James,  if your BA's are performing "treatment, payment or healthcare
operations" functions on your behalf you will not require authorizations.  I
can't imagine sharing individually identifiable info with scores of BA's for
other purposes, and the list should be quite manageable.  Note that you
probably already have an authorization ( as part of the "informed consent"
in IRB common rule language) that you are using in order to share info with
your research BA's

a.
Albert Oriol, CHE, CISSP
Privacy & Data Security Officer
The Children's Hospital
[EMAIL PROTECTED]
(303) 861 6094


"All things should be as simple as possible, but no simpler"
-- Albert Einstein

-----Original Message-----
From: McNamee, James [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, February 20, 2002 9:09 AM
To: [EMAIL PROTECTED]
Subject: Business Associates and Patient Authorization


HIPAA regs seem to imply that patients must execute an authorization before
their PHI can be shared with a CE's Business Associate. Various BAs will use
various portions of the PHI for different lengths of time as they perform
the contracted work. Since patient authorizations must be specific -- saying
to whom PHI is released, for what purpose and for how long -- this raises a
practical concern.

If a large organization has scores of BAs to which it releases PHI, does
this organization need to give patients scores of authorization documents to
sign? Or is it permissible under HIPAA to craft a single but less-specific
authorization that would suffice?

________________________________________
James E. McNamee, PhD
Associate Dean of Information Services and CIO
School of Medicine
University of Maryland, Baltimore
Information Services, Room 214
100 N. Greene St.
Baltimore, MD 21201

voice:  410-706-2881
fax:    410-706-4871
e-mail: [EMAIL PROTECTED]

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