To: Board of Supervisors
From: DHHS: Public Health
SUBJECT:
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Data Use and Disclosure Agreement and Cross-Jurisdictional Data Sharing Policy/Procedure with the California Department of Public Health (CDPH) for the California Reportable Disease Information Exchange (CalREDIE)
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RECOMMENDATION(S):
Recommendation
That the Board of Supervisors approve and authorize the Health Officer to sign three (3) originals of the Data Use and Disclosure Agreement with CDPH for CalREDIE; approve and authorize the Health Officer to sign three (3) originals of the Cross Jurisdictional Data Sharing Policy/Procedure with CDPH for CalREDIE; and direct the Clerk of the Board to direct one (1) copy of the Board Order to the DHHS - Contract Unit for submission to DHHS - Public Health.
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SOURCE OF FUNDING:
Public Health Fund
DISCUSSION:
CalREDIE is a web-based, secure, disease reporting and surveillance system implemented by CDPH. The DHHS-Public Health Laboratory and Communicable Disease (CD) programs currently use CalREDIE to report cases of communicable disease to CDPH. Health care providers and laboratories can report cases of communicable diseases to their local public health departments and to CDPH through CalREDIE twenty-four hours a day. This allows local health departments and CDPH to have access to disease and laboratory reports in near real-time for disease surveillance, public health investigation and case management activities.
Before your Board today is a renewal of the CalREDIE Data Use and Disclosure Agreement. This agreement is required by CDPH in order to protect all personal and confidential information, and provide security for protected data in compliance with all state and federal laws applicable to protected data. DHHS - Public Health has been using CalREDIE since 2011. The term for the CalREDIE Data Use and Disclosure Agreement shall remain in effect for three (3) years after the latest signature that appears on the agreement.
Also before your Board today is a CalREDIE Cross-Jurisdictional Data Sharing (CJDS) Policy/Procedure. This is an opt-in agreement that allows any local health jurisdiction access to other opted-in local health jurisdictions’ medical records via CalREDIE without needing to request specific permission. Currently, should an individual be receiving diagnostic treatment in Humboldt but is from another county, CD staff must actively request access to the client’s records from the other county. This process can delay accurate diagnosis and treatment for the client. By signing the CJDS Policy/Procedure, CD staff could access individuals’ medical records from other opted-in counties via CalREDIE without having to request permission, speeding up diagnosis of clients who have previously lived in other counties and ultimately improving services to this population.
FINANCIAL IMPACT:
CDPH does not charge for the use of CalREDIE, therefore there is no impact to the Public Health Fund or the county General Fund.
The agreement with CDPH supports your Board's Strategic Framework by providing community appropriate levels of service.
OTHER AGENCY INVOLVEMENT:
California Department of Public Health
ALTERNATIVES TO STAFF RECOMMENDATIONS:
Your Board could choose not to approve the CalREDIE Data Use and Disclosure Agreement with CDPH and Cross-Jurisdictional Data Sharing Policy/Procedure; however, this is not recommended. These agreements are necessary in order to meet state requirements for electronic health records and to provide community-appropriate levels of service.
ATTACHMENTS:
1. One (1) copy of CalREDIE System Data Use and Disclosure Agreement
2. One (1) copy of CalREDIE Cross Jurisdictional Data Sharing Policy/Procedure
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-10; C-9; C-4; D-21
Meeting of: 12/13/11; 1/3/12; 9/17/13; 9/10/16