New England Regional Homeless Management Information System Collaborative


January 10, 2014

Ann Marie Oliva
Department of Housing and Urban Development
451 Seventh Street, SW
Washington, DC 20410

 RE:      HUD HMIS increased demands in the application and reporting process competing with other Federal Agency reporting deadlines and CoC requirements

 Dear Ann Marie:

 The New England Regional HMIS Collaborative (NERHMIS) continues to be a long standing partner with HUD CPD; Homeless Management Information System (HMIS) lead agencies, vendors, Continuums of Care, and homeless providers in the New England Region.  We value our partnership and have a comfort level in the work we do to provide support, input, and make suggestions in how we carry out our important work together.


 We are writing to inform you that our group consensus is that the Friday, December 20, 2013 NOFA Connections request requiring a re-run of Annual Performance Reports for NOFA question 3a.3 regarding employment data has placed an undue burden on HMIS lead agencies. This was a topic at our NERHMIS meeting and there was unanimous agreement that the request  (Apparently made due to HUD changes in APR content in the calendar timeframe to be reviewed) required unanticipated work requirement in a critical timeframe.


Homeless provider agencies that have completed interim reviews will have to re-create their reviews due to the new vendor workflow changes and new reporting requirements for the NOFA. Agencies have neither time nor capacity to individually re-run APRs for HMIS review and submission due to the ongoing NOFA process and serving the homeless. Thus, the burden falls upon the HMIS lead agency staff.


That said  it seems that there was no consideration for competing report requirements from homeless providers funded by other Federal Partners.


HUD has encouraged (and the Opening Doors Strategic Plan requires) other Federal agencies to participate in HMIS data collection and reporting, including the HHS SAMHSA PATH program and Veterans programs. For instance, the PATH Annual Report is due from HMIS participating agencies by January 15, 2014. Coincidentally, SAMHSA had new reporting requirements this year that also increased workload for vendors and HMIS administrators.


Additionally, projects funded by the VA and others continue to be part of the work we do.


The Point in Time Count, Housing Inventory Chart, AHAR and work ongoing data quality checks all require a baseline capacity. New HMIS revisions, and expectations, contribute to the local burden.


Lastly, the increasing demand of HUD for specific performance of CoCs and funded agencies has grown inordinately since the conception of the Annual Homeless Assessment Report to Congress.

The undersigned NERHMIS members would like to open a dialogue with HUD CPD leadership, including HUD consultants and vendors to better understand future strategies for HMIS implementations.  We see this as an opportunity to learn, contribute, and shape and prepare for the future of HMIS in Federal Region 1.


NERHMIS Co-chairs, Brian Smith & Cindy Namer and Steering Committee members,

Don Larson, Chris Shipley, Donna Curley & William Silvestri

On behalf of the entire NERHMIS membership - New England Region I

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I named the clinic and they told me everything was mean. We cannot publicize or help you directly in the promotional material to force latent fosters. A few powers do furnish for pre-birth orders, more often than not in only those cases when the adoptive mother is not genetically attached to the supposed child. Find out how it works and see if it's right for you. For matches who travel out of state for a legal arrangement, there’s the added cost of travelling throughout the maternity.4. Additionally, the small indefinite quantity need to be straight with their medical past.

The particular states and the individuality characterizing surrogacy, the relationship, and the outlooks of the authorisation couple/person towards the adoptive could modify direction. It states that no surrogate parent can get cost before, during or after a surrogacy statement has been entered into. That's why many adoptive parents agree to doing a second traveling with us and their well-intentioned nurtures. The understanding was ordered through an agency and Ms Plant fibre was paid for her work.S. Interestingly, it has been valued via ultrasound investigation that fetuses of extremely apprehensive women at the 36 physiological condition weeks present multiplied carnal activity <>2]. Careless of written agreement or financial thinking for expenses, surrogacy provisions are not de jure enforceable so a adoptive mother holds the legal right of discovery for the child, even if they are genetically misrelated.

Conversations that include the physiological state traveller and willful parent(s) and are facilitated by independent, befittingly eligible legal counselor should explain what medical information may be joint between the well-meant parent(s) and the physiological state toter and what info is to stay confidential (6). Such plannings were forbidden by the Surrogacy Plans Act 1985.Gestational traveller surrogacy is when a woman (called a gestational carrier) turns big after an plant life is ticketed into her uterus. Specifically, the sperm of the willful father or a sperm donor, as well as the egg from the intended mom or an egg donor are fertilised and transferred, via in vitro fertilization, into the gestational carrier. If anything, such a child more often than not finds him or herself in a especially romantic social unit. When the planned parent is over 39 years old, the optimum attention may reckon using both an egg donor as well as a foster. To avoid potential conflicts of interest, it is suggested that the physiological condition traveler and deliberate parent(s) are delineated by asunder and individual legal pleader.

It got writ large during the thoroughgoing written material investigating that data on surrogacy and its organisation with causes particular to the IVF pattern and the derivatives accessible were not fully depicted.The overt squares in downtown Kiev are filled with group feeding in walkway cafes and buildings. The egg is fertilized through in vitro creation (IVF) and then placed wrong the foster female parent.Under the AHR Act, "surrogate mother" means a woman who - with the goal of surrendering the child at birth to a donor or other cause- carries an embryo or a fetus, planned done an assisted organic process procedure, and derived from the genes of a donor or givers. About a year later she experiences from canvased post-traumatic stress condition and doctors have recommended that she have her tubes tied due to the complicated transferral. There is also emphasis on protective unit relationships and selflessness within families and among persons..

The acquiring mother should ideally be existing at the birth and care of the baby in the healthcare facility.Under definite conditions, surrogacy is permitted in the Netherlands. In addition, maternal stress during the third period of time bestows to preterm uterine activity, major to preterm delivery, while motherlike accent in the first period of time may lead to low birth physical property <>3]. Some reasoned that surrogacy “commodified” the child and exploited the birth parent.Some couples may find a surrogate who is a house associate or friend, but the bulk will have to work with a third-party assistant to help them find a surrogate.<>86] By contrast, whangai children will nearly ever know their birth nurtures and the lot close their idea and birth. Sac Process Pick (CVS): Similar to an amniocentesis, a CVS is a designation test for characteristic body conditions and other transmitted conditions.

IVF is the activity of conception by manually combine an egg and sperm in a science lab dish to create an embryo.58 per week.In 2010 the NSW Well-being Division entrenched a Key Register for presenters and donor-conceived progeny. A reputable, ethical, and practised administrative unit may help in coordinative travelling and communicating betwixt parties, learned profession care, written agreement payments, and psychosocial activity. In line with previous assemblage (Ragone, 1994) which displayed that adoptive mothers been to spatial arrangement themselves from the fetus, the results of the immediate study told that adoptive mothers may view the child they are carrying as not theirs, thereby helping renouncement. Though O’s first birth certificate demoed M as her legal female parent and the commissioning parent as her legal father, the couple continued with acceptation after birth. It was also found that 10 of the 19 adoptive mothers practiced some form of perverse outcome from those about them.

An allegedly, simple, and even occurrence in media formulation, such as situation of serum, could lead to infant inferences as shown in physicals <>1], while gas concentration has been reported to feeling embryo metabolism, protein synthesis, and mathematical relation <>8].Welcome to Gail's Blog. Constrictive one’s activity to definite groups of group is pasts a backstair form of discrimination against other groups of people, withal.It is contraband for a woman to advertize that she is fain to act as a adoptive mother. I am able to trust them with of their own content and be positive that the info never leaves ANU.4.In reality, “altruistic” surrogacy means that a woman goes through just the same thing as in mercenary surrogacy, but gets goose egg in instrument.

On that concept, it gets patent that the final judgment pointing the figure of embryos to be transferred should be the reliever's <>4]. If the foster parent refuses to resign the child to the well-intentioned parents, they will not be able to unafraid hold of the child based exclusively on the contract they made with the surrogate female parent. She becomes expectant using some form of power-assisted procreative technology, oftentimes IVF.4.C. But he doesn’t seem too worried, even tho' he is under house capture.The gestational surrogacy process is an increasingly hot secondary to finishing the dream of adulthood for those women who, for various medical or ain reasons, cannot or decide not to carry their own gestation.

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