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HomeMy WebLinkAbout2022-059-E-Health-Club Nova Community-Outside Agency & MOE Orange County Outside Agency ARPA Fund and Managed Care Fund Performance Agreement Revised 9/2021 OUTSIDE AGENCY FUNDS AND MANAGED CARE FUNDS 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 Club Nova Community, Inc., a not-for-profit corporation, located at 103-D West Main Street, Carrboro, North Carolina 27510 (“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 to the residents of Orange County, as outlined in the attached Outside Agency Funding Application and Managed Care (Maintenance of Effort) Funds Scope of Work which are attached as Exhibit “A” and “B” respectively, and herein incorporated by reference. The Scope of Services and the Program Budget may be different from the original Outside Agency Funding Application based on County appropriation. Revisions or amendments to the Agreement must be in writing, approved by the County, and attached to this Agreement. 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. Outside Agency Funding. i. Outside Agency Funding. The County agrees to appropriate funds for the provision of services as described in Exhibit C, Outside Agency Scope of Services and may be more particularly described in the Revised Program Budget in Exhibit C, the maximum sum of $25,000 in Outside Agency Funds. ii. The Provider shall be paid Outside Agency Funds in four equal installments in the amount of $6,250. 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. b. Managed Care Funding. i. Managed Care Funding. The County agrees to appropriate funds for the Services DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 described in the “Program Services” section of Exhibit B, Scope of Work Statement and Revised Program Budget, and may be more particularly outlined in the “Expense Section” of Exhibit B, the maximum sum of $163,000 in Managed Care Funds. ii. The Provider shall be paid Managed Care Funds in twelve monthly installments in the amount of $13,583.33. The first payment is contingent upon receipt of the agency’s fully executed performance agreement; the remaining payments are contingent Provider satisfactorily supplying County with receipts for reimbursement with related supporting documentation. Documentation must be supplied to County’s satisfaction, County will not unreasonable withhold payment. c. All funds appropriated shall be used for purposes described in Exhibits B and C. 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 and Work Statement, at the discretion of the County the Provider may be required to repay the funds to the County. d. The County’s obligation to make the payments is contingent upon receipt of Progress Reports and/or request for reimbursement as provided in Section 4 below, which show satisfactory progress toward completion of performance measures and an accounting of expenditures as detailed in the attached Scope of Services and Work Statement. e. Once Provider has satisfied its obligations as provided in Sections 3 and/or 4 payment will be made 21 days after receipt of the Progress Report or Request for Reimbursement. f. The County is not obligated to provide any other support to Provider in this or in succeeding fiscal years. 4. Agency Reporting. a. Outside Agency Funds Reporting. Provider will provide Orange County a Quarterly Progress Report for Outside Agency funds that includes a fiscal report and updates on performance measures as outlined in the Scope of Services. Progress Report due 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. Managed Funds Reporting. Provider will provide Orange County a Monthly Progress Report for Managed Care funds that includes a fiscal report and updates on performance measures as outlined in the Exhibit B, Work Statement. Progress Reports are due by the 15th of the next month following the month being reported. c. 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: DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 3 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 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 perform satisfactorily any part of the work identified in the Scope of Services, Scope of Work, 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. c. Notwithstanding the foregoing, either party may terminate the agreement at any time without penalty; provided 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. 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. DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 4 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 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 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. DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 5 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 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. 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. DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 6 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 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 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 Club Nova Community, Inc. Attention: Kimberlee Quatrone Attention: Karen Kincaid Dunn P.O. Box 8181 Address: 103-D West Main Street Hillsborough, NC 27278 Carrboro, NC 27510 Email:kquatrone@orangecountync.gov Email: karendunn@nc.rr.com 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. [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 7 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 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 _____________________________ _______________________ Karen Kincaid Dunn, Executive Director Date For and on behalf of Orange County Government _______________________________ ________________________ Bonnie Hammersley, County Manager Date DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 2/10/2022 8 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Club Nova Community, Inc. Party/Vendor Contact Person: Karen Kincaid Dunn Contact Phone: 919-968-6682 Party/Vendor Address: 103-D West Main Street City Carrboro State: NC Zip: 27510 Department: Health Amount: $188,000 Purpose: Outside Agency & MOE Budget Code(s): 10495050-719048/10420020-710050 Vendor # 805426 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date 7-1-21 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 paperwork from vendor. 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: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 2/7/2022 2/10/2022 2/10/2022 Cover Page P a g e 8 o f 55 COVER PAGE Applicant Contact Information Applicant Organization’s Legal Name: Club Nova Community, Inc. Applicant Organization’s Physical Address: 103 D West Main Street, Carrboro, NC 27510 Applicant Organization’s Mailing Address: PO Box 1346, Carrboro, NC 27510 Applicant Organization’s Web Address: clubnova.org Executive Director: Karen Kincaid Dunn Telephone Number: 919-968-6682 E-Mail: karendunn@nc.r.com ; kdunn@clubnova.org Tax ID Number: Funding Request Please list all Fiscal Year 2022 Human Services (HS) funding requested for all programs and the proposed use of funds (please list program name only) Program Carrboro - HS Chapel Hill - HS Orange County-HS Total Critical Safety Net – Livelihood Security & Improved Health Outcomes $22,000 Personnel & Operations $22,000 Personnel & Operations $15,000 Personnel & Operations $59,000 Transportation $65,000 Personnel & Operations $65.000 Employment $22,000 Personnel & Operations $22,000 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Cover Page P a g e 9 o f 55 Psychiatric Rehabilitation Services – ACTT Members $18,000 Personnel & Operations $18,000 Totals $22,000 $22,000 $120,000 $164,000 TOCH – Impact Award – Comprehensive Integrated Critical Safety Net $50,000 $50,000 Briefly explain your proposed use of funds: To the best of my knowledge and belief all information and data in this application is true and current. The document has been duly authorized by the governing board of the applicant. Signature: 1/14/2021 Executive Director Date The Outside Agency funding will provide for staffing and other costs to operate Club Nova, an accredited Clubhouse Model. The Clubhouse Model is one of the most comprehensive, integrated, effective, community-based approaches in addressing the health, safety, social, and economic risks of serious mental illness and provides a critical safety net for individuals living with serious mental illness. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Cover Page P a g e 10 o f 55 Signature: 1/14/2021 Board Chairperson Date EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Cover Page P a g e 11 o f 55 DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST AND NON- DISCRIMINATION CLAUSE Are any of the Board Members or employees of the agency which will be carrying out this program or members of their immediate families, or their business associates. YES NO a) Employees of or closely related to employees of the Town of Carrboro, the Town of Chapel Hill, or Orange County? b) Members of or closely related to members of the governing bodies of the Town of Carrboro, the Town of Chapel Hill, or Orange County? c) Current beneficiaries of the program for which funds are being requested? Two Club Nova members serve on the Club Nova Community, Inc. Board of Directors. d) Paid providers of goods or services to the program or having other financial interest in the program? If you have answered YES to any question, please provide a full explanation below. NON-DISCRIMINATION Provider agrees as part of consideration of the granting of funds by funding agencies to 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, gender identity/expression, 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 Anti-discrimination Policy. This provision is enforced by action for specific performance, injunctive relief, or other EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Cover Page P a g e 12 o f 55 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. To the best of my knowledge and belief all of the above information is true and current. I acknowledge and understand that the existence of a potential conflict of interest does not necessarily make the program ineligible for funding, but the existence of an undisclosed conflict may result in the termination of any grant awarded. Signature: 1/14/2021 Executive Director Date Signature: 1/14/2021 Board Chairperson Date EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 13 o f 55 AGENCY INFORMATION Please provide the following information about your agency: 1. Date of Incorporation (Month/Year): August / 2014 2. Agency’s Purpose/Mission (no more than a few sentences): Club Nova provides opportunities for individuals living with serious mental illness (predominately schizophrenia, bipolar disorder, and major depression) to lead meaningful lives of their choice in the community. Club Nova is an intentional, caring community comprised of members and staff who work together as colleagues to directly address the risks of serious mental illness and improve the health, education, housing, economic stability, and quality of life of each member. Club Nova focuses on members’ strengths and potential rather than their illness. 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). Club Nova has 33 years of experience providing the full range of Clubhouse Model supports and opportunities. We are accredited through a rigorous process assuring fidelity to the Model. This Model operates on proven standards and is replicated in 300 communities worldwide. The Model is included in the SAMHSA registry for Evidence-Based Practices and received the Conrad N. Hilton Foundation award for humanitarian work alleviating human suffering. Club Nova is a two-time recipient of the GSK Impact Award for outstanding achievement in improving community health. We have a long-established record meeting budgets and timetables amidst perpetual changes in the NC mental health system. 4. Living Wage: Does this agency pay permanent employees a minimum living wage? (Yes / No) No If yes, is this agency an Orange County Living Wage Certified Employer? No If no, please briefly explain. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 14 o f 55 Club Nova strives to pay our employees the living wage rate. All our full -time employees are paid above the living wage. Additionally, Club Nova provides excellent health insurance coverage for full-time employees with Club Nova paying 70% of the premium and employees paying 30%. We have four transportation positions that are .25 FTE (~10 hours per week) that are currently furloughed. The rates of pay have been $12.00 and $13.63. These rates of pay fall short of the living wage. With the low Medicaid reimbursement rates and exclusions of services, it is a challenge to keep all positions paid the living wage Schedule of Positions: # of FTE – Full-Time Paid Positions: 10 # of FTE – Part-Time Paid Positions: 4 furloughed positions that will be brought back once it is safe to reopen our physical facility. PROGRAM INFORMATION *Please submit for each program if applying for funding for more than one program. 5. Program Name: Club Nova Community, Inc. Program Primary Contact and Title: Heather Talton Telephone Number: 919-968-6682 E-Mail: htalton@clubnova.org 6. Please briefly describe the proposed program, including an explanation of how it aligns with the Town of Chapel Hill and Carrboro’s Results Framework, and Orange County BOCC Goals and Priorities, and the target population to benefit from the program. (100 words or less) The Clubhouse Model—one of the most comprehensive, integrated, effective, community-based approaches in addressing the health, safety, social, and economic risks of serious mental illness—provides:  Assistance accessing and navigating quality healthcare EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 15 o f 55  Supports to secure/maintain safe, affordable, dignified housing  Crisis prevention and intervention  Assistance securing and maintaining benefits  Nutritious, affordable meals  Outreach to combat isolation and loneliness  Transportation to access Club Nova  Employment/Education Program: Addresses high unemployment rates and interrupted educations  Work-Ordered Day: Provides a sense of community, common purpose, and opportunities to contribute, building confidence, skills, and self -worth.  Social Program: Addresses isolation and social connectedness EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 16 o f 55 7. Target Population: Please complete the table below with numbers (not percentages) of individuals served and projected to be served. Program Target Population Demographics Projecte d 2019- 2020 Actual 2019- 20 Projected 2020-21 Projecte d 2021-22 Gender Men 80 87 80 90 Women 37 37 37 38 Nonbinary/Genderqueer 0 0 0 0 Self-Describe 0 0 0 0 Total 117 124 117 128 Race and Ethnicity Black or African-American 22 23 22 24 American Indian or Alaska Native 0 0 0 0 Asian 2 1 2 1 White 87 94 87 95 Native Hawaiian or other Pacific Islander 0 0 0 0 Two or more races 1 1 1 1 Some other race 5 5 5 7 Total 117 124 117 128 Of the above, how many Hispanic/Latino 4 4 4 6 Of the above, how many non-Hispanic/Latino 113 120 113 122 Total 117 124 117 128 Age 0-5 years 0 0 0 0 6-18 years 0 0 0 0 19-50 years 53 62 53 66 51+ years 64 62 64 62 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 17 o f 55 Total 117 124 117 128 Geographic Location Town of Chapel Hill 37 47 37 49 Town of Carrboro 42 49 42 50 Orange County ( Outside of Chapel Hill/Carrboro) 26 13 26 14 Outside of Orange County 12 15 12 15 Total 117 124 117 128 Income Low-income (80% of the Area Median Income and Below) Please see income table in the attachments 117 123 116 127 Total 117 124 117 128 8. Cost Per Individual This cost per individual must reflect the total program budget divided by the total number of program individuals in this application. Actual 2019- 20 Projected 2020- 21 Projected 2021- 22 Total Cost of Program 914,916 997,300 1,050,000 Total # of Individuals 124 117 128 Cost Per Individual 7,378 8,524 8,204 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. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 18 o f 5 5 Program Name: *** FY 2019-2020: 105 includes number of members who physically attended Club Nova; 124 includes the additional members we reached out to and engaged during COVID 19 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) Residents access the most appropriate social safety net services. RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 Performance Indicators % and # of program participants who maintain or improve their housing status 99% 104 out of 105 99% 123 out of 124 99% or 116 99% or 127 Performance Indicators % and # of program participants who have access to affordable meals 100% 105 out of 105 100% 100% or 117 100% or 128 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 19 o f 55 124 out of 124 Performance Indicators % and # of participants who do not become court involved during the program 99% 104 out of 105 99% 123 out of 124 100% or 117 100% or 128 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) Residents increase job skills appropriate for the local economy RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 Performance Indicators % and # of participants who engage in educational programs 14% or 17 17% or 20 17% or 22 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 20 o f 55 Performance Indicators % and # of program participants who secure employment 37% 39 out of 105 31% 39 out of 124 38% or 44 34% or 44 Performance Indicators % and # of participants who engage in Clubhouse work ordered day and other Clubhouse opportunities that build competencies for pursuing education and employment 100% or 124 100% or 117 100% or 128 Performance Indicators % and # of participants who increase incomes (wages, disability, public benefits, or other income) 31% or 39 36% or 42 34% or 44 Performance Indicators % and # of participants who maintain incomes (wages, disability, public benefits, or other income) 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Strategic Objective (please choose one from the Results Framework)  Children improve their educational outcomes  Residents Increase their livelihood security  →Residents improve their health outcomes EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 21 o f 55 Intermediate Result (please choose one from the Results Framework) Residents access basic health care services (primary, behavioral, dental) RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 Performance Indicators % and # of program participants who have access to primary care 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of program participants who have access to behavioral care 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of program participants who have access to dental care 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of program participants who obtain preventative screenings 62% or 77 44% or 52 60% or 77 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 22 o f 55 Performance Indicators % and # of program participants who have access to needed substance abuse treatment 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of participants with Care Plans with individualized goals, including a crisis plan with preferred crisis response 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 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) Residents demonstrate new healthy lifestyle behaviors RESULTS Actual 2019-20 Projected 2020-21 Projected 2021-22 Performance Indicators % and # of people with healthier functionality and 100% 100% or 117 100% or 128 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 23 o f 55 lifestyle behaviors (improved nutrition, conflict resolution skills, stress reduction practices, exercise at least 30min 3x a week, annual check-ups, etc.) 105 out of 105 100% 124 out of 124 Performance Indicators % and # of program participants with new, sustained, improved, or restored social skills 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of program participants with new, sustained, improved, or restored social connections (social activities, outreach calls and visits, community involvement) 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of program participants who meet one wellness goal 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 Performance Indicators % and # of hospitalization rates among program participants with substance abuse and/or psychiatric disorders 15% 16 out of 105 16% 20 out of 124 10% or 12 9% or 12 Performance Indicators % and # of participants who engage in activities that 100% 100% or 117 100% or 128 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Program information P a g e 24 o f 55 promote self-worth and confidence 105 out of 105 100% 124 out of 124 Performance Indicators % and # of participants who have access to fresh food 100% 105 out of 105 100% 124 out of 124 100% or 117 100% or 128 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 25 o f 55 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. Behavior Health 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 equivale nce.  Please ensure your performance measures are outcome based and not outputs. Program Goal # 1 The goal is to ensure that all members have full access to Club Nova’s comprehensive, integrated supports and opportunities by providing our Transportation Program that removes the transportation barrier to Clubhouse participation and recovery. Club Nova’s transportation serves members who live in areas not accessible to public transportation or are unable to utilize the bus system for various reasons (including symptoms related to diagnoses like paranoia) and need viable transportation to Club Nova. Performance Measure (How will you accomplish your goal?) When the physical Clubhouse reopens, Club Nova will maintain a full transportation program that employs and trains 100% (4 .25 FTEs) of transportation staff, maintains its vehicles, and provides our membership with approximately 44,329 miles of transportation to and from Club Nova (plus socials and occasional _________________ EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 26 o f 55 medical appointments) throughout Orange County six days a week and on all major holidays. Club Nova will: Ensure Club Nova transportation staff receives necessary training and certification. Staff maintains vehicles. • Maintain logs in each vehicle to track ridership and mileage for all trips • Maintain vehicle logs, tracking overall mileage and gas expenditures • Document certification of all trainings received by drivers (in CPR, AED, 1st Aid, Blood Borne Pathogens, etc.) • Maintain log of social and community events attended by Club Nova members through Club Nova transportation Actual Results (Outcome) Ending FY19-20 100% or 124 of our members had access to transportation to shopping, medical appointments, social events, community activism, work-related tasks, and Clubhouse promotional events throughout the year. We closed our facility on March 14, 2020 due to COVID-19 but continued to provide transportation to and from appointments as needed. During the fiscal year 2019-2020, we provided approximately 14,710 miles. The mileage includes 6.5 months of normal operation and 5.5 months of remote access due to the pandemic. During the pandemic, staff provided limited rides to appointments only. •100% or 124 of members had access to our transportation services and were able to get transportation to the Clubhouse, where they had access to our services (0% were be unable to participate due to lack of transportation.) •68% or 80 of Club Nova members utilized transportation opportunities. •$2,730 was spent on gas EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 27 o f 55 •100% or 4 drivers attended all needed trainings. •Transportation services enabled engagement by members in the larger community. Projected Results (Outcome) Ending FY2021 Club Nova will provide approximately 20,000 miles of unreimbursed transportation services to members. Club Nova will remain shut down until the vaccination process is completed and it is safe to gather in person with no concern or worry about COVID-19. •100% or 117 of members will have access to our transportation services and will be able to get transportation to the Clubhouse, where they can access our services once we re-open. (0% will be unable to participate due to lack of transportation.) •51% or 60 of Club Nova members will utilize transportation opportunities. •Approximately $3,000 on gas expenditures. •Transportation services will continue to enable engagement by members in the larger community. Projected Results (Outcome) Ending FY2022 Club Nova will provide approximately 50,000 miles of unreimbursed transportation services to members. •100% or 128 of members will have access to our transportation services and will be able to get transportation to the Clubhouse, where they can access our services once we re-open. (0% will be unable to participate due to lack of transportation.) •80% or 102 of Club Nova members will utilize transportation opportunities. •Approximately $8,400 on gas expenditures. •100% or 4 drivers will attend all necessary trainings. •Transportation services will continue to enable engagement by members in the larger community. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 28 o f 55 Program Goal # 2 The goal is for Club Nova to offer the full spectrum of services to ACTT members (typically those members that experience the most disabling effects of mental illness) regardless of our ability to receive payment for these services, due to ACTT/PSR exclusion, which amounts to roughly $120,000 annually. The ability to participate in Club Nova maximizes recovery. Club Nova actively collaborates with the ACTT providers to coordinate care and ensure the health and safety support of these members. Performance Measure (How will you accomplish your goal?) 16 current members who receive Assertive Community Treatment Team (ACTT) non-billable services (typically those members who experience the most disabling effects of mental illness) will continue to receive full access to the supports and opportunities provided by Club Nova. Actual Results (Outcome) Ending FY19-20 Club Nova:  Monitored our provision of services to ACTT members through calculating monthly participation and attendance hours.  Wrote monthly service notes on each member receiving ACTT services.  100% or 16 Club Nova members who received ACTT services maintained their Club Nova membership, and received supports and services provided through Club Nova.  Due to COVID-19 pandemic and the closing of the Clubhouse on March 14, 2020 the number of ACTT members participating in the Zoom activities offered by the clubhouse is 44% or 7 ACTT members. Projected Results (Outcome) Ending FY2021 100% or 117 Club Nova members who receive ACTT services will maintain their Club Nova membership and receive supports and services provided through Club Nova. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 29 o f 55 After it is deemed safe for members and staff to return to the clubhouse, the projection will remain the same 44% or 7 ACTT members participation in the Clubhouse zoom activities Projected Results (Outcome) Ending FY2022 100% or 128 Club Nova members who receive ACTT services will maintain their Club Nova membership and receive supports and services provided through Club Nova. After it is deemed safe for members and staff to return to the clubhouse, the projection will increase to 88% or 14 ACTT members participation in the Clubhouse zoom activities Program Goal # 3 The goal is for Club Nova members to increase their livelihood security through returning to paid employment in the community through our Transitional (TE) and Supported Employment (SE) Programs. Club Nova builds relationships with businesses throughout the county, resulting in structured Transitional Employment (TE) sites. We provide on-jobsite training and support, absence coverage, job skill development, transportation to and from, and ongoing communication with the employers. Club Nova provides one-on-one skill-building, educational goal planning, resume writing, benefits counseling and general goal planning. We hold a weekly employment support meeting with employment staff to go over goals, progress and skills. Performance Measure (How will you accomplish your goal?) 39 Club Nova members will return to paid employment in the community through our Transitional (TE) and Supported Employment (SE) Programs. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 30 o f 55 Ac tual Results (Outcome) Ending FY19-20 100% or 124 Club Nova members had access to our TE and SE services. 39 members returned to paid employment through these supports. These services led to the following outcomes: • Increased financial stability & independence • Increased self-esteem • Reduced community stigma against mental illness • Increased member civic engagement Five positions are on hold during the pandemic, four transitional employment and one independent employment. Due to COVID-19, we have four transitional employment placements on hold and one independent employment position on hold. Projected Results (Outcome) Ending FY2021 100% or 117 Club Nova members will have access to our TE and SE services. An estimated 42 members will return to paid employment through these supports. These services will lead to the following outcomes: •Increased financial stability & independence •Increased self-esteem •Reduced community stigma against mental illness •Increased member civic engagement Projected Results (Outcome) Ending FY2022 100% or 128 Club Nova members will have access to our TE and SE services. An estimated 44 members will return to paid employment through these supports. These services will lead to the following outcomes: •Increased financial stability & independence •Increased self-esteem •Reduced community stigma against mental illness •Increased member civic engagement EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 31 o f 55 Program Goal # 4 Club Nova members will maximize their recovery by participating in Club Nova’s comprehensive, integrated, effective, community-based programming that addresses the health, safety, social, and economic risks of serious mental illness. We accomplish this goal through providing the following: •Assistance accessing and navigating quality healthcare •Supports to secure/maintain safe, affordable, dignified housing •Crisis prevention and intervention •Assistance securing and maintaining benefits •Nutritious, affordable meals •Outreach calls and visits to combat isolation and loneliness •Transportation to access Club Nova (already included in Orange County request) •An Employment/Education Program: Addresses high unemployment rates and interrupted educations (Employment is covered in Orange County request) •The Work-Ordered Day: Provides a sense of community, common purpose, and opportunities to contribute; building confidence, skills, and self-worth •Social Program: Addresses isolation and social connectedness •Technology devices for members during the pandemic including cellphones to be used for zoom meetings offered by the clubhouse and tablets for members to use to engage in Zoom activities offered by the clubhouse during the pandemic •Cell phone internet data for members to connect to the work ordered day offered by the clubhouse and to increase social interactions between members and staff during the pandemic EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 32 o f 55 •Telecommunications devices given to members so that they may receive case support (including outreach and crisis intervention) while the clubhouse is shut down due to the pandemic Performance Measure (How will you accomplish your goal?) Club Nova will accomplish these goals by providing a well-trained staff that, along with our members, works to carry out the multiple programs that are integrated as whole person care utilizing the Clubhouse Model Club Nova will be open 6 days a week, 54-60 hours per week, and have the necessary assistance to pay the cost of utility bills, staff compensation and benefits (including payroll taxes and insurance), and necessary programming supplies and training Actual Results (Outcome) Ending FY19-20 Club Nova was open 6 days a week, 54-60 hours per week through March 14, 2020 when the physical facility was closed due to COVID-19. At that time, Club Nova transitioned its services to be virtual and home-based. Club Nova had the necessary assistance to pay the cost of utility bills, staff compensation and benefits (including payroll taxes and insurance), and necessary programming supplies and training 99% or 123 of Club Nova members reported having safe, secure, and affordable housing 1 person was incarcerated (0.8%) 90% or 112 Club Nova members did not experience re- hospitalization due to psychiatric concerns 100% or 124 Club Nova members reported having access to primary and behavioral care Each person who needed crisis prevention and intervention services received those supports from Club Nova EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 33 o f 55 All members needing assistance with securing and maintaining benefits received that assistance 100% or 124 members had access to healthy and affordable meals Outreach was conducted through cards, calls, and or visits to all members 100% of the 124 members who physically attended Club Nova participated in the work-ordered day that provides a sense of community, common purpose, and opportunities to contribute building confidence, skills, and self-worth. 99% or 123 Club Nova members will report having safe, secure, and affordable housing, with 0.9 % (1) person homeless. Projected Results (Outcome) Ending FY2021 Club Nova will be open 6 days a week, 54-60 hours per week while the physical facility is closed due to COVID- 19. Club Nova transitioned its services to be virtual. Club Nova had the necessary assistance to pay the cost of utility bills, staff compensation and benefits (including payroll taxes and insurance), and necessary programming supplies and training. 99% or 116 of Club Nova members reported having safe, secure, and affordable housing 97% or 114 of Club Nova members will report having safe, secure, and affordable housing, with 0.9 % (1) person homeless. 0% (0) will be incarcerated. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 34 o f 55 90% or 105 Club Nova members will not experience re- hospitalization due to psychiatric concerns 100% or 117 Club Nova members will have access to primary and behavioral care Each person who needs crisis prevention and intervention services will receive those supports from Club Nova All members needing assistance with securing and maintaining benefits will receive that assistance 100% or 117 members will have access to healthy and affordable meals Outreach will be conducted through cards, calls, and or visits to all members 100% of the 117 members will participate in the work- ordered day, which provides a sense of community, common purpose, and opportunities to contribute to building confidence, skills, and self-worth. 99% or 116 Club Nova members will report having safe, secure, and affordable housing, with 0.9 % (1) person homeless. Projected Results (Outcome) Ending FY2022 Club Nova will be open 6 days a week, 54-60 hours per week. Club Nova will continue offering virtual services once the Clubhouse reopens. Club Nova had the necessary assistance to pay the cost of utility bills, staff compensation and benefits (including payroll taxes and insurance), and necessary programming supplies and training. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 35 o f 55 0% (0) will be incarcerated. 91% or 116 Club Nova members will not experience re- hospitalization due to psychiatric concerns 100% or 128 Club Nova members will have access to primary and behavioral care Each person who needs crisis prevention and intervention services will receive those supports from Club Nova All members needing assistance with securing and maintaining benefits will receive that assistance 100% or 128 members will have access to healthy and affordable meals Outreach will be conducted through cards, calls, and or visits to all members 100% of the 128 members will participate in the work- ordered day, which provides a sense of community, common purpose, and opportunities to contribute to building confidence, skills, and self-worth. 99% or 127 Club Nova members will report having safe, secure, and affordable housing, with 0.9 % (1) person homeless. Program Goal # 5 Club Nova will address food insecurity and diet related disease by providing at least 12,000 healthy, affordable meals, engaging at least 80% or 102 clubhouse members in meals, and providing education and EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 36 o f 55 training related to cooking, nutrition, obtaining and growing food. Club Nova partners with local food organizations to secure approximately 750 pounds of fresh, local produce and meat monthly. Members and staff cook from scratch and address individual dietary needs in our meals. Club Nova members and staff prepare and serve 13 meals per week when the Clubhouse is open. Since closing the physical facility in March of 2020 due to COVID-19, we have prepared and delivered 7 meals to members weekly. Members are given opportunities to engage in every step of the process, including menu planning, grocery shopping, cooking and cleaning. Club Nova uses its garden as an educational and wellness activity and engages community experts for workshops and trainings related to wellness. Staff work closely with members who have individual goals specifically related to healthy eating and increased wellness to ensure they have the supports needed. Performance Measure (How will you accomplish your goal?) Club Nova partners with local food organizations to secure approximately 750 pounds of fresh, local produce and meat monthly. Members and staff cook from scratch and address individual dietary needs in our meals. Club Nova members and staff will prepare and serve 13 meals per week when the physical facility reopens, and continue preparing and delivering 7 meals per week until then. Members are given opportunities to engage in every step of the process, including menu planning, grocery shopping, cooking and cleaning. Club Nova uses its EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 37 o f 55 garden as an educational and wellness activity and engages community experts for workshops and trainings related to wellness. Staff work closely with members who have individual goals specifically related to healthy eating and increased wellness to ensure they have the supports needed. Club Nova will: • Maintain records of the number of meals served daily. • Maintain daily records of individuals eating at the Clubhouse. • Survey its membership yearly to evaluate the achieved health and food security benefits of our healthy, affordable meal program and nutrition education. • Staff will closely monitor specific individuals’ wellness goals through progress notes. Actual Results (Outcome) Ending FY19-20 Club Nova partnered with Farmer Foodshare to secure 437.5lbs of fresh produce by mid-March when Farmer Foodshare suspended their operations. 100% of the 105 Club Nova members who physically attended Club Nova had access to an average of 13 healthy, well-balanced meals each week (5 breakfasts, 6 lunches and 2 dinners); When the physical facility closed in March, Club Nova began offering 7 meals prepared and delivered weekly to members who requested meals. Prior to the pandemic Club Nova served roughly 7,000 meals. From March 16, 2020 until June 30, 2020 Club Nova prepared and delivered 1,666 meals to members. While the physical facility was open, Club Nova members engaged in every step of the process, including menu planning, grocery shopping, cooking EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 38 o f 55 and cleaning. While the facility was closed, members were able to participate in menu planning. This service lead to: • Decrease in food insecurity for members • Increase in knowledge of culinary skills, nutrition, and gardening • Increase in knowledge in the health benefits related to a healthy diet • Decrease in likelihood of nutrition-related diseases Projected Results (Outcome) Ending FY2021 Club Nova will partner with Farmer Foodshare once they deem it is safe to resume operations. 100% or 117 Club Nova members will have access to an average of 13 healthy, well-balanced meals each week (5 breakfasts, 6 lunches and 2 dinners); with 12,200 meals served for the year once the Clubhouse’s physical facility reopens. Until that time, Club Nova will continue providing 7 prepared meals per week to members who have requested this service. From July 1, 2020 until January 8, 2020 Club Nova prepared and delivered 2,170 meals to members. At least 85% or 99 Club Nova members will participate in meals when it is safe for the physical Clubhouse to reopen. Until then, approximately 56% or 66 members will request to have weekly meals delivered. When the Clubhouse reopens, Members will have opportunities to engage in every step of the process, including menu planning, grocery shopping, cooking and cleaning. While the facility remains closed, members are able to participate in menu planning. This service will lead to: • Decrease in food insecurity for members EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agencies/Human Services Program information P a g e 39 o f 55 • Increase in knowledge of culinary skills, nutrition, and gardening • Increase in knowledge in the health benefits related to a healthy diet • Increase the opportunities for member to reduce the likelihood of nutrition-based diseases. Projected Results (Outcome) Ending FY2022 Club Nova will partner with Farmer Foodshare once they deem it is safe to resume operations. 100% or 128 Club Nova members will have access to an average of 13 healthy, well-balanced meals each week (5 breakfasts, 6 lunches and 2 dinners), with a total of 12,000 healthy, nutritious meals served. At least 85% or 109 Club Nova members will participate in meals once it is safe for our Clubhouse to reopen. Until then, 100% of Club Nova members have the option to receive 7 meals prepared and delivered weekly, we approximate that 54% or 70 members will take request to have weekly meals delivered. When the Clubhouse reopens, Members will have opportunities to engage in every step of the process, including menu planning, grocery shopping, cooking and cleaning. While the facility remains closed, members are able to participate in menu planning. This service will lead to: • Decrease in food insecurity for members • Increase in knowledge of culinary skills, nutrition, and gardening • Increase in knowledge in the health benefits related to a healthy diet • Increase the opportunities for member to reduce the likelihood of nutrition-based diseases. EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) EXHIBIT “B” Managed Care (Maintenance of Effort) Funds Scope of Work Statement and Program Budget – FY 2021-2022 Agency Name: Club Nova Program Name: Behavioral Health Funding Award: $163,000 I. Budget. Outline how the agency will spend Orange County’s funding award. Please attach additional sheets as necessary to provide detailed budget outline. Expense Description Amount Program Personnel Salary and Benefits and Other Operational Expenses $163,000 Funding will provide for staffing and other operational costs necessary to operate Club Nova as an accredited Clubhouse Model and evidence-based practice. II. Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2022* The Clubhouse Model—one of the most comprehensive, integrated, effective, community-based approaches in addressing the health, safety, social, and economic risks of serious mental illness—provides: • Assistance accessing and navigating quality healthcare • Supports to secure/maintain safe, affordable, dignified housing • Crisis prevention and intervention • Assistance securing and maintaining benefits • Nutritious, affordable meals • Outreach calls and visits to combat isolation and loneliness and prevent crises • Transportation to access Club Nova, necessary services, food, and medication • Employment/Education Program: Addresses high unemployment rates and interrupted educations • Work-Ordered Day: Provides a sense of community, common purpose, and opportunities to contribute, building confidence, skills, and self-worth • Social Program: Addresses isolation and social connectedness Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) III. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only. If you use percentages, you must also provide the total number of participants within that measure’s description or for an earlier performance measure. * Performance Measures Anticipated Results Members report having safe, secure, and affordable housing with Club Nova providing necessary supports to achieve this outcome 127/128 99% Members are not incarcerated 128/128 100% Members do not experience re-hospitalization for psychiatric reasons 116/128 91% Performance Measures Anticipated Results Members report having access to primary care Members who receive primary care 128/128 100% 64/128 50% Each member who needs crisis prevention and intervention service receive those supports from Club Nova 128/128 100% Each member needing assistance with securing and maintaining benefits will receive that assistance 128/128 100% Club Nova provides outreach to all members to ensure their health, safety, and well- being. Outreach includes cards, calls, and / or visits 128/128 100% Members have sustained or increased social connections 128/128 100% Members participate in work-ordered day that provides a sense of community, common purpose, and opportunities to contribute that lead to building confidence, skills, and self- worth 57/128 48% Members pursue educational endeavors with Club Nova providing supports necessary 22/128 17% Members participate in Social (Evening/Weekend/Holiday) Programming that increases social connectedness, fosters a sense of community, and isolation 57/128 48% Once safe to do so, members participate in employment through Transitional, Supported, and Independent Employment Depends on Safety 44/128 34% Each member who receives ACTT services will maintain their Club Nova membership and receive supports and services provided through Club Nova 17/128 14% Members have assistance from Club Nova to arrange for or provide transportation for health care and other necessary activities 128/128 100% Members have medicine, and other necessary provisions during pandemic 128/128 100% Members continue to have access to necessary healthcare 128/128 100% 115/128 Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) Members receive necessary healthcare 90% Members obtain preventative health screenings 51/128 40% Members have access to dental care 128/128 100% Members meet one wellness goal 128/128 100% Club Nova conducts home visits when necessary and when unable to reach member or emergency contact 128/128 100% Members have access to nutritious and affordable meals with Club Nova typically offering 11 meals per week 128/128 100% Members have the access to technology 128/128 100% Members have access to our virtual Clubhouse programming with working groups, engagement, social connections, and social activities 128/128 100% Members receive necessary support to avert and mitigate crises, including housing crises 128/128 100% Members have care plans with individualized goals, including a crisis plan with preferred crisis response. 128/128 100% Members receive necessary educational information about health precautions as well as needed protective supplies 128/128 100% *Please attach additional pages as necessary. Sustaining Club Nova Operations During the Pandemic The COVID 19 pandemic continues to have a significant impact on Club Nova and its members. Club Nova will continue to provide services that make a difference, sometimes the difference between life and death, for our members. We will adjust and adapt operations as needed to ensure the health, safety, and well-being of our members. In turn, we are contributing to the health, safety, and well-being of the larger community. Not only are our members living with serious mental illness, but most of our members are also in the high-risk category for COVID-19 due to co-occurring serious health conditions including a high prevalence of diabetes, as well as respiratory and heart conditions, and compromised immune systems. The life expectancy for individuals living with serious mental illness is 25 years shorter than the general population. What we are experiencing with COVID-19 has only increased the urgency of the work we are doing. All funding we receive at this time will help us continue our critical life-saving services and help us remain operational during this time and at the same time benefit the larger community immensely. Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) EXHIBIT “C” FY 2021-2022 Outside Agency Funds Revised Scope of Services and Program Budget – Agency Name: Club Nova Program Name: Behavioral Health Funding Award: $25,000 I. Budget. Outline how the agency will spend Orange County’s funding award. Please attach additional sheets as necessary to provide detailed budget outline. Expense Description Amount Program Personnel Salary and Benefits and Other Operational Expenses $25,000 Funding will provide for staffing and other operational costs necessary to operate Club Nova as an accredited Clubhouse Model and evidence-based practice. II. Program Services Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2022* The Clubhouse Model—one of the most comprehensive, integrated, effective, community-based approaches in addressing the health, safety, social, and economic risks of serious mental illness—provides: • Assistance accessing and navigating quality healthcare • Supports to secure/maintain safe, affordable, dignified housing • Crisis prevention and intervention • Assistance securing and maintaining benefits • Nutritious, affordable meals • Outreach calls and visits to combat isolation and loneliness and prevent crises • Transportation to access Club Nova, necessary services, food, and medication • Employment/Education Program: Addresses high unemployment rates and interrupted educations • Work-Ordered Day: Provides a sense of community, common purpose, and opportunities to contribute, building confidence, skills, and self-worth • Social Program: Addresses isolation and social connectedness Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) III. Anticipated Outcomes The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange County, only. If you use percentages, you must also provide the total number of participants within that measure’s description or for an earlier performance measure. * Performance Measures Anticipated Results Members report having safe, secure, and affordable housing with Club Nova providing necessary supports to achieve this outcome 127/128 99% Members are not incarcerated 128/128 100% Members do not experience re-hospitalization for psychiatric reasons 116/128 91% Performance Measures Anticipated Results Members report having access to primary care Members who receive primary care 128/128 100% 64/128 50% Each member who needs crisis prevention and intervention service receive those supports from Club Nova 128/128 100% Each member needing assistance with securing and maintaining benefits will receive that assistance 128/128 100% Club Nova provides outreach to all members to ensure their health, safety, and well- being. Outreach includes cards, calls, and / or visits 128/128 100% Members have sustained or increased social connections 128/128 100% Members participate in work-ordered day that provides a sense of community, common purpose, and opportunities to contribute that lead to building confidence, skills, and self- worth 57/128 48% Members pursue educational endeavors with Club Nova providing supports necessary 22/128 17% Members participate in Social (Evening/Weekend/Holiday) Programming that increases social connectedness, fosters a sense of community, and isolation 57/128 48% Once safe to do so, members participate in employment through Transitional, Supported, and Independent Employment Depends on Safety 44/128 34% Each member who receives ACTT services will maintain their Club Nova membership and receive supports and services provided through Club Nova 17/128 14% Members have assistance from Club Nova to arrange for or provide transportation for health care and other necessary activities 128/128 100% Members have medicine, and other necessary provisions during pandemic 128/128 100% Members continue to have access to necessary healthcare 128/128 100% 115/128 Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 Outside Agency Performance Funds and Managed Care Funds Performance Agreement Certified by: Title: Date: (Provider’s Signature) Members receive necessary healthcare 90% Members obtain preventative health screenings 51/128 40% Members have access to dental care 128/128 100% Members meet one wellness goal 128/128 100% Club Nova conducts home visits when necessary and when unable to reach member or emergency contact 128/128 100% Members have access to nutritious and affordable meals with Club Nova typically offering 11 meals per week 128/128 100% Members have the access to technology 128/128 100% Members have access to our virtual Clubhouse programming with working groups, engagement, social connections, and social activities 128/128 100% Members receive necessary support to avert and mitigate crises, including housing crises 128/128 100% Members have care plans with individualized goals, including a crisis plan with preferred crisis response. 128/128 100% Members receive necessary educational information about health precautions as well as needed protective supplies 128/128 100% *Please attach additional pages as necessary. Sustaining Club Nova Operations During the Pandemic The COVID 19 pandemic continues to have a significant impact on Club Nova and its members. Club Nova will continue to provide services that make a difference, sometimes the difference between life and death, for our members. We will adjust and adapt operations as needed to ensure the health, safety, and well-being of our members. In turn, we are contributing to the health, safety, and well-being of the larger community. Not only are our members living with serious mental illness, but most of our members are also in the high-risk category for COVID-19 due to co-occurring serious health conditions including a high prevalence of diabetes, as well as respiratory and heart conditions, and compromised immune systems. The life expectancy for individuals living with serious mental illness is 25 years shorter than the general population. What we are experiencing with COVID-19 has only increased the urgency of the work we are doing. All funding we receive at this time will help us continue our critical life-saving services and help us remain operational during this time and at the same time benefit the larger community immensely. Executive Director January 26, 2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 2/7/2022 13 Orange County Outside Agency Fund and Managed Care Fund Performance Agreement Revised 10/2021 ATTACHMENT “A” Orange County Certifications – FY 2021-22 Orange County Outside Agency Fund and Managed Care Fund 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. Certified by: _______________________ Title: __________________________ Date: ___________ (Provider’s Signature) DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 Executive Director 2/7/2022 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614