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N.C.Department of Environment,Health,and Natural Resources Page 8 of 11 <br /> Division of General Services FY 97-98 _ <br /> CONTRACT ADDENDUM <br /> DMCHJWHS/Maternal Health 98 51010 068 <br /> Office,Section,or Branch Contract Number <br /> Orange Maternal Health <br /> Contractor Activity <br /> 7. The health department has written policies in place that appropriately address the following: <br /> (a) Follow-up of missed appointments. <br /> (b) Postpartum follow-up of women who received no prenatal care based upon information <br /> received from birth certificates or other appropriate sources. <br /> (c) Follow-up of pregnant women who express interest in permanent sterilization or <br /> contraception. <br /> (d) Referral to a high risk maternity clinic or obstetrician for identified high risk conditions. <br /> (e) Follow-up and care of pregnant women who have a past or current substance use/abuse issue. <br /> Policies must include confidentiality& release of information/medical records. <br /> (f) Follow-up and care of patients with positive HIV.or hepatitis B for both women and infants will <br /> be developed. <br /> (g) Follow-up and care of pregnant women who are experiencing domestic violence. <br /> 8. If any percent negotiated in 8.(a) through 8.0) is less than 90%, a statement of explanation needs to be <br /> provided as to why a 90%performance level cannot be obtained. Persons enrolled in the Health <br /> Department Maternity Program for prenatal care will be provided the following services as documented, <br /> in their medical records: <br /> (a) An estimated 100 %will receive an initial maternal health history which consists of the <br /> following: medical;family; surgical;immunization(Td, Rubella); drugs/medication; <br /> menstrual; contraceptive; obstetrical; and psychosocial. <br /> (b) An estimated 100 %will receive an initial physical examination which consists of the <br /> following components: thyroid; lungs; breast;heart; abdomen; extremities; pelvic(uterine <br /> Q ig <br /> ewed by <br /> DEHNR 3300(Revised 2/90) vi <br />