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DocuSign Envelope ID: BA2C9714-6E23-4C44-906C-9D17CC0719D6 UNC SOM#22-0715 <br /> Orange County Managed Care Funds Performance Agreement, Exhibit A <br /> EXHIBIT"A" <br /> Managed Care(Maintenance of Effort) Funds <br /> Scope of Work Statement and Program Budget FY 202I-2022 <br /> Agency Name: UNC-Department of Psychiatry <br /> Program Name:Department of Psychiatry <br /> Funding Award: $$$ <br /> I. Budget. Outline how the agency will spend Orange County's funding award. Please attach <br /> additional sheets as necessary to provide detailed budget outline. <br /> Expense Description Amount <br /> Inpatient mental health and Substance abuse treatment $31,374 <br /> $261,450 <br /> " Short term outpatient MH and SA treatment <br /> 11. Program Services <br /> Outline the critical services(activities)the agency will employ to attain the Anticipated Outcomes below,by June 30,20 <br /> • Evalauation and mangement of psychiatric inpatients in crisis <br /> • Evalaution and managemnt of recently discharged patients prior to connecting with regular service <br /> provider <br /> II1. Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County,only. If yo,i use percentages,you must also provide the total number of participants within that measure's description or <br /> for an earlier performance measure.* <br /> Performance Measures Anticipated <br /> Results <br /> Successful tranition from inpatient to outpatient care 600 <br /> Decreased ED presentations of recently discharged patients 7-8/month <br /> Decreased readmissions of recently discharged patients 7/month <br /> l <br /> Certified by: Title: � Date: z <br /> (Prov'der's ignature) <br />