Community View Use Agreement - Michiana Health Information Network Inc. - Access to MHIN Clinical Data Repository for Ambulance Billing

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COMMUNITY VIEW USE AGREEMENT This Use Agreement ("this Agreement") is entered into as of January 9, 2017, by and between MHIN Inc. ("MHIN") and the City of South Bend acting by and through its Board of Public Works, on behalf of the South Bend Fire Department (collectively, "the Participant"). MHIN and Participant are each referred to individually herein as a "Party" or collectively as the "Parties." NOW, THEREFORE, for and in consideration of the mutual covenants herein contained, MHIN and Participant agree as follows: AGREEMENT AND EFFECTIVE DATE As of the Effective Date, the Parties hereby agree that (i) Participant will have the rights and obligations relating to the use of the Health Information Exchange ("HIE") data set forth in the Agreement; and (0) MHIN will make the HIE data available and fulfill the other obligations of the Agreement subject to scheduled and unscheduled downtime as set forth in this Agreement. The Agreement is effective as of the date on which it is executed by both Parties, as set forth in the signature lines on Page 3 of this document ("Effective Date"). SCOPE OF MHIN SERVICES 1. MHIN will continue to provide access to its clinical data repository (named "Community View") to identified Users at Participant's organization for the Term of this Agreement 2. MHIN will create, administer, and manage all User accounts on behalf of Participant 3. MHIN will provide 24-hour monitoring and maintenance of the clinical data repository 4. MHIN will provide ongoing Helpdesk support and assistance PARTICIPANT RESPONSIBILITIES 1. Identify key staff to have access to Community View given their role and function 2. Engage Security Officer with the process of role/function determination within the organization as well as involving in the ongoing User management. 3. Manage the number of Users for whom access is granted and/or requested to only clinically or operationally appropriate staff members. 4. Help to manage the active User List by alerting MHIN when Users terminate or changes position to a position that does not require access to Community View. 5. Provide space, computer equipment, and Internet access for Participant's Users to access Community View FORMAL ANNUAL AUDIT Each year, the Parties will collaborate to perform a User Audit ("Annual Audit") of the Participant's Users. MHIN will perform and share the result of the Audit with Participant. Participant will review the Audit results for the purposes of reconciling and requesting the activation/deactivation of Users. Additionally, throughout the course of the year, and between the Annual Audits, informal audits may be performed during the regular course of providing access to Community View for Participant's Users. 617I74MIN-► OVA