Orange County NC Website
DocuSign Envelope ID:38357F45-0FD1-474F-992F-A2DODA42A3E2 <br /> EXHIBIT `B" <br /> Scope of Services—FY 2016-17 <br /> Outside Agency Performance Agreement <br /> Agency Name: Duke HomeCare&Hospice <br /> Funding Award: $1,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Program Support 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 /> • Provide bereavement support to both hospice and community clients. <br /> • Camp ReLEAF—overnighth camp experience for K-8t"grade <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 <br /> Results <br /> Schedule community adult client encounters 250 <br /> Schedule community child/teen clients 30 <br /> Schedule hospice adult client encounters 330 <br /> Children report satisfaction in child's experience at Camp ReLEAF 90% <br /> DocuSigned by: <br /> b Star browtAA.KA Executive Director 10/26/2016 <br /> Certified by: BEfia&595A5.084G1_ Title: Date: <br /> (Provider's Signature) <br />