MERCY HOUSE LIVING CENTERS (ESG 2015)

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Los Angeles /Orange County Homeless Management Information System (HMIS) Collaborative HMIS Agency Agreement 1. Purpose The Los Angeles /Orange County (LA /OC) I- toneless Management Information System (IIMIS) is a web - enabled database used by homeless service providers within the Los Angeles and Orange County region, to capture information about (lie persons they serve. 'File LA /OC Hb41S Collaborative consist of four separate Continuum of Cares. The continuums are: Los Angeles Homeless Service Authority (LAHSA), Orange County Continuum of Care, the City of Glendale and the City, of Pasadena. The LA /0C HMIS Collaborative's goal is to go beyond the HUD mandate of producing unduplicated counts of homeless persons. Our mission is to provide a comprehensive case management system to advance the provision of daalipv sem*es for houelass parsons; improve doter collection, and promote mnra responsive policies to end hometessness in Los Angeles and Orunge Cbrurtics. 11. Audience and Agreement This Participating Agency Agreement permits The Agency and its participants to use the LAIOC HMIS and security services on their computers systems through an Internet connection. The LA /OC HMIS Collaborative and their assigned IIMIS System Administrators are the primary coordinating Continuum of Cares (CoC.") for file LA /OC HMIS, The Participating Agency is file "Agency " named in this agreement as participants of the LAW IIMIS. The 1 -iM1S "User" are the guardians entrusted with personal data to be entered and used in the LAIOC HMIS and the "Client" is the consumer of services. All agencies which have been granted access to the LA/0C HMIS have agreed to abide by all laws, and the LA /0C HMIS Collaborative Policies and Procedures pertaining to client confidentiality, user conduct, security, and the ongoing functionality and stability of services and equipment used to support the LA /OC HMIS. The signature af'rho Executive Director of the participating Agency inrlicafes agreemant with the term set,fortir,for mn L;410C MWIS rrccotatl for the Agency. 111, Confidentiality, and Informed Consent The Agency agrees to abide by and uphold all privacy protection standards established by the LA /OC HMIS Collaborative as well as their respective agency's privacy procedures. 'file 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 fbr in the regulations of laws. Access to the LAIOC IIMIS is granted to AGENCY NAn.I U based on the following premises: Oral Explanation: All clients will be provided an oral explanation stating their information will be entered into a computerized record keeping system, I'lne Agency will provide on oral explanation of the LA /0C HMIS and the terms of consent. The agency is responsible for ensuring that this procedure lakes place prior to every client interview. Written Explanation: Each client whose information is being shared with another participating Agency must agree via file written Client consentrhnformation Release fornn. A client must be informed as to what information is being shared and with whom it is being shared. Information Release: The Agency agrees not to release clime identifiable information to any other organization pursuant to federal and Californin State law without proper client consent. See attached Client Consent /Information Release Form and Rqulado ns below. IIMIS Agency Agreement Page , gl'? Revised 02 0IM8