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HomeMy WebLinkAbout3239 RESOLUTION NO. 3239 A RESOLUTION of the City Council of the City of Bremerton, Washington, declaring the City as a Hybrid Entity; designating the City's Health Care Components; designating HIPAA Privacy Officer(s); directing and authorizing certain officials and employees to carry out this resolution; and providing an effective date. WHEREAS, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and regulations promulgated thereunder, and the Health Information Technology for Economic and Clinical Health Act(HITECH), and regulations promulgated thereunder, require public and private entities that provide certain health care services to comply with regulations related to the collection, use, disclosure, and security of individually identifiable health information; and WHEREAS, as a"covered entity" under HIPAA,the City strives to protect the confidentiality, integrity and availability of protected health information (PHI) by taking reasonable and appropriate steps to protect the security and privacy of PHI and comply with all applicable laws and regulations relating to data privacy and security, including,without limitation, HIPAA,HITECH,and RCW 70.02 "Uniform Health Care Information Act"(UNCIA). WHEREAS,because the City is a single legal entity with business activities that include both covered and non-covered functions,the City may declare itself a Hybrid Entity as defined by 45 C.F.R § 164.103 and in accordance with 45 C.F.R. § 164.105(a)(2)(iii)(C); WHEREAS, the City Council has determined that the City can more effectively and efficiently comply with HIPAA by declaring the City as a"Hybrid Entity" and formally designating the City's health care components in accordance with 45 C.F.R. § 164.105(a)(2)(iii)(C); WHEREAS, after an assessment of the City's divisions,programs and departments for applicability of HIPAA, only certain portions of the City are components of the: City that create, transmit, use or maintain health information and therefore should be designated as Health Care Components; WHEREAS, HIPAA regulations require the City to designate an individual or individuals as the privacy officer(s)to be responsible for the development and implementation of required privacy policies and procedures for the City and the Medical Officer-Captain,has assumed those duties relative to HIPAA compliance for public safety functions as outlined herein, and the Human Resources Manager has assumed those duties relative to HIPAA compliance for administrative and health plans functions as outlined herein, and the Information Services Manager has assumed those duties relative to HIPAA and HITECH compliance as outlined herein; 1 HIPPA Privacy Compliance WHEREAS, as a Hybrid Entity,the City has ongoing responsibilities to establish and maintain ongoing policies,procedures and business practices to maintain compliance with HIPAA requirements; Now therefore THE CITY COUNCIL OF THE CITY OF BREMERTON, WASHINGTON, DOES HEREBY RESOLVE AS FOLLOWS: SECTION 1. The City Council of the City of Bremerton,hereby finds and determines that the recitals set forth above are true and correct, and are hereby adopted and incorporated. SECTION 2. The City Council hereby designates the City as a"Hybrid Entity." In accordance with 45 C.F.R. § 164.105(a)(2)(iii)(C), the following components are designated as covered components of the Hybrid Entity: • The Fire Department with respect to its provisions of emergency medical services only; • The Information Services Division of the Finance Department with respect to its duties relating to providing technology services for the City's health care benefit plans and the Fire Department's emergency medical services; • The Finance Department with respect to its duties involving the billing, payment, and administration of health insurance payments for medical plans only; • The Office of the City Clerk with regard to its duties relating to records management for the City and as the Pension Board Secretary; • Human Resources in its function administering the City's health insurance benefits plans and processing of pension claims; • The Internal Auditor with respect to its duties to audit other covered components of the City; and • Risk Management in its function administering the City's Risk Management Program only. The worker's compensation program is exempted by 45 CFR 160.103(2)(c). SECTION 3. The City Council affirms that all Covered Components are required to protect the security and privacy of PHI and comply with all applicable laws and regulations relating to data privacy and security, including without limitation, HIPAA,HITECH, and UHCIA. To this end,the City Council directs and authorizes all Department Heads or Officers, Commissions and Boards of the City that have been designated in this resolution as "Covered Components"to take any and all action necessary to implement this Resolution and ensure the following policy guidelines are followed: • All employees, agents and volunteers are to comply with HIPAA, HITECH, and UHCIA and those regulations that implement these laws; • All employees, agents and volunteers are to comply with City policies and procedures implementing HIPAA, HITECH, and UHCIA. 2 HIPPA Privacy Compliance • All personnel are to ensure that access,use and disclosure of PHI is limited to authorized personnel for only permitted uses; • All personnel are to safeguard the confidentiality, integrity and availability of PHI in accordance with City policies and the Security Regulations promulgated pursuant to HIPAA; • All personnel are to immediately document and notify the Privacy Officer of any unauthorized disclosure; • All personnel are to take steps to mitigate any damages caused by unauthorized disclosure; • All personnel are to ensure security of facilities and technological operations; • Key personnel are to ensure that business associate agreements are executed with contractors that perform duties involving PHI on behalf of the City; and • All personnel are to be trained and updated on all new requirements on a continuing basis. SECTION 4. The City Council designates the Fire Department Medical Officer- Captain, as the Privacy Officer responsible for development, implementation and oversight of the City's HIPAA privacy and security policies and procedures in relation to the policies and procedures applicable to the medical components related to health care which include the City of Bremerton Fire Department. SECTION S. The City Council designates the Information Services Manager as the Privacy Officer responsible for City's HIPAA privacy and security policies and procedures in relation to the policies and procedures applicable to the electronic security components related to healthcare. SECTION 6. The City Council designates the Human Resources Manager as the City's Privacy Officer responsible for the development, implementation and oversight of the City's HIPAA privacy and security policies and procedures in relation to the policies and procedures applicable to the City's health plan which includes the Human Resources,the Finance Department,the Internal Auditor, the City Clerk's Office, and the Risk Management Office,to the extent those Departments are covered components as outlined in Section 2 herein. SECTION 7. The City directs and authorizes the HIPAA Privacy Officers to work in conjunction with the City Attorney to approve changes in the designation of departments, divisions,units and/or programs as healthcare components to maintain compliance with HIPAA, HITECH, and UHCIA. SECTION 8. Severability. if any one or more sections, subsections, or sentences of this Resolution are held to be unconstitutional or invalid, such decision shall not affect the validity of the remaining portion of this Resolution and the same shall remain in full force and effect. SECTION 9. Effective Date. This Resolution shall take effect and be in force immediately upon its passage. PASSED by the City Council of the City of Bremerton,Washington this day of , 2015. 3 HIPPA Privacy Compliance �V h��fi• , Council President APPROVED AS TO FORM: ATTEST: 5R4E R A. L OVey SHANNON L. CORIN, Ity Clerk R:\Human Rcsourccs\HR\Human Rcsourccs\2014 Agenda Itcros\HIPPA Privacy Compliance.res.doc 4 HIPPA Privacy Compliance