2018-507-E Finance - Club Nova outside agency agreement

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DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION -Evening, Weekend, Holiday Program is provided on Thurs 4 PM -8 PM and Sat typically from 11 AM - 4 PM. Holiday hours vary depending on the holiday. We are typically open 5 hours on holidays. i) Why is funding this program a good investment for the community? How does funding this program add value to the community? (250 words OR LESS) The lesson that is repeatedly reaffirmed is that relationships, inclusion, and opportunities are interwoven with and at the heart of a healthy community. Club Nova can serve a member for an entire year, for what it cost for less than a week in the hospital. There is a positive impact on alleviating human suffering that people with mental illness are at risk for such as suicide, homelessness, incarceration hospitalization and isolation Evidence substantiates the fact that clubhouses provide communities with a cost effective solution for dealing with the devastating impact that mental illness has on society, and for helping people living with serious mental illness achieve their full potential in their communities. As we attempt to affirm what we know from our moral principles – that we are all in this together and if anybody is diminished, if anybody is left behind, if anybody is marginalized, then we are all diminished —I hope we can commit to making that something we live by. It is something Club Nova embodies every day." -- NC Congressman David Price j) Describe what would happen if requested funding is not awarded at all or if a reduced allocation is recommended. We are filling a critical need in our community that would otherwise go unmet. Club Nova requires a healthy blend of public and private dollars. We are in need of more robust local funding given the challenges in the NC Mental Health System. Without county and municipal funds, Club Nova would have to lay off staff and reduce the number of members accepted and served which would cause our program and members to suffer. North Carolina has one of the lowest reimbursement rates for Clubhouses of any other state in the nation. In a national survey conducted by the University of Massachusetts School of Medicine, representing 30 states, the average hourly reimbursement rate is $23.96 per hour. Our current hourly reimbursement rate is $13.36. With the continuing changes in mental health, Club Nova has stepped up to meet more of the critical needs of members that historically other services were available to help support. Additionally, services we used to be reimbursed for have been eliminated or now have exclusions that result in Club Nova providing in excess of $100,000 in services that are not reimbursed. This amount does not include the elimination of state funding for our Employment Program. Our Employment Program with job development, job training, and ongoing support is an essential facet of Club Nova. k) What percentage of your target population is low- moderate income? 100% of our target population are low- moderate income. 1) What efforts do you make to seek feedback about your program from your target population (e.g. survey, evaluations, etc. ?) We conduct annual surveys with our membership. We also have weekly House Meetings where all members and staff discuss the happenings of Club Nova and are provided an opportunity for feedback about our program. m) Include any other pertinent information. PROGRAM INFORMATION 1/23/2018 1:58:29 PM Page 2 1 of 3 1