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OC M M IS .Participating Agency Agreement <br />Purpose <br />The HMIS (Homeless Management Information System) Is a HUD-mandatad Informatlan technology system <br />that is designed to capture client laVel Information over time, on the characteristics and service needs of <br />horn Blass persons, Client data is maintained on a central server, which will contain all client information In an <br />encrypted state, HM IS 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 she re 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 far local communities. <br />Agreement and Understanding <br />This Agreement akith orixes this participating Agenoy(Agency) to designate HMIS Users (User). A User Is a staff <br />person entrusted to enter protected personal Information (PPI) into the OC HMIS, on behatfof this Agency, in <br />order to allow a User to access the OC HMIS, a User Agreement must be stoned 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 taw, 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 Informatlan wilt be entered Into an electronic database called HMIS. The terms of the Consent In <br />to share Protected Personal Information form must also be explained to each ellanL Clients who agree to have <br />their PPl entered Into the QC HMIS must sign the Consent to Share Protected Personal Information form, <br />Verbal Consent: Verbal consent to enter PPl into the OC HMiS may be obtained during circumstances such as <br />phone screenings, street outreach, or community access centerstgn-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 forth 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 8124110 <br />