Wendy,

What is the dilemma?  From your description (below) it sounds as though the
"contractor" is providing diagnostic screenings and tests akin to those
provided by a laboratory or other indirect treatment provider.  Though the
"contractor's" treatment services are paid-for by the CE does not change the
(apparent) fact that PHI is being shared with the "contractor" as part of
the patient's treatment process.  Are there other factors here that are as
yet unstated?

I hope that this helps.
 
Your questions are always welcome.
 
Matt
 
Matthew Rosenblum
Chief Operations Officer
Privacy, Quality Management & Regulatory Affairs

http://www.CPIdirections.com
 
CPI Directions, Inc.
10 West 15th Street, Suite 1922
New York, NY 10011
 
(212) 675-6367
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-----Original Message-----
From: Reynolds, Wendy J [mailto:[EMAIL PROTECTED] 
Sent: Monday, November 10, 2003 1:06 PM
To: WEDI SNIP Privacy Workgroup List
Subject: business associate - yes or no?


I am in the process of reviewing a contact which will entail an agreement
between us (a covered entity) and the contractor (another covered entity) in
which the contractor will provide cancer screening/diagnostic tests to a
specific category of women (income guidelines, age, etc.) per grant
parameters.  I am having trouble with this one, because usually "treatment"
reasons do not necessitate a business associate agreement between two
covered entities.  However, we are paying the contractor a per capita rate
to provide the services (diagnostic tests) to these patients. If patients
need further treatment, they are referred back to us to take care of.   

In this situation, I am not sure the contractor is really providing
"treatment" to the patients.  Furthermore, in this situation, the contractor
is providing this service on our behalf, for us, and are receiving money
from us to provide these services.  This arrangement does not fit the
business associate exceptions or examples as listed on the OCR website.  I
have read the definition of treatment in the regs, but really think this
arrangement should have a BAA.  But of course the contractor disagrees.  

Am I being too picky?  Any opinions out there?


Wendy J. Reynolds, MPA, CHP
EVMS Director of Privacy Program
EVMS HS Clinical Auditor
Eastern Virginia Medical School
Fairfax Hall, 1st floor
721 Fairfax Avenue
Norfolk, VA 23507
(757) 446-0337
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