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MAIN APPLICATION <br />m.) Work Statement <br />• Program Activities should outline major activities the agency implements to accomplish its <br />program goals. <br />• Program Goal should explain what the program is trying to achieve /accomplish. Goals are <br />statements about what the program should accomplish. SMART Goals <br />• Performance Measures describe how you will evaluate the degree in which you achieved <br />the stated goals. <br />• Actual Program Results use program results to indicate the actual measureable <br />achievement of goals. If goals were not met, please explain. <br />The Carrboro Community Health Center is projected to provide 20,758 medical visits in FY2016, <br />nearly a third of which are estimated for uninsured patients. As discussed above, the requested <br />funding will continue to be used towards salary support of a medical provider given the <br />projected deficit of the medical department within the CCHC program budget. <br />Piedmont Health Services estimates 4,000 medical encounters performed annually by a <br />physician, or 3,300 medical encounters performed annually by a midlevel provider <br />(FNP /CNM /PA), for an average of 3,650 encounters annually by a medical provider. Based on <br />the average salary of a medical provider at Piedmont Health, the requested funding would <br />provide 17.6% salary support for a single provider. Combining this percentage with the average <br />number of medical encounters, an estimated 645 medical visits would be provided as a result of <br />the requested funding. <br />In the past, Piedmont Health Services set program goals based on the number of <br />Carrboro /Chapel Hill /Orange County residents that would be served at CCHC with both medical <br />and dental services. Since awarded funds have typically benefited medical services at CCHC, <br />specifically as salary support for medical provider staff, the total number and demographics of <br />Orange County residents were used as program performance measures to demonstrate that <br />requested funds were benefiting a sizeable portion of the medically underserved population in <br />the county. Piedmont Health Services proposes to use the same approach for setting program <br />goals again this year, and will use its electronic medical records to collect all information on <br />program activities. Data collection is the responsibility of the PHS Data Analyst Jen <br />Cunningham. Please see table on next page. <br />Revised November 20, 2014 <br />Page 16 of 22 Pages <br />