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DocuSign Envelope ID:502E262B-12B8-4E26-A3B9-A519026ACBC6 <br /> Contract Number 00042091 /Page 19 of 26 <br /> Measure Quality Reporting Annual <br /> 311fType I Frequency <br /> Measure Number of Community Advisory Council members representing an adolescent and <br /> a current or former adolescent parent. <br /> Budget Year 1 Trend Maintain <br /> Baseline 2 <br /> Value <br /> Target Value 2 <br /> Data Source NC Teen Pregnancy Prevention Initiatives Adolescent Parenting <br /> Program Database. <br /> Collection Contractor enters Community Advisory Council membership and <br /> Process and meeting attendance in the database. <br /> Calculation <br /> Collection Annual <br /> Frequency <br /> Measure Efficiency Reporting Annual <br /> Type Frequency <br /> Measure Cost per unduplicated participant(maximum cost based on minimum number of <br /> participants). <br /> Budget Year 1 Trend Maintain <br /> Baseline $6,666.67 <br /> Value <br /> Target Value $6,666.67 <br /> Data Source Total amount expended by Contractor is recorded by NCAS. Total <br /> number of unduplicated participants enrolled in the program <br /> complied using the data from NC TPPI database. <br /> Collection $100,000/15 teen parents = $6,666.67. Contractor submits <br /> Process and Contract Expenditure Reports and are recorded in NCAS. Total <br /> Calculation number of unduplicated participants enrolled in the program <br /> complied using the data from NC TPPI database. <br /> Collection Annual <br /> Frequency <br /> Performance Measures (Rev.402) <br />