2018-475-E Finance - Piedmont Health Services Inc outside agency agreement

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DocuSign Envelope ID: CCFF6125- AA47- 438A- 98CA- B42519499D42 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION Program Description (3 pages OR LESS) Please provide the following information about the proposed program: d) Summarize the program services proposed and how the program will address a Town /County priority /goal? The Carrboro Community Health Center (CCHC) aims each year to be a high quality, affordable primary care home which works to reduce barriers to health care access for low- income and other vulnerable individuals of all ages in the community. Each year it serves more than 3,400 Orange County residents. As discussed in the agency's description of the health center program, CCHC is a "one -stop shop" for primary care services including: sliding fee medical care (e.g. well /preventive care including prenatal care and family planning, acute /chronic illness management, transgender health care) with on -site lab and newly, an integrated behavioral health consultant; sliding fee family dental services, on -site pharmacy with a full formulary of affordable medicines available through the Federal 340B drug pricing program and various patient assistance programs, the Women Infant Child (WIC) supplemental nutrition program (available to any individual regardless of registration as a patient), and care support services including care management, ACA/Medicaid outreach /enrollment, and interpretation assistance. Population health programming at CCHC includes a focus on early literacy (work with the Reach Out and Read initiative funded by Strowd Roses, Inc. and Book Harvest, Inc. to provide children with early access to language and reading -level appropriate books); on -site access to free diabetic retinopathy screening provided by Prevent Blindness NC; and the refugee health program that takes referral from the Orange County Health Department (no current funders). To date, Town and County funding has been used just like PHS' Federal health center grant dollars, supporting sliding -fee medical care by staff medical providers to low- income uninsured residents, and this need continues to be great. Funding is also used to support CCHC's refugee health program, specifically contracted professional interpretation services. e) Describe the community need or problem to be addressed in relation to the Chapel Hill Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of Chapel Hill Council Goals, Carrboro Board Priorities, or other community priorities (i.e. Council /Board Goals). Reference local data (using the provided links, i.e. Chapel Hill Human Services Needs Assessment) to support the need for this program. PHS exists to address community access to affordable health care and basic human services for low income populations (approximately 32.5% of Orange County population lives below 200% of poverty), priority needs clearly identified in the Chapel Hill Human Services Needs Assessment and Orange County BOCC goals and priorities. Consistent with both Town and County social justice values, PHS health centers strive daily to create care environments where all people, regardless of race /ethnic group, nationality, language, or other group affiliation feel comfortable in receiving care. To improve access, health centers are located in close proximity of those they serve, with CCHC located on the edge of the Northside Neighborhood and in Zone 6 of Orange County's Family Success Alliance. The diverse low- income populations served by CCHC face documented disparities in health status (e.g. self- reported physical and mental health status, cancer outcomes, chronic and infectious disease prevalence, low birth weight, dental caries) that can be positively impacted by a continuous relationship with a primary care home. Despite the success of the ACA in improving access to care by newly insuring millions of Americans, there are still large numbers of uninsured individuals in our community who are ACA - ineligible, or are in fact too poor to qualify for insurance subsidies, falling into the gap crated by the state's decision not to expand Medicaid. Pre -ACA, it was estimated that 16.4 %of the Orange County population age 0 -64 years lacked health insurance, and in North Carolina approximately 60% of the uninsured are low- income. PROGRAM INFORMATION 1/23/2018 11:00:54 AM Page 15 of 23