Can someone tell me the status of the final rules for chain of trust agreements?  If 
I'm not mistaken, they are covered by the yet to be finalized security regulations.  
That said, I would suggest that those of you with thousands of contracts might 
consider getting the baa out the door soon and not try to combine the efforts.  
Remember, there are contracts that will be up for renewal in less than a month that 
must have the business associate wording in place so you will be compliant in April 
'03.  You might want to consider how much push back you will get if your vendors do 
not want to amend on chain of trust because it is not indeed a change due to new 
regulations, as is the case with BAA's - just a practical consideration - thx- b

Bill Bernath
Blue Cross Blue Shield of North Carolina 
Privacy Office
(919) 765-7006
[EMAIL PROTECTED]


>>> "Bradley Gross" <[EMAIL PROTECTED]> 03/09/02 11:20PM >>>
While everyone's initial instinct to combine agreements may be prudent, the flip side 
of the coin is that by combining the agreements you risk (1) turning three fairly 
straight-forward contracts into one monster--and perhaps overly complicated--agreement.

Personally, the thought of three contracts with your trading partners doesn't shock 
me.  If they can be combined to make a single coherent document, then go for it.  
Generally, I have found that many attorneys who try to put too much information into 
one agreement end up covering all areas, but none in depth.  

The rule of thumb to keep in mind is that the contract should be able to be read (and 
understood) by a person with virtually no knowledge of the facts.  When you start 
combining agreements, this rule of thumb tends to fly out the window....

If contract management becomes a problem (which it is for most people in the 
healthcare industry), I'd recommend that you invest in some good contract management 
software.

That's my $0.02.  Good luck.

Brad Gross


Bradley J. Gross, Esq.

Becker & Poliakoff, P.A.
email: [EMAIL PROTECTED] 
web: www.becker-poliakoff.com 

NBC6 Technology Law Correspondent
web: www.nbc6.net 

CompTIA
Best Practices & Education Committees
www.comptia.org 

>>> "David Ermer" <[EMAIL PROTECTED]> 03/09/02 12:04AM >>>
I am attorney. It is a common practice to use one contract to serve multiple purposes. 
Just compare this to a situation where a company buys several different products 
simultaneously from one manufacturer. It would defy common sense to use separate 
agreements in wither that situation or this one. The law should reflect common sense, 
and generally it does. I concur with Beth. Best regards, David Ermer, Gordon & 
Barnett, Wash. D.C.

<<< "Beth Kranda" <[EMAIL PROTECTED]>  3/ 8  8:14p >>>
Yes, I have heard CMS say that it was not the intent that you have 3 agreements with 
each
of your trading partners.  They may be combined to the extent that the trading partner 
is
also a BA.

I am no lawyer, however so let's hear what they have to say!


"Street, Bunny" wrote:

> Is anyone considering possibly combining these agreements?  I realize they
> represent separate issues but do have some similarities. Comments
> appreciated.
> Thanks,
> Leslie Street
> Privacy Specialist
> Mountain States Health Alliance
> 423-431-1661
>
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--
M. Beth Kranda
Sr. Project Consultant and Privacy Director
OASYS
t- (317) 614-2139
f- (317) 614-2001
e- [EMAIL PROTECTED] 
info- www.oasys.com 

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