2016-577 Finance - The Arc of the Triangle - Outside Agency Performance Agreement

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Exhibit A- continued Provider's Outside Agency Application MAIN APPLICATION m.) Work Statement This form is used to document program activities, program goals, performance measures, and actual results. (Add more rows as needed) If this is a new program, you will only document the projected information. • Program Activities should outline major activities the agency implements to accomplish its program goals. • Program Goal should explain what the program is trying to achieve/accomplish. Goals are statements about what the program should accomplish. SMART Goals • Performance Measures describe how you,will evaluate the degree in which you achieved the stated goals. • Actual Program Results use program results to indicate the actual measureable achievement of goals. If goals were not met, please explain. Actual Estimated Projected 2014-15 2015-16 2016-17 Using a combination of paid Using a combination of paid Using a combination of paid Direct Support Professionals Direct Support Professionals Direct Support Professionals Program Activity 1 and volunteers, participants and volunteers, participants and volunteers, participants engage in non-segregated engage in non-segregated engage in non-segregated community activities. community activities. community activities. 50%of persons served with 50%of persons served with 50%of persons served with intellectual and intellectual and intellectual and Program Goal developmental disabilities developmental disabilities developmental disabilities will will participate in inclusive will participate in inclusive participate in inclusive community activities. community activities. community activities. Person centered plans, Person centered plans, Person centered plans, Performance Measures service notes and annual service notes and annual service notes and annual surveys provided data to surveys provided data to surveys provided data to verify this information. verify this information. verify this information. Out of 184 people served 88 Out of 193 people served Out of 304 people served people(almost 50%)did 50%will increase their 50%will increase their increase their participation in participation in community participation in community community activities that activities that were included activities that were included Program Results were included but not limited but not limited to: but not limited to:educational to: educational educational opportunities, opportunities, volunteer and opportunities, volunteer and volunteer and paid work, paid work, advocacy paid work, advocacy advocacy activities, religious activities, religious activities activities, religious activities activities and social and social functions. and social functions. functions. With appropriate support With appropriate support With appropriate support like like transportation, like transportation, transportation, participants participants are involved in participants are involved in are involved in activities in Program Activity 2 activities in community activities in community community spaces or in spaces or in programs that spaces or in programs that programs that include include persons that do not include persons that do not persons that do not have have disabilities. have disabilities. disabilities. 50%of persons served with 50%of persons served with intellectual and intellectual and 50%of persons served with Program Goal developmental disabilities developmental disabilities intellectual disabilities will will access community will access community access community spaces. spaces. spaces. Main Application 5/25/2016 10:10:25 AM P a g e 1 6 o f 2 4