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2020-520-E Health-NC DHHS Form 21 contract addendum
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2020-520-E Health-NC DHHS Form 21 contract addendum
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Page 7 of 9 <br />Revised July 2019 <br />3. Performance Measure #3 Linked to Scope of Work and Deliverables 1: Contact tracers <br />hired locally should be reflective of the county population and the target communities. <br />Reporting Requirements: LHD will provide certain demographic data (race, ethnicity, and <br />language(s) spoken) of locally hired contact tracers in quarterly reporting outlined below in <br />Additional Reporting Requirements. <br />4. Performance Measure #4 Linked to Scope of Work and Deliverables 1 and 5: The LHD <br />shall support tele-ICAR and infection prevention consultation with LTCF in their service area, in <br />conjunction with the NC DHHS. <br />Reporting Requirements: Reporting will be done via a yearly online survey. <br />5. Performance Measure #5 Linked to Scope of Work and Deliverables 1-6: The LHD shall <br />review the LHD testing plan quarterly so it reflects most current recommendations from NC <br />DHHS. <br />Reporting Requirements: LHD shall submit updated plans in quarterly reporting outlined below <br />in Additional Reporting Requirements. <br />6. Performance Measure #6 Linked to Scope of Work and Deliverables 4 and 5: The LHD <br />shall report close contacts to COVID-19 into the COVID-19 Community Team Outreach <br />(CCTO) Tool software for at least 60% of people infected with COVID-19. <br />Reporting Requirements: Reporting will be done via the CCTO tool software. <br />7. Performance Measure #7 Linked to Requirements 1 and 2: The LHD shall complete the <br />Final Monitoring Outcome variable for 90% of contacts entered after 14 days. <br />Reporting Requirements: Reporting will be done via the CCTO tool software. <br />B. Additional Reporting Requirements <br />1. The LHD shall submit quarterly reports to CDB in a provided template. <br />a. Reports shall include: <br />i. The LHD’s local testing plan, if modified. <br />ii. Progress of work performed against each of the allowable activities and performance <br />measures. <br />iii. Assurance that the LHD has reviewed data entered in electronic tools (e.g., NCEDSS, <br />CCTO) for accuracy. <br />iv. Demographic data (race, ethnicity, and language(s) spoken) of locally hired contact <br />tracers. <br />v. Financial reports to support use of funds and the monthly reimbursements drawn from the <br />Aid to Counties system. <br />b. Reporting schedule: <br />1st Quarter July 1 – September 30, 2020 submit by October 31, 2020 <br />2nd Quarter October 1 – December 31, 2020 submit by January 31, 2021 <br />3rd Quarter January 1 – March 31, 2021 submit by April 30, 2021 <br />4th Quarter April 1 – June 30, 2021 submit by July 31, 2021 <br />2. Provide data, plans, and documents as requested by CDB that supports reporting the performance <br />measures and deliverables from the ELC Enhancing Detection grant. Plans and other documents <br />DocuSign Envelope ID: 2695E0C0-30FB-4AF9-8AAD-38BDC8738C11
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