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Consalidaled Ayrceement - Pinnl Page 2 Of 1 8~ <br />A. RESPONSIBILITIES OF THE DEPARTMENT (LOCAL PUBLIC HEALTH UNIT) 4 <br />1. The Department shall perform activities in compliance with applicable program rules contained in the North <br />Carolina Administrative Code, as well as all applicable Federal and State laws and regulations. <br />2. The Department shall perform the activities specified in the Program Agreement Addenda for State funded <br />budgets. The Department must negotiate these Agreement Addenda in good faith to the satisfaction of state <br />representatives as part of the agreement execution. The Department will meet or exceed the Agreement <br />Addenda levels unless extenuating circumstances prevail and are explained in writing to the state section, <br />branch or program. <br />3. The Department shall report client, service, encounter, and other data as specified by applicable program <br />rules, Program Agreement Addenda for State funded budgets, and by North Carolina Administrative Code, <br />4. The Department shall provide access to patient records to authorized staff from the Division of Public Health <br />for technical consultation, program monitoring, and program evaluation, as specified by applicable program <br />rules, Program Agreement Addenda for State funded budgets, and by North Carolina Administrative Code. <br />5, The Department shall provide client, service, encounter, and other data through the states' centralized <br />automated systems for claims creation and submission for processing to the state's Medicaid agency except <br />as allo»+ed by NCGS 130A - 4.5,13. <br />6. The Departrnent shall share data to support efforts of the public health system, represented by the local <br />health departments, local health programs, and the State, in order to meet public health objectives while <br />respecting the confidentiality and integrity of each agency's data and protecting the privacy of individual <br />client health information. Sharing data includes providing client information allowed as permitted <br />disclosures under the Health Insurance Portability and Accountability Act of 1996, Public Law 104-91, <br />HIPAA Administration Simplification Provisions Sections 261 through 264, 45 CFR 164.512, Uses and <br />disclosures for which consent, authorization, or opportunity to agree or object is not required. <br />7. The Department shall administer and enforce all rules that have been adopted by the Commission for Health <br />Services, ratified by the NC General Assembly, or adopted by the Local Board of Health. <br />8. The Department shall provide to the State copies of rules adopted by the Local Board of Health pursuant to <br />G.S. 130A-39 and Public Health Ordinances adopted by the County Commissioners, within 30 days of <br />adoption.. These rules/ordinances are to be sent to the Local Technical Assistance and Training Branch <br />(LTAT). <br />9. The Department shall provide to the State a comprehensive community health assessment (CHA) every four <br />years and a State of the County's Health Report each of the interim three years. Healtlry Cardlinians/Health <br />Education Branch/CDI Section will administer this four-year cycle. The CHA should be a collaborative <br />effort with the local Healthy Carolinians Partnership, if such exists, and shall include collection of primary <br />data at the county level. The CHA shall include a list of community health problems based on the findings <br />and a narrative of the assessment findings. The agency is requued to submit community action plans to <br />address the selected priority issues. These plans are due to the Office of Healthy Carolinians/Health <br />Education by the first Friday in Mazch unless the Agency's Healthy Carolinians Partnership is submitting an <br />application for certification recertification, in which case the community action plans can be submitted at <br />that time as part of the application The CHA will include data analysis of those indicators that are listed in <br />the accreditation self-assessment. <br />10. The Department shall provide formal training for their Board of Health (BOH) members through DHHS <br />sponsored offerings through the UNC School of Public Health -Institute of Public Health. First priority will <br />be given to training newly appointed members with the ultimate goal of having all BOH members trained as <br />time and resources allow. Continuing education updates on topics of special interest are strongly <br />encouraged after general board member orientation has been provided for all BOH Members. Individual <br />