPHI) entered into an Agreement <br />signed on April 4, 2016 to establish the terms and conditions for the collection, storage, <br />and use of data obtained from the case reviews of child deaths submitted by Child Death <br />Review teams in Kittitas County and entrusted to the MPHI as the Child Death Review <br />Case Reporting System; and <br />WHEREAS, the Parties desire to amend the Agreement by amending the introductory paragraphs of <br />Appendix B to explicitly list all 18 HIPPA identifiers. The rest of the agreement remains <br />unchanged. <br />NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Kittitas County, <br />Washington, authorizes the Kittitas County Public Health Department to execute an <br />amendment to an Agreement with the Michigan Public Health Institute that is attached <br />hereto, and incorporated herein by reference. <br />DATED this __________ day of ____________________, 2017, at Ellensburg, Washington. <br /> <br /> BOARD OF COUNTY COMMISSIONERS <br /> KITTITAS COUNTY, WASHINGTON <br /> <br /> __________________________________________ <br /> Commissioner Paul Jewel, Chair <br /> <br /> __________________________________________ <br /> Commissioner Laura Osiadacz, Vice-Chair <br /> <br /> __________________________________________ <br /> Commissioner Obie O’Brien <br />ATTEST: <br /> <br />_____________________________ <br />Clerk of the Board: <br />□ Julie Kjorsvik <br />□ Mandy Buchholz <br />
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