See http://www.advamed.org/publicdocs/ltr.%20richard%20campanelli.pdf
 

-- Demetrios

Demetrios L. Kouzoukas

Gardner, Carton & Douglas LLC

1301 K Street NW

Suite 900, East Tower

Washington, DC 20005-3317

Ph: (202) 230-5119

Fax: (202) 230-5319

Email: [EMAIL PROTECTED]

WWW: http://www.gcd.com/firm/bio.asp?empid=K224331082

Assistant: Dee English; (202) 230-5611; [EMAIL PROTECTED]

-----Original Message-----
From: Doug Webb [mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 26, 2003 5:00 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Re: medical vendors as Business Associates


David,
I would also tend to lean that way.  Could we get a definitive answer "From Above"?
 
The opinions expressed here are my own and not necessarily the opinion of LCMH.
 
Douglas M. Webb
Computer System Engineer
Little Company of Mary Hospital & Health Care Centers
[EMAIL PROTECTED]
 
"This electronic message may contain information that is confidential and/or legally 
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----- Original Message ----- 
From: David Frenkel <mailto:[EMAIL PROTECTED]>  
To: WEDI SNIP Privacy Workgroup  <mailto:[EMAIL PROTECTED]> List 
Sent: Wednesday, February 26, 2003 02:55 PM
Subject: RE: medical vendors as Business Associates


Doug,

This discussion has appeared on other healthcare listservs and there seems to be a 
strong leaning towards having medical device manufacture reps be considered part of 
TPO.   It brings up an interesting liability issue as well as a patient consent issue 
for reps being in the OR.

 

Regards,

 

David Frenkel

Business Development

GEFEG USA

Global Leader in Ecommerce Tools

www.gefeg.com

612-237-1966

-----Original Message-----
From: Doug Webb [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, February 26, 2003 2:53 PM
To: David Frenkel; WEDI SNIP Privacy Workgroup List
Subject: Re: medical vendors as Business Associates

 

David,

They do, but I'm not directly involved, so I don't know the answer to your question.

 

Jim Hewitt did bring up an interesting point that these vendors may also be 
hardware/software support people.  In that role, I would think that a BAA would be 
appropriate to state that they would protect PHI they contact while maintaining the 
equipment.

 

I had been thinking just of their role as a supplier of the equipment.

Whew! Covering all bases is tough!.

 

The opinions expressed here are my own and not necessarily the opinion of LCMH.

 

Douglas M. Webb
Computer System Engineer
Little Company of Mary Hospital & Health Care Centers
[EMAIL PROTECTED]

 

"This electronic message may contain information that is confidential and/or legally 
privileged. It is intended only for the use of the individual(s) and entity(s)  named 
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please notify the sender immediately,  delete the material from any computer, do not 
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----- Original Message ----- 

From: David Frenkel <mailto:[EMAIL PROTECTED]>  

To: WEDI SNIP Privacy Workgroup  <mailto:[EMAIL PROTECTED]> List 

Sent: Wednesday, February 26, 2003 02:10 PM

Subject: RE: medical vendors as Business Associates

 

Doug,

Does your facility do medical device implants?  If so, do you know what the official 
position is of your facility on this?  Thanks.

 

Regards,

 

David Frenkel

Business Development

GEFEG USA

Global Leader in Ecommerce Tools

612-237-1966

-----Original Message-----
From: Doug Webb [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, February 26, 2003 11:29 AM
To: WEDI SNIP Privacy Workgroup List
Subject: Re: medical vendors as Business Associates

 

Vicki,

I believe that in this case the vendor would a Healthcare Provider participating in 
Treatment. They would not be a BA.  They would be a CE if they used any of the 
standard electronic transactions.

 

The opinions expressed here are my own and not necessarily the opinion of LCMH.

 

Douglas M. Webb
Computer System Engineer
Little Company of Mary Hospital & Health Care Centers
[EMAIL PROTECTED]

 

"This electronic message may contain information that is confidential and/or legally 
privileged. It is intended only for the use of the individual(s) and entity(s)  named 
as recipients in the message. If you are not an intended recipient of the message, 
please notify the sender immediately,  delete the material from any computer, do not 
deliver, distribute, or copy this message, and do not disclose its contents or take 
action in reliance on the information it contains. Thank you."

 


 

----- Original Message ----- 

From: Vicki Schaff <mailto:[EMAIL PROTECTED]>  

To: Doug Webb <mailto:[EMAIL PROTECTED]>  

Sent: Wednesday, February 26, 2003 10:53 AM

Subject: Re: medical vendors as Business Associates

 

Consider the vendor who supplies a new medical device to a healthcare facility (CE) 
and the vendor provides instruction to a surgeon (CE) during implantation of the 
device.  The vendor has access to PHI.    One legal opinion has stated that the vendor 
is a BA of the healthcare facility.  Your Comments.  

----- Original Message ----- 

From: Doug Webb <mailto:[EMAIL PROTECTED]>  

To: WEDI SNIP Privacy Workgroup  <mailto:[EMAIL PROTECTED]> List 

Sent: Wednesday, February 26, 2003 9:29 AM

Subject: Re: medical vendors as Business Associates

 

Jill,

I agree with Dan.

 

The critical question is do you do anything on behalf of a Covered Entity that 
involves PHI?  If this answer is "No", you do not need a BAA.

 

Providing devices to non-patients isolates you from PHI.

 

Providing devices to patients is acting on behalf of yourself (I assume you make a 
profit on the deal, or you wouldn't be in business), not a service to the Covered 
Entity.  If you also bill insurance carriers electronically, you may be a Covered 
Entity (providing Treatment).

 

As Dan said, it would be extremely rare that a vendor of this type would be in a 
Business Associate relationship with a Covered Entity.

 

If it operates in some other role in addition to being a DME vendor, that role must be 
considered independantly.

.

The opinions expressed here are my own and not necessarily the opinion of LCMH.

 

Douglas M. Webb
Computer System Engineer
Little Company of Mary Hospital & Health Care Centers
[EMAIL PROTECTED]

 

"This electronic message may contain information that is confidential and/or legally 
privileged. It is intended only for the use of the individual(s) and entity(s)  named 
as recipients in the message. If you are not an intended recipient of the message, 
please notify the sender immediately,  delete the material from any computer, do not 
deliver, distribute, or copy this message, and do not disclose its contents or take 
action in reliance on the information it contains. Thank you."

 


 

----- Original Message ----- 

From: Dan  <mailto:[EMAIL PROTECTED]> Kelsey 

To: WEDI SNIP Privacy  <mailto:[EMAIL PROTECTED]> Workgroup List 

Sent: Wednesday, February 26, 2003 08:32 AM

Subject: RE: medical vendors as Business Associates

 

I think your decision would have to be very fact based.  For example, if a wheelchair 
company sells 50 wheelchairs to a hospital, then they would not be a BA of the 
hospital.  However, if the hospital rehab unit orders a custom fit wheelchair that 
involves disclosure of the patient's limitations, physical build, etc., then chances 
are a BA relationship does not exist either.  I say "chances are" because treatment by 
a health care provider is exempt from the BA definition and a BAA is not required.  

 

The key issue is if the medical vendor meets the definition of a health care provider 
- there is a mention in HIPAA for the Federal definition, and it is fairly all 
encompassing.  Generally speaking, I do not think the majority of these vendors would 
be business associates.

 

Hope this helps,

Dan Kelsey 
Practice Advisor 
Indiana State Medical Association 
800-257-4762 
(317) 261-2060 
(317) 261-2076 - fax 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 26, 2003 7:42 AM
To: WEDI SNIP Privacy Workgroup List
Subject: medical vendors as Business Associates

Are medical vendors that supply products like prosthesis, wheelchairs, etc., 
considered BA? I have been researching this and can't seem to come up with clear 
answer...

Thanks in advance

Jill Rubin, Esq.
(617)388-2404
[EMAIL PROTECTED] ---

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MMS <dc.gcd.com> 02/26/2003 07:25:51 PM
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