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017 <br />Page 2 of 2 <br />IV. Performance Measures/Reportin Requirements: <br />As of October 1, 2016, this Agreement Addendum Revision #1 adds Performance Measures #4 and #5 as <br />follows: <br />Performance Measure #4: <br />This Performance Measure #4 is applicable only if the LHD has condom, educational material, <br />and STD training needs met for FY 16-17 and is using the additional funding to provide <br />enhanced STD testing: <br />Local Health Department shall estimate its condom, educational material, and STD training <br />needs based on prior years and in anticipation of potential changes in FY 16-17. <br />Indicator: Number of patients who qualify for enhanced STD testing. <br />Reporting Requirement: LHD shall keep a record of the number of Chlamydia NAATs <br />purchased. <br />Performance Measure #5: <br />Local Health Department shall ensure that a laboratory testing standing order which meets all <br />requirements of the North Carolina Board of Nursing is written and approved by a Technical <br />Assistance and Training Program (TATP) STD Nurse Consultant prior to submission to the <br />LHD's medical director for signature. <br />Indicator: Standing order for urine Nucleic Acid Amplification Testing (HAAT) for Chlamydia <br />is approved by a TATP STD Nurse Consultant. <br />Reporting Requirement: LHD shall electronically submit a copy of the final signed and dated <br />standing order to the regional TATP Nurse Consultant. <br />V. Performance Monitoring and Quality Assurance: <br />No change. <br />VI. Funding Guidelines or Restrictions: <br />No change. <br />Revised July 2015 <br />