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Los Angeles /Orange County <br />Homeiess Management Information System (HVl IIS) Collaborative <br />HMIS Agency Agreement <br />1. Purpose <br />The Los Angeles /Orange County (LA/OC) Homeless Management Information System (HMIS) is a web, <br />enabled database used by homeless service providers within the Los Angeles and Orange County region, to <br />capture information about the persons they serve, The LA /OC HMIS Collaborative consist of four separate <br />Continuum of Cares. The continumns are: Los Angeles Homeless Service Authority (LAHSA), Orange <br />County Continuum of Care, the City of Glendale and the City of Pasadena. <br />The LA /0C HMIS Collaborative's goal is to go beyond the HUD mandate of producing unduplicated <br />counts of homeless persons. Our missien is to provide a comprehensive case management system to <br />advarvae the provision of gaolifp servrres for homeless persons, Improve data collection, and promote store <br />responsive policies to end homelessness in Los Angeles and Orange Counties. <br />11. Audience 2nd Agreement <br />This Participating Agency Agreement permits The Agency and its participants to use the LA/OC HMIS and <br />security services on their computers systems through an Internet connection. The LA /OC HMIS <br />Collaborative and thew assigned HMIS System Administrators We the primary coordinating Continuum of <br />Cares (COO) for tie LAIOC HMIS. The Participating Agency is the "Agency" named in this agreement as <br />participants of the LA/OC HMIS. The HMIS "User" are the guardians entrusted with personal data to be <br />entered and used in the LA /OC HMIS and the "Client" is the consumer of services. <br />All agencies which have been granted access to the LA /OC PIMIS have agreed to abide by all laws, and the <br />LA /OC HMIS Collaborative Policies and Procedures pertaining to client Confidentiality, user conduct, <br />security, and the ongoing functionality and stability of services and equipment used to supporT the LA/OC <br />HMIS, <br />rite slgrtailtre of the Executive Director of the Partrcipatbrg Agency In(fleates agreement IV/ill (Ile (ernrs <br />set far(Ir for an LA /OC 8MIS accotart for the Agency, <br />III. Confidentiality and Informed Consent <br />The Agency agrees to abide by and uphold all privacy protection standards established by the LAIOC <br />HMIS Collaborative as well as their respective agency's privacy procedures, The Agency will also uphold <br />relevant Federal and California State confdeutiality regulations and laws that protect client records, and the <br />Agency will only release confidential client records with written consent by the client, or the client`s <br />guardian, unless otherwise provided for In the regulations or laws. Access to the LA/OC HMIS is granted <br />to AGENCY NAME—City of Santa Ana based on the following premises: <br />Oral Explanation: All clients will be provided an oral explanation stating their information will be <br />entered into a enlnputerized record keeping system. The Agency will provide an coal explanation of the <br />LA/OC HMIS and the terms of consent. The agency is responsible for ensuring that this procedure <br />takes place prior to every Client nnterview. <br />Written Explanation, Each client whose Information is being shared with another participating <br />agency mtist agree via the written Client consent/(nformation Release farm, A client must be informed <br />as to what information is being shared and with whom it is being shared. <br />Information Release: The Agency agrees not to release client identifiable information to any other <br />organization pursuant to Federal and Clilifort is State law without proper client consent. See attached <br />Client Consent/Information Release Form and Regulations below. <br />FIM'SAgencyAgreerncnt Page 1OJ'.5 Revised 02 101106 <br />