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DocuSign Envelope ID:38357F45-0Fo1-474F-992F-A2000A42A3E2 [ A- CO[tiOUed <br /> Provider's Outside Agency Application <br /> Work Statement <br /> (Page 11) <br /> Goals: Duke Hospice Bereavement Services (DHBS) offers bereavement support to both hospice and <br /> community clients <br /> 1) DHBS will schedule 250 community adult client encounters in FY16 <br /> 2) DHBS will schedule 30 community child/teen clients in FY16 <br /> 3) DHBS will schedule 330 hospice adult client encounters in FY16 <br /> 4) DHBS will schedule 30 hospice child/teen clients in FY16 <br /> 5) Camp ReLEAF will provide an overnight camp experience for children K-8th grade <br /> 6) DHBS will provide grief education and support to local educational and civic organizations as <br /> requested <br /> Goal# Actual 14-15 estimated 15-16 Projected 16-17 <br /> 1 277 175 150 <br /> 2 24 30 30 <br /> 3 446 440 450 <br /> 4 38 42 45 <br /> 5 1O= .334uftotal 1O= .334 of total 10= .334 of total <br /> 6 17 15 13 <br /> Performance measures for all of the listed activities will be through service evaluation requested at the <br /> time of the event or at the conclusion of a series of related events. Related events would be ongoing <br /> individual or group counseling. <br /> Goal 5 Camp ReLEAF: each camper provides feedback regarding likes and dislikes of camp activities and <br /> overall participation. Each activity scored well in different age groups. There are no numbers associated <br /> with the scoring of satisfaction. Parents provide feedback about their children's reported experience <br /> with approximately 30%of campers requesting to come back the next year. 31 campers out of 34 total <br /> campers completed a group evaluation with 96% responding favorably to the camp experience. <br /> Predominant responses from campers indicated the importance of meeting other children their age who <br /> had experience something similar which reduces the isolation, loneliness and sense of being different. <br /> Goal # <br /> 3 98Y6 satisfaction 97% 95Y6 <br /> 100 refer services 100 refer services 95% refer services <br /> 4 95%satisfaction 96%satisfaction 95%satisfaction <br /> 98% refer services 100% refer services 95% refer services <br /> 6 94%satisfaction 95Y4 satisfaction 95% satisfaction <br /> 100% refer 10096refe/ 95% refer 'services <br />