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Home My WebLink AboutSTATE DPH-COVID-19 Dataset in Snowflake_A-24-229.pdf I COUP County of Fresno Hall of Records,Room 301 2281 Tulare Street Fresno,California Board of Supervisors 93721-2198 O 185 O Telephone:(559)600-3529 FRE`' Minute Order Toll Free: 1-800-742-1011 www.fresnocountyca.gov May 21, 2024 Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes, Supervisor Brian Pacheco,and Supervisor Sal Quintero Agenda No. 43. Public Health File ID:24-0354 Re: Approve and authorize the Chairman to execute a retroactive Data Access Agreement with the California Department of Public Health,for access to the COVID-19 Dataset in Snowflake,a cloud-based data repository, effective February 22,2024 through February 21,2026($0) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco,and Quintero Agreement No.24-229 County of Fresno Page 46 Board Agenda Item 43 1856 O co _& � FRES ,��$ H DATE: May 21, 2024 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Approve Retroactive Data Access Agreement with the California Department of Public Health RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute a retroactive Data Access Agreement with the California Department of Public Health, for access to the COVID-19 Dataset in Snowflake, a cloud-based data repository, effective February 22, 2024 through February 21, 2026 ($0). There is no additional Net County Cost associated with the recommended action. Approval of the recommended action will allow the Department access to the California Department of Public Health (CDPH) COVID-19 Dataset in a cloud-based data repository called Snowflake, which combines particular data elements specific to COVID-19 from the California Immunization Registries (CAIR) and the California Reportable Disease Information Exchange (CaIREDIE), for the County of Fresno. This item is countywide. ALTERNATIVE ACTION(S): There are no viable alternative actions. Should your Board not approve the recommended action, the Department will not have access to the new dataset created by CDPH to track data specifically to COVID-19 in the County of Fresno. RETROACTIVE AGREEMENT: This recommended agreement is retroactive to February 22, 2024 as it was received from the State on March 22, 2024. It is being brought to your Board in accordance with agenda item processing timelines. FISCAL IMPACT: There is no fiscal impact associated with the recommended action. DISCUSSION: On February 22, 2022, the Board approved Agreement No. 22-068 with CDPH to access COVID-19 vaccine data. The Department currently uses Snowflake, a cloud-based data repository, to access COVID-19 vaccine data. The purpose of the COVID-19 Dataset, which is the subject of this Agreement, is to allow the Department to review COVID-19 testing data apart from COVID-19 vaccination data. Previous attempts were unsuccessful in downloading COVID-19 testing data directly from CaIREDIE. Continued access to this additional dataset specific to COVID-19 will help the Department to track the progression and regression of COVID-19 in the County of Fresno, along with helping to monitor COVID-19 response. CAIR is a secure, confidential, statewide computerized immunization information system for California residents. The CAIR system consists of nine distinct regional immunization registries with each registry County of Fresno page 1 File Number.24-0354 File Number.,24-0354 accessed online to help providers and other authorized users track patient immunization records, reduce missed opportunities, and help fully immunize Californians of all ages. Patients' participation in CAIR is voluntary and is open to healthcare providers, schools, child care facilities, county welfare departments, family child care homes, foster care agencies, WIC service providers, and health care plans. CaIREDIE is a secure statewide reportable disease database supported and maintained by CDPH. Since 2010, CaIREDIE is the electronic reporting system used by health care providers and laboratories for mandated reporting of communicable diseases and conditions to the LHJ. The recommended agreement states CDPH reserves the right to terminate the Agreement, without cause, upon 24-hours written notice. CDPH reserves the right to immediately terminate the County's access to the COVID-19 Dataset if the County breaches a material term of the Agreement. The County will ensure that if there are Contractors that utilize this Dataset, the County has indemnification and insurance requirements with the Contractors favorable to the County. REFERENCE MATERIAL: BAI #49, February 22, 2022 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Agreement with CDPH CAO ANALYST: Ron Alexander County of Fresno page 2 File Number.24-0354 Agreement No. 24-229 California Department of Public Health Data Access Agreement This Agreement is made and entered into on May 21, 2024 by and between the California Department of Public Health ("CDPH") and the Local Health Jurisdiction, County of Fresno ("LHJ") hereinafter jointly referred to as "Parties"and each individually as a"Party." WHEREAS, CDPH has created a dataset combining particular data elements specific to COVID-19 from the California Immunization Registries and the California Reportable Disease Information Exchange(Ca1REDIE) (combined COVID-19 specific dataset hereinafter referred to as "COVID-19 Dataset"); WHEREAS, LHJ is a signatory on the CaIREDIE System Data Use and Disclosure Agreement (CaIREDIE Agreement); WHEREAS, LHJ is a signatory on the CAIR2 ("IIS Agreement"); and WHEREAS, LHJ wishes to access, and CDPH wishes to provide access to the COVID- 19 Dataset; NOW THEREFORE, it is agreed as follows: 1. CDPH shall provide LHJ with access to the COVID-19 Dataset. 2. LHJ agrees to only use data obtained from the COVID-19 Dataset for legally authorized public health purposes. 3. LHJ agrees to comply with all provisions it has agreed to in the most current executed version of the Ca1REDIE Agreement and the most current executed version of the IIS Agreement noted above. 4. The Parties agree that LHJ will have access only to the COVID-19 Dataset that pertain to its jurisdiction. 5. The Parties understand the Health Insurance Portability and Accountability Act of 1996 (HIPAA) does not apply to either the COVID-19 Dataset or this Agreement and neither the LHJ nor CDPH constitute a"business associate"within the meaning of HIPAA with respect to one another for purposes of this Agreement. 6. LHJ shall establish, or cause its contractors to establish, appropriate and reasonable administrative, technical, and physical safeguards to ensure security, confidentiality, and availability of the COVID-19 Dataset in compliance with the CaIREDIE Agreement and IIS Agreement noted above. 7. LHJ shall provide training on its obligations under this Agreement, at its own expense, to all workforce members who access or use data from the COVID-19 Dataset. 8. This Agreement begins on the final date of execution by both Parties and continues until the earlier of(i) CDPH's decision to stop providing the COVID-19 Dataset, or (ii) two (2)years. After two (2)years, this Agreement will expire without further action. If the Parties wish to extend the Agreement, they may do so by reviewing,updating, and reauthorizing this Agreement. 9. LHJ understands it is required to have an active and valid Ca1REDIE Agreement and IIS Agreement. Should either agreement expire or be terminated, LHJ will be considered to be in default and will have thirty(30) calendar days to remedy the default. Should LHJ decline or be unable to remedy the default within thirty (30) calendar days, this Agreement will tenminate. The thirty (30) calendar days can be extended for up to an additional thirty(30) calendar days by written agreement signed by both parties. 10. CDPH reserves the right to immediately terminate LHJ's access to the COVID-19 Dataset if LHJ breaches a material term of this Agreement, the Ca1REDIE Agreement, or IIS Agreement. Upon termination of access, CDPH will send LHJ a notice explaining the cause for which their access was terminated. LHJ will have fifteen(15)calendar days to cure the breach and if the LHJ is unable or unwilling to cure the breach, CDPH will terminate the Agreement immediately. The fifteen (15) calendar days can be extended for up to an additional fifteen(15) calendar days by written agreement signed by both parties. 11. CDPH reserves the right to terminate this Agreement, without cause, upon twenty-four (24)hours' written notice to LHJ. 12. No change or revisions to this Agreement shall be valid unless made in the fonn of a written amendment that is formally approved and executed by all the Parties. 13. This Agreement shall be binding upon the Parties and inure to the benefit of any successor entity which may assume the obligations of any Party. However,no assignment of this Agreement or of the rights and obligations hereunder shall be valid without the prior written consent of the other Party. 14. This Agreement does not, and is not intended to, confer any rights or remedies upon any person or entity other than the Parties. 15. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original, but all of which together will constitute one and the same instrument. The Parties agree that an electronic copy of a signed contract, or an electronically signed contract, shall have the same force and legal effect as a contract executed with an original ink signature. The term "electronic copy of a signed contract"refers to a transmission by facsimile, electronic mail, or other electronic means of a copy of an original signed contract in a portable document format. The term "electronically signed contract"means a contract that is executed by applying an electronic signature using technology approved by the Parties. IN WITNESS WHEREOF, each Party has caused this Agreement to be subscribed on its behalf by its respective duly authorized officers, on the day,month and year noted. [SIGNATURES ON NEXT PAGE] CDPH ga�� (.l')att July 3, 2024 James VVatt, MD, MPH Date Chief, Division of Communicable Disease Control California Department of Public Health 850 Marina Bay Parkway, Building P Richmond, California 94804 James.Watt@cdpli.ca.gov LHJ S-a/-aoay Nathan Magsig Date Chairman of the Board of Supervisors of the County of Fresno County of Fresno, Department of Public Health 1221 Fulton Street Fresno. CA 93721 districtl @fresnocountyca.gov ATTEST: BERNICE E.SEIDEL Clerk of the Board of Supervisors County of Fresno,state of California By Deputy