Peter,

Yes, I agree.  There may actually be some �possible harm� in executing a BAC
with the janitorial service.  For example, a HIPAA-compliant BAC would
document that the janitorial service is responsible for using PHI on behalf
of the CE, an activity that is clearly NOT intended.

It would probably be preferable to engage the janitorial service in a
general business contract that contains a �confidentiality� clause as well
as some language that defines how the workers will be trained/educated and
supervised in their �privacy� responsibilities.
 
I hope that this helps.
 
Your questions are always welcome.
 
Matt
 
Matthew Rosenblum
Chief Operations Officer
Privacy, Quality Management & Regulatory Affairs
 
CPI Directions, Inc.
10 West 15th Street, Suite 1922
New York, NY 10011
 
(212) 675-6367
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] 
Sent: Monday, March 10, 2003 12:45 PM
To: Matthew Rosenblum; [EMAIL PROTECTED]
Subject: RE: Unlocked charts


Matt,

You might consider that a janitorial service is really not a business
associate because although it may perform a function on behalf of a covered
entity, PHI is not or should not be disclosed to it for the purpose of
performing its janitorial functions.  Any disclosure to the service would
be incidental to an authorized use or disclosure or an accident and
something that a covered entity should seek to avoid.

Peter

************************************************
Peter B. Goldstein
Cap Gemini Ernst & Young, US LLC
9781 E. Meridian Blvd, Suite 220
Englewood, CO 80112
(720) 568-4323 (Direct)
(303) 885-1492 (Cell)
(413) 740-0512 (Facsimile)
cap comm: 657 4653
[EMAIL PROTECTED]
************************************************



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