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Page 3 of 5 <br />Revised June 2019 <br />IV. Performance Measures/Reporting Requirements: <br />1. Performance Measures <br />a. Performance Measure # 1: The LHD shall have a policy to ensure access to COVID-19 testing <br />for all symptomatic persons and for those who have had close contact to a known or suspected <br />case of COVID-19 as defined by the CDC, and for those who request or require testing. <br />Reporting Requirements: An electronic copy of this testing policy shall be provided to the <br />Regional Communicable Disease Nurse Consultant no later than September 1, 2020. <br />b. Performance Measure # 2: The LHD shall report cases of COVID-19 including deaths within <br />30 days of receipt of the report to the state disease registrar via the NC EDSS. <br />Reporting Requirements: Reporting will be done via the NC EDSS. <br />c. Performance Measure # 3: The LHD shall report COVID-19 activity (decline, no change, and <br />increase) in high-risk healthcare facilities (e.g., nursing homes, dialysis centers, long-term care <br />facilities) and congregate living settings (e.g., prisons, youth homes, shelters) via the NCEDSS <br />outbreak module and the CD Outbreak Worksheet within 2 days of receipt of outbreak. <br />Reporting Requirements: Reporting will be done via the NC EDSS and consultation as needed <br />by CDB staff. <br />d. Performance Measure #4: The LHD shall report close contacts to COVID-19 into the COVID- <br />19 Community Team Outreach (CCTO) Tool software for at least 60% of people infected with <br />COVID-19. <br />Reporting Requirements: Reporting will be done via the CCTO tool software <br />e. Performance Measure #5: The LHD shall complete the Final Monitoring Outcome variable for <br />90% of contacts entered after 14 days. <br />Reporting Requirements: Reporting will be done via the CCTO tool software. <br />2. Additional Reporting Requirements <br />a. The LHD shall submit Annual Reports to include progress of work performed against each of the <br />allowable activities and performance measures, data (numbers tested/traced to during reporting <br />period), as well as use of funds and programmatic reporting to the CDB at the following <br />intervals: <br />FY19-20 (January–May 2020) report due no later than August 15, 2020 <br />FY 20-21 (June 2020–May 2021) report due no later than June 15, 2021 <br />b. Provide data, plans, and documents as requested by CDB that supports reporting the performance <br />measures and deliverables from the ELC CARES grant. Plans and other documents must be <br />consistent with state and federal requirements and must be specific to the LHD’s local public <br />health jurisdiction. <br />c. The LHD will submit an annual report via Survey Monkey which will include the reporting of <br />work performed against each of the allowable activities and performance measures, data <br />(numbers tested and numbers of contacts traced during the reporting period), reporting on the use <br />of funds, and programmatic reporting. The Survey Monkey survey link will be sent to the LHD <br />by CDB no later than June 15, 2021. <br />V. Performance Monitoring and Quality Assurance: <br />1. The TATP Nurse Consultant will assess the Local Health Department’s performance through <br />reporting mechanisms within the NC EDSS. These reports will be run on a quarterly basis by the <br />TATP Nurse Consultant. <br />DocuSign Envelope ID: 7198D781-BEA6-4795-A20A-3948F519ECD6