1997 S Health - Consolidated Contract between The State of NC as Represented by the State Health Director

Browse Search

Page 6 Orange County Contract Addendum Contractors will be notified of performance-based adjustments in January 1998. Decreases to the budget will not exceed ten percent. The resulting adjusted budget will be the baseline for the following fiscal year. Performance will be based on the latest screening data available on December 31,1997, for the prior fiscal year (FY 1996-97). If additional funds are available, eligible contractors will be notified in February 1998. Performance-based adjustments to restore decreased fiscal year 1997- 98 budgets will be made in September 1997. Restoration of funds will be based on updated performance indicators using data reported through September 1997, for fiscal year 1996-97. B. Voluntary Adjustments: Midyear, voluntary increases or decreases may be made in the baseline budget of contractors. Those whose pattern of expenditures predict a surplus of funds in the contract year may be asked to approve a one-time, voluntary budget rev..on (decrease) to free up excess funds which may be allocated to another contractor. By the same token, contractors whose pattern of expenditures predict a shortage of funds in the contract year may be asked to approve a one-time, voluntary budget revision (increase) to cover anticipated needs. In either event, the allocation for the baseline budget for the following fiscal year will be restored to the adjusted levels determined in accordance with Section VII. A., above. VIII. SUMMARY OF D_ FL.IVERABLES A. Breast and Cervical Cancer Screenings will be provided to at least a total of= women during the contract period. Performance indicators will apply to the total women screened by the contractor, regardless of the established target levels. The contractor will assure age- and risk- appropriate breast and cervical cancer screenings and follow-up in the following manner: At least 75% X122) of the total women screened during the contract period will be 50 years of age or older. No more than 25%(43) of the total women screened during the contract period may be age 49 years or younger, of w ich 7% (12). of the total women screened may be under age 40 years. Appropriate to the age and risk status of the women, and consistent with the cervical and breast health protocols issued by the DEHNR, 100% of the women screened will receive both cervical cancer and breast cancer screening services. B. 100% of women having abnormal breast or cervical screening results will be followed up and documentation of final diagnostic disposition will be made and reported to the BCCCP within 60 days of the initial screening date. G--Documentation of the treatment disposition for 100% of those women diagnosed with breast or pre-invasive/invasive cervical cancer will be made and reported to the BCCCP within 30 days of the final diagnostic disposition. D. Data entry and/or submission of data will be made no later than the 15th of each month for the previous month's services. E. A system for contacting women for annual rescreening will be in place with an emphasis on rescreening women over 50 years of age. ealth Departme t Signature-Health Director Date