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EXHIBIT"A" <br /> AUG 2 2 2014 <br /> Scope of Services—FY 2014 - 15 <br /> Outside Agency Performance Agreement By <br /> Agency Name: Duke Homecare&Hospice <br /> Program Name: Duke Hospice&Bereavement Services <br /> Funding Award: $1,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Program Services $1,000 <br /> Program Services <br /> For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the <br /> contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes <br /> below,by June 30,2015. <br /> • Camp ReLEAF --overnight camp for children K through 8th grade <br /> • Family Connections -- 4 week family focused grief support to enhance communication and <br /> coping skills <br /> • Holiday Hurt workshops --2 for adults, 1 family focused; designed to address grief issues arising <br /> during the holiday <br /> • Grief Support Groups -- support provided on-site to Orange County Schools as requested; grief <br /> group support for adults 6 to 8 times per year <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants <br /> within that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated Results <br /> Parents express satisfaction in child's experience at Camp ReLEAF. (10 campers; 10 90% <br /> res ondants) <br /> Children will report satisfaction in activities provided at Camp ReLEAF.(10 campers) 90% <br /> Group participents will recommend group.(7 adults participants) 90% <br /> Families will report better understanding of family grief after attending Family 90% <br /> Connections. (2 family units/configuration&participant#unknown <br /> Participants will recommend Holiday Hurt workshop to others.(?participants) 90% <br /> Certified by: Title: � q Z�'�r ,dZW1"1!4'V Date: <br /> (Provider's Signature) <br />