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                      Organized Health Care Arrangement Status


                      The Health Insurance Portability and Accountability Act ("HIPAA") defines an Organized Health Care Arrangement ("OHCA") to include, among other arrangements, an organized system of health care in which more than one covered entity participates and in which the participating covered entities hold themselves out to the public as participating in a joint arrangement and participate in certain joint activities as specified in the Privacy Regulations.

                      The covered entities included in the link below, each independent of each other, have agreed to collaborate voluntarily to give coordinated high-quality care to their patients.

                      Atlantic Coast Healthcare Alliance
                      Quality Healthcare Alliance West

                      As part of the Atlantic Coast Healthcare Alliance and Quality Healthcare Alliance West, the covered entities plan to participate in certain joint activities, including quality assessment and improvement activities, where the sharing of protected health information ("PHI") on patients in the designated population may be necessary to achieve the goals of the Atlantic Coast Healthcare Alliance and Quality Healthcare Alliance West.

                      For the purposes of the Privacy Regulations, the covered entities qualify as an OHCA and wish to declare themselves as such for the purposes of the Atlantic Coast Healthcare Alliance and Quality Healthcare Alliance West and to enable the sharing of PHI for joint activities of the Atlantic Coast Healthcare Alliance and Quality Healthcare Alliance West.

                      Grandview Medical Group

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