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Consolidated Agreement FY21 Page 3 of27 <br />all issues which arise from it, or until the end of the regular five-year period described above, <br />whichever is later. <br />b. Data/Reporting <br />1. The LHD shall report client, service, encounter, and other data as specified by applicable program <br />rules, Agreement Addenda for State-funded budgets, and by North Carolina Administrative Code. <br />2. The LHD shall submit monthly reports of On-Site Wastewater activities to the On-Site Water <br />Protection Branch in the Environmental Health Section of DPH in the format provided by the <br />Environmental Health Section. <br />3. The LHD shall provide access to patient records to authorized staff from DPH for technical <br />consultation, program monitoring, and program evaluation, as specified by this Agreement, <br />Agreement Addenda for State-funded budgets, statute, and North Carolina Administrative Code. <br />4. The LHD shall provide client, service, encounter, and other data through NC's centralized automated <br />system known as the LHD Health Services Analysis. To ensure that such data is accurately linked to <br />the specific client served in a manner that results in a unique identifier from the DHHS Common <br />Name Data Service except as allowed by NCGS § 130A-34.2 the LHD shall allow the State to <br />submit ( on its behalf) the Social Security Numbers of all clients to the Social Security <br />Administration for verification. <br />5. The LHD shall share data with DPH to support public health objectives. The data will be shared in a <br />manner which respects the confidentiality and integrity of each party's data and protects the privacy <br />of individual client health information. Sharing data includes providing client information allowed as <br />permitted disclosures under the Health Insurance Portability and Accountability Act of 1996 <br />(HIPAA), Public Law 104-191, HIPAA Administration Simplification Provisions Sections 261 <br />through 264, 45 CFR 164.512. <br />6. The LHD shall provide Network and internet access at its facilities ( or to the county network where <br />desired) at a minimum speed of a full Tl line in order to: <br />a) Connect with critical data and surveillance systems including, but not limited to, the North <br />Carolina Health Alert Network (HAN), North CaroJina Electronic Disease Surveillance <br />System (NCEDSS), North Carolina Immunization Registry (NCIR), Local Health <br />Department Health Services Analysis (LHD-HSA) and Electronic Birth Registration System <br />(EBRS). <br />b) Rapidly communicate email alerts to and from DPH regarding bioterrorism and public health <br />topics (outbreaks, emergency alerts, etc.) <br />c) Access DPH training material and information used for training staff, including access to <br />webinars <br />d) Maintain a secure infrastructure for remote data entry in the LHDs <br />e) Report electronically all required Environmental Health Section inspection data in the format <br />and frequency specified by DPH. (Paper copies of inspection data are no longer accepted for <br />Food, Lodging, and Institutions inspections.) <br />The LHD may utilize security products (i.e., firewalls) of its choosing to maintain network <br />connectivity and security integrity. The LHD network configuration and security practices must <br />allow communication with systems within the DPH network. <br />DocuSign Envelope ID: B7CC8492-1A0C-48C3-B890-562DC3D404A4