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Page 4 of 6 <br />Revised August 2018 <br />iii.Distribution and Use of Medical Materiel <br />e.Domain 5: Surge Management. <br />i.Surge Staffing <br />ii.Public Health Coordination with Healthcare Systems <br />iii.Infection Control <br />f.Domain 6: Biosurveillance. <br />i.Public Health Surveillance and Real-time Reporting <br />ii.Public Health Laboratory Testing, Equipment, Supplies and Shipping <br />iii.Data Management <br />IV.Performance Measures/Reporting Requirements: <br />The Local Health Department shall: <br />1.Submit the following updates and reports to PHP&R: <br />a.Monthly Expenditure Monitoring Reports (EMRs) are due via email (phpr.sgm@dhhs.nc.gov) to <br />the PHP&R Program Manager no later than thirty days after the month ends. <br />2.Provide all plans and documents for review by PHP&R staff when requested. Plans and other <br />documents must be consistent with state and federal requirements and must be specific to your local <br />public health area. <br />V.Performance Monitoring and Quality Assurance: <br />PHP&R will provide technical support to the Local Health Department to meet the required and <br />allowable activities defined in the CDC Interim Guidance document. Templates and best practices will <br />be provided as needed on an ongoing basis. PHP&R staff will maintain open communication with the <br />Local Health Department and will therefore, receive and respond to all questions related to the <br />COVID-19 Crisis Response Cooperative Agreement. <br />PHP&R’s Subrecipient Grants Monitor or PHP&R Program Manager’s designee will review reports and <br />may schedule and conduct on-site visits with the Local Health Department to assess compliance with <br />CDC grant and Agreement Addendum requirements, financials, and/or provide consultative assistance. <br />Inadequate performance on the part of the Local Health Department directly impacts the capacity of <br />North Carolina’s ability in overall preparedness. In the event that performance is deemed inadequate or <br />non-compliant, PHP&R reserves the right to identify the county as “high risk,” which may result in a <br />reduction or suspension of funds. <br />DocuSign Envelope ID: 5B3129F4-24E8-4B06-8D09-86F5B1AFD15F