2014-457 Health - Piedmont Health Services - Outside Agency Performance Agreement to properly and fully complete the work set forth in the Scope of Services $10,000

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PLEASE ANSWER QUESTIONS 2 THROUGH 7 BELOW REGARDING THE SPECIFIC PROGRAM(S) FOR WHICH THE AGENCY IS REQUESTING FUNDING(NOT FOR THE ENTIRE AGENCY). IF MORE THAN ONE PROGRAM IS REQUESTING FUNDING, PLEASE IDENTIFY EACH BY LABELING, IE: PROGRAM 1, PROGRAM 2,ETC,UNDER EACH QUESTION. 2. Describe the identified community need(s)the Program(s)funded will address. As a FQHC,PHS conducts a community needs assessment every five years to assure that its service offerings are meeting identified community needs. The assessment takes into account available County level data and additional state and national data. FQHC programming then seeks to address access barriers faced by the community: • Financial Barriers—Insurance and Poverty: Many people in Orange County cannot afford primary medical care and medicines. An estimated 16%of the County population is uninsured, and 33%live below 200%© of the Federal poverty level. • Cultural/Language Barriers: Non-English-speaking populations face significant difficulty in finding medical providers with whom they can converse effectively. Many immigrant populations have culturally-determined beliefs about illness and health that differ from mainstream American groups, and these beliefs/practices impact health and health care use. The Latino immigrant population in North Carolina and Orange County has grown exponentially in recent decades, and more recently, Orange County has become home to a sizable group of Burmese refugees. • Geographic Barriers: For many in Orange County,transportation can be a barrier to health care access. We are fortunate to have an excellent free public transportation system, and our Carrboro Community Health Center location on Lloyd Street is purposefully situated a short distance from several bus routes. Second,FQHCs take a population health focus in developing primary care services that combat documented health care/health status disparities in the populations we serve, disparities which frequently break on economic and racial/ethnic lines, as depicted in the next three tables. Behavioral Risk Factors,PHS Service Area,2010 Total Service Service Service Area: Area: Service Area: Adult Behavioral Risk Area White Minority Household Income (% a alation) NC (range) (range) (range) <$50,000(range) Smoke 19.8 13.3 -29.8 12.2 - 28.2 16.7 - 35.5 15.8- 34.1 Overwei t/obese 65.3 53.2 - 72.3 46.2- 70.6 70.8 - 83.1 69.2 -78.8 No exercise p2st.month 25.7 15.4- 29.9 12.8 - 27.3 1 21.5 -44.2 L 22.3 -3 Source: State Center for Health Statistics. (2010). Behavioral Risk Factor Surveillance Survey (BFRSS), 2010. Raleigh, NC:NCDffHS, Revised November 21,2013 Page 3 of IS Pages