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Jan 30 0£3 10111a WISEPIaoe 11145423653 p,2 Los Ar)gol"/Orange County Ilonleless Management Information System (HMIS) Collaborative UMTS Agency Agreement T. Purpose The Los Angcics/Orange County (LA/0C) Hotpcicss Management Inl'onriAlon System (I IMIS) is a web- cnabled database: used by homeless scrvicc providers within the T.os Angeles and (range Coonty region, to rupture information about the persons they Sorvc. The I.A/OC I IMIS Collabomdvc consist of four Swp¢wate Continuum of Cxn;s. 'Pile cortinuunis are, Loy Angeles Ilnmcl=s, Service Authority (LAHSA), Orange Colmty Continuum of Care, the City of Glendale and the City of Pasadena, The LA/OC TIMIS C:ollaMvadve's goal is to go hoyond the HUD mandate er producing unduplicated cuuats Of homeless poo,on», Our mission is to provide a comprehensive case management SyrtOm m advmroe the pnwiVioa of gustily services f ,r fmmelrss parMAT, lrnpr(,ve darn codewliem. and prenndte more rrsprur,rivn pnllcias to mrd httrttatarsrae:.xv In Los Anitrles rind Or(ntgc Counrias. Cl. Audience and Agreement This Participating Agency Agreement permits AGFNC:Y NAMIi and its participant;; to use the LA/OC HMIS and security .services on their compoters systems through an Int4Knet cnnnecdon, The 1.A/OC. I IMIS Collaborative and their assigned HMIS System Administrators are the primary coordinating Continuum isr Cans (,.oC.) for the I.AJOC HMIS. The Participating Agency is the "Agency" named is this agreement as' participants or the UJOC HMIS. The TIMIS "tl nor' are the guardians entrusted with personal datu to lx; entered and used in the 1,A/OC Wills and the "Clicut" is the cunsnmcr of services. All agencies which have been granted access to the LAAX: I IMIS bave agreed to abide, by till laws, and the. LA/OC AMTS Collaborative Policies and Procedurds pertaining to client canfidcnti;dity, user conduct, senurity, and the ongoing ruactionality +rrfd stability of services and equipment used to suptavt the LA/GC HMIS. ,rite signature of rite Lixecurive Director of the Farticfparing Agcney indicans agreement will' the terms set fort& for an LAtOC LLMLS vveoant for the Agency, 111, Confidentiality and lnfortmd Couse.nt The Agency agrees to abide by and uphold all privacy protection standards established by the I.A/OC ihMLS Collnhomilvc as well as their respuCtivc agency's privacy pnxedures, The. Agency will also uphold rcturmt Federal and C'allTurnivt State cnnYidcn(fality regutntioos and Inmos that protect client records, and the Agcney will uoly ecloage uonndeutial client records whh written consent by the client, or the client's guardian, unless otherwise provided for in Lite tegulations or laws. Access to the LA/OC TIMIS is granted to the, Veterans E16n based on The following, Deputises: Oral Explanadmit. All clients will be provided an oral explanxtinn swung their information will Ix: entered into a computerized recor(1 keeping system, The Agency will provide an oral explanw.ion of the LA/CX: HMIS and the tarns of WriscuL Thr agency is vaspoaeible for cosating that this pnxedmc takes place prior to every client interview. Written Rxpbmatiout l?ach client whose inf'orwation is Mang shared with another participating ugenay must ngrco via the written Client eunsrnt/Infurm:dh+n Release: Harm A client must be informed as tet what iNbrnantion is bring shirred and with whom it is bcing.hras:d. Infornxntion Ttalcasc: Tiw Agcney a.+roes not to relcnse client identifiable. information to tiny other organimtion pursuant to federal and Calil'ormn Stino law without proper diont. muscat. See attacbcd Client Consettd[nfenuallon Relcasu Form anel Rtlgulations below. HMIS Agency Agrrruwitr llu,, e f of Roiv`.t'ed 10/03/05