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Division of Public Health Agreement Addendum FY 20-21 Page 1 of 3 Women's and Children's Health Section/ Lee County Health Department Women's Health Branch Local Health Department Legal Name DPH Section /Branch Name Shelby Weeks 919-707-5707 168 Maternal Health Innovation Shelby.Weeks@dhhs.nc.gov dhhs.nc.gov Activity Number and Description DPH Program Contact (name,phone number,and email) 08/01/2020 —09/29/2020 Service Period DPH Program Signature Date (only required for a negotiable agreement addendum) 09/01/2020 — 10/31/2020 Payment Period 1Original Agreement Addendum n Agreement Addendum Revision # I. Background: A key challenge to providing healthcare across North Carolina, especially in rural counties and those with limited transportation systems, is the difficulty in accessing care. This difficulty contributes to maternal health inequities. Pregnant women who reside in rural communities and in need of specialty care and consultations can experience challenges in arranging for transportation, may need to travel longer distances, and may need to take a significant amount of time off work to attend healthcare appointments. One possible strategy to improve access to medical care in situations like these is telehealth. Telehealth services have been used, among other things, to monitor chronic conditions, provide treatment (e.g., psychotherapy), provide education and advice for self-management, and provide specialty consultation services. Recent technological advances allow more patients to access telehealth services via personal "smart" devices that do not require broad band internet access. Under funding received from the Health Resources and Services Administration-Maternal and Child Health Bureau (HRSA MCHB), local health departments will be provided funds to purchase equipment and provide staff training to augment and strengthen the state's maternal health system of care through the implementation of telehealth services around the state. The goal of these one-time Maternal Health Innovation mini-grant funds is to build Local Health Department capacity to provide telehealth services and increase patient access to medical and specialty care especially during and around the time of pregnancy. II. Purpose: This Agreement Addendum provides one-time funds to the Local Health Department to strengthen existing efforts and program activities supporting women of reproductive age, including pregnant and Health Director Signature (use blue ink) Date Local Health Department to complete: LHD program contact name: (If follow-up information is needed by DPH) Phone number with area code: Email address: Signature on this page signifies you have read and accepted all pages of this document. Revised July 2019