HIPAA Business
Associate Agreement
This Agreement is entered into on this _____________day
of___________________________, 20______, between
________________________________________________________________________,
hereinafter referred to as "Covered Entity" and Kendrick Information Technologies, hereinafter referred to
as "Business Associate."
It is hereby Agreed by the two Parties named above, as follows:
1. Covered Entity will make available
and/or transfer to Business Associate certain confidential information, in
conjunction with goods or services that are being provided by Business
Associate to Covered Entity. This information must be afforded special
treatment and protection.
2. Business Associate will have access to and/or receive from Covered
Entity certain information that can be used or disclosed only in accordance
with this Agreement and the Privacy Regulations of the U.S. Department of
Health and Human Services.
3. Business Associate hereby agrees that it shall be prohibited from
using or disclosing the information provided or made available by the Covered
Entity for any purpose other than as expressly permitted or required by this
Agreement.
4. The term of this Contract shall commence as of the date entered above
(the Effective Date), and shall expire when all the information provided by
Covered Entity to Business Associate is destroyed or returned to the Covered
Entity.
5. Business Associate shall be permitted to use and/or disclose
information provided or made available from the Covered Entity for the
following stated purposes: computer and/or related information technology
purposes.
6. Business Associate is permitted to use information if necessary for
the proper management and administration of Business Associate or to carry out
legal responsibilities of Business Associate.
7. Business Associate is permitted to disclose information received from
Covered Entity for the proper management and administration of Business
Associate or to carry out legal responsibilities of Business Associate, provided
that the disclosure is required by law; or the Business Associate obtains
reasonable assurances from the person to whom the information is disclosed that
is will be held confidentially and used or further disclosed only as required
by law or for the purposes for which it was disclosed to the person, the person
will use appropriate safeguards to prevent use or disclosure of the
information, and the person immediately notifies the Business Associate of any
instance of which it is aware in which the confidentiality of the information
has been breached.
8. Business Associate is also permitted to use or disclose information to
provide data aggregation services relating to the healthcare operations of the
Covered Entity.
9. Business Associate will establish and maintain appropriate safeguards
to prevent any disclosure of the information, other than as provided for by the
contract.
10. Business Associate hereby agrees that is shall immediately report to
the Covered Entity any discovery use or disclosure of information not provided
for or allowed by the contract.
11. Business Associate hereby agrees that, anytime information is provided
or made available to any subcontractors or agents, Business Associate must
enter into a subcontract with the subcontractor or agent that contains the same
terms, conditions, and restrictions on the use and disclosure of information as
contained in this Agreement. Business Associate must obtain the Covered
Entity’s approval prior to entering into such agreements.
12. Business Associate hereby agrees to make available and provide right
of access to information by the individual, including substitution of the word
“Covered Entity” with “Business Associate” where appropriate.
13. Business Associate agrees to make information available for amendment
and to incorporate any amendments to information, including substitution of the
word “Covered Entity” with “Business Associate” where appropriate.
14. Business Associate agrees to make information available as required
to provide an accounting of disclosures, including substitution of the word
“Covered Entity” with “Business Associate” where appropriate.
15. Business Associate hereby agrees to make its internal practices,
books and records relating to the use or disclosure of information received from,
or created or received by, Business Associate on behalf of Covered Entity,
available to the Secretary of Health and Human Services or the Secretary’s
designee for the purpose of determining compliance with the privacy
regulations.
16. At termination of the contract, Business Associate hereby agrees to
return or destroy all information received from, or created or received by,
Business Associate on behalf of the Covered Entity. Business Associate
agrees not to retain any copies of the information after termination of the
contract. If return or destruction of the information is not feasible,
Business Associate agrees to extend protections of the contract for as long as
necessary to protect the information and to limit any further use or disclosure.
If Business Associate elects to destroy the information, it shall certify to
the Covered Entity that the information has been destroyed.
17. Business Associate agrees to have procedures in place for mitigating,
to the maximum extent practicable, any deleterious effect from the use or
disclosure of information in a manner contrary to the contract or the Privacy
Regulations.
18. Business Associate agrees and understands that it must develop and
implement a system of sanctions for any employee, subcontractor or agent who
violates this Agreement or the Privacy Regulations.
19. The information shall be and remain the property of the Covered
Entity. Business Associate agrees that it acquires no title or rights to
the information, including any de-identified information, as a result of the
contract.
20. Business Associate agrees that the Covered Entity has the right to
immediately terminate the contract and seek relief if the Covered Entity
determines that Business Associate has violated a material term of the
contract.
21. Any non-compliance by Business Associate with the contract or the
privacy regulations will automatically be considered to be grounds for breach,
if Business Associate knew and failed to immediately take reasonable steps to cure
the non-compliance.
22. Disputes. Any controversy or claim arising out of or relating
to the contract will be finally settled by compulsory arbitration in accordance
with the Commercial Arbitration Rules of the American Arbitration Association,
except for injunctive relief as described below.
23. Notwithstanding any rights or remedies provided for in the contract,
the Covered Entity retains all rights to seek injunctive relief to prevent or
stop the unauthorized use or disclosure of information by Business Associate or
any agent, contractor or third party that received information from Business
Associate.
24. This Agreement shall be binding on the Parties and their successors,
but neither Party may assign this agreement without the prior written consent
of the other, which consent shall not be unreasonably withheld.
25. The Parties agree to exercise good faith in the performance of this
Agreement.
26. Except as otherwise specified in this Agreement, if any legal action
or other proceeding is brought for the enforcement of the contract, or because
of an alleged dispute, breach, default, misrepresentation, or injunctive
action, in connection with any of the provisions of this Agreement, each party
shall bear its own legal expenses and the other cost incurred in that action or
proceeding.
27. This Agreement consists of this document and constitutes the entire
agreement between the parties. There are no understandings or agreements
relating to this Agreement which are not fully expressed in the contract, and
no change, waiver or discharge of obligations arising under the contract shall
be valid unless in writing and executed by the party against whom such change,
waiver or discharge is sought to be enforced.
In Witness Whereof, Covered
Entity and Business Associate have caused this Agreement to be signed and
delivered to their duly authorized representatives, as of the date set forth
above.
COVERED ENTITY: BUSINESS ASSOCIATE:
By:_______________________________________ By:_________________________________
Print
Name:________________________________ Print
Name: Bobby Kendrick
Title:_____________________________________ Title: President/Owner