HomeMy WebLinkAboutLW15-259 - Original - WA State Dept. of Health - MOU: WA Dept of Health & Law Enforcement Agency - 07/02/2015 40 Records Ma-, -,. rn'6M
KENT
Document
CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: Washington State Department of Health
Vendor Number:
7D Edwards Number
Contract Number: L.VIJ IV3~` 3
01
This is assigned by City Clerk's Office
Project Name: MOU WA Department of Health and Law Enforcement Agency
Description: [] Interlocal Agreement ❑ Change Order ❑ Amendment 0 Contract
0 Other: Memorandum of Understanding
Contract Effective Date: 1/1/15 Termination Date: Notice
Contract Renewal Notice (Days): Notice
Number of days required notice For termination or renewal or amendment
Contract Manager: Sheila Knapp Department: Law
Contract Amount: N/A
Approval Authority: ® Department Director ❑ Mayor ❑ City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
As of: 08/27/14 j
i
MOO;WA Department of Health and tow Enforcement Agency
I
Memorandum of Understanding j
Between the
Washington State�epartniphtof Health
And
City of Kent
This Memorandum of Understanding(henceforth referred to as an"MOU")Is established between the J
Washington State Department of Health(the department)and the City of Kent
to provide the department access to the agency's incident case report data on hom)cldes;suicides,
unintentional firearm deaths,deaths of undermined Intent,and legal interventlons for Inclusion in the
Washington Violent Depth Reporting System(WA-VDRS)• WA-DVRS is the state component of the
Center for Disease Control and Prevention's (CDC)Natlonal Violent Death Reporting System(NVDRS).
The purpose of WA-VDR$and NVDRS Is to produce information that helps public health and law
enforcement officials understand the extent,cause and circumstances of violent deaths. This
information will be used.to develop,target and evaluate vlplence prevention strategies. WA-VDRS
collects information on violent deaths from three primary sources: death certificates,medical
examiner/coroner(ME/C)records,and law enforcement reports. _
The Washington State Legislature recognizes that violence In Put society causes great concern for the
immediate health and safety of ourcitizens and oursociai institutions, They find that a public health
and public safety approach can be effective In addressing the problem of violence and authorize the
department In 43N,545 RCW to collect and report data relating to acts of violence that result In
homicide and suicide,
This MOU can be reviewed with thirty(30)days'notice by either party to assess processes and needed
changes between the collaborating agencies,
A. The City of Kent agrees to:
�pency N9n�e ',
i
1. Coordinate with the department to establish a process to permit.access by the department
oil closed cases,or those no longer under investigations,Including:homicides,suleldes, 1
deaths of uudetermbred Intent,unintentional deaths from firearm and legal Interventions
investigated by the agency beginning January 1,2015 onwards,
2. Provide information pertaining to the above described closed case reports In any of the
following manner(at the agency's discretion on a case by case basis) on a quarterly(every
three months)basis or before:
a. Elocteonlcformat
b. Paper-based format
c. Completed WA-Violent Death Reporting System:Law Enforcement Flllable Data
Form.
Dbhl Contract NNE I<;1
i
MOU:WA Department of Health and Law Enforcement Agency
For those case reports the agency elects to submit electronically,the records will be transmitted
through a secure,FTP site n)*tainad by the department, Forthose case reports the agency
alerts to submit using paper-based records,the records will be abstracted directly by WA-VDRS
abstractors or submitted by the agency though a secure scanned file transfer program into the
department's confidential secure file folder. For those case reports the agency elects to submit
using a flllabie data form,the forms shall be transmitted through a secure FTP site malmalned
by the department.
D. The Washington State Department of Health agrees to;
1, Abide by all applicable state laws and regulations pertalning to protection of confidential
Information,Data transmitted to the NVDRS will be stripped of IdonW ers prior to transfer.
2. At least annually,disseminate WA-DVRS data reports,fact sheets and.publkations to data,
i
suppliers,the&Iblic and orgahizattons Working to prevent violence,
This MOU Is contingent on the receipt of funding from the CDC Cooperative Agreement for the National
Violent Death Reporting System. In the event suffleient appropriations are not made to suppgrt the
WA•VDRSI he MO shall terminate withoutfurthernbligatlons.of the parties.
Spnoturo and mfa Date conrmrtuj(ker - Vole.
Mir I'Jorh!ngtan SSn�eAepurtmnntnJkcetfh
A4en<yffanie Betty BrIcId
cttyofTcent Contract Specialist
220 Fourt venue Sout h
MaftgAbdfam Ken Washington 98032
(253)856-5805
P ctltomas�Okentwa.gov
fma$Addreu
For additional quesllons or concerns please contact Taylor schraudnerq, Rig
Program Manager at -
360.236.2875oremail tWorschraudner@41oh.waaov. !ter i
Please mail signed MOU to; e`garefe e "�
Department of Health it
Community Health Systems
Attn;WA-Vlolent Death Reporting System
PO BOX 4753
Olympia,WA98504.7853 � ��®l�a
DOH