HomeMy WebLinkAboutSTATE DPH-National Fatality Review Case Reporting System_A-24-517.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
601 Board of Supervisors 93721-2198
O� 1$56 0 Telephone: (559)600-3529
FRV,t' Minute Order Toll Free: 1-800-742-1011
www.fresnocountyca.gov
September 24, 2024
Present: 5- Supervisor Steve Brandau, Chairman Nathan Magsig,Vice Chairman Buddy Mendes,
Supervisor Brian Pacheco, and Supervisor Sal Quintero
Agenda No. 37. Public Health File ID: 24-0893
Re: Approve and authorize the Chairman to execute the Substitution of Data Use Agreement with Michigan
Public Health Institute,to allow for the substitution of County's current Data Use Agreement with
Michigan Public Health Institute for the participation in the National Fatality Review Case Reporting
System with California Department of Public Health's Data Use Agreement; and approve and authorize
the Chairman to execute a Data Use Agreement with California Department of Public Health, to
participate in the National Fatality Review Case Reporting System, effective upon execution until
terminated by either party($0)
APPROVED AS RECOMMENDED
Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero
Agreement No. 24-516,Agreement No. 24-517
County of Fresno Page 40
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Board Agenda Item 37
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DATE: September 24, 2024
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Data Use Agreement with California Department of Public Health
RECOMMENDED ACTION(S):
1. Approve and authorize the Chairman to execute the Substitution of Data Use Agreement
with Michigan Public Health Institute, to allow for the substitution of County's current Data
Use Agreement with Michigan Public Health Institute for the participation in the National
Fatality Review Case Reporting System with California Department of Public Health's Data
Use Agreement; and
2. Approve and authorize the Chairman to execute a Data Use Agreement with California
Department of Public Health, to participate in the National Fatality Review Case Reporting
System, effective upon execution until terminated by either party($0).
There is no Net County Cost associated with the recommended actions. Approval of the first recommended
action will approve the substitution of County's current Data Use Agreement (DUA)with Michigan Public
Health Institute (MPHI), replacing it with the California Department of Public Health's (CDPH) DUA. Approval
of the second recommended action will allow the Department of Public Health (Department)to participate
and share specific Fresno County fetal and infant fatality case review data with CDPH as part of the National
Fatality Review Case Reporting System (NFRCRS). This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. Should your Board not approve the recommended actions, the
Department would not be able to share specific Fresno County fetal and infant fatality case review data with
CDPH nor be a participant in the NFRCRS.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended actions. There are no costs
associated with the recommended agreement.
DISCUSSION:
On January 21, 2020, your Board approved a DUA with MPHI to participate in the NFRCRS and establish
protocols and restrictions governing data information between MPHI and the County. On September 1, 2020,
your Board approved a DUA with MPHI to continue sharing specific Fresno County fetal and infant fatality
case review data with MPHI as part of the NFRCRS. The County has been able to utilize the comprehensive
NFRCRS to collect, analyze, and create reports on the reviews of fetal and infant deaths conducted by the
County's Fetal Infant Mortality Review (FIMR) program.
County of Fresno Page 1 File Number.24-0893
File Number:24-0893
The NFRCRS first launched in April 2018 and only 16 of 28 states that had at least one FIMR program were
using the system. The County of Fresno was the first county in California to use the system. At the time,
CDPH intended to enlist all county FIMR program sites in the state to use the system, allowing comparability
of trends in fetal and infant fatality data within and between local FIMR programs and other states. Therefore,
the Department's FIMR program entered into a DUA directly with MPHI for the participation in the NFRCRS.
CDPH will now be managing the NFRCRS for analysis and reporting of California cases and provide access
to the database for the efficiency of collecting, reporting, and reviewing death information by counties, cities,
and local health jurisdictions. Data collected will help better identify and address maternal/infant health,
health disparities, and help promote policy, programs, interventions, and laws to prevent fetal, infant, and
child deaths at the local, state, and national level.
Approval of the recommended actions will allow the County to continue participating in the NFRCRS to
utilize the system for collecting, analyzing, and reporting on the reviews of fetal and infant deaths conducted
by the Department's FIMR program. A DUA has been signed by CDPH and MPHI, which now replaces the
DUA that the County had with MPHI.
REFERENCE MATERIAL:
BAI #32, September 1, 2020
BAI #40, January 21, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- Substitution of Data Use Agreement with MPHI
On file with Clerk- Data Use Agreement with CDPH
CAO ANALYST:
Dylan McCully
County of Fresno Page 2 File Number.24-0893
Agreement No. 24-517
California Department of Public Health County of Fresno
California Department of Public Health—Maternal, Child and Adolescent Health Division and the Injury
and Violence Prevention Branch
Data Use and Disclosure Agreement
This Data Use Agreement (Agreement) is between the California Department of Public Health (specifically, the
Maternal, Child and Adolescent Health Division (MCAH) and the Injury and Violence Prevention Branch
(IVPB)) and the County of Fresno (Recipient), and sets forth the information privacy and security requirements
Recipient is obligated to follow with respect to all DATA from the National Fatality Review Case Reporting
System (NFRCRS) disclosed to Recipient. The California Department of Public Health (CDPH) and Recipient
desire to protect the privacy and provide for the security of the DATA pursuant to this Agreement, in
compliance with state and federal laws applicable to the DATA.
I. Order of Precedence: With respect to information privacy and security requirements for all DATA, the terms
and conditions of this Agreement shall take precedence over any conflicting terms or conditions set forth in
any other agreement between Recipient and CDPH.
II. Effect on Lower Tier Transactions: The terms of this Agreement shall apply to all contracts, subcontracts,
and subawards, and the information privacy and security requirements Recipient is obligated to follow with
respect to DATA disclosed to Recipient pursuant to Recipient's agreement with CDPH. When applicable,
Recipient shall incorporate the relevant provisions of this Agreement into each subcontract or subaward to
its agents, subcontractors, or independent consultants.
III. Definitions: For purposes of the Agreement between Recipient and CDPH, the following definitions shall
apply:
A. Breach: "Breach" means:
1. the unauthorized acquisition, access, use, or disclosure of DATA in a manner which compromises
the security, confidentiality or integrity of the information; or
2. the same as the definition of"breach of the security of the system" set forth in California Civil Code
section 1798.29(f).
B. Confidential Information: "Confidential information" means information that:
1. does not meet the definition of"public records" set forth in California Government Code section
7920.530, or is exempt from disclosure under any of the provisions of Section 7921.000, et seq. of
the California Government Code or any other applicable state or federal laws; or
2. is contained in documents, files, folders, books or records that are clearly labeled, marked or
designated with the word "confidential" by CDPH.
C. DATA: "DATA" means and refers to all identifiable and de-identified data collected to promote policy,
programs, services and laws to prevent fetal, infant and child deaths at the local, state and national
levels to better identify and address health disparities from the National Fatality Review Case Reporting
System administered by the Maternal, Child and Adolescent Health Division (MCAH) and the Injury and
Violence Prevention Branch (IVPB) at CDPH. Access will be granted to each county/city health
department as indicated through this Agreement for the purposes of assisting them with the analysis
and reporting of California cases pertinent to their jurisdiction.
California Department of Public Health County of Fresno
D. Disclosure: "Disclosure" means the release, transfer, provision of, access to, or divulging in any manner
of information outside the entity holding the information.
E. PCI: "PCI" means "personal information" and "confidential information" (as these terms are defined
herein)
F. Personal Information: "Personal information" means information, in any medium (paper, electronic, oral)
that:
1. directly or indirectly collectively identifies or uniquely describes an individual; or
2. could be used in combination with other information to indirectly identify or uniquely describe an
individual, or link an individual to the other information; or
3. meets the definition of"personal information" set forth in California Civil Code section 1798.3,
subdivision (a) or
4. is one of the data elements set forth in California Civil Code section 1798.29, subdivision (g)(1) or
(g)(2); or
5. meets the definition of"medical information" set forth in either California Civil Code section 1798.29,
subdivision (h)(2) or California Civil Code section 56.05, subdivision 0); or
6. meets the definition of"health insurance information" set forth in California Civil Code section
1798.29, subdivision (h)(3); or
7. is protected from disclosure under applicable state or federal law.
G. Security Incident: "Security Incident" means:
1. an attempted breach; or
2. the attempted or successful unauthorized access or disclosure, modification or destruction of
DATA, in violation of any state or federal law or in a manner not permitted under this Agreement; or
3. the attempted or successful modification or destruction of, or interference with, Recipient's system
operations in an information technology system, that negatively impacts the confidentiality,
availability or integrity of DATA; or
4. any event that is reasonably believed to have compromised the confidentiality, integrity, or
availability of an information asset, system, process, data storage, or transmission. Furthermore, an
information security incident may also include an event that constitutes a violation or imminent
threat of violation of information security policies or procedures, including acceptable use policies.
H. Use: "Use" means the sharing, employment, application, utilization, examination, or analysis of
information.
I. Workforce Member: "Workforce Member" means an employee, volunteer, trainee, or other person
whose conduct, in the performance of work for Recipient, is under the direct control of Recipient,
whether or not they are paid by Recipient.
California Department of Public Health County of Fresno
IV. No HIPAA Business Associate Agreement or Relationship Between the Parties: This Agreement and the
relationship it memorializes between the Parties does not constitute a business associate agreement or
business associate relationship pursuant to Title 45, C.F.R., Part 160.103 (definition of"business
associate"). The basis for this determination is Section 160.203(c) of Title 45 of the Code of Federal
Regulations (see, also, [HITECH Act, § 13421, subdivision. (a)].). Accordingly, this Agreement is not
intended to nor at any time shall result in or be interpreted or construed as to create a business associate
relationship between the Parties.
V. Background and Purpose: CDPH administers a broad range of public and clinical health programs that
provide health care and preventative services to Californians, including those programs within the Injury
and Violence Prevention Branch (IVPB) and the Maternal, Child and Adolescent Health Division (MCAH).
Under legislative mandate, CDPH is required to perform special investigation studies of the sources of
morbidity and mortality, and the effects of localities, employments, conditions and circumstances on the
public health, and perform other duties as may be required in procuring information for state and federal
agencies regarding the effects of these conditions on the public health. CDPH may conduct surveillance for
child fatalities in California using data from multiple sources, including state level data sources and data
obtained by local child death review teams (CDRTs). The Fatal Child Abuse and Neglect Surveillance
(FCANS) Program, now called the California Child Fatality Surveillance System (CCFSS), was established
in July 2000 to allow CDPH to conduct surveillance on child fatalities. CDPH chose to administer the
National Fatality Review Case Reporting System in order to conduct surveillance on child fatalities for
California. Two State programs (i.e., IVPB and MCAH) will primarily be involved with granting data access
and intend on assisting county and city health departments by providing them with direct access to this
National Fatality Review Case Reporting System, which is managed by CDPH for analysis and reporting of
California cases pertinent to their jurisdiction. CDPH is providing access to a federal government database
for the efficiency of collecting, reporting and reviewing death information by counties, cities, and local
health jurisdictions.
VI. Disclosure Restrictions: Recipient and its employees, agents, and subcontractors shall protect from
unauthorized disclosure any DATA. Recipient shall not disclose, except as otherwise specifically permitted
by this Agreement between Recipient and CDPH, any DATA to anyone other than CDPH personnel or
programs without prior written authorization from the CDPH Program Contract Manager, except if
disclosure is required by State or Federal law.
VI I.Legal Authority: The legal authority for CDPH and the Local Health Departments to collect, create, access,
use, and disclose DATA are Health and Safety Code (HSC) §§ 100325-100335, 123650— 123660, and
131230, and Penal Code § 11174.34. Under those sections, CDPH is responsible for developing a plan to
identify causes of mortality and morbidity in California, and to study recommendations on the reduction of
mortality and morbidity in California.
VIII. Use Restrictions: Recipient and its employees, agents, and subcontractors shall not use any DATA for any
purpose other than performing Recipient's obligations under this Agreement. Additionally, CDPH
acknowledges that there are only two (2) levels of access that CDPH staff will consider as being the most
appropriate level of access for which a Recipient may be granted: as a Data Analyst or Case Reporter.
Depending on the level of access, Recipient may view identifiable and/or de-identified DATA pertaining to
their own county, but no DATA pertaining to other counties. In accordance with the National CFRP User
Manual version 6.0, a Data Analyst will have the ability to download DATA (identified or de-identified)for
their team, which will pertain to their own county, only after authorization from CDPH Administrators have
been granted, and from there, be able to create standardized reports. However, Case Reporters,will only
have the ability to enter, edit and print case information for their team/county, as well as conduct searches
and create standardized reports.
California Department of Public Health County of Fresno
IX. Safeguards: Recipient shall implement administrative, physical, and technical safeguards that reasonably
and appropriately protect the privacy, confidentiality, security, integrity, and availability of DATA, including
electronic or computerized DATA. At each location where DATA exists under Recipient's control, Recipient
shall develop and maintain a written information privacy and security program that includes administrative,
technical and physical safeguards appropriate to the size and complexity of Recipient's operations and the
nature and scope of its activities in performing this Agreement, and which incorporates the requirements of
Section X, Security, below. Recipient shall provide CDPH with Recipient's current and updated policies
within five (5) business days of a request by CDPH for the policies.
X. Security: Recipient shall take any and all steps reasonably necessary to ensure the continuous security of
all computerized data systems containing DATA. These steps shall include, at a minimum, the following:
A. Providing a level and scope of security that is at least comparable to the level and scope of security
established by the Office of Management and Budget in OMB Circular No. A-130, Appendix III-
Security of Federal Automated Information Systems, and/or NIST 800-53 (version 5 or subsequent
approved versions) which sets forth guidelines for automated information systems in Federal
agencies; and
B. In case of a conflict between any of the security standards contained in either of the aforementioned
sources of security standards, the most stringent shall apply. The most stringent means that
safeguard which provides the highest level of protection to the DATA from breaches and security
incidents.
XI. Security Officer: At each place where DATA is located, Recipient shall designate a Security Officer to
oversee its compliance with this Agreement and to communicate with CDPH on matters concerning this
Agreement.
XI I.Training: Recipient shall provide training on its obligations under this Agreement, at its own expense, to all
of its employees who assist in the performance of Recipient's obligations under Recipient's agreement with
CDPH, including this Agreement, or otherwise use or disclose DATA.
A. Recipient shall require each employee who receives training to certify, either in hard copy or electronic
form, the date on which the training was completed.
B. Recipient shall retain each employee's certifications for CDPH inspection for a period of three years
following contract termination or completion.
C. Recipient shall provide CDPH with its employee's certifications within five (5) business days of a
request by CDPH for the employee's certifications.
XIII. Workforce Member Discipline: Recipient shall impose discipline that it deems appropriate (in its sole
discretion) on such employees and other Recipient workforce members under Recipient's direct control
who intentionally or negligently violate any provisions of this Agreement.
XIV. Breach and Security Incident Responsibilities:
A. Notification to CDPH of Breach or Security Incident: Recipient shall notify CDPH immediately by
telephone call plus email upon the discovery of a breach (as defined in this Agreement), and within
twenty-four (24) hours by email of the discovery of any security incident (as defined in this
Agreement), unless a law enforcement agency determines that the notification will impede a criminal
investigation, in which case the notification required by this section shall be made to CDPH immediately
California Department of Public Health County of Fresno
after the law enforcement agency determines that such notification will not compromise the
investigation. Notification shall be provided to the CDPH Program Contract Manager, the CDPH Privacy
Officer and the CDPH Chief Information Security Officer, using the contact information listed in Section
XI (F), below. If the breach or security incident is discovered after business hours or on a weekend or
holiday and involves DATA in electronic or computerized form, notification to CDPH shall be provided
by calling the CDPH Information Security Office at the telephone numbers listed in Section XI(F),
below. For purposes of this Section, breaches and security incidents shall be treated as discovered by
Recipient as of the first day on which such breach or security incident is known to Recipient, or, by
exercising reasonable diligence would have been known to Recipient. Recipient shall be deemed to
have knowledge of a breach if such breach is known, or by exercising reasonable diligence would have
been known, to any person, other than the person committing the breach, who is an employee or agent
of Recipient.
Recipient shall take:
1. prompt corrective action to mitigate any risks or damages involved with the breach or security
incident and to protect the operating environment; and
2. any action pertaining to a breach required by applicable federal and state laws, including,
specifically, California Civil Code section 1798.29.
B. Investigation of Breach and Security Incidents: Recipient shall immediately investigate such breach or
security incident. As soon as the information is known and subject to the legitimate needs of law
enforcement, Recipient shall inform the CDPH Program Contract Manager, the CDPH Privacy Officer,
and the CDPH Chief Information Security Officer of:
1. what data elements were involved, and the extent of the data disclosure or access involved in the
breach, including, specifically, the number of individuals whose personal information was breached;
and
2. a description of the unauthorized persons known or reasonably believed to have improperly used
the DATA and/or a description of the unauthorized persons known or reasonably believed to have
improperly accessed or acquired the DATA, or to whom it is known or reasonably believed to have
had the DATA improperly disclosed to them; and
3. a description of where the DATA is believed to have been improperly used or disclosed; and
4. a description of the probable and proximate causes of the breach or security incident; and
5. whether Civil Code section 1798.29 or any other federal or state laws requiring individual
notifications of breaches have been triggered.
C. Written Report: Recipient shall provide a written report of the investigation to the CDPH Program
Contract Manager, the CDPH Privacy Officer, and the CDPH Chief Information Security Officer as soon
as practicable after the discovery of the breach or security incident. The report shall include, but not be
limited to, the information specified above, as well as a complete, detailed corrective action plan,
including information on measures that were taken to halt and/or contain the breach or security
incident, and measures to be taken to prevent the recurrence or further disclosure of data regarding
such breach or security incident.
California Department of Public Health County of Fresno
D. Notification to Individuals: If notification to individuals whose information was breached is required
under state or federal law, and regardless of whether Recipient is considered only a custodian and/or
non-owner of the DATA, Recipient shall, at its sole expense, and at the sole election of CDPH, either:
1. make notification to the individuals affected by the breach (including substitute notification),
pursuant to the content and timeliness provisions of such applicable state or federal breach notice
laws. Recipient shall inform the CDPH Privacy Officer of the time, manner and content of any such
notifications, prior to the transmission of such notifications to the individuals; or
2. cooperate with and assist CDPH in its notification (including substitute notification) to the individuals
affected by the breach.
E. Submission of Sample Notification to Attorney General: If notification to more than 500 individuals is
required pursuant to California Civil Code section 1798.29, and regardless of whether Recipient is
considered only a custodian and/or non-owner of the DATA, Recipient shall, at its sole expense, and at
the sole election of CDPH, either:
1. electronically submit a single sample copy of the security breach notification, excluding any
personally identifiable information, to the Attorney General pursuant to the format, content and
timeliness provisions of Section 1798.29, subdivision (e). Recipient shall inform the CDPH Privacy
Officer of the time, manner and content of any such submissions, prior to the transmission of such
submissions to the Attorney General; or
2. cooperate with and assist CDPH in its submission of a sample copy of the notification to the
Attorney General.
F. CDPH Contact Information: To direct communications to the above referenced CDPH staff, Recipient
shall initiate contact as indicated herein. CDPH reserves the right to make changes to the contact
information below by verbal or written notice to Recipient. Said changes shall not require an
amendment to this Agreement.
CDPH Program Contract CDPH Privacy Officer CDPH Chief Information Security
Manager Officer
Renay Bradley Privacy Officer Chief Information Security Officer
Chief, Epidemiology, Privacy Office Information Security Office
Surveillance, & Evaluation Office of Legal Services California Dept. of Public Health
Section; Injury and Violence California Dept. of P.O. Box 997377, MS6302
Prevention Branch Public Health Sacramento, CA 95899-7413
P.O. Box 997377, MS
Email: 0506 Email:
renay.brad ley(a)cd ph.ca.gov Sacramento, CA CDPH.InfoSecurityOffice(cDcdph.ca.gov
Telephone: (279) 213-1501 95899-7377 Telephone: (855) 500-0016
Christopher Borges Email:
State SIDS/FIMR Coordinator privacy(a)cdph.ca.gov
Perinatal Clinical Programs Telephone: (877) 421-
Section 9634
Maternal, Child and Adolescent
Health Division
California Department of Public Health County of Fresno
Email:
Christopher.BorgesCab_cdph.ca.gov
Telephone: 279 944-9038
XV. Documentation of Disclosures for Requests for Accounting: Recipient shall document and make
available to CDPH or (at the direction of CDPH) to an Individual such disclosures of DATA, and information
related to such disclosures, necessary to respond to a proper request by the subject Individual for an
accounting of disclosures of personal information as required by Civil Code section 1798.25, or any
applicable state or federal law.
XVI. Requests for DATA by Third Parties: Recipient and its employees, agents, or subcontractors shall
promptly transmit to the CDPH Program Contract Manager all requests for disclosure of any DATA
requested by third parties to the agreement between Recipient and CDPH (except from an Individual for an
accounting of disclosures of the individual's personal information pursuant to applicable state or federal
law), unless prohibited from doing so by applicable state or federal law.
XVII. Audits, Inspection and Enforcement: CDPH may inspect the facilities, systems, books and records of
Recipient to monitor compliance with this Agreement. Recipient shall promptly remedy any violation of any
provision of this Agreement and shall certify the same to the CDPH Program Contract Manager in writing.
XVIII. Termination for Cause:
A. Termination upon Breach: A breach by Recipient of any provision of this Agreement, as determined by
CDPH, shall constitute a material breach of the Agreement and grounds for immediate termination of
the Agreement by CDPH. At its sole discretion, CDPH may give Recipient 30 days to cure the breach,
or CDPH may have the option to terminate access immediately to the Recipient.
B. Judicial or Administrative Proceedings: Recipient will notify CDPH if it is named as a defendant in a
criminal proceeding related to a violation of this Agreement. CDPH may terminate the Agreement if
Recipient is found guilty of a criminal violation related to a violation of this Agreement. CDPH may
terminate the Agreement if a finding or stipulation that Recipient has violated any security or privacy
laws is made in any administrative or civil proceeding in which Recipient is a party or has been joined.
XIX. Amendment: The parties acknowledge that federal and state laws regarding information security and
privacy rapidly evolve, and that amendment of this Agreement may be required to provide for procedures to
ensure compliance with such laws. The parties specifically agree to take such action as is necessary to
implement new standards and requirements imposed by regulations and other applicable laws relating to
the security or privacy of DATA. The parties agree to promptly enter into negotiations concerning an
amendment to this Agreement consistent with new standards and requirements imposed by applicable
laws and regulations.
XX. Assistance in Litigation or Administrative Proceedings: Recipient shall make itself and any
subcontractors, workforce employees or agents assisting Recipient in the performance of its obligations
under the agreement between Recipient and CDPH, available to CDPH at no cost to CDPH to testify as
witnesses, in the event of litigation or administrative proceedings being commenced against CDPH, its
director, officers or employees based upon claimed violation of laws relating to security and privacy, which
involves inactions or actions by Recipient, except where Recipient or its subcontractor, workforce
employee or agent is a named adverse party.
California Department of Public Health County of Fresno
XXI. No Third-Party Beneficiaries: Nothing express or implied in the terms and conditions of this Agreement
is intended to confer, nor shall anything herein confer, upon any person other than CDPH or Recipient and
their respective successors or assignees, any rights, remedies, obligations or liabilities whatsoever.
XXII. Interpretation: The terms and conditions in this Agreement shall be interpreted as broadly as necessary
to implement and comply with regulations and applicable State laws. The parties agree that any ambiguity
in the terms and conditions of this Agreement shall be resolved in favor of a meaning that complies and is
consistent with federal and state laws and regulations.
XXIII. Survival: If Recipient does not return or destroy the DATA upon the completion or termination of the
Agreement, the respective rights and obligations of Recipient under Sections IX, X, and XIV of this
Agreement shall survive the completion or termination of the agreement between Recipient and CDPH.
XXIV. Choice of Law and Venue: The laws of the state of California will govern any dispute from or relating to
this Agreement. The parties submit to the exclusive jurisdiction of the state of California and federal courts
for or in Sacramento and agree that any legal action or proceeding relating to the Agreement may only be
brought in those courts.
[This space intentionally left blank— Continued on next page.]
California Department of Public Health County of Fresno
XXV. Signatures:
IN WITNESS, WHEREOF, the Parties have executed this Agreement as follows:
On behalf of Recipient, the undersigned individual hereby attests that they are authorized to enter into this
Agreement and agrees to abide by and enforce all the terms specified herein.
Nathan Magsig ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
Chairman of the Board of Supervisors of the County of Fresno A
By�-�row.11.• ��w Deputy
7 9/zk/7,0zy
(Signature) (Date)
On behalf of CDPH, the undersigned individual hereby attests that they are authorized to enter into this
Agreement and agrees to all the terms specified herein.
Mari Taylan
Mari Taylan
Chief, Perinatal Clinical Program Section
wk'- 10/23/24
(Signature) (Date)
California Department of Public Health County of Fresno
Attachment 1
Recipient Breach and Security Incident Contact Information.
The following Recipient contact information must be included in the executed
Agreement
Recipient Chief Information
Recipient Program Manager Recipient Privacy Officer Security Officer (and IT
Service Desk)
Ge Vue David Luchini Ed Hill
MCAH Director Director, Department of Public Interim Chief Information
Health Officer/Chief Operating Officer
1221 Fulton Street 1221 Fulton Street 2281 Tulare, Suite 304
[Address 2] [Address 2] [Address 2]
Fresno Fresno Fresno
CA, 93721 CA, 93721 CA, 93721
(559) 600-3330 (559) 600-3200 (559) 600-1293
(559) 455-4705 (559) 600-7687 (559) 600-1230
gevue@fresnocountyca.gov dluchini@fresnocountyca.gov ehill@fresnocountyca.gov