HomeMy WebLinkAboutContract 45238 (2)CITY SEC'JiETARY
CONTRACT NO. 4-5 23'
Tarrant County Homeless Coalition
Fort Worth/Arlington/Tarrant County Continuum of Care TX GO1
Homeless Management Information System
Participation Agreement
Between
TCHC
and
City of Fort Worth
(Agency Name)
This agreement is entered into on 11 / 4 / 2011 (MM/DD/YYYY) between the Tarrant County
Homeless Coalition, as lead agency for the Fort Worth/Arlington/Tarrant County Continuum of Care TX
601, hereafter known as "TCHC," and Citv of Fort Worth (Agency
name), hereafter known as "Agency," regarding access, use and sharing of data with the TCHC
Continuum of Care Homeless Management Information System, hereafter known as the "TCHC CoC
HMIS."
I. Introduction
The TCHC CoC HMIS (ETO Software), a shared human services database, allows authorized personnel at
homeless and human service provider agencies throughout the Fort Worth/Arlington/Tarrant County
Continuum of Care (CoC) to enter, track, and report on information concerning their own clients and to
share information on common clients.
TCHC CoC HMIS goals are to:
• Improve coordinated care for and services to homeless persons in the CoC.
TCHC CoC HMIS Participation Agreement
7 7 O9_ 7
Updated 10/10/2011 7 PO 7
47
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX
i ;v
•
•
Provide a user-friendly and high quality automated records system that expedites client intake
procedures, improves referral accuracy, and supports the collection of quality information that
can be used for program improvement and service -planning, and
Meet the reporting requirements of the U.S. Department of Housing and Urban Development
(HUD) and the CoC.
In compliance with all state and federal requirements regarding client/consumer confidentiality and
data security the TCHC CoC HMIS is designed to collect and deliver timely, credible, quality data about
services and homeless persons or persons at risk for being homeless.
II. TCHC Responsibilities to TCHC CoC HMIS ETO Software users:
1. Will provide the Agency 24 hour access to the TCHC CoC HMIS ETO database system, via
Internet connection at tchc.etosoftware.com.
2. Will provide Privacy Notices, Client Release forms and other agreements that may be adopted
or adapted in local implementation of TCHC CoC HMIS functions.
3. Will provide both initial training and periodic updates to that training for core Agency Site
Administrator Staff regarding the use of the ETO software system with the expectation that the
Agency will take responsibility for conveying this information to all Agency Staff using the
system.
4. Will provide basic user support and technical assistance (i.e., general trouble -shooting and
assistance with standard report generation). Access to this basic technical assistance will
normally be available from 8.30 AM to 4.30 PM on Monday through Friday (with the exclusion
of holidays). ETO software is supported with direct vendor provided desktop support from
Social Solutions, Inc. at www.SocialSolutions.com.
5. Will not publish reports on client data that identify specific agencies or persons, without prior
Agency (and where necessary, client) permission. Public reports otherwise published will be
limited to presentation of aggregated data within the TCHC CoC HMIS ETO database.
6. Publication practice will be governed by policies established by relevant committees operating
at the TCHC CoC HMIS level for continuum -wide analysis and will include qualifiers such as
coverage levels or other issues necessary to clarify the meaning of published findings.
III. Responsibilities of non-TCHC CoC HMIS ETO Software User Agencies
1. The Agency will share with the TCHC CoC HMIS client data on all homeless programs run by the
Agency operating within the Fort Worth/Arlington/Tarrant County Continuum of Care.
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 2
2. If the Agency utilizes a different third -party software system as an HMIS, the Agency will share the
client information in the required HUD CSV file format and transmit the data via ftp secured web
portal by the 5th day of each month with data from the previous month.
IV. Privacy and Confidentiality
A. Protection of Client Privacy
1. The Agency will comply with all applicable federal and state laws regarding protection of
client privacy.
2. The Agency will comply specifically with federal confidentiality regulations as contained in
the Code of Federal Regulations, 42 CFR Part 2, regarding disclosure of alcohol and/or drug
abuse records. In general terms, the Federal rules prohibit the disclosure of alcohol and/or
drug abuse records unless disclosure is expressly permitted by written consent of the
person to whom it pertains or as otherwise permitted by 42 CFR Part 2. A general
authorization for the release of medical or other information is not sufficient for this
purpose. The Agency understands that the federal rules restrict any use of the information
to criminally investigate or prosecute any alcohol or drug abuse patients
3. The Agency will abide specifically with the Health Insurance Portability and Accountability
Act of 1996 (HIPAA) and corresponding regulations passed by the U.S. Department of Health
and Human Services. In general, the regulations provide consumers with new rights to
control the release of medical information, including advance consent for most disclosures
of health information, the right to see a copy of health records, the right to request a
correction to health records, the right to obtain documentation of disclosures of their
health information, and the right to an explanation of their privacy rights and how
information may be used or disclosed. The current regulation provides protection for paper,
oral, and electronic information.
4. The Agency will comply with all policies and procedures established by TCHC pertaining to
protection of client privacy.
B. Client Confidentiality
1. The Agency agrees to provide a copy of the TCHC CoC Data Privacy Notice to each
consumer. The Agency will obtain each consumers consent to collect data on the Client
Consent of Data Collection (or an acceptable Agency -specific alternative) form. If consent is
not given then the Agency will enter consumer information as "anonymous". The Agency
will provide a verbal explanation of the TCHC CoC HMIS and arrange for a qualified
interpreter/translator in the event that an individual is not literate in English or has difficulty
understanding the Data Privacy Notice or Client Consent of Data Collection form (DC).
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 3
2. The Agency will not solicit or enter information from clients into the TCHC CoC HMIS
database unless it is essential to provide services or conduct evaluation or research.
3. The Agency will not divulge any confidential information received from the TCHC CoC HMIS
to any organization or individual without proper written consent by the client on the Client
Release of Information Consent Form (ROI) unless otherwise permitted by applicable
regulations or laws.
4. The Agency agrees to place all Client Release of Information Consent forms related to the
TCHC CoC HMIS in a file to be located at the Agency's business address and that such forms
will be made available to TCHC for periodic audits. The Agency will retain these TCHC CoC
HMIS-related Release of Information Consent forms for a period of 7 years, after which time
the forms will be discarded in a manner that ensures client confidentiality is not
compromised.
5. The Agency acknowledges that clients who choose not to consent to release of information
cannot be denied services for which they would otherwise be eligible. The Agency will
secure a completed Client Revocation of Release of Information Consent Form (REV) for
these clients.
6. The Agency will ensure that all persons who are issued a User Identification and Password
to the TCHC CoC HMIS System abide by this Participation Agreement, including all
associated confidentiality provisions. The Agency will be responsible for oversight of its own
related confidentiality requirements.
7. The Agency agrees that it will ensure that all persons issued a User ID and Password will
complete a formal training provided by TCHC on privacy and confidentiality and
demonstrate mastery of that information, prior to activation of their User ID.
8. The Agency acknowledges that ensuring the confidentiality, security and privacy of any
information downloaded from the system by the Agency is strictly the responsibility of the
Agency.
C. Inter -Agency Data Sharing Agreements
1. Agencies are encouraged to share the maximum amount of client data with other
Participating Agencies electronically through the ETO Software System.
2. The Agency acknowledges that informed client consent is required before any basic
identifying client information is shared with other Agency(ies) in the TCHC CoC HMIS. The
Agency will document client consent on the TCHC CoC HMIS ETO Client Release of
Information Consent Form (ROI)
3. The Agency acknowledges that the Agency, itself, bears primary responsibility for oversight
for all sharing of data it has collected via the TCHC CoC HMIS ETO system.
4. The Agency agrees to place all Client Release of Information Consent forms related to the
TCHC CoC HMIS in a file to be located at the Agency's business address and that such forms
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 4
will be made available to TCHC for periodic audits. The Agency will retain these TCHC CoC
HMIS -related Release of Information Consent forms for a period of 7 years, after which
time the forms will be discarded in a manner that ensures client confidentiality is not
compromised.
5. The Agency acknowledges that clients who choose not to authorize sharing of information
cannot be denied services for which they would otherwise be eligible.
C. Custody of Data
1. The Agency acknowledges, and TCHC agrees, that the Agency retains ownership over all
information it enters into the TCHC CoC HMIS and the CoC retains ownership of the
aggregation of all information in the database.
2. In the event that the TCHC CoC HMIS Project ceases to exist, Participating Agencies will be
notified and provided reasonable time to access and save client data on those served by the
Agency, as well as reporting, statistical and frequency data from the entire system.
Thereafter, the information collected by the centralized server will be purged or
appropriately stored.
V. Data Entry and Regular Use of TCHC CoC HMIS
1. The Agency will not permit User ID's and Passwords to be shared among users.
2. If a client has previously given the Agency permission to collect information and then chooses
to revoke that permission on the Client Revocation of Consent of Release of Information form
(REV), the Agency will contact the TCHC CoC HMIS immediately to properly disable access to
the client information.
3. If the Agency receives information that necessitates a client's information be entirely removed
from the TCHC CoC HMIS, the Agency will work with the client to complete a brief Delete
Request Form, which will be sent to the TCHC CoC HMIS System Administrator for deactivation
of the client record
4. The Agency will enter all minimum required data elements as defined for all persons who are
participating in services funded by the U.S. Department of Housing and Urban Development
(HUD) Supportive Housing Program, Shelter + Care Program, or Emergency Solutions Grant
Program, or Homeless Prevention Rapid Rehousing. These data elements may be found in the
Federal Register/ July 30, 2004 / p. 45888 et. seq. or on the TCHC CoC HMIS ETO Client Consent
of Data Collection Form (DC).
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 5
5. The Agency will enter data in a consistent manner, and will strive for real-time, or close to real-
time data entry, but no later than within three business days after a service or effort is provided
to the client. If a User account is inactive for more than six weeks, the User account may be
subject to reassignment to another agency.
6. The Agency will routinely review records it has entered in the TCHC CoC HMIS for completeness
and data accuracy. The review and data correction process will be made according to TCHC CoC
HMIS ETO Policies and Procedures.
7. The Agency will not knowingly enter inaccurate information into the TCHC CoC HMIS.
8. The Agency will prohibit anyone with an Agency -assigned User ID and Password from entering
offensive language, profanity, or discriminatory comments based on race, color, religion,
national origin ancestry, handicap, age, sex, and sexual orientation.
9. The Agency will utilize the TCHC CoC HMIS for business purposes only.
10. The Agency will keep updated virus protection software on Agency computers that access the
TCHC CoC HMIS. (e.g. McAfee, Norton)
11. Transmission of material in violation of any federal or state regulations is prohibited.
12. The Agency will not use the TCHC CoC HMIS with intent to defraud the Federal, State, or local
government, or an individual entity, or to conduct any illegal activity
13. The Agency agrees the TCHC may convene TCHC CoC HMIS User Meetings to discuss
procedures updates, policy and practice guidelines, data analysis and software/hardware
upgrades. The Agency will designate at least one specific staff member, usually the Site
Administrator of record to regularly attend User Meetings.
14. Notwithstanding any other provision of this Participation Agreement, the Agency agrees to
abide by all policies and procedures relevant to the use of the TCHC CoC HMIS that TCHC may
publish from time to time.
VI. Publication of Reports
1. The Agency agrees that it may only release aggregated information generated by the TCHC CoC
HMIS specific to its own Agency's services.
2. The Agency acknowledges that the release of CoC-wide aggregated information will be governed
through policies established by TCHC and the CoC HMIS Committee for analysis of information
at the CoC-level or community -level. Such information will include qualifiers such as coverage
levels or other issues necessary to fully explain the published findings.
VII. Database Integrity
1. The Agency will not share assigned User ID's and Passwords to access the TCHC CoC HMIS with
any other organization, governmental entity, business, or individual.
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 6
2. The Agency will not intentionally cause corruption of the TCHC CoC HMIS in any manner. Any
unauthorized access or unauthorized modification to computer system information, or
interference with normal system operations, will result in immediate suspension of services,
and, where appropriate, legal action against the offending entities.
VII. Hold Harmless
1. The TCHC CoC HMIS System and TCHC makes no warranties, expressed or implied. The Agency,
at all times, will hold the TCHC CoC HMIS System or TCHC harmless from any damages,
liabilities, claims, and expenses that may be claimed against the TCHC CoC HMIS System and
TCHC; or for injuries or damages to the Agency or another party arising from participation in
the TCHC CoC HMIS; or arising from any acts, omissions, neglect, or fault of the Agency or its
agents, employees, licensees, or clients; or arising from the Agency's failure to comply with
laws, statutes, ordinances, or regulations applicable to it or the conduct of its business. This
Agency will also hold TCHC CoC HMIS System or TCHC harmless for loss or damage resulting in
the loss of data due to delays, nondeliveries, mis-deliveries, or service interruption caused by
Social Solutions, Inc. or other third party system, by the Agency's or other member agency's
negligence or errors or omissions, as well as natural disasters, technological difficulties, and/or
acts of God. TCHC CoC HMIS System or TCHC shall not be liable to the Agency for damages,
losses, or injuries to the Agency or another party other than if such is the result of gross
negligence or willful misconduct of TCHC CoC HMIS System or TCHC. TCHC CoC HMIS System or
TCHC agree to hold the Agency harmless from any damages, liabilities, claims or expenses
caused solely by the negligence or misconduct of TCHC CoC HMIS System or TCHC.
2. Provisions of Section VII shall survive any termination of the Participation Agreement.
VIII. Terms and Conditions
1. The parties hereto agree that this agreement is the complete and exclusive statement of the
agreement between parties and supersedes all prior proposals and understandings, oral and
written, relating to the subject matter of this agreement.
2. The Agency shall not transfer or assign any rights or obligations under the Participation
Agreement without the written consent of TCHC.
3. This agreement shall remain in force until revoked in writing by either party, with 30 days
advance written notice. The exception to this term is if allegations or actual incidences arise
regarding possible or actual breaches of this agreement. Should such situations arise, TCHC may
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 7
immediately suspend access to the TCHC CoC HMIS until the allegations are resolved in order to
protect the integrity of the system.
4. This agreement may be modified or amended by written agreement executed by both parties
with 30 days advance written notice.
IN WITNESS WHEREOF, the parties have entered into this Agreement:
AGENCY REPRESENTATIVE
By: Fernando Costa
Title: Assistant City Manager
Signature: sark/fria41.04
Date: ///14
TCHC CoC HMIS REPRESENTATIVE
By: CindyJ. Crain
Title: Executive Director
Signature:
Date:
•
II
APPROVED AS TO FORM AN O LEGALITY:
64W
CITY ATTORNEY
Attested by:
.
Marty Hencin Cif. --eibicermy
xr
- hO0lJn
TCHC CoC HMIS Participation Agreement Updated 10/10/2011
OFFICIAL RECORD
CITY SECRETARY
��', WOIiJH, TX
Attachment A
HMIS Data Elements
Universal Data Elements
1. Name
2. Social Security Number
3. Date of Birth
4. Ethnicity
5. Race
6. Gender
7. Veteran Status
8. Disabling Condition
9 Residence Prior to Program Entry
10. Zip Code of Last Permanent Address
11 Housing Status
12. Program Entry Date
13. Program Exit Date
14. Unique Person Identification Number
15. Program Identification Number
16. Household Identification Number
Program -Specific Data Elements
1. Income and Sources
2. Non -Cash Benefits
3. Physical Disability
4. Development Disability
5. HIV/AIDS
6. Mental Health
7. Substance Abuse
8. Chronic Health Condition
9. Domestic Violence
10. Services Received
11. Destination
12. Reasons for Leaving
13. Date of Contact
14. Date of Engagement
15. Financial Assistance Provided
16. Housing Relocation and Stabilization Services Provided
17. Employment
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 9
18. Education
19. General Health Status
20. Pregnancy Status
21. Veterans Information
22. Children's Education
TCHC CoC HMIS Participation Agreement Updated 10/10/2011 10