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*Appointment: honest brokers shall not be a part of the research team for which they are performing honest broker services, unless approved by the ACE Privacy Officer, the Associate Vice Chancellor for Clinical Research and the Chief, Quality/Outcomes Officer. | *Appointment: honest brokers shall not be a part of the research team for which they are performing honest broker services, unless approved by the ACE Privacy Officer, the Associate Vice Chancellor for Clinical Research and the Chief, Quality/Outcomes Officer. | ||
*Education and Training: The proposed honest brokers responsible for a research data source must complete education and training, currently mandated by the IRB for all research investigators, prior to submitting an application. | *Education and Training: The proposed honest brokers responsible for a research data source must complete education and training, currently mandated by the IRB for all research investigators, prior to submitting an application. | ||
*The individual or the organization or team must submit an [ | *The individual or the organization or team must submit an [https://www.unmc.edu/hipaa/forms/docs/Honest-Broker-Application.pdf Application for Honest Broker Certification Form] to become part of the UNMC Honest Broker System. | ||
:*Applications should be submitted to the Privacy Officer for the ACE. | :*Applications should be submitted to the Privacy Officer for the ACE. | ||
*Attestation of Agreement: All honest brokers must sign a written agreement that they will abide by all relevant ACE policies including continuing adherence to the ACE honest broker certification criteria section of this policy. | *Attestation of Agreement: All honest brokers must sign a written agreement that they will abide by all relevant ACE policies including continuing adherence to the ACE honest broker certification criteria section of this policy. | ||
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*Contact the [mailto:debrbishop@nebraskamed.edu Privacy Officer] | *Contact the [mailto:debrbishop@nebraskamed.edu Privacy Officer] | ||
*[http://www.unmc.edu/hipaa/about/notice-privacy-practices.html Notice of Privacy Practices] | *[http://www.unmc.edu/hipaa/about/notice-privacy-practices.html Notice of Privacy Practices] | ||
*[ | *[https://www.unmc.edu/hipaa/forms/docs/Honest-Broker-Application.pdf Application for Honest Broker Certification Form] | ||
*[http://www.unmc.edu/hipaa/_documents/attestation-of-honest-brokers-responsibilites.pdf Attestation of Honest Brokers Responsibilities Form] | *[http://www.unmc.edu/hipaa/_documents/attestation-of-honest-brokers-responsibilites.pdf Attestation of Honest Brokers Responsibilities Form] | ||
*[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT UNMC/Nebraska Medicine Request for Electronic Health Data Form] | *[https://unmcredcap.unmc.edu/redcap/surveys/?s=94TLJCCAAT UNMC/Nebraska Medicine Request for Electronic Health Data Form] |