Coordination Service Provider User Agreement
The BCDiabetes CSP service User License agreement describes how the BCDiabetes CSP
service treats personal information when you use its product, a service that helps you store and
organize your personal health information.
You are in control of your information
You control who can access your personal health information. Your CSP will not sell,
rent, or share your information without your explicit consent, except where required by law.
BCDiabetes CSP Services
BCDiabetes is primarily a diabetes CSP (it is also an endocrinology & general medicine
CSP). Your CSP coordinates, reviews, and recommends care options to allow you and your Care Providers
to improve your patient outcomes. Your CSP does this through an integrated Continuous Quality Improvement
(CQI) program, a form of ongoing never-ending clinical trial designed to advance your health. By using
this service, you agree to participate in the CQI program - one which will make intervention recommendations
to you and your care provider. The recommendations do not necessarily constitute medical advances,
rather they constitute potential advances - the recommendations should not be followed without them first
being discussed with your physician. For example, these recommendations could include requests for lifestyle
intervention, recommendations for alternate prescriptions, or requests to consider enrollment in specific
clinical trials.
Your CSP periodically monitors and publishes and we may use data from your account as part
of an aggregated data set (e.g., the system has helped lower the A1c of its patients by an average of 0.8 in
6 months). These aggregated data sets do not contain your Personal Information, but are part of how the
service will communicate (including recommendations) with you and your Care Providers.
Your CSP does not provide information technology services - these are provided by parties
contracted to the CSP.
How the CSP uses your information
For the purposes of offering the service, the CSP, and its staff and employees will need
access to your data. This may include updating (for example, sharing recommendations to improve your care),
reading (for example, to determine what interventions could improve your care), aggregating (for example,
to determine the aggregate effectiveness of certain interventions), and indexing (for example, comparing
your data to targets set by the QI program, you, or your Care Providers for overall success scoring).
By agreeing to this EULA, you allow the CSP, and its staff and employees to access your data in the
aforementioned ways.
Your CSP periodically monitors and publishes and we may use data from your account as part
of an aggregated data set (e.g., the system has helped lower the A1c of its patients by an average of 0.8
in 6 months). These aggregated data sets do not contain your Personal Information, but are part of how the
service will communicate (including recommendations) with you and your Care Providers.
Your CSP’s Responsibilities
Your CSP does everything business reasonable in its power to secure your information which
includes ensuring all staff and contractors have signed agreements which require them to respect the
corporate policies of your CSP. However, your CSP cannot be held responsible for any breach not directly
associated with its gross negligence and you agree to indemnify your CSP for any data breach not directly
associated with its gross negligence.
User Responsibilities
You agree to work with your CSP in good faith and use all systems for their intended
purpose: to coordinate health resources to improve your health. You agree not to use it for unintended
purposes which include any bad faith action against your CSP or its staff or service providers. Though your
CSP vets the information use, health service and privacy policies of our partners, we encourage you to vet
them for your own comfort as well. As BCDiabetes’s ability to improve your care depends so significantly
on the technology platform, we require that you the agreement of this provider. By accepting this
CSP User Agreement, you also accept the technology provider’s agreement.
Technology Provider User Agreement
The BCDiabetes Technology Provider (TP) service User License agreement describes how the
BCDiabetes TP service treats personal information when you use its product, a service that helps you store
and organize your personal health information.
You are in control of your information
You control who can access your personal health information. The BCDiabetes TP service
will not sell, rent, or share your information without your explicit consent, except where required by law.
How the BCDiabetes TP service uses your information
To store your information in the BCDiabetes TP service, you will need an account. the
BCDiabetes TP service asks for a password, which, in conjunction with your username (and alias, if applicable)
is used to protect your account from unauthorized access.
For the purposes of offering the BCDiabetes TP service, BCDiabetes staff and employees
will need access to your data. This may include updating (for example, to let newly developed data be
presented in a useful way, or linking feeds to your data), reading (for example, to investigate inquiries
by you or your Care Providers about potential errors in transmission or encoding), copying (for example,
to backup the site), aggregating (for example, to determine the aggregate effectiveness of certain
interventions), and indexing (for example, comparing your data to targets set by you or your Care Providers
for overall success scoring). By agreeing to this EULA, you allow the BCDiabetes TP service, and its staff
and employees to access your data.
Our servers automatically record log information about your use of the BCDiabetes TP service.
This information is temporarily stored in association with your account. The log information will be used to
operate & improve the service.
The BCDiabetes TP service periodically monitors and publishes and we may use data from your
account as part of an aggregated data set (e.g., the system has helped lower the A1C measure of its patients
by an average of 0.8 in 6 months). These aggregated data sets do not contain your Personal Information, but
are part of how the service will communicate (including recommendations) with you and your Care Providers.
Certain features (available now or that we might develop in the future) of the BCDiabetes
TP service can be used in conjunction with other services (e.g. Excelleris Lab Systems, PharmaNet, Abbott
Libreview, Dexcom Clarity), and those features may share record log information in their own way. By using
the BCDiabetes TP service, you authorize us to request your information from them on your behalf for the
exclusive purpose of loading it into your BCDiabetes TP service portal account and delivery of the BCDiabetes
TP service services.
Sharing your information with people and services you trust
If you share your information with others, you can view a list of who has access to your
information and you can revoke sharing privileges at any time. When you revoke someone’s ability to read
your health information, that party will no longer be able to read your information, but may have already
seen or may retain a copy of the information.
The BCDiabetes TP service contains links to third-party service providers capable of sending
information to the BCDiabetes TP service. These providers (which may include your medical providers) may
provide information about certain medical conditions or extend the functions of the BCDiabetes TP service
in other ways (e.g. lab information presentation). By creating an account with the BCDiabetes TP service,
you give them permission to send your information such as medical records, prescription histories, or test
reports to your BCDiabetes TP service account.
If a service provider accesses your health information and stores a copy of your information,
that copy will be governed by that service provider's privacy policy. Others at that facility – like an on-call
doctor – may be able to view your information. The BCDiabetes TP service is not responsible and cannot be held
liable for the content, performance, or privacy policies of third-party service providers.
The BCDiabetes Technology Provider Service
The BCDiabetes Technology Provider (TP) service does not provide medical services - these
services are provided by physicians contracted to the BCDiabetes TP service. Signing up with the BCDiabetes
TP service does not constitute the creation of a physician-patient relationship with any individual physician
(the medical director or other physicians) who provides medical services to the BCDiabetes TP service. You
create a physician patient relationship with the physicians you encounter using the service.
The BCDiabetes TP service tries to coordinate medical information to allow you and your Care
Providers to improve your patient outcomes. One of the specific services provided by the BCDiabetes TP is the
BCDiabetes CGM (Continuous Glucose Monitor) Service:
CGM Service: The BCDiabetes CGM service enables BCDiabetes staff to remotely
access your interstitial glucose values. This service is dependent on flawless functioning of hardware (sensor,
transmitter, smartphone/pad/desktop), software (CGM provider app, CGM provider cloud, Nightscout or CGM
transmission other service) and internet connectivity. The BCDiabetes CGM service helps facilitate virtual
care, removing the need for in-person access to BCDiabetes when it may be inconvenient or impossible to attend
in-person for such a visit. The CGM service is not a notification service for diagnostic, therapeutic, and
preventive applications relating to diabetes mellitus. It is a technological tool designed to empower your and
your care-team in managing your diabetes remotely. By consenting to this document, you agree to share your CGM
data feed with the BCDiabetes care team and to permit the data transfer necessary for the seamless functioning
of the BCDiabetes CGM service.
While the BCDiabetes CGM service technically provides BCDiabetes staff, contractors and other
non-BCDiabetes members of your care team 24/7 access to your interstitial glucose values, the BCDiabetes CGM
service does not provide after-hours coverage, or coverage at any time other than at the time of appointments,
either pre-booked or spontaneous. You explicitly acknowledge that you will not expect review, and advice,
including emergency advice relating to your CGM values (including high and low alarms) at any time other than
at the time of appointments. You hereby indemnify BCDiabetes staff & contractors from any liability accruing
from hypoglycemic or hyperglycemic events occurring while enrolled in the BCDiabetes CGM service, other than
that relating to negligence with respect to the delivery of good clinical practice of diabetology care by
BCDiabetes staff and contractors.
Virtual Care: BCDiabetes TP service facilitates virtual care using Zoom
and other forms of video conferencing, email, phone, text messaging/instant messaging, social media chat, and
website portal. There are risks inherent in using virtual care tools. BCDiabetes staff will use reasonable
means to protect the security and confidentiality of information sent and received using the virtual care
services (defined below). However, because of the risks outlined below, the BCDiabetes staff cannot guarantee
the security and confidentiality of all virtual care tools:
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Risks of Virtual care
Use of virtual care tools to discuss sensitive information can increase the risk of such
information being intercepted by third parties.
Despite reasonable efforts to protect the privacy and security of information communicated
through virtual care platforms, it is not possible to completely secure the information.
Employers and online services may have a legal right to inspect and keep electronic
communications that pass through their system.
Virtual care tools can introduce malware into a computer system, and potentially damage
or disrupt the computer, networks, and security settings.
Communications through virtual care tools can be forwarded, intercepted, circulated,
stored, or even changed without the knowledge or permission of the Physician or the patient.
Even after the sender and recipient have deleted copies of electronic communications,
back-up copies may exist on a computer system.
Communications through virtual care tools may be disclosed in accordance with a duty to
report or a court order.
Some video conferencing platforms may be more open to interception than other forms of
videoconferencing.
If the email or text is used as a virtual care tool, the following are additional
risks:
Email, text messages, and instant messages can more easily be misdirected, resulting
in increased risk of being received by unintended and unknown recipients.
Email, text messages, and instant messages can be easier to falsify than handwritten or
signed hard copies. It is not feasible to verify the true identity of the sender, or to ensure that only
the recipient can read the message once it has been sent.
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Conditions of using Virtual Care Services
While BCDiabetes staff members will attempt to review and respond in a timely fashion
to electronic communications such as emails, text messages, and instant messages, BCDiabetes cannot
guarantee that all electronic communications will be reviewed and responded to within any specific period
of time. Virtual Services will not be used for medical emergencies or other time-sensitive matters.
If your electronic communication requires or invites a response from a BCDiabetes staff
member and you have not received a response within a reasonable time period, it is your responsibility
to follow up to determine whether the intended recipient received the electronic communication and when
the BCDiabetes staff member will respond.
Virtual care is not an appropriate substitute for in-person or over-the-telephone
communication or clinical examinations, where appropriate, or for attending the Emergency Department when
needed. You are responsible for following up on the BCDiabetes staff member’s electronic communication
and for scheduling appointments where warranted.
Electronic communications or recordings of virtual encounters concerning diagnosis or
treatment may be printed or transcribed in full and made part of your medical record. Other individuals
authorized to access the medical record, such as BCDiabetes staff and billing personnel, may have access
to those communications and recordings.
TheBCDiabetes staff member may forward electronic communications or recordings to other
staff and those involved in the delivery and administration of your care. The BCDiabetes staff member
might use one or more Virtual Service to communicate with those involved in your care. The BCDiabetes
staff member will not forward electronic communications or recordings to third parties, including family
members, without your prior written consent, except as authorized or required by law.
You agree to inform BCDiabetes of any types of information you do not want sent via
Virtual Services, in addition to those set out above. You can add to or modify the above list at any
time by notifying BCDiabetes in writing. Some Virtual Services might not be used for therapeutic purposes
or to communicate clinical information. Where applicable, the use of these Virtual Services will be
limited to education, information, and administrative purposes.
BCDiabetes is not responsible for information loss due to technical failures associated
with your software or internet service provider.
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Instructions for using Virtual Care Services
To use the Services, you must:
- Reasonably limit or avoid using an employer’s or other third party’s computer.
- Conduct virtual care encounters in a private setting and using a secure device, where possible.
- Obtain BCDiabetes staff’s consent prior to making any recording of the virtual care encounter.
- Inform BCDiabetes staff of any changes in your email address, mobile phone number, or other account
information necessary to communicate via the Services.
- If the Services include email, instant messaging and/or text messaging, the following applies:
- Include in the message’s subject line an appropriate description of the nature of the communication
(e.g. “prescription renewal”), and your full name in the body of the message.
- Review all electronic communications to ensure they are clear and that all relevant information is
provided before sending to the BCDiabetes staff member.
- Ensure the BCDiabetes staff member is aware when you receive an electronic communication from the
BCDiabetes staff member, such as by a reply message or allowing “read receipts” to be sent.
- Take precautions to preserve the confidentiality of electronic communications, such as using screen
savers and safeguarding computer passwords.
- Withdraw consent only by email or written communication with BCDiabetes.
- If you require immediate assistance, or if your condition appears serious or rapidly worsens, you
should not rely on the BCDiabetes Virtual Service; rather, you should telephone BCDiabetes or take
other measures as appropriate, such as going to the nearest Emergency Department or urgent care
clinic.
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Acknowledgement of risks, limitation, conditions of use, and instructions for use of
Virtual Services
You acknowledge having read and fully understood the risks, limitations, conditions of use,
and instructions for use of Virtual Services fully described above. You understand and accept the risks
outlined above, associated with the use of Virtual Services when interacting with the BCDiabetes staff
members. You consent to the conditions and will follow the instructions outlined above, as well as any other
conditions that BCDiabetes may impose in relation to the use of Virtual Services. You acknowledge and
understand that despite recommendations that encryption software be used as a security mechanism for virtual
care tools, it is possible that interacting with the BCDiabetes staff using Virtual Services may not be
encrypted. Despite this, you agree to interact with BCDiabetes staff using Virtual Services with a full
understanding of the risk. You acknowledge that either you or BCDiabetes may, at any time, withdraw the
option of using Virtual Services upon providing written notice.
The BCDiabetes TP service’s Responsibilities
The BCDiabetes TP service does everything business reasonable in its power to secure your
information which includes ensuring all staff and contractors have signed agreements which require them to
respect the corporate policies of the BCDiabetes TP service and ensuring technology assets are secured with
industry best practices. However, the BCDiabetes TP service cannot be held responsible for any data breach
not directly associated with its gross negligence and you agree to indemnify the BCDiabetes TP service for
any data breach not directly associated with its gross negligence.
User Responsibilities - acknowledgement and agreement
You agree to use the system for its intended purpose: to coordinate information sharing to
improve your health. You agree not to use it for unintended purposes which include but are not limited to
damaging or reverse engineering the security infrastructure and copying the system. You agree to keep your
login credentials secure.