Orange County NC Website
PROGRAM INFORMATION8/31/2018 11:35:08 AM Page 6 of 11 <br />Work Statement <br />e)Complete the Work Statement Chart to describe theworktobeperformed. <br />This chartis used to document program activities, program goals, performance measures, <br />and actual results. (Add more rows as needed)If this is a new program, you will only document <br />the projected information.Every program is required to have AT LEAST 1 Program Activity, <br />which should be SMART (Specific, Measurable, Achievable, Relevant, and Time-bound. Click <br />on SMART Goals to learn more. <br />Program Activities should outline major activities the agency implements to accomplish its <br />program goals. (i.e. Deliver meals to elderly/disabled residents.) <br />Program Goal should explain what the program is trying to achieve/accomplish. Goals are <br />statements about what the program should accomplish. (i.e. Deliver 100 meals per day, <br />Monday-Friday.) <br />Performance Measures describe how you will evaluate the degree in which you achieved <br />the stated goals. (i.e. Will track the number of meals delivered each day.) <br />Actual Program Results use program results to indicate the actual measureable <br />achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of <br />105 meals per day.) <br />Work Statement Chartfor Program OrangeApartments (AKA: Overlook Apartments) <br />1.Program Activity Name <br />Program Goal Maintain safe and pleasant living environment <br />Performance Measures Well maintained grounds and buildings <br />Previous Year Program Results Achieved. <br />Current Year EstimatedResults Achieved <br />Next Year Projected Results Achieved <br />2.Program Activity Name <br />Program Goal Routine Apartment Inspections <br />Performance Measures Units maintained in accordance with HUD Standards <br />Previous Year Program Results Achieved <br />Current Year EstimatedResults Achieved <br />Next Year Projected Results Achieved <br />3.Program Activity Name <br />Program Goal Facilitate Resident’s Involvement with the Community. <br />Performance Measures Provide monthly activity; Dining-Out, Resident’s Gathering <br />Previous Year Program Results Achieved <br />Current Year EstimatedResults Achieved <br />Next Year Projected Results Achieved <br />4.Program Activity Name <br />Program Goal Maintain Facility Structures in accordance with HUD Standards <br />Performance Measures Pass Annual Construction Inspections <br />Previous Year Program Results Achieved <br />Current Year EstimatedResults Achieved <br />Next Year Projected Results Achieved <br />Exhibit A <br />Provider's Cardinal Managed Care Application and Work Statement <br />DocuSign Envelope ID: 45F8D9E2-21AC-4868-9A00-7CEFD1517F11