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Los Angeles/Orange County <br />Holneloss Management Information System 94MIS) Collaborative <br />HN JS Agency Agreement <br />I. Furpose <br />The Los AngeleslOtange County (LA/0C) Homeless Management Information System (MS) is a web. <br />enabled database used by homeless service providers within the Los Angeles and Ormige County region, to <br />capture information about the persons they serve. 'rho LAlQC HMIS Collaborative consist of four sepamte <br />Continuum of Cares. The continuums era: Los Angeles Homeless Service Authority (LAHSA), Orange <br />County Continuum of Caro, the City of Glendale and the City of Pasadena. <br />The LA/OC HMIS Collaborative's goal is to as beyond the HUD mandate of produclag andupllosted <br />counts of homeless persons. Our mission is to provide a comprehensive case management system to <br />advance them-ovsston of guattty services forhome(assAersarts, improve data c allactlon. andpromote more <br />responsive pol(cles to end homelessness in Los Angeles and Orange Counties, <br />11. Audience and Agreement <br />This participating Agency Agreement persons The Agency and its participants to use the I.A/OC HMIS and <br />sarmuity services on their computers systems through so Internet connection The LA/OC HMIS <br />Collaborative and their assigned TWS System Administrators are the primary coordinating Commourt of <br />Cares (Coo) for the LA/OC MS. The Periieipalim Agency is the "Agency' aimed in this agreement as <br />participants of the LA/OC HIM. The HMIS "User' are the guardiansentrusted 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 HMIS have agreed to abide by all laws, and the <br />LA/OC NNIS 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 />The signature of rhe Avepulf" Dbector of the Participating Agency Indicates agreement will, Hie Corms <br />setforth for an IdMOCAWN aeconnrfor the Agency. <br />111. Confidentiality and informed Consent. <br />The Agency agm e; to abide by and uphold all privacy protection standards established by the LA/OC <br />IMS Collaborative as well as their respective agency's privacy procedures, The Agency willalso uphold <br />relevant Federal and California Sure cardiidentalilyregulations and laws that protest client records, and the <br />Agency will only release confidential client mcorda with written consent by the aliaul, or the client's <br />guardian, unless otherwise provlded�p�� �lpr�he regulations or laws. Access to the LA/OC IiMIS is granted <br />m AGENCY NAME k` ""?-'`i3red'on the following premises! <br />Oral F,xpImmtiom All clients W Il be provided an oral mxplanattea stating their information will be <br />entered into a computerized record keeping system. The Agency will providean oral ceplaumon ofthe <br />LA/OC HMIS and the terms or consent. The agency is responsible for ensuring that this procedure <br />takesplace prior to every client interview. <br />Written Explanatem; Each client whose information is beiag shared with another participating <br />agency must agree via the written Client emisant/tnformation Release Tamm. A client must be informed <br />as to what intervention is being shared and with whom it being shared. <br />Information Release: The Agency agrees not to release client identifiable information to any other <br />organization pursuant to federal and California State law without proper client consmu. See attached <br />Client Commas nfoemation Release Form and Regulations bele% <br />TIMJ,SAgency Agreement Page l oft Rcmisad 6118/1004 <br />