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N.C. Department of Environment, Health, and Natural Resources Page 3 of 4 <br />Division of General Services <br />CONTRACT ADDENDUM <br />Adult Health <br />Office, Section, or Branch <br />Orange County Health Department <br />Contractor <br />t} <br />C. OBJECTIVES <br />F. 91 - 92 <br />92- 5508' -68 <br />Contract Number <br />Adult Health <br />Activity <br />la. By June, 1992, screen 75% of black clients seen in inhouse clinics and <br />community screening activities for high blood pressure of 140/90 mm Hg <br />or greater. <br />lb. By June, 1992, provide education (hypertensive disease risks, modifiable <br />risk factors), counseling, referral and follow -up to 60% of these <br />clients with blood pressure of 140 /90 mm Hg or greater. <br />2a. By June, 1992, screen 25% of black clients in inhouse appointment adult <br />clinics and community screening activities for total high cholesterol <br />(level of 200 mg /dL and greater with definite CHD or two other CHD risk <br />factors; level of 240 mg /dL and greater). <br />2b. By June, 1992, provide education (risks, modifiable risk factors), <br />counseling, referral and follow -up to 50% of these clients with high <br />total cholesterol level. <br />3. By June, 1992, develop a tracking system to verify referral outcome of <br />50% of these clients referred for high blood pressure and high total <br />cholesterol levels. <br />4. By June, 1992, provide two educational programs about cardiovascular <br />disease and its risk factors to black community groups. <br />5. By June, 1992, provide a high blood pressure campaign event during High <br />Blood Pressure Month targeting the black community. <br />6. By June, 1992, assess interest in and potential for development of a <br />natural helpers program for reduction of cardiovascular risks within a <br />selected black community. <br />D. QUALITY ASSURANCE <br />A Quality Assurance Plan for the Personal Health Services Division is on <br />file. A Quality Assurance Committee for the Orange County Health Department <br />has been established with meetings occurring at least quarterly for quality <br />assurance activities for the agency. Quality assurance findings and <br />corrective actions will be documented in written reports. A quality <br />assurance plan is on file. Information collected for program reviews by the <br />Adult Health Section Supervisor will occur at quarterly or six month inter- <br />vals. Information collected for review will include, but not be limited to <br />include clinical and community screening record audits; community <br />program and screening, promotion, implementation, participation and barriers; <br />outcome data for meeting program objectives; client, demographic and testing, <br />data entered into local data entry system and reviewed in six month and <br />annual reports. <br />l )EHNR 33001 (Revised 2/90) <br />General Services Division (Review 1/95) <br />Reviewed by <br />Initials Date <br />