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DATA USE AGREEMENT BETWEEN Roseville Fire Department and Allina Medical Transportation This Data Use Agreement is made and entered into on September 1,2011 by and between the Roseville Fire Department(hereafter"Holder")and Allina Medical Transportation(AMT)(hereafter"Recipient"). 1. This agreement sets forth the terms and conditions pursuant to which Holder will disclose certain protected health information(hereafter"PHI")in the form of a Limited Data Set to the Recipient. 2. Terms used,but not otherwise defined,in this Agreement shall have the meaning given the terms in the HIPAA Regulations at 45 CFR Part 160-164. 3. Permitted Uses and Disclosures 3.1 Except as otherwise specified herein,Recipient may make all uses and disclosures of the Limited Data Set necessary to conduct the research described herein:Data collected by the Roseville Fire Department will be linked with Allina prehospital and inhospital patient data for purposes of evaluating AMT training of firefighters in advanced patient care elements and understanding the nature of firefighter-AMT interactions during emergency response in the city of Roseville. The PHI elements needed to achieve record linkage between the Holder and Recipient data systems are:patient date of birth,age,and date of service.No other PHI will be included in the Limited Data Set. 3.2 In addition to the Recipient,the individuals,or classes or individuals,who are permitted to use or receive the Limited Data Set for purposes of the Research Project include:The Mina project team (all employed by Allina Hospitals&Clinics):Paul Satterlee,Lori Boland,Tamara Winden,Steve Hagstrom,Laura Reynolds,Brian LaCroix„Heather Britt.To the extent that the classes of persons are not part of the Recipient's workforce who are directly involved in the Research Project,the Recipient shall enter into a data agreement with the other classes of persons before such release of the Limited Data Set. 4. Recipient Responsibilities 4.1 Recipient will not use or disclose the Limited Data Set for any purpose other than permitted by this Agreement pertaining to the research project or as required by law; 4.2 Recipient will use appropriate administrative,physical and technical safeguards to prevent use or disclosure of the Limited Data Set other than as provided for by this Agreement; 4.3 Recipient will report to the Holder any use or disclosure of the Limited Data Set not provided for by this Agreement of which the Recipient becomes aware within 15 days of becoming aware of such use or disclosure; 4.4 Recipient will ensure that any agent,including a subcontractor,to whom it provides the Limited Data Set,agrees to the same restrictions and conditions that apply through this Agreement to the Recipient with respect to the Limited Data Set; 4.5 Recipient will not identify the information contained in the Limited Data Set;and 4.6 Recipient will not contact the individuals who are the subject of the PHI contained in the Limited Data Set. 5. Term and Termination