№ files_lp_4_process_3_098076
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Legal agreement terms governing the transfer, handling, disclosure, and protection of protected health information and personally identifiable data in compliance with HIPAA regulations.
Jurisdiction:
United States
Legal framework:
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Regulatory references:
45 CFR § 160.103; 45 CFR § 164.514; 45 CFR § 164.530(c); Subpart D of 45 CFR § 164
Subject matter:
Protected Health Information (PHI) and Personally Identifiable Information
Document type:
Legal agreement terms and conditions
Agreement type:
Data transfer and use agreement
Parties:
Provider; Recipient
Data classification:
Protected Health Information (PHI)
Purpose of data use:
Project-related use consistent with obtained consents or authorizations
Compliance requirements:
HIPAA Privacy Regulations
Institutional oversight:
Institutional Review Board (IRB) approval or waiver where required
Data access:
Authorized Persons only
Disclosure restrictions:
Use and disclosure limited to the terms of the agreement and applicable law
Incident notification:
Unauthorized use or disclosure must be reported to Provider within five business days
Data protection measures:
Reasonable safeguards to prevent prohibited uses and disclosures
Data retention and disposal:
Removal and secure destruction or return of identifiable data elements as directed by Provider
Amendment provision:
Agreement subject to amendment to maintain HIPAA compliance
Documentation requirement:
Recipient must provide IRB-approved protocol documentation upon request
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Year:
2019
Region / City:
North Carolina
Subject:
Data Privacy and Security
Document Type:
Best Practices Guide
Institution:
North Carolina Department of Public Instruction
Author:
Division of School Data, Research and Federal Policy
Target Audience:
NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity:
Ongoing
Approval Date:
August 30, 2019
Date of Modifications:
Not specified
Year:
2015
Region / City:
Weslaco, Texas
Subject:
Medicaid Reimbursement, Special Education Services
Document Type:
Consent Form
Organization / Institution:
Weslaco Independent School District
Author:
Weslaco ISD
Target Audience:
Parents/Guardians of students receiving special education services
Period of Validity:
As long as the child is receiving SHARS services
Approval Date:
07/08/2015
Modification Date:
None
Year:
Not specified
Region / City:
Not specified
Topic:
Ethics, Environment
Document Type:
Opinion
Author:
Not specified
Target Audience:
General public
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2017
Region / City:
United States
Topic:
Data privacy, healthcare information
Document Type:
Fact Sheet
Agency/Organization:
VHA Privacy Office
Author:
VHA
Target Audience:
VA employees
Effective Period:
May 2017
Approval Date:
May 2017
Date of Last Update:
May 2017
Year:
2019
Region / City:
North Carolina
Subject:
Data Privacy and Security
Document Type:
Best Practices Guide
Institution:
North Carolina Department of Public Instruction
Author:
Division of School Data, Research and Federal Policy
Target Audience:
NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity:
Ongoing
Approval Date:
August 30, 2019
Date of Modifications:
Not specified
Year:
2015
Region / City:
Weslaco, Texas
Subject:
Medicaid Reimbursement, Special Education Services
Document Type:
Consent Form
Organization / Institution:
Weslaco Independent School District
Author:
Weslaco ISD
Target Audience:
Parents/Guardians of students receiving special education services
Period of Validity:
As long as the child is receiving SHARS services
Approval Date:
07/08/2015
Modification Date:
None
Year:
2026
Institution:
The City University of New York
Type of Document:
Informed Consent Form
Principal Investigator:
Not specified
Target Audience:
Research participants providing identifiable private information or biospecimens
Purpose:
Obtain broad consent for future research use of identifiable private information and biospecimens
Scope:
Future research studies with potential sharing among academic, government, private, and nonprofit researchers
Risks:
Potential privacy violations
Benefits:
Advancement of scientific knowledge for society
Alternatives:
Participants may refuse broad consent without affecting current or future benefits
Withdrawal Policy:
Participants may withdraw consent for future research, with limitations on previously shared data
Year:
2024
Institution:
University at Buffalo
Program:
Human Research Protections Program
Document Type:
Guidance / Form
Audience:
Researchers submitting waiver requests
Related Regulations:
HIPAA
Purpose:
Request waiver of authorization for use of individually identifiable health information in research
Revision History:
R00 (3/25/14) original issue; R01 (6/10/19) policy alignment; annual reviews 2020–2024
Instructions Included:
Yes
Year:
2019
Organization:
Illinois CPA Society, Accounting Principles Committee
Document Type:
Comment letter
Addressee:
Financial Accounting Standards Board
Authors:
Brian Kot, CPA; William Keirse, CPA
Topic:
Accounting for goodwill and intangible assets
Target Audience:
FASB members and staff
Period Covered:
Current accounting standards and proposed changes
Reference Number:
2019-720
Context:
Letter provides professional perspectives on accounting standards proposals for intangible assets and goodwill, discussing cost-benefit considerations and differing views on amortization and impairment testing.
Year:
N/A
Region / City:
N/A
Theme:
Research, Health Information, HIPAA Authorization
Document Type:
Template
Organization / Institution:
UW Medicine, Fred Hutchinson Cancer Center
Author:
N/A
Target Audience:
Research Participants, Legal Representatives
Effective Period:
N/A
Approval Date:
N/A
Revision Date:
N/A
Note:
Year
Topic:
Research
Document Type:
Consent Form
Note:
Version Date
Year:
2013
Region / City:
United States
Topic:
Health Information Privacy
Document Type:
Regulatory Guidelines
Organization / Institution:
Department of Health & Human Services
Author:
Department of Health & Human Services
Target Audience:
Covered entities, business associates, legal professionals
Period of Validity:
Ongoing
Approval Date:
January 25, 2013
Amendment Date:
Not specified
Note:
Year
Topic:
Business Associate Agreement, HIPAA Compliance
Document Type:
Agreement
Year:
2026
Region / City:
United States
Subject:
Health information privacy
Document type:
Privacy notice
Organization:
Physician practice
Author:
Privacy Officer
Effective date:
[insert effective date]
Legal reference:
45 C.F.R. § 164.520
Target audience:
Patients
Rights covered:
Access, amendment, accounting of disclosures, confidential communications, special privacy protections
Year:
2023
Region / City:
United States
Topic:
Health Information Privacy
Document Type:
Agreement Template
Organ / Institution:
The HIPAA Journal
Author:
The HIPAA Journal
Target Audience:
Businesses handling Protected Health Information
Effective Date:
[Effective Date]
Date of Changes:
[Date of Changes]
Year:
2023
Region / City:
Philadelphia
Topic:
Research Consent Form
Document Type:
Informed Consent
Institution:
University of Pennsylvania
Author:
University of Pennsylvania Research Team
Target Audience:
Potential research participants
Study Duration:
Variable
Approval Date:
Not specified
Amendment Date:
Not specified