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Home My WebLink About2021-629-Health-Piedmont Health Services-Outside AgencyOrange County Outside Agency Performance Agreement Revised 10/2021 Page 1 of 10 OUTSIDE AGENCY PERFORMANCE AGREEMENT THIS AGREEMENT, made and entered into the first day of July 2021, (“Effective Date”) by and between the County of Orange, a political subdivision of the State of North Carolina, Post Office Box 8181, Hillsborough, North Carolina, 27278, ("County") and PIedmont Health Serivces, Inc., a not-for-profit corporation, located at 88 Vilcom Center Drive, Suite 110, Chapel Hill, North Carolina 27514 (“Provider”). WITNESSETH: WHEREAS, it is in the interests of the County that said program be assisted by the County and thereby enhance its availability to residents of the County, and said program addresses an important community human services need, as identified by the Board of Commissioners. NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereafter set forth, the County and Provider agree as follows: 1. Term of the Agreement. The term of this Agreement shall be a program year beginning July 1, 2021 to June 30, 2022. 2. Scope of Services. a. Provider will provide services, as outlined in the attached Outside Agency Funding Application and any amendments or revision thereto which is attached as Exhibit “A” and incorporated by reference, to the residents of Orange County. The Scope of Services and the Program Budget may be different from the original application based on County appropriation; however, any revisions or amendments to this Agreement must be approved in writing by the County and attached to this Agreement as Exhibit B. b. The Provider shall be solely responsible for the means, methods, techniques, sequence, safety program and procedures necessary to properly and fully complete the work set forth in the Scope of Services. 3. Funding. a. The County agrees to appropriate for the provision of services described in Exhibit A, Scope of Services and more particularly described in the Revised Program Budget, the maximum sum of $16,500. b. All funds appropriated shall be used for purposes described in Exhibit A. Any funds not used for the purposes stated shall be returned to the County. Any changes in the use of funds must be authorized in writing by the County prior to any expenditure of the funds by the Provider. If the funds are expended not in accordance with the Scope of Services, at the discretion of the County the Provider may be required to repay the funds to the County. c. The Provider shall be paid in four equal installments in the amount of $4,125. The first payment is contingent upon receipt of the agency’s performance agreement; the remaining payments are contingent upon receipt of the request for reimbursement and related supporting documentation. d. The County’s obligation to make the quarterly payments is contingent upon receipt of Progress Reports, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services. DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Outside Agency Performance Agreement Page 2 of 10 Rev.10/21 e. Once Provider has satisfied its obligations as provided in (d) payment will be made 21 days after receipt of the Progress Report and Request for Reimbursement or 21 days after due date of Progress Report whichever is later. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Provider will provide Orange County a Progress Report that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report dates are: July 1 – December 31; January 1 – March 31 and April 1 - June 30. Reports are due on January 10, April 10, and July 10 of the program fiscal year. b. Provider agrees to allow the County to inspect its financial books and records, which document costs of those services, upon reasonable notice during normal working hours. 5. Termination. a. Termination for Cause. In the event of any of the circumstances set forth below (hereinafter referred to as “default”), the County may immediately terminate this Agreement, in whole or in part, and from time to time. Notice of termination must be in writing, state the reason or reasons for the termination, and specify the effective date of the termination: i. In the event that Provider shall cease to exist as an organization or shall enter bankruptcy proceedings, be declared insolvent, or liquidate all or substantially all of its assets, or significantly reduce its services or accessibility to Orange County residents during the term of this Agreement; or ii. In the event that Provider shall fail to render a satisfactory accounting as provided section 4 above, the County may terminate this Agreement and Provider shall return all payments already made to it by the County for services which have not been provided or for which no satisfactory accounting has been rendered; or iii. In the event of any fraudulent representation by the Provider in an invoice or other verification required to obtain payment under this Agreement or other dishonesty on a material matter relating to the performance of services under this Agreement. iv. Nonperformance, incomplete service or performance, or failure to satisfactorily perform any part of the work identified in the Scope of Services or to comply with any provision of this Agreement, as determined by the County in its sole discretion. v. Failure to adhere to the terms of applicable county, state or federal laws, regulations, or stated public policy. b. In the event of default by the Provider, the county may elect to terminate this Agreement, in whole or in part and/or require the Provider to repay the funds within ten (10) business days from written notice of default. The County may (but shall not be required to) grant the Provider an opportunity to cure the default without termination of this Agreement. This clause shall not be interpreted to limit the County’s remedies in law or in equity. DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Outside Agency Performance Agreement Page 3 of 10 Rev.10/21 c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided that written notice of such termination is furnished to the other party at least 30 days prior to termination. In the event of such termination, any payment due shall be prorated to the date of termination and any unused funds shall be returned to the County within 10 days of termination. d. Any termination of this Agreement for default under this section that is later deemed to be unjustified shall be deemed a termination for convenience. e. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. 6. Responsibilities of the County. Cooperation and Coordination. The County has designated (Quintana Stewart) to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance. a. General Requirements. The Provider shall purchase and maintain, during the period of performance of this Agreement, insurance: i. Worker’s Compensation. For protection from claims under workers' or workmen's compensation acts; ii. Comprehensive General Liability Insurance covering claims arising out of or relating to bodily injury, including bodily injury, sickness, disease or death of any of the Consultant's employees or any other person and to real and personal property including loss of use resulting thereof; iii. Comprehensive Automobile Liability Insurance, including hired and non-owned vehicles, if any, covering personal injury or death, and property damage; and iv. Professional Liability Insurance, covering personal injury, bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Consultant or his agents, consultants and employees. v. Sexual Misconduct. Sexual Abuse/Molestation Insurance is required when Provider works directly one-on-one with children, elderly or other at-risk populations. b. Limits of Coverage: Minimum limits of insurance coverage shall be as follows: INSURANCE DESCRIPTION MINIMUM REQUIRED COVERAGE • Worker's Compensation Limits for Coverage A - Statutory State DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Outside Agency Performance Agreement Page 4 of 10 Rev.10/21 NC & Coverage B - Employers Liability $500,000 each accident, disease policy limit and disease each employee • Commercial General $1,000,000 Each Occurrence Liability $2,000,000 Aggregate • Automobile Liability $500,000 Combined Single Limit • Professional Liability $1,000,000 Each Occurrence $2,000,000 Aggregate • Sexual Misconduct $1,000,000 Each Occurrence $2,000,000 Aggregate c. All insurance policies (with the exception of Worker's Compensation and Professional Liability) required under this Agreement shall name the County as an additional insured party and as a certificate holder. For more information see the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements, (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Evidence of such insurance and all correspondence shall be sent to: Orange County Risk Manager Post Office Box 8181 Hillsborough, NC 27278 d. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. 8. General Provisions. a. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. b. Non-Discrimination. Provider agrees as part of consideration of the granting of funds by Orange County the parties hereto for themselves, their agents, officials, employees and servants agree not to discriminate in any manner of these basis of race, color, gender, national origin, age, handicap, religion, sexual orientation, familial status or veterans status with reference to any activities carried out by the grantee, no matter how remote. The parties hereto further agree in all respects to conform to the provision and intent of Orange County Civil Rights Ordinance, as amended and the Orange County Non-discrimination Policy, which is incorporated herein by reference and can be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php. The County may enforce this provision by an action for specific performance, injunctive relief, or other remedy as by law provided; this provision shall be binding on the grantees, the successors and assigns of the parties hereto with reference to the above subject manner. DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Outside Agency Performance Agreement Page 5 of 10 Rev.10/21 c. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. d. Living Wage. Orange County is committed to providing its employees with a living wage and encourages agencies if funds to pursue the same goal. The Orange County Living Wage Policy, which is incorporated herein by reference, can be viewed at: http://www.orangecountync.gov/departments/purchasing_division/contracts.php. The County’s living wage is $15.40 per hour. To the extent possible, Orange County recommends that Provider provide a living wage to its employees. e. Relationship of the Parties. Provider is an independent contractor of the County. Provider represents that they have or will secure, at his own expense, all personnel required in performing the services under this Agreement. Such personnel shall not be employees or have any contractual relationship with the County. All personnel engaged in work under this Agreement shall be fully qualified and shall be authorized and permitted under federal, state and local law to perform such services. f. Compliance with all Laws. The Provider, at its sole expense, shall comply with all laws, ordinances, orders and regulations of the federal, state or local governments, as well as their respective departments, commissions, boards, and officers, which are in effect at the time of execution of this Agreement or are adopted at any time following execution of this agreement. g. Subcontract. The County and Provider deem the services provided under this Agreement to be personal in nature and Provider may not subcontract any rights or duties under this Agreement to any other party without prior written consent from the County. h. Assignment. The Provider shall not assign this Agreement, including the rights to payment, to any other party without the prior written consent of the County. i. Indemnification. Provider agrees to defend, indemnify, and hold harmless the County, for all loss, liability, claims or expense (including reasonable attorney's fees) arising from bodily injury, including death or property damage, to any person or persons caused in whole or in part by the negligence or willful misconduct of the Provider, except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this section to require Provider to indemnify the County to the extent permitted under North Carolina law. Nothing in this section is intended to affect or abrogate the County’s sovereign immunity defenses. j. Non-Appropriation. This Agreement is subject to the availability of funds to purchase the specified services and may be terminated at any time if such funds become unavailable. k. Severability. All clauses found herein shall act independently of each other. If a clause is found to be illegal or unenforceable, it shall have no effect on the other provisions of this Agreement. It is understood by the parties hereto that if any part, term or provision of this Agreement is by the Courts held to be illegal or in conflict with any laws of the State of North Carolina or the United States, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Outside Agency Performance Agreement Page 6 of 10 Rev.10/21 enforced as if the Agreement did not contain the particular part, term or provision held to be invalid. l. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. m. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider’s Name Piedmont Health Services, Inc. Attention: Kimberlee Quatrone Attention: Brian Toomey P.O. Box 8181 Address: 88 Vilcom Center Dr., Ste. 110 Hillsborough, NC 27278 Chapel Hill, NC 27514 Email:kquatrone@orangecountync.gov Email: toomeyb@piedmonthealth.org n. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article 11A and Article 40 of North Carolina General Statute Chapter 66. IN WITNESS WHEREOF, the Orange County and the Provider have signed this Agreement, effective on the last date this Agreement is signed by both parties as indicated by the dates set forth under signatures below. For and on behalf of the Provider _____________________________ _______________________ Brian Toomey, MSW, Chief Executive Officer Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C 10/22/2021 10/26/2021 Orange County Outside Agency Performance Agreement Page 7 of 10 Rev.10/21 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Piedmont Health Services, Inc. Party/Vendor Contact Person: Marni Holder Contact Phone: 919-537-7497 x1497 Party/Vendor Address: 88 Vilcom Center Drive, Suite 110 City Chapel Hill State: NC Zip: 27514 Department: Health Amount: $16,500 Purpose: Outside Agency Budget Code(s): 10495050-719021 Vendor # 27898 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-2021 Approved by Board Yes No Agenda Date: June 15, 2021 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Waiting on updated template. Information Technologies (Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C 10/22/2021 10/25/2021 10/26/2021 10/26/2021 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): 03/1970 2. Agency’s Purpose/Mission (no more than a few sentences): Piedmont Health Services, Inc. (PHS) is critical part of this community’s primary health care safety net for vulnerable and/or financially-disadvantaged residents. PHS’ mission is “to improve the health and well-being of the community by providing high quality, affordable and comprehensive primary health care.” PHS operates two major programs, the Community Health Center (CHC) program (10 sites) and a CMS-deemed Program of All-Inclusive Care for the Elderly (PACE) (2 sites) which serve a multi-county area. Community health centers nationally offer care on a sliding fee scale for services for those living at or below 200% of the Federal poverty guideline. 3. Please provide a brief description of your organization’s past achievements in carrying out similar projects and evidence of successful record of meeting proposed budgets and timetables (no more than 100 words). PHS has worked locally since 1970 to assure access to comprehensive, culturally competent primary health care (including COVID-19 care), now at three area locations (Carrboro CHC, Chapel Hill CHC, and the IFC CHC located at the IFC Community House Shelter). These locations served >8,600 people in 2020 with sliding-fee family medical and dental care, integrated behavioral health, pharmacy and health support services including interpretation, care management, WIC/nutrition and eligibility assistance. PHS manages multiple grants to support this mission and consistently meets obligations. PHS is Joint Commission-accredited and recognized by the National Committee for Quality Assurance as a Patient Centered Medical Home. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) Yes If yes, is this agency an Orange County Living Wage Certified Employer? No If no, please briefly explain. PHS’ current minimum hourly rate is $12.00/hr. plus health insurance. Living wage rates per the Living Wage calculator (http://livingwage.mit.edu) across the PHS service area range from $10.40/hr in Person County to $12.88/hr. in Chatham and Orange Counties. Pay rates are examined on a regular basis using wage data from other community health centers and local care providers. Schedule of Positions: # of FTE – Full-Time Paid Positions: 461 positions (461 FTE) # of FTE – Part-Time Paid Positions: 112 (approximately 67 FTE) EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C 9. Performance Indicators For Chapel Hill and Carrboro applicants: Please complete the following chart with information about the Strategic Objective, Intermediate Result, and the Agency Performance Indicator for each program for which you are applying for funding. Please see the Results Framework in the Attachments section as a reference. Program Name: Piedmont Health Community Health Centers Strategic Objective (please choose one from the Results Framework)  Children improve their educational outcomes  Residents Increase their livelihood security Residents improve their health outcomes Intermediate Result (please choose one from the Results Framework) 3.1: Residents access basic health care services (primary, behavioral, dental). (Please note that the pandemic is having an impact on certain PHS performance indicators that require clinic attendance (i.e. pap smear) vs. those that can be accomplished via telehealth. Below we use the last 12 months of data (CY2020) to project 2020-2021 results, and have used those estimates for 2021-2022). RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 Performance Indicators (Please choose at least one performance indicator to report on from the Results Framework, and add additional performance indicators that you would like to report to the Towns. Please insert additional rows as needed, listing one per row). #/% Receiving Preventive Screenings: 1) Cervical Cancer Screening up- to-date in women 23-64 (# and % of population meeting metric) 2) Tobacco Use Screening and Cessation Counseling for individuals 18+ (# and % of population meeting metric). 3) Annual depression screening and follow-up as necessary on individuals 12+ (# screened and % of population) 4) NEW: PHS will report on # of COVID-19 screening tests completed on Orange County residents, as well as total COVID-19 vaccinations by CHC site when vaccines arrive. 1,993 (67%) 4,208 (88%) 3,244 (57%) N/A 1,966 (63%) 3,991 (85%) 3,447 (58%) Actual CY 2020 2,483 COVID-19 tests on 1,921 patients of 3 Orange County CHC sites. (2,657 tests on Orange County residents across service area – 9% positive) 1,966 (63%) 3,991 (85%) 3,447 (58%) Reporting ability/Volume dependent on course of pandemic. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Please use the drop down menu below to select which function area best aligns with your agency and program(s) in which you are requesting funding. Please select only one from the drop-down menu below. Public Health and Health Education If you selected other, please tell us what function area best aligns with your organization: Please indicate three program goals/performance measures below. A few notes: • If you use percentages, please put the actual number equivalence. • Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 Refugee Health Care Performance Measure (How will you accomplish your goal?) PHS Community Health Center Program will be a primary care home for 600 unduplicated refugee patients over the 2021-2022 grant year. Actual Results (Outcome) Ending FY19-20 576 refugees Projected Results (Outcome) Ending FY2021 600 (304 refugees thus far served between 7/1/20 – 12/31/20) Projected Results (Outcome) Ending FY2022 600 Program Goal # 2 Primary Care for Low-Income, Uninsured Patients Performance Measure (How will you accomplish your goal?) PHS Community Health Center program will be a primary care home for >4,000 low income uninsured patients in the 2021-2022 grant period. Actual Results (Outcome) Ending FY19-20 4,644 Projected Results 4,288 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C (Outcome) Ending FY2021 Projected Results (Outcome) Ending FY2022 4,288 Program Goal # 3 Health Care for the Homeless Performance Measure (How will you accomplish your goal?) PHS Community Health Center Program will care for >100 people experiencing homelessness during the 2021-2022 grant period. Actual Results (Outcome) Ending FY19-20 115 Projected Results (Outcome) Ending FY2021 126 Projected Results (Outcome) Ending FY2022 126 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Community Impact Award If you are applying for the Town of Chapel Hill’s Community Impact Award, please provide responses to the questions below. All other applicants, please skip these questions. (Responses should not exceed 100 words per question) 1. Please describe the impact the proposed programs will have on the target population. Please include specific quantitative and qualitative data in your response. PHS will continue to play a critical role in increasing access to COVID-19 testing and related support for the region, and will soon begin a COVID-19 vaccination campaign (Phase 1B-approved entity). Remaining open throughout the pandemic, the organization quickly responded by implementing telehealth services delivery, creating acute respiratory testing (ART) tents for drive-through COVID-19 testing at the Carrboro CHC location, and reworking clinical workflows to enhance social distancing (e.g., curbside medication pick up and home delivery). As of 12/31/2020, PHS has conducted 2,657 COVID-19 tests on Orange County residents, both at its Carrboro CHC ART and on community outreach, with 9% of tests positive for COVID-19. 2. What methods/tools will your organization use to evaluate the proposed program’s effectiveness? Please include specific examples, such as a logic model. The PHS Quality Plan includes annual goal setting with regard to total patients served, visits by program, patient outcome and financial metrics which are annually reported to HRSA for benchmarking against other health centers. PHS is reporting COVID-19 testing data (and soon vaccination data) to the NCDHHS. PHS routinely monitors patient and staff satisfaction, conducts quality assurance audits, and follows-up on any incident or grievance report to adequately address any identified problem. Results are routinely reported to site, organizational, and Board leadership. PHS is Joint Commission- accredited and recognized by the NCQA as a Level 3 Patient Centered Medical Home. 3. Please briefly describe how your proposed programs aligns with evidence-based approaches to addressing human service need(s). From the National Association of Community Health Centers 2018 America’s Health Centers Fact Sheet, “Health centers are consumer driven and patient centered organizations that serve as a comprehensive and cost effective option for America’s underserved communities. Health centers serve everyone, regardless of the ability to pay or insurance status. They increase access to health care and provide integrated services based on the unique needs of the communities they serve…Community health centers perform better on ambulatory quality measures compared to private physicians, and are narrowing health disparities… Health centers save the health care system $24 billion annually.” PHS uses multiple evidenced-based care guidelines in delivering primary care services (e.g. US Preventive Task Force). 4. Please describe one to three key partnerships/collaborations that add the most value to the success of the proposed programs. UNC Healthcare: PHS and UNC collaborate to guarantee a high-quality continuum of care from primary care at PHS to specialty/inpatient management at UNC. PHS provides its Carrboro CHC for operation of UNC’s SHAC Free Clinic. More than 200 UNC health professional students train at PHS annually. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C Orange County Health Department (OCHD): PHS collaborates with the OCHD on the care of local refugees from Burma and other nations. PHS staffs the OCHD’s WIC office. More recently, PHS and the OCHD collaborate on a daily basis on the care of individuals with COVID-19. InterFaith Council for Social Service (IFC): PHS works with IFC to address needs of the homeless population in Orange County, including operating clinical services for IFC program participants. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071C DocuSign Envelope ID: 1139B227-38A3-48CF-BBDF-915390FB071CCEO10/22/2021 Orange County Outside Agency Performance Agreement Page 10 of 10 Rev.10/21 ATTACHMENT “A” Orange County Certifications – FY 20 - Outside Agency Performance Agreement Chief Contact, Administrators, Chief Executive Officer and Chief Financial Officer I certify that I have provided a list of the chief contact, administrators, chief executive officer and chief financial officer for my agency with this Agreement and that I will keep it current to the County of Orange. The list should be in writing with the name, title, residential address; phone and email address and if possible, fax number. Officers and Board of Directors I certify that I have provided a current list of the Officers and Board of Directors with this Agreement and that we will continue to update the list as changes occur. The list should be in writing, with the name, physical address, mailing address and if possible, phone, fax and email address. Budget Submission I certify that I have provided a budget for the period to be covered by funding Orange County, and that any substantive changes made to this budget have been in advance authorized in writing by Orange County. Annual Financial Review I certify that I have provided a copy of the latest annual Financial Review for our agency and the budget adopted by the agency for the fiscal years encompassing this Agreement. If not, please explain on a separate sheet of paper. Alignment with Organization’s Mission I certify that the programs and services for which this funding is requested align with the mission of the organization. Intended Purpose I certify that the funds provided to the agency under the terms of this Agreement will be used for a public purpose and shall only be used for the purposes intended and any money not used for those purposes will be promptly returned to Orange County. 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