15 Multi-party AgreementSASA must welcome and consider a large number of participants so that it can be considered a multi-party agreement among all participants. This multi-party agreement is essential to prevent each participant from having to enter into “point-to-point” agreements between them, which becomes extremely difficult, costly and ineffective as the number of participants increases. The Confederation`s participants stated that support for point-to-point agreements for information exchange was not sustainable. 26 Participants in the Notice of Violation are required to promptly inform the NHIN Coordinating Committee and other relevant participants of any alleged infringement (within an hour) or confirmed violations (within 24 hours) involving the unauthorized disclosure of NHIN data, to take measures to mitigate the damage and to implement corrective plans to prevent such violations in the future. The purpose of this process is not to require the parties to notify the offences, but only to require participants to inform each other and to inform the coordinating committee in the event of an infringement, in order to facilitate an appropriate response. 22 Participants apply their local policies to determine whether and how they respond to the demand. This concept is called the “self-reliance principle” because each participant can apply their own local access policies before requesting data from other participants or passing data on to other participants. It is the responsibility of the respondent – the one who discloses the data – to ensure that he has met all the legal requirements before disclosing the data, including, but not only, to obtain the consent or authorization required by law applicable to the responding participant. CalDURSA is compatible with the Sequoia project` dursa, which makes it easy for organizations to participate in CTEN and eHealth exchanges.
It is also designed to work well with the Model Modular Participants Agreement (MMPA), a model agreement between OS and their participants that are used by several California ICs. If you are interested in accepting or developing a CalDURSA-compatible participation agreement, you should start with the MMPA. DURSA is based on the existing legislation (federal, federal, local, tribal laws) that applies to the privacy and security of health information, and supports the current policy framework for the exchange of health information. DURSA is a legally enforceable contract that provides a framework for a broad exchange of information between a number of trusted entities. The agreement reflects the consensus between the public, federal and private authorities involved in the development of DURSA on the following issues: 11 Agreement on data use and mutual assistanceA comprehensive and multi-party trust agreement, signed by all eligible organizations wishing to exchange data between NHIN participants, requires signatories to respect common conditions defining the obligations of participants and the structure of trust to support privacy. , the confidentiality and security of the health data exchanged Assumes that each participant has trusting relationships with their agents, staff and data links (end-users, systems, data providers, networks, etc.). As a living document, the agreement will be amended over time 11 DURSA builds on the various legal requirements to which participants are already subject and describes the mutual responsibilities, obligations and expectations of all participants under the agreement.