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4f <br />nfy <br />�tS' • <br />Purpose <br />The HMIS (Homeless Management Information System) is a Help -mandated Information tech nologysystem <br />that Is designed to capture client -level Information over time, on the characteristics and service needs of <br />homeless persons, Client data is maintained on a central server, which will contain all client information In an <br />encrypted state, HMi$ integrates data from all homeless service providers and organizations in the community <br />and captures basic descriptive Information on every person served, Participation in the OC HMIS allows <br />organizations to share Information with other participating organizations to create a more coordinated and <br />effective service delivery system, The OC HMIS is the secured electronic database for orange County and Is a <br />valuable resource for local communities, <br />Agreement and Understanding <br />This Agreement authorizes this Particlpat Ing Agency (Agency) to designate HMIS Users (User). A User is a staff' <br />person entrusted to enter Protected personal Information (PPI) into the QC HMIS, on behalf of this Agency. In <br />order to allow a User to access the OC HMIS, a User Agreement must be signed by the User and stored <br />electronically in the HMIS, <br />(confidentiality and Informed Consent <br />Confidentiality; This Agency must require all Users to abide by its organization's policies and procedures; <br />uphold all privacy protection standards established by the OC HMIS Policies and Procedures; and comply with <br />all relevant federal and State of California confidentiality laws and regulations that protect client records. <br />Except where otherwise provided for by law, this Agency shall ensure that confidential client records are <br />released with the client`s written consent. <br />Written Consent; To obtain written consent, prior to each client's assessment, each client must be Informed <br />that the client's Information will be entered into an electronic database called HMIS. The terms of the Consent t <br />to Share Protected Personal Information form must also be explained to each client. Clients who agree to have <br />their PPI entered into the OC HMiS must sign the Consent to Share protected Personal information form, <br />Verbal Consent: Verbal consent to enter PPI into the OC HMIS may be obtained during circumstances such as <br />phone screenings, street outreach, or community access centerslgn-Ins, Each client must be informed that <br />their Information will be entered Into the HMIS database, The terms of the Consent to Share Protected <br />Personal Information form must also be explained to each client. The client's written consent must be <br />obtained once the client appears for their Initial assessment. <br />Updated 8124/18 <br />