TO: Board of Supervisors
FROM: Jennifer Yasumoto, Health & Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Agreement with California Department of Public Health (HIV/AIDS Data Use and Disclosure Agreement)

RECOMMENDATION
title
Director of Health and Human Services requests approval of and authorization for the Chair to sign Agreement No. 220230B, a Data Use and Disclosure Agreement with the California Department of Public Health for the term April 20, 2021 through April 19, 2026 setting forth the privacy and security requirements the County is required to follow with respect to the State's enhanced HIV/AIDS Case Reporting System.
body
EXECUTIVE SUMMARY
The California HIV/AIDS Case Reporting System Data Use And Disclosure Agreement sets forth the information privacy and security requirements that Napa County Public Health is obligated to follow with respect to all HIV/AIDS Case Reporting System data and other personal and confidential information. This Agreement covers Protected Data in any medium (paper, electronic, oral) in which the Protected Data exist. By entering into this Agreement, the County agrees to protect the privacy and provide for the security of all Protected Data in compliance with all state and federal laws applicable to the Protected Data.
FISCAL & STRATEGIC PLAN IMPACT
Is there a Fiscal Impact? |
No |
Additional Information |
Please send all originals, along with a certified minute order reflecting approval back to department. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
This agreement was received from the California Department of Public Health (CDPH) in December of 2021 and spans a period from April 20, 2021 through April 19, 2026. The purpose of this Agreement is to permit exchange of Enhanced HIV/AIDS Reporting System (eHARS) data [data in or from the central registry maintained by CDPH of demographic, clinical, HIV risk behavior, vital status, health facility, and administrative information on all reported HIV infections and AIDS diagnoses in California] between local health jurisdictions and CDPH. Enhanced HIV/AIDS Reporting System (eHARS) is a browser-based application provided by the Centers for Disease Control and Prevention (CDC). CDPH Office of AIDS uses eHARS to collect, manage, and report California’s HIV/AIDS case surveillance data to CDC. The exchange is necessitated by the California Code of Regulations, which dictates that case report information from laboratories and health care providers is reportable to the local health officer who thereafter reports this information to CDPH. California’s decentralized eHARS thus facilitates local as well as state access to data to facilitate local care, prevention and surveillance activities, including local application to Federal Ryan White Part A funds and locally tailored prevention services. The privacy and security requirements of this agreement have been reviewed by the Information Technology Department and Quality Management Division to ensure compliance, and any Public Health staff with access to HIV/AIDS data are trained on the requirments and must sign a confidentiality agreement. There is no cost to Napa County and, if approved, the executed agreement will remain in effect for five years.