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LOS Angeles/Orange County Homeless Management Information System (HMIS) Collaborative HMIS Agency Agreement 1. Purpose The Los Anpales/Orange County (LA/OC) Homeless Management Information System (HMIS) le a web enabled database used by homeless service providers within the Los Angeles and Orange County region, to capture information about the Parma they serve. The LA/OC HMIS Collaborative consist of four separate Continuum of Caren. The continuums am Los Angeles Homeless Service Authority (LAHSA), Orange County Continuum of Care, the City of Glendale and the City of Pasadena. The LA/OC HMIS Collaborative's goal is to go beyond the HUD mandate of producing unduphicated counts of homeless persons. Our mission is b provide a comprehensive case adnmaethe ptuvidonofqualkyaervlearforkomelessperaona management system re refponsive policies to end homelessness in Los Afteles kneans dam colleGion, mod .Promote more ngeles and grange Counties. U. Audience and Agreement This Participating Agency Agreement permits The Agency and its participants to use the LA/OC HMIS and mmmtY services on tltarr computes systems through an Internet commotion. The LA/OC HMIS Collaborative and their malgamd HMIS System Administrators era the priuery coordinating Contiuuoo of Cares (CoC) for the LA/OC HMIS. The Participating Agency is the "Agency" named in this agreement as Participants of the LA/OC HMIS. The HMIS "User" are the guardians entrusted with personal date to be enured and used in the LA/OC HMIS end the "Client" is the consumer of services. All agencies which have been granted access to the LA/OC HMIS have agreed to abide by all laws, and the LA/OC HMIS Collaborative Policies and Procedures pertaining to client confidentiality, use conduct, security. and the ongoing functionality and stability of services and equipment used to HMIS. support the LA/OC The signature of the Executive Dkoctor of the Pardenjpalinl Agency Indicates agrerarmt with rice seism set ford* for en LA/OCMMLS accounifor rice Ageneµ M. Confidentiality and Informed Consent The Agency agrees to abide by and uphold all privacy promotion standards established by the LA/OC HMIS Collaborative as well as their respective agency's privacy procedures. The Agency will also uphold relevant Federal and California State confidentiality regulations and laws that protect client records, and the Agency will only release confidential client records with written consent by the client, or the client's guardian, unless otherwise provided for in the result grouted es us or laws. Access to the LA/OC HMIS is to South County Outreach based on the following pmemia Oral �mtlea: All clients will be provided an oral explanation stating their information will be computerized record keeping system, The Agency will provide an oral epleoetion of the LA/OC HMIS and the terms of consent. The agency is responarble for takes place prior to every client interview. mug that this procedure Written Uplanation: Each client whose information is being shared with another participating agency must some via as 90 written Client eomenllImbrmation Release torn A client must be informed to what information is being shared and with whom it is being shared organization ease: The Agency agrees not to release client identifiable information to any other I +ursrrant to fademl and California State law without proper client consent. See attached Client Comemiinformation Release Form and Regulations below. HA"Agac94greement page Iof5 Revisel02Hll/08