HomeMy WebLinkAbout2024-034-E-Health Dept-UNC-CH-Services and support programs that serve persons with Opioid Use DisorderRevised 04/23
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[Departmental Use Only]
TITLE UNC SHAC Opioid
FY 2023-2024
NORTH CAROLINA
SERVICES AGREEMENT NO RFP/RFQ
ORANGE COUNTY
This Services Agreement (hereinafter “Agreement”), made and entered into this first day of
December, 2023, (“Effective Date”) by and between Orange County, North Carolina a political
subdivision of the State of North Carolina (hereinafter, the "County") and University of North
Carolina at Chapel Hill, (hereinafter, the "Provider").
WITNESSETH:
That the County and Provider, for the consideration herein named, do hereby agree as
follows:
1. Services
a. Scope of Work.
i) This Agreement is for services to be rendered by Provider to County with respect
to (insert type of project): Services and support programs that serve persons with
Opioid Use Disorder (OUD).
ii) By executing this Agreement, the Provider represents and agrees that Provider is
qualified to perform and fully capable of performing and providing the services
required or necessary under this Agreement in a fully competent, professional and
timely manner.
iii) Time is of the essence with respect to this Agreement.
iv) The services to be performed under this Agreement consist of Basic Services, as
described and designated in Section 3 hereof. Compensation to the Provider for
Basic Services under this Agreement shall be as set forth herein.
2. Responsibilities of the Provider
a. Services to be provided. The Provider shall provide the County with all services
required in Section 3 to satisfactorily complete the Project within the time limitations set
forth herein and in accordance with the highest professional standards.
b. Standard of Care.
i) The Provider shall exercise reasonable care and diligence in performing services
under this Agreement in accordance with the highest generally accepted standards
of this type of Provider practice throughout the United States and in accordance
with applicable federal, state and local laws and regulations applicable to the
performance of these services. Provider is solely responsible for the professional
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quality, accuracy and timely completion and submission of all work related to the
Basic Services.
ii) Provider shall be responsible for all errors or omissions of its agents, contractors,
employees, or assigns in the performance of the Agreement. Provider shall
correct any and all errors, omissions, discrepancies, ambiguities, mistakes or
conflicts at no additional cost to the County.
iii) The Provider shall not, except as otherwise provided for in this Agreement,
subcontract the performance of any work under this Agreement without prior
written permission of the County. No permission for subcontracting shall create,
between the County and the subcontractor, any contract or any other relationship.
iv) Provider is an independent contractor of County. Any and all employees of the
Provider engaged by the Provider in the performance of any work or services
required of the Provider under this Agreement, shall be considered employees or
agents of the Provider only and not of the County, and any and all claims that may
or might arise under any workers compensation or other law or contract on behalf
of said employees while so engaged shall be the sole obligation and responsibility
of the Provider.
v) If activities related to the performance of this Agreement require specific licenses,
certifications, or related credentials Provider represents that it or its employees,
agents and subcontractors engaged in such activities possess such licenses,
certifications, or credentials and that such licenses certifications, or credentials are
current, active, and not in a state of suspension or revocation.
vi) Should any documents, exhibits, or addenda be attached to this Agreement, the
terms of this Agreement shall have priority in any conflict with or among the
terms of such referenced documents, exhibits.
vii) Should this Agreement involve project designs, the construction or creation of
which is to be bid out or fulfilled by other contractors, and bidding or negotiation
with contractors produce prices which, when added to the other elements of the
approved total project cost, produce a cost that is in excess of the approved total
project cost, the Provider shall participate with the County in negotiation and
design adjustments to the extent such are necessary to obtain prices within the
approved total project cost. All activity of the Provider with respect to these
matters shall constitute Basic Services and shall be performed by the Provider
without additional compensation. If negotiation and design adjustments fail to
bring costs within the total project cost the County may reject all bids and
Provider will redesign or reduce portions of the project in an effort to reduce the
bid prices to within the total project cost and rebid the project. One such redesign
is included within Basic Services. If this second letting for bids does not produce
bids that are within the approved total project cost initially or after negotiations
with the contractor the cost is not reduced to an amount within the total project
cost, the Provider is not obligated to engage in further redesign.
3. Basic Services
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a.Basic Services. The Services to be rendered pursuant to this Agreement are as follows
(fully describe services to be provided): Services and support programs, as listed in
Exhibit A, that serve persons with Opioid Use Disorder (OUD) or any co-occurring
Substance Use Disorder (SUD) as stated in the National Settlement Agreement. Invoices
are to be submitted to Orange County Health Department April 15, 2024 (for expenses
dated December 1, 2023 through March 31, 2024) and July 30, 2024 (for expenses April
1, 2024 through June 30, 2024).
4.Duration of Services
a.Term. The term of this Agreement shall be from December 1, 2023 to June 30, 2024.
b.Scheduling of Services.
i)The Provider shall schedule and perform its activities in a timely manner.
ii)Should the County determine that the Provider is behind schedule, it may require
the Provider to expedite and accelerate its efforts, including providing additional
resources and working overtime, as necessary, to perform its services in
accordance with the approved project schedule at no additional cost to the
County.
iii)The Commencement Date for the Provider's Basic Services shall be December 1,
2023.
5.Compensation
a.Compensation for Basic Services. Compensation for Basic Services shall include all
compensation due the Provider from the County for all services satisfactorily (as
determined by the County) performed pursuant to this Agreement. The maximum
amount payable for Basic Services shall not exceed Sixty Four Thousand Two Hundred
Dollars ($64,200). Payment for satisfactorily performed Basic Services shall become
due and payable within thirty (30) days of Provider properly invoicing County. Payment
shall be subject to provisions of Section 5(b).
b. Disputes. In the event the amount stated on an invoice is disputed by the County, the
County may withhold payment of all or a portion of the amount stated on an invoice
until the parties resolve the dispute. Should Provider fail to perform its duties under the
terms of this Agreement, County may, without fault or penalty, withhold any payment
associated with the work to be performed until such time as said work is completed.
c.Additional Services. County shall not be responsible for costs related to any services in
addition to the Basic Services performed by Provider unless County requests such
additional services in writing and such additional services are evidenced by a written
amendment to this Agreement.
6.Responsibilities of the County
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a. Cooperation and Coordination. The County has designated (Orange County Health
Director, 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. Provider, an agency of the State of North Carolina, is responsible
for its and its employees’ negligence as provided under North Carolina law. The
Provider is a self-insured entity and carries insurance limits as required by the state of
North Carolina. The Provider will be responsible for its own negligence in accordance
with the North Carolina Tort Claims Act. A copy of Provider's Certificate of Insurance
will be provided to County upon request.
8. Indemnity
a. Indemnity. The Provider agrees to defend, indemnify, and hold harmless Orange County
from all losses, liabilities, claims, demands, suits, costs, damages or expenses, to the
extent provided by the North Carolina Torts Claims Act, arising from bodily injury,
including death, to any person or persons or damage to or destruction of any property
caused in whole or in part by any negligent act or omission on the part of the Provider,
its agents, or assigns directly or indirectly related to the Services to be performed
pursuant to this Agreement on the part of the Provider.
9. Amendments to the Agreement
a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional
compensation or a change in duration of this Agreement shall be made by a written
Amendment to this Agreement executed by the County and the Provider. The Provider
shall proceed to perform the Services required by the Amendment only after receiving a
fully executed Amendment from the County.
10. Termination
a. Termination for Convenience of the County. This Agreement may be terminated without
cause by the County and the Provider for its convenience upon thirty (30) days’ prior
written notice.
b. Other Termination. The Provider may terminate this Agreement based upon the County's
material breach of this Agreement; provided, the County has not taken all reasonable
actions to remedy the breach. The Provider shall give the County seven (7) days' prior
written notice of its intent to terminate this Agreement for cause. Either party may
terminate this Agreement upon notice to the other party that obligations pursuant to this
Agreement are made impractical due to declarations of emergency by Orange County or
by North Carolina due to events directly impacting Orange County. Both parties shall
remain responsible for all payment and performance due up to the receipt of such notice,
but shall have no further obligation or responsibility beyond that date provided the
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terminating party has taken all reasonable steps to complete the performance of its
obligations.
c. Compensation After Termination.
i) In the event of termination, the Provider shall be paid that portion of the fees and
expenses that it has earned to the date of termination, less any costs or expenses
incurred or anticipated to be incurred by the County due to errors or omissions of
the Provider. Upon request of the County, the Provider shall submit to County all
relevant documentation, including but not limited to, job cost records, to support
its claims for final compensation.
ii) Should this Agreement be terminated, the Provider shall deliver to the County
within thirty (30) days, at no additional cost, all deliverables including any
electronic data or files relating to the Project.
d. 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.
e. Suspension. County may suspend the Basic Services and this Agreement at any time for
County’s convenience and without penalty to County upon three (3) days’ notice to
Provider. Upon any suspension by County, Provider shall discontinue work on the Basic
Services and shall not resume the Basic Services until notified to proceed by County.
11. Additional Provisions
a. Limitation and Assignment. The County and the Provider each bind themselves, their
successors, assigns and legal representatives to the terms of this Agreement. Neither the
County nor the Provider shall assign or transfer its interest in this Agreement without the
written consent of the other.
b. 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.
c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable
local, state, and federal laws, rules, and regulations including but not limited to all state
and federal non-discrimination laws, policies, rules, and regulations and the Orange
County Non-Discrimination Policy and Orange County Living Wage Policy (each policy
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is incorporated herein by reference and may be viewed at
http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any
violation of the Orange County Non-Discrimination Policy is a breach of this Agreement
and County may immediately terminate this Agreement without further obligation on the
part of the County. This paragraph is not intended to limit and does not limit the
definition of breach to discrimination.
d. 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.
e. 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.
f. Severability. If any provision of this Agreement is held as a matter of law to be
unenforceable, the remainder of this Agreement shall be valid and binding upon the
Parties.
g. Ownership of Work Product. Should Provider’s performance of this Agreement generate
documents, items or things that are specific to this Project such documents, items or
things shall become the property of the County and may be used on any other project
without additional compensation to the Provider. The use of the documents, items or
things by the County or by any person or entity for any purpose other than the Project as
set forth in this Agreement shall be at the full risk of the County.
h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and
the validity of this Agreement is based upon the availability of public funding under the
authority of its statutory mandate.
In the event that public funds are unavailable or not appropriated for the performance of
County’s obligations under this Agreement, then this Agreement shall automatically
expire without penalty to County immediately upon written notice to Provider of the
unavailability or non-appropriation of public funds. It is expressly agreed that County
shall not activate this non-appropriation provision for its convenience or to circumvent
the requirements of this Agreement.
In the event of a change in the County’s statutory authority, mandate or mandated
functions, by state or federal legislative or regulatory action, which adversely affects
County’s authority to continue its obligations under this Agreement, then this Agreement
shall automatically terminate without penalty to County upon written notice to Provider
of such limitation or change in County’s legal authority.
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i.Signatures. This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the consent of
the Parties to utilize electronic signatures and the intent of the Parties to comply with
Article 11A and Article 40 of North Carolina General Statute Chapter 66.
j. Notices. Any notice required by this Agreement shall be in writing and delivered by
certified or registered mail, return receipt requested or by email to the following:
Orange County
Attention: Kimberlee Quatrone
Provider’s Name
The University of North Carolina at Chapel Hill
P.O. Box 8181 104 Airport Dr., Suite 2200
Hillsborough, NC 27278 Chapel Hill, NC 27599
kquatrone@orangecountync.gov
[SIGNATURE PAGE TO FOLLOW]
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IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have
hereunder set their hands and seal, all as of the day and year first above written.
ORANGE COUNTY: PROVIDER:
By: _________________________________
Bonnie Hammersley, County Manager
By: _________________________________
Penny Gordon - Larsen
Vice Chancellor for Research
Printed Name and Title
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ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: UNC-CH Vendor Contact Person: Nathan Jones Phone: 919-966-3411 Address: 104 Airport Dr.,
Ste 2200 City Chapel Hill State: NC Zip: 27599 Department: Health Amount: $64,200 Purpose: Services and
support programs that serve persons with Opioid Use Disorder Budget Code(s): 27411020-630000-92004 Vendor #
49882 R9
Vendor Status with NCSOS: Current-Active Non-Profit Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment )
Effective Date 12/1/23 End Date 6/30/24 Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: April 18, 2023); Made or Administered by
Signature Authority
- BOCC Express Delegation (Agenda Date: )
- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000
- Budget Policy Section XV (Capital Improvement Project: )
Bidding
Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# )
Department Affirmation
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.
Services related to this agreement have already begun or been completed. Description of the nature of the
emergency condition that was addressed: Grant work started in December. Working on contract process with UNC
which took longer than expected.
Department Director’s Signature ________________________________________ Date: ________
Information Technologies
This agreement has been reviewed and is approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Inapplicable because no hardware/software purchases or related services
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
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:
Received for record retention:
Office of the Clerk to the Board __________________________________________Date:_________
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1/9/2024
1/16/2024
1/16/2024
1/18/2024
Start Date: 12/1/2023
End Date: 6/30/2024
Description Count How were efforts supported?Notes Additional Information & Helpful Hints about this Measure
# of unique participants, who use opioids and/or have OUD, served
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
# of total contacts the program had with all participants
# of syringes distributed
# of types of supplies distributed (not count of individual items)
# of trainings on harm reduction (e.g., overdose prevention, safer
use practice, disease prevention) provided to participants
# of participants trained on harm reduction (e.g., overdose
prevention, safer use practice, disease prevention)
# of participants referred to Treatment Services for OUD
# of participants referred to Mental Health Services
# of participants referred to Primary Care Services
# of participants referred to Employment Resources
# of participants referred to Housing Resources
# of naloxone kits distributed A naloxone kit contains two doses.
Custom, strategy-specific measures may be entered in this row.
Custom, strategy-specific measures may be entered in this row.
9.Syringe Services Programs
Insert Start and End Date for this Strategy (MM/DD/YYYY)
Process measures answer the question, “How much did you do?”. Please quantify the process measures relevant to your implementation of this strategy. Indicate whether
the count represents efforts supported only by opioid settlement funds or efforts supported by multiple funding sources including opioid settlement funds. Process
measures should reflect numbers from the 2024 fiscal year (i.e., July 1, 2023-June 30, 2024).
STRATEGY-SPECIFIC PROCESS MEASURES
Exhibit A: The University of North Carolina at Chapel Hill Serivce Contract
SYRINGE SERVICE PROGRAM (from NC MOA “OPTION A” List) – Exhibit B Attached
In keeping with the National Settlement Agreement, opioid settlement funds may support programs or services listed below that serve persons with Opioid Use Disorder (OUD) or any co-occurring Substance Use Disorder (SUD) or mental health
condition.
Strategy : Syringe Service Program
Support Syringe Service Programs operated by any governmental or nongovernmental organization authorized by section 90-113.27 of the North Carolina General Statutes that provide syringes, naloxone, or other harm reduction supplies; that dispose
of used syringes; that connect clients to prevention, treatment, recovery support, behavioral healthcare, primary healthcare, or other services or supports they need; or that provide any of these services or supports.
Scope of Work Required Reporting. Provider must report the following metrics by April 15, 2024 (for December 1 - March 31) and July 30, 2024 (for April 1 - June 30). In addition to the metric reporting, submit one success story (250 word limit) from a
person who has benefitted from the Strategy (de-identified unless the person has agreed in writing to be identified) during the fiscal year 23-24. This story is to be submitted by July 30, 2024.
DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA
Custom, strategy-specific measures may be entered in this row.
Process Measure Count Additional Information & Helpful Hints about this Measure
# of unique participants, who use opioids and/or have OUD, served
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
American Indian/Alaska Native Non-Hispanic
Asian Non-Hispanic
Black Non-Hispanic
Native Hawaiian or Other Pacific Islander Non-Hispanic
White Non-Hispanic
Hispanic
Some Other Race or Multiple Races
Unknown
Sum total of unique participants served (Autocalculated)
Does sum total (C38) match the reported # of unique patients
(C28)? (Autocalculated)Yes
Description Count Quality Measure Percent (Autocalculated)Notes Additional Information & Helpful Hints about this Measure
# of unique participants, who use opioids and/or have OUD, served
who report they have enough sterile syringes to cover every
injection between SSP visits
# of unique participants, who use opioids and/or have OUD, served
# of participants trained who increased their knowledge of harm
reduction practices
# of participants trained on harm reduction (e.g., overdose
prevention, safer use practice, disease prevention)
Description Count Outcome Measure Percent (Autocalculated)Notes Additional Information & Helpful Hints about this Measure
# of participants engaged with SSP services at _ months
Notes
DEMOGRAPHICS: Provide the following information on race and ethnicity for the # of unique participants, who use opioids and/or have OUD, served during the 2024 fiscal
year (i.e., July 1, 2023-June 30, 2024).
STRATEGY-SPECIFIC QUALITY MEASURES
Of the # of unique participants, who use opioids and/or have OUD, served in the count above, how many people identified as:
Quality measures answer the question, “How well did you do it?”. Please quantify the quality measures relevant to your implementation of this strategy. Quality measures should reflect numbers from the 2024 fiscal year (i.e., July 1, 2023-June
30, 2024).
% of participants who report they
have enough sterile syringes to
cover every injection between SSP
visits
Incomplete
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% of participants who increase
their knowledge of harm reduction
practices
Incomplete
STRATEGY-SPECIFIC OUTCOME MEASURES (PROGRAM-LEVEL)
Incomplete Custom, strategy-specific measures may be entered in this row.
Incomplete Custom, strategy-specific measures may be entered in this row.
Incomplete Custom, strategy-specific measures may be entered in this row.
Outcome measures answer the question, “Is anyone better off?”. Outcome measures can be at the program- or population-level. Please quantify the outcome measures relevant to your implementation of this strategy. Outcome measures should
reflect numbers from the 2024 fiscal year (i.e., July 1, 2023-June 30, 2024).
% of participants with OUD
Recommended measure at six months. If measure for engagement is
taken at another increment, please describe this in the "Notes" column.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
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# of unique participants, who use opioids and/or have OUD, served
# of participants who adhere to treatment at _ months
# of unique participants, who use opioids and/or have OUD, served
# of participants using mental health services at _ months
# of unique participants, who use opioids and/or have OUD, served
# of participants with OUD using primary healthcare services at _
months
# of unique participants, who use opioids and/or have OUD, served
# of participants who have obtained employment at _ months,
through engagement with recovery support services
# of unique participants, who use opioids and/or have OUD, served
# of participants who retain housing at _ months, through
engagement with recovery support services
% of participants with OUD
engaged with SSP services at _
months
Incomplete
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% of patients with OUD who
adhere to treatment __ months
after first appointment
Incomplete
Recommended measure at six months. If measure for adherence is taken
at another increment, please describe this in the "Notes" column.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% of participants with OUD using
mental health services at _ months Incomplete
Recommended measure at six months. If measure for utilization is taken
at another increment, please describe this in the "Notes" column.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% of participants with OUD using
primary healthcare services at _
months
Incomplete
Recommended measure at six months. If measure for utilization is taken
at another increment, please describe this in the "Notes" column.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% of participants who have
obtained employment at _ months Incomplete
This measure indicates if participants have jobs at the __ month check in.
Recommended measure at six months. If measure for employment is
taken at another increment, please describe this in the "Notes" column.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
% f ti i t h t i
Recommended measure at six months. If measure for retention of
permanent housing is taken at another increment, please describe this in
the "Notes" column.
A unique participant may participate in multiple support programs so
th b d li ti f i ti i t h b
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# of unique participants, who use opioids and/or have OUD, served
# of participants who report getting the social and emotional
support they need
# of unique participants, who use opioids and/or have OUD, served
# of community overdose reversals using naloxone # of community overdose reversals
using naloxone N/A
Description Notes Additional Information & Helpful Hints about this Measure
% of residents receiving dispensed buprenorphine prescriptions
The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can
be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome
Measure, Population-Level) and "Place" to find your county.
% of individuals with OUD served by treatment programs who are
uninsured or Medicaid beneficiaries
The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can
be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome
Measure, Population-Level) and "Place" to find your county.
% of housing & homelessness 211 calls
The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can
be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome
Measure, Population-Level) and "Place" to find your county.
Unemployment rate
The Opioid and Substance Use Action Plan (OSUAP) Data Dashboard can
be found here. Use the "Metrics" tab to find the "Metric" (i.e., Outcome
Measure, Population-Level) and "Place" to find your county.
% of participants who retain
housing at _ months Incomplete
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
Custom, strategy-specific measures may be entered in this row.
% of participants who report
getting the social and emotional
support they need
Incomplete
Consider asking patients the Behavioral Risk Factor Surveillance System
question,
"How often do you get the social and emotional support you need?"
1. Always
2. Usually
3. Sometimes
4. Rarely
5. Never
The # of participants who answer "Always" and "Usually" can be summed
to find # of participants who have OUD, served who report getting the
social and emotional support they need.
A unique participant may participate in multiple support programs so
there may be some duplication of unique participants when numbers
across programs, project, sites, etc., are aggregated for the strategy-
specific impact report. A participant may receive services across local
government boundaries (e.g., a person with OUD may reside in one
county and receive services in another county). Number of referrals do
not equate to number of unique participants because one individual may
receive multiple referrals.
Incomplete Custom, strategy-specific measures may be entered in this row.
In addition to any program-level outcome measures captured above, population-level data on outcome measures are available from the OSUAP Data Dashboard. Please visit the Data Dashboard and become familiar with what is available. Then
indicate if there are population-level outcome measures you are expecting to change as a result of your implementation of this strategy. The OSUAP Data Dashboard provides integration and visualization of state, regional, and county-level
metrics for partners across NC to track progress toward reaching the goals outlined in the North Carolina’s Opioid and Substance Use Action Plan. Which metrics are shared on the Dashboard, referred to as outcome measures (population-level) in
the Impact Report, may change over time.
STRATEGY-SPECIFIC OUTCOME MEASURES (POPULATION-LEVEL)
Are you expecting to change this measure as a result of implementing this strategy?
Incomplete Custom, strategy-specific measures may be entered in this row.
Incomplete
DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA
Exhibits, page 1
EXHIBIT A TO NC MOA:
HIGH-IMPACT OPIOID ABATEMENT STRATEGIES (“OPTION A” List)
In keeping with the National Settlement Agreement, opioid settlement funds may support
programs or services listed below that serve persons with Opioid Use Disorder (OUD) or any
co-occurring Substance Use Disorder (SUD) or mental health condition.
As used in this list, the words “fund” and “support” are used interchangeably and mean to
create, expand, or sustain a program, service, or activity.
1.Collaborative strategic planning. Support collaborative strategic planning to address
opioid misuse, addiction, overdose, or related issues, including staff support, facilitation
services, or any activity or combination of activities listed in Exhibit C to the MOA
(collaborative strategic planning).
2.Evidence-based addiction treatment. Support evidence-based addiction treatment
consistent with the American Society of Addiction Medicine’s national practice
guidelines for the treatment of opioid use disorder – including Medication-Assisted
Treatment (MAT) with any medication approved for this purpose by the U.S. Food and
Drug Administration – through Opioid Treatment Programs, qualified providers of
Office-Based Opioid Treatment, Federally Qualified Health Centers, treatment offered in
conjunction with justice system programs, or other community-based programs offering
evidence-based addiction treatment. This may include capital expenditures for facilities
that offer evidence-based treatment for OUD. (If only a portion of a facility offers such
treatment, then only that portion qualifies for funding, on a pro rata basis.)
3.Recovery support services. Fund evidence-based recovery support services, including
peer support specialists or care navigators based in local health departments, social
service offices, detention facilities, community-based organizations, or other settings that
support people in treatment or recovery, or people who use drugs, in accessing addiction
treatment, recovery support, harm reduction services, primary healthcare, or other
services or supports they need to improve their health or well-being.
4.Recovery housing support. Fund programs offering recovery housing support to people
in treatment or recovery, or people who use drugs, such as assistance with rent, move-in
deposits, or utilities; or fund recovery housing programs that provide housing to
individuals receiving Medication-Assisted Treatment for opioid use disorder.
5.Employment-related services. Fund programs offering employment support services to
people in treatment or recovery, or people who use drugs, such as job training, job skills,
job placement, interview coaching, resume review, professional attire, relevant courses at
community colleges or vocational schools, transportation services or transportation
vouchers to facilitate any of these activities, or similar services or supports.
6.Early intervention. Fund programs, services, or training to encourage early
identification and intervention for children or adolescents who may be struggling with
problematic use of drugs or mental health conditions, including Youth Mental Health
Exhibit BDocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA
Exhibits, page 2
First Aid, peer-based programs, or similar approaches. Training programs may target
parents, family members, caregivers, teachers, school staff, peers, neighbors, health or
human services professionals, or others in contact with children or adolescents.
7. Naloxone distribution. Support programs or organizations that distribute naloxone to
persons at risk of overdose or their social networks, such as Syringe Service Programs,
post-overdose response teams, programs that provide naloxone to persons upon release
from jail or prison, emergency medical service providers or hospital emergency
departments that provide naloxone to persons at risk of overdose, or community-based
organizations that provide services to people who use drugs. Programs or organizations
involved in community distribution of naloxone may, in addition, provide naloxone to
first responders.
8. Post-overdose response team. Support post-overdose response teams that connect
persons who have experienced non-fatal drug overdoses to addiction treatment, recovery
support, harm reduction services, primary healthcare, or other services or supports they
need to improve their health or well-being.
9. Syringe Service Program. Support Syringe Service Programs operated by any
governmental or nongovernmental organization authorized by section 90-113.27 of the
North Carolina General Statutes that provide syringes, naloxone, or other harm reduction
supplies; that dispose of used syringes; that connect clients to prevention, treatment,
recovery support, behavioral healthcare, primary healthcare, or other services or supports
they need; or that provide any of these services or supports.
10. Criminal justice diversion programs. Support pre-arrest or post-arrest diversion
programs, or pre-trial service programs, that connect individuals involved or at risk of
becoming involved in the criminal justice system to addiction treatment, recovery
support, harm reduction services, primary healthcare, prevention, or other services or
supports they need, or that provide any of these services or supports.
11. Addiction treatment for incarcerated persons. Support evidence-based addiction
treatment, including Medication-Assisted Treatment with at least one FDA-approved
opioid agonist, to persons who are incarcerated in jail or prison.
12. Reentry Programs. Support programs that connect incarcerated persons to addiction
treatment, recovery support, harm reduction services, primary healthcare, or other
services or supports they need upon release from jail or prison, or that provide any of
these services or supports.
DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA
CERTIFICATE OF COVERAGE
Certificate Holder: To Whom This May Concern
Insurer: State of North Carolina
Authorization: Public Officers & Employee Liability Insurance Commission of North Carolina and
the General Statutes of North Carolina, Chapter 143, Articles 31 to 31D, Sections
§143-291 to §143-300.
Period: February 01, 2023 until February 01, 2024
Coverage: A) Tort Claims against Departments, Agencies, and Employees
B) Excess Liability for State Employees
Ambridge Partners, LLC - Policy # PK1035823
Kinsale Insurance Company - Policy # 01000154762-2
C) Workers’ Compensation
Limits A) $1,000,000 for Tort claims against the State
B) $2,000,000 per employee/$10,000,000 aggregate for claims against
state employees
C) Statutory Limits for Workers’ Compensation
Description: UNC Hospitals and its employees, officers, agents, as covered by the Defense of
State Employees as per NCGS § 143 300.2.
Administrator: Department Insurance - Risk Management Division
Public Officers & Employees Liability Insurance Commission
1202 Mail Service Center, Raleigh, NC 27699-1202
Note: This Certificate is for informational purposes only and does not alter any
provision of the Tort Claims or Defense of State Employees General Statutes of
the State.
Verified By:
Latarsha Y. Silver, CRM
Risk Manager
UNC Hospitals
DocuSign Envelope ID: 2F87EF3C-2AE9-4196-8878-5203DF2E34DA