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DocuSign Envelope ID: D40ODC89-B8BF-484E-8158-24FOOA82920D <br /> } <br /> EXI MIT"A" <br /> Scope of Services—FY 2015-16 <br /> Outside Agency Performance Agreement <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 30,2016. <br /> • Camp ReLEAF-two night camp for children K through 8th grade. <br /> • Family Connections - 4 week family focused grief support to enhance commmunication and <br /> coping skills. <br /> • Holiday Hurt workshops - two (2) for adults, one (1) family focused; designed to address grief <br /> issues arising during the holidays. <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 personslunits 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 <br /> Results <br /> Parents express satisfaction in child's experience at Camp ReLEAF. 90% <br /> Children will report satisfaction in activities proveded at Camp ReLEAF. 90% <br /> Group participants will recomment group. 90% <br /> Families will report better understanding of family grief after attending family 90% <br /> connections. <br /> Participants will recomment holiday hurt workshop to others. 90% <br /> DocuSi ned by: <br /> Pau, t�bvfbvu <br /> HD64C200MA466... <br /> Certified by: Title: J-6. u Z: r""q.( Date: - <br /> I (Provider's Signature) <br />