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HomeMy WebLinkAbout101217wsa Agenda Package101217ws HC BOC Page 1 9:00 am 9:30 am 9:45 am 10:15 am 10:45 am 11:15am 11 :30 am 12:00 pm Harnett County Board of Commissioners Work Session Tuesday, October 10, 2017 Liaison Design Proposal for Harnett County Public Utilities, Steve Ward Update regarding FAA easement at the Harnett Regional Jetport, Barry Blevins Public hearings/ordinances authorizing demolition of properties, Randy Baker Discuss Golden Leaf applications Legislation Discussion: -Occupancy Tax/Tourism Board -"Brunch" Bill -early Sunday alcohol sales County Manager's Report: October 16 , 2017 Agenda Review Board of Education Request Closed session Adjourn 101217ws HC BOC Page 2 AREA TABLE I EXHIBIT A I PERMANENT EASEMENT 0.577 AC TEMPORARY CONSTRUCTION EASEMENT (TCE) 0.256 AC \ SC ALE• I ' • 100' \ \ \ 100 50 \ TRACT# 2710 100 1" PINCH PIPE N•S96283.69' E•2081891.64' GRID COORDS. PIN. 0589-16-9319 / \ N/F HARNETT COUNTY DB 2264. PG . 442 \ PLAT CAB. F, PG 482B / E , !o zg t. \,, { Ir <r\i.~ \ ' ,~ NOTES TRACT 2690 OVERVIEW SCALE: 1"•400' l. AREA BY COOROlNATE COMPVTATION. 2 . All DISTANCES ARE HORIZONTAL GROUND, IN US SUR.VEY FEET. J , SUBJECT TO ANY AND AU EASEMENTS, RIGHTS·OF·WAY, STREETS ANO ASSESSMENTS, AS THE SAME MA Y APPEAR OF RECORD IN THE REGISTER OF DEEDS omce, a.ERK OF COURT, TOWN OR C'OUNTY TAX OfflCES, OR. WHJOt HAY HAVE Bl:EN ACQUIRED BY PRESCRIPTIVE USE. <. THIS SURVEY IS INTENDED FOR THE PURPOSES OF EASEMENT ACQUISITION ONLY, AND IS NOTINTENDED TO BE A BOUNDARY SURVEY OF THE LANDS SHOWN HEREON. 5. NC GJUO COORDINATES AS SHOWN HEREON ARE BASED UPON GPS OBSERVATIONS UTiltZING NCGS NETWORK RTK SYSTEM AND ARE REFERENCED TO THE NAD 8J(NSRS 2011 ) DATUM. 6. THIS MAP HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENl' AGENCY FOR COMPLIANCE wrrn A.NY APPLICABLE LAND DEVELOPMENT REGULATIONS . 7. THIS SURVEY WAS MADE WITHOUT BENEFIT OF TITLE REPORT OR OPINION AND DOES NOT PURPORT TO SHOW All MATTERS OF TITLE THAT A COMPLETE TITLE REPORT MAY REVEAL LEGEND • COMPUTED POINT ~ \ ~ I.I\~ \ ~ \: :::i ·, \ Permanent Easement Area (0.321 Acres) TRACT#2690 PIN : 0589-26-5102 HARNETT COUNTY D.B. 2276, PG. 653 MB. 2004, PG. 1050 TRACT# 2700 PIN: 0589-25-2799 N/F HARNETT COUNTY D.B. 2225, PG. 108 "" ff-"-" 'I, ,._.,Y: .... LINE TABLE LINE LENGTH BEARING L1 32.20 N02'32'59°W L2 47.41 N10'31'14"E L3 21.47 N10"31'14"E L4 57.67 S10'31'1 4 "W L5 34.36 541'32'28"[ L6 74.66 S45'28'54"W L7 18.34 S45'25'54"W LB 50.45 S45'28'54°W CURVE TABLE CURVE I LENG TH I RADIUS I CHORD I CHORD BRG C3 1 45. 77 12216.831 45.77 1 N36'21'25°W C41 37.2512166.83 J 37.251 S36'16'50"E I, JUSTIN R. WILLIAMS, CERTIFY THAT IBIS PLAT WAS OR.AWN UNDER MY SUPERVISION FROM AN ACTUAL FIELD SURVEY UNDER MY SUPERVISION. THAT THE DEEDS ANO MAPS NOTED WERE USED AS REF ERENCES, THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FIi.OM INFORMATION INDICATED, THAT THE RATIO OF PREOSION AS CALQJLATED IS GREATER THAN 1:10,000; THAT THIS PLAT WAS PREPARED FOR THE PURPOSE OF R/W ACQUISITION AND /OR EASEMENT ACQUISmON ONLY, AND IS NOT INTENDED TO SE A BOUNDAR Y SURVEY Of TliE PARCEL SHOWN HEREON; THAT nus MAP MEETS THE REQUIREMENTS Of T'HE STANDARDS OF PRACTlCE FOR LANO SURVEYING IN NORTH CAROUNA(21 NCAC 56.1600). EASEMENT FOR Professional Property Q PROPERTY CORNER FOUND fAS DESCRIBED) PIEDMONT NATURAL GAS COMPANY , INC ' Surveyors , Inc . 18335 O ld Statesville Road Ste. A, Cornelius, N.C. 28031 704-765-5134 Phone/Fax Firm License : C-3666 PN.Q.!_ASE~ __ __ _ SUBJECT BOUNDARY LINE {SURVEYED) SUBJECT BOUNDARY LINE (NOT SURVEYED) AOJOINER BOUNDARY LINE (SURVHEDJ AOJOINER 80UNOARY LINE INDT SURVEYED) ROAD 11/W LINE _ _ --- ACROSS THE LANDS OF HARNETI COUNTY US HIGHWAY #421 ERWIN, HARNETT COUNTY, NC 28334 DEED BOOK 2276, PAGE 653 PROJECT# IR : 25-51329 TRACT #2690 DRAWN BY: JEC DATE: 02/08/2017 ,08 NO. 25-S 1329 SCALE 1• • 100' PAGE 1 OF2 101217ws HC BOC Page 3 I EXHIBIT A I AREA TA BLE PERMANEITT EASEMEITT 0 .577 AC TEMPORARY CONSTRUCTION EASEMENT (TCE) 0.256 AC SCAL[1 1• • 100' 100 50 0 • 100 TRACT# 2700 PIN: 0589•2S.2799 N/F HARNETI COUNTY D.B. 2225. PG. 108 LINE TAB LE LINE LENGTH BEARING L9 75.52 544·19·4s·w l10 25.75 N44.19'45"E l11 50.17 N44.21'47"E L12 64.56 s 4o·s8'36"W l13 16.31 N48.46' 43"W l14 50.04 S40'58'36"W CU RVE TABLE ' Permanent Easement Area (0.256 Acr es) TRACT#2690 PIN : 0589-26-5102 HARNETT COUNTY O.B . 2276, PG. 653 MB . 2004, PG. 1050 1-,,.6'· I "s'-,,.6· ~.j;.jxi,, MS REBAR (SENT) N=581399.08' E=2083545.38 ' GRID COORDS. CURVE LEN GTH RADIU S CHORD CHO RD BRG Cl 3.69 2216.83 3.69 N46·s2·01·w C2 224.51 2216.83 224.41 N43'55'11 "W cs 221.56 2166.83 221.47 S4 3'50'26"E NOTES 1. AREA BY COORDINATE COMPUTATION. 2. ALL DISTANCES ARE HORIZONTAL GROUNO, IN US SURVEY FEET. 3. SUBJECT TO ANY AND ALL EASEMENTS, RJGHTS·OF·WAY, STREETS ANO ASSESSMENTS, AS me SAME MAY APPEAR Of RECORD IN me REGISTER Of DEEDS omce, CLERK Of COURT, TOWN OR COUNTY TAX OFFICES, OR WHI~ MAY HAVE BEEN ACQUIRED BY PRESCRIPTIVE use. 4. THIS SURVEY IS INTENDED FOR THE PURPOSES OF EASEMENT ACQUISITION ONLY, ANO IS NOT INTENDED TO BE A BOUNDARY SUR.VEY OF THE LANDS SHOWN HEREON. S. NC GRID COORDINATES AS SHOWN HEREON AAE BASED UPON GPS 08SERVAT10NS UTILIZING NCGS NETWORK RTI< SYSTEM ANO ARE REFERENCED TO mE NAO 83(NSRS 2011) DATUM. 6. THIS MAP HAS NOT BEEN REVIEWEO SY A LOCAL GOVER.NM ENT AGENCY FOR. COMPLIANCE WJ1li At('( APPLICABLE LANO DEVELOPMENT REGULATIONS. 7. mlS SURVEY WAS MADE WITHOUT BENEFIT OF TITLE REPORT OR OPINION ANO DOES NOT PURPORT TO SHOW AU MATTERS OF TinE lliAT A COMPLETE n nE REPORT MAY REVEAL LEGEND I, JUSTIN R. WILLIAMS, CERTIFY THAT llilS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUA L AELO SURVEY UNDER MY SUPERVISION. THAT THE DEEDS ANO MAPS NOTED WERE USED AS REFERENCES. THAT THE BOUNDARIES NOT SURVEYED ARE a.EARLY INDICATED "'5 DRAWN FROM INFORMATION INDICATED, THAT THE RATIO OF PRECI SION AS CALQJLATEO IS GREATER TH.AN 1 : 10,000; THAT THIS PLAT WAS PREPARED FOR TliE PURPOSE OF R/W ACQUISITION ANO/OR EASEMENT ACQUISmON ONLY, AN O IS NOT INTENDED TO ee A BOUNDARY SURVEY OF THE PARQL SHOWN HEREON; Tl<AT mis MAP MEETS me REQUIREMENTS OF THE STANDARDS OF PRACTICE FOR LANO SURVEYING IN NORTH CAAOUNA{2 1 NCAC 56.1600). EASEMENT FOR I I I PIN: 0589.JS.7623 N/F RUBELLE H. SHELLEY D.B. 699, PG. 203 • COMPUTEO POINT 0 PROPERTY CORNER FOUND (AS DESCRIBED) PI EDMONT NATURAL GAS COMPAN Y, INC Profe ssio nal Prop erty ' Surveyors, Inc. PN~ASE~ --__ _ SUBJECT BOUNDARY LINE (SURVEYED) SUBJECT 80\JNOARY LINE (NOT SURVEYED) ------AOJOINER BOUNOARY LINE (SURVEYED) AOJOINER BOUNOARY LINE (NOT SURVEYED) R~E ----- ACROSS THE LANDS Of HARNETT COUNTY US HIGHWAY M421 ERWIN, HARNETI COUNTY, NC 28334 DEED BOOK 2276, PAGE 6S3 PROJECT# IR: 25-51329 TRACT #2690 18335 Old Statesville Road Ste. A, Cornelius, N.C. 28031 704-765-5134 Phone/Fax Finn License: C-3666 DRAWN BY: JEC DATE , 02/08/2017 JOB NO. 25·51329 SCALE l " • 100' PAGE20F 2 101217ws HC BOC Page 4 AREA TABLE PERMANENT EASEMENT 0.180 AC TEMPORARY CONSTRUCTION EASEMENT (TCE) 0.082 AC l " PINCH PIPE ,Q N•596283.69' \ "" E•2081891.64' \GRID COORDS. \\ \ I EXHIBIT A I SCALE• I' • 80' 80 40 80 \ \ \~ \\ TRACT#2690 :-fv, ' "'00-0 \ \ PIN: 0589-26-5102 N/F HARNETT COUNTY 0 .B. 2276, PG. 653 MB. 2004, PG. 1050 ~ \ ~ ~ \ \\~ ~~ ~'ts>. ~ ~ \ T RACT#2700 PIN : 0589·25-2799 HARNETT COUNTY D.B. 2225, PG. 108 MB . 2004, PG . 1050 TRACT#2690 Ea sement Area (0.180 Acres) PIN: 0589-26-5102 N/F HARNETI COUNTY D.B. 2276, PG. 653 MB. 2004, PG. 1050 LINE TA BLE LINE LENGTH BEA RING L1 50.45 N45"28'54"E L2 18.33 N45'28'54"E L3 74.66 N45'28'54"E L4 75.52 S4419'45"W L 5 25.75 S44 19'4 5"W L6 50.17 S4419'45"W CURVE TABLE CURVE I LENGTH I RADIUS I CHORD I CHORD BRG C11 157.4912216.831 157.461 NJ8'58'58"W C2 1 156.5212166.831 156.481 NJ8"50'28"W NOTES 1. AREA BY COORDINATE COMPUTATION. 2, ALL DISTANCES ARE HORIZONTAL GROUND, IN US SURVEY FEET. 3. SUBJECT TO ANY ANO ALL EASEMENTS, RIGHTS-OF-WAY, STREETS ANO ASSESSMENTS, AS THE SAME MAY APPEAR OF RECORD IN THE REGI STER OF DEEDS OFFICE, ClERK OF COURT, TOWN OR COUNTY TAX OFACES, OR WHIO. MAY HAVE BEEN ACQUIRED BY PRESCRIPTIVE USE. 4. THI S SURVEY IS INTENDED FOR THE PURPOSES OF EASEMENT ACQUISITION ONLY, AND JS NOT INTENDED TO BE A BOUNDARY SURVEY OF THE LANDS SHOWN HEREON. 5. NC GRID COOROlNATES AS SHOWN HEREON AR E BASED UPON GP$ OBSERVATIONS UTlllZ?NG NCGS NETWORK RTK SYSTI'M AND ARE REFERENCED TO THE NAO B3(NSRS 2011) OAlUM. 6. THIS MAP HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPUANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS. 7 . THIS SURVEY WAS MADE WITHOUT BENEFIT OF TTTlE REPORT OR OPINION AND DOES NOT PURPORT TO SHOW ALL MATIER$ OF nne TI-IAT A COMPLETE nne REPORT MAY REVEAL. LEGEND I, JUSTIN R. WILLIAMS, CERTIFY THAT THIS Pl.AT WAS DRAWN UNDER MY SUPERVISION FROM AN AcnJAL FIELD SURVEY UNDER MY SUPERVISION. THAT THE DEEDS ANO MAPS NOTED WERE USED AS REFERENCES. niAT me BOUNDARIES NOT SURVEYED ARE CLEARLY IN DICATED AS DRAWN FROM INFORMATION INDICATED, THAT THE RATIO OF PRECISION AS CALQJLATED 15 GREATER THAN 1: 10,000; niAT T HIS PLAT WAS PREPARED FOR THE PURPOSE O F RJ W ACQUISITION AND/OR EASEMENT ACQUISmON ONLY, AND IS NOT INTENDED TO BE A BOUNDARY SURVEY Of THE PARCEL SHOWN HEREON; THAT THIS MAP MEETS THE REQUIREMENTS OF THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN NORTH CAROUNA(21 NCAC 56.1600). #5 REBAR (BENT)/ N•581399.08' E~2083545.38' GRID COORDS. • COMPUTE D POJNT 0 PROPERTY CORNER FOUND (AS DESCRIBED) EASEMENT FOR PIEDMONT NAT URA L GAS CO MPA NY, INC. Professional Property Surveyors, Inc. PNG EASEMENT __ __ _ SUBJECT BOUNDARY LINE (SURVEYED) SUBJECT BOUNDARY LINE (NOT SURVEYED) ADJOINER BOUNDARY LINE (SURVEYED) ADJOINER BOUNDARY LIN E (NOT SURVEYED) R~E ----- ACROSS THE LANDS OF HARNETT COUNTY US HIGHWAY #421 ERWIN, HARNETT COUNTY, NC 28334 DEED BOOK 2225, PAGE 108 PROJECT# IR: 25 -51329 TRACT #2700 18335 Old Statesville Road Ste. A, Cornelius, N.C. 28031 704-765-5134 Phone/Fax Fim1 License: C-3666 DRAWN BY: JEC REVISIONS DATE: 02/08/201 7 REVISE DEED INFO 02·13·17 JOB NO. 2S ·5 1329 SCALE 1" :a 80' PAGE10Fl 101217ws HC BOC Page 5 I EXHIBIT A I AREA TABLE PERMANENT EASEMENT 0.755 AC TEMPORARY CONSTRUCTION EASEMENT (TCE) 0.233 AC SCALE• t• = 100' ISRE8AR / 100 100 £•2081603.01' N•S967S3.99' / ~ GRID COORDS. / f / PIN. 0589-16-8714 N/F B C PROPERTY INC _ -D.B.1120,PG.976 --I PLAT CAB. F. PG . 4828 ~i-.0- 0 <,, "'·\~ (' ,.., ~ ''&. <,9 <o> 1 • PINCH PIP( TRACT 2690 OVERVIEW NOTTO SCALE NOTES 1. AREA BY COORDINATE COMPUTATION. 2. :elir~ISTANCES ARE HORIZONTAL GROUND, IN us SURV~ 3. SUBJECT TO ANY ANO All EASEMENTS, RIGHTS-OF-WAY, STREETS ANO ASSESSMENTS, AS THE SAME MAY APPEAR OF RECORD IN THE REGISTER OF DEEDS ornce, a.ERK OF COURT, TOWN OR COUNTY TAX OFFICES, OR WHJOi MAY HAVE BEEN AClllJJREO BY PRESCRIPTIVE USE. •• THIS SURVEY IS INTENDED FOR THE PURPOSES Of EASEMENT ACQUISITION ONLY, ANO IS NOT INTENDED TO BE A BOUNDARY SURVEY OF THE LANDS SHOWN HEREON. 5. NC GRID COORDINATES AS SHOWN HEREON ARE BASED UPON GPS OBSERVATIONS UTILIZING NCGS NETWOR.K RTK SYSTEM AN O ARE REFERENCED TO THE NAO 8J(NSRS 2011) OATIJM. 6. THIS MAP HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPUMICE wrrn AWf APPLICABLE LANO OEVELOPMENT REGULATIONS. 7 . nus SURVEY WAS MA DE WITHOUT BENEFIT OF TTn.E REPORT OR OPINION AND DOES NOT PURPORT TO SHOW All MATTERS OF TITLE THAT A COMPLETE TITLE REPORT MAY REVEAL LEGEND e COMPUTED POINT LINE ~ '?, ~-'cs>. ~ TRACT#2710 PIN: 0589-16-9319.000 HARNETI COUNTY D.B. 2264, PG. 442 MB. 2004, PG. 1050 TCEAREA Per manent Ea se ment A re a (O. 755 Acr es) I ( I, JUSTIN R. WILLIAMS, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACT1JAL FIELD SURVEY UNDER MY SUPERVISION. THAT THE DEEDS AND MAPS NOTED WERE USED AS REFERENCES. THAT THE &OUNOARIES NOT SURVEYED ARE CLEARLY INDICA1£0 AS DR.AWN FR.OM INFORMATION INDICATED, THAT Tl4E RATIO Of PRECISION AS CALOJlATEO IS GREATER THAN 1 :10,000; THAT THIS PLAT WAS PREPARED FOR THE PURPOSE OF RJW ACQUJSIT!ON ANO/OR EASEMENT AClllJlSmON ONLY, ANO I S NOT INTENDED TO BE A BOUNDARY SURVEY OF THE PA.RCEL SHOWN HEREON; THAT THIS MAP MEETS THE REQUI REMENTS OF THE STANDARDS OF PRAcnCE FOR LANO SURVEYING IN NORTH CAAOUNA(21 NCAC S6.l600). EASEMENT FOR L1 L2 L3 L4 L5 L6 L 7 LB L9 L10 L11 LINE TABLE LENGTH BEARING 65.10 N60'21'58"E 90.84 S32'51'J2"E 57.66 S10'31'14 "W 21.47 S10'31'14"W 47.42 S10'31'14"W 32.55 S02'32'59"E 77.64 N32'51'32"W 15.02 N32'51'32"W 2 4 .23 N32'51'32"W 50.08 N60'21'58"E 76.16 S32'51'32"E TRACT#2690 PIN: 0589,26-5102.000 NIF H ARNETI COUNTY D.B. 2276. PG . 653 MB. 2004. PG. 1050 Professional Property 0 PROPERTY CORNER FOUND (AS DESCRl8EOJ PIEDMONT NATURA L GAS COMPAN Y, IN C Surveyors , Inc. 18335 O ld Statesv ille Road Ste. A, Corneli us, N .C. 28031 704-765-5134 Phone/Fax Fim, License: C-3666 PN.Q!_ASEMENT __ __ _ SUBJECT BOUNDARY LINE (SURI/EYED) SUBJECT BOUNDARY LINE (NOT SURI/EYED) AOJOINER BOUNDARY LINE (SURVEYED) AOJOlNER BOUNDARY LINE (NOT SURVEYED) ROAD 11/W UNE _ _ --- ACROSS THE LANDS OF HARNED COUNTY US HIGHWAY #421 ERWIN, HARNETT COUNTY, NC 28334 DEED BOOK 2264, PAG E 442; MB . 2004, PG. 1050 PROJECT# I R: 25-51329 TRACT #2710 DRAWN BY:JEC REVtSIONS DATE: 02/08/2017 JOB NO. 25•51329 SCALE 1" • 100' PA.GE 1 Of 1 101217ws HC BOC Page 6 AREA TABLE PERMANENT EASE MENT I 0.115 AC T EMPORARY CONSTRUCTION EASEMENT (TCE) I 0.099 AC UTILITY STATION SITE EASEMENT (USSE) \ / #4 REBAR N 596784.52' E 2081336.59' GRID COOROS. \ 11'5 REBAR / / / / / ~ / / ~ / / / NOTES TRACT#2750 PIN: 0589-06-5677 N /F CAROL YN S. LEITH LIVING TRUST O.B. 141 5, PG. 573 PLAT CAB . E, PG. 154A 1. AREA BY COORDINATE COMPVTATION. I 0.196 AC 2. ALL DISTANCES ARE HORIZONTAL GROUND, lN US SURVEY FEET. 3. SUBJECT TO ANY ANO ALL EASEMENTS, RI GHTS-OF-WAY, STREETS ANO ASSESSMENTS, AS THE SAME MAY APPEAR OF RECORD IN THE REGISTER OF DEEDS OFFICE, a.ERK OF COURT, TOWN OR COUNTY TAX O FFICES, OR WHIOi MAY HAVE BEEN ACQUIRED BY PRESCRIFT1VE USE. 4. THIS SURVEY IS INTENDED FOR THE PURPOSES OF EASE MENT ACQUISITION ONLY, ANO IS NOT INTENDED TO 6E A BOUN DARY SURVEY OF THE LANDS SHOWN HEREON. S. NC GRI D COORDINATES AS SHOWN HEREON ARE BASED UPON GPS OBSERVATIONS UTILIZING NCGS NETWORK RTI< SYSTE M AND AR E REFERENCED TO THE NAO 83(NSRS 2011) DATUM. 6 . THJS MAP HAS NOT BEEN REVIE WED BY A LOCAL GOVERN MENT AGE NCY FOR COMPLIANCE WITH A1'N APPLICABLE LAND DEVELOPMENT REGULATIONS. 7. nus SURVEY WAS MADE WITHOUT BENEFIT OF TTnE REPORT OR OPINlON AN O DOES NOT PURPORT TO SHOW AU MAmRS OF nn.e THAT A COMPLETE TlllE REPORT MAY REVEAL LEGEND e COMPUTED POINT I EXHIBIT A I SCALE• I' = 100' 100 50 VIC INITY MAP NOTTO SCALE -.. I l ' t \\ ' \ PIN: 0589-15-6531 N/F HARNE IT COUNTY O.B. 2000. PG. 664 MB. 2000, PG. 1050 \\ \ APPARENT OVERLAP AREA ' ' ~ {'· 2006. PG. 791 \ \ \ ~ 1, JUSTIN R. WILLIAM S, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL FIELD SURVEY UNDER MY SU PE RVJ SJ ON. THAT THE DEEDS ANO MAPS NOTED W ERE USED AS REFERENCES. THAT THE BOUNDARIE S NOT S URVEYED ARE CLEARLY INDICATED AS DRAWN FROM INFORMATION INDICATED, THAT THE RATIO OF PRECISION AS CALOJLATEO IS GREATER THAN 1: 101000; l'HAT THIS Pl.AT WAS PREPARED FOR THE PURl>OSE OF R/W ACQUISITION AND/OR EASEMENT ACQlJJSmON ONLY, AND IS NOT INTENDED TO BE A BOUNDARY SURVEY Of THE PARCEL SHOWN HEREON; THAT nus MAP MEETS THE REQUIREMENTS Of THE STANDARD S OF PRACTICE FOR LAND SURVEYI NG IN NORTH CAROUNA(21 NCAC 56.1600). WITNESS MY HANO ANO SEAL THIS _ DAY OF 2017. Digitally signed by _ Justin R. Williams, N.C. P LS Professional Property Surveyors, Inc. 0 2-08-20 17 JUSTlN R. WILLIAM S, N.C. PLS-4942 EASEMENT FOR Q PROPERTY CORN ER FOUND (AS OESCRISEO) PIEDMONT NATURAL GAS COMPANY, INC . Profe ss ional Property Surveyors, In c. P~ASE~ ____ _ SUBJ ECT BOUNDARY LI NE (SURVEYED) SUBJECT BOUNDARY LINE (NOT SURVEYED) ADJOI NER BOUNDARY LINE (SURVEYED) ADJOI NER BOUNDARY LIN E (NOT5URVE YE O) R~E -_ ---- ACROSS THE !ANDS OF HARNETI COUNTY US HIGHWAY #421 ERWIN , HARNETT COUNT"I', NC 28334 DEED SOOK 2306, PAGE 448 PROJECT# IR : 25-51329 TRA CT #2740 18335 Old Statesv ille Road Ste. A, Cornelius, N.C. 2803 l 7 04-765-5 134 Phone/Fax Finn Li cense: C-3666 DRAWN BY: JEC REVISIONS DATE : 02/08/2017 JOB NO . 25-51329 SCALE 1" = 100' PAGE l OF2 101217ws HC BOC Page 7 AREA TABLE PERMANENT EASEMENT I 0.115 AC TEMPORARY CONSTRUCTION EASEMENT (TCE) I 0.099 AC I EXHIBIT A I UTILITY STATION SITE EASEMENT (USSE) f 0 .196 AC SCALE• I' = 30' 30 IS TRACT#2740 PIN: 0589-16-3577 HARNETT COUNTY D.B. 2306, PG. 448 MB. 2006, PG. 791 30 V IC IN ITY MAP NOTTO SCAl.E / TRACT #2730 PIN: 0589-16-4363.000 N/F J. H. STEWART FARMS INC. D.8. 2054, PG. 293 P IN : 0589-16-4363.000 / / Permanent Eas ement Area (0.012 Acres) Permanent / LINE TABLE LINE LENGTH BEARING Ll 52.46 N73°12'44"E L2 67.42 536°23'29"E L3 40.76 531°46'04"E L4 15.34 so9•37'26"W LS 12.37 587"34'25"W L6 15.01 N00"15'53"W L7 50.04 Noo·1s•s3 "w LS 50.04 Noo·1s•s3"w L9 20.01 N00"15'53"W LlO 110.72 500'15'53"E Lll 72.26 s11·ss'36"W L12 5.25 s 11·ss'36"W LB 11.74 ss1•34•2s"w Ll4 83.93 ss1•34•2s"w LlS 85.04 NS 7°34'2S"E L16 50.04 USSE Easement Area (0.196 Acres) Permanent Easement Area and USSE Area overlap 0.098 Acre s Permanent Easement Area (0.098 Acres) / / / / / TCEAREA (0.004 Acresl soo·1s'53"E L17 44.94 S00'15'53"E Ll8 85.04 S87°34'25"W \ Ll 9 15.48 s11 ·ss'36"W L20 46.36 s11·s5'36"W L21 9.80 NS7'34'25"E L22 9.62 NS7.34'25"E NOTES 1. AREA BY COORDINATE COMPUTATION. 2. All DISTANCES ARE HORIZONTAL GROUND, IN US SURVEY FEET. 3. SUBJECT TO ANY AND ALL EASEMENTS, RIGHTS·Of·WAY, STREETS A NO A SSESSMENTS, AS THE SAME MAY APPEAR Of RECORD IN THE REGISTER OF DEEDS OFACE, 0.ERK OF COURT, TOWN OR COUNTY TAX OFFICES, OR WHI Ot MAY HAVE BEEN ACQUIRED BY PRESCRIPTIVE USE. 4. THI S SURVEY IS INTENDED FOR THE PURPOSES OF EASE MENT ACQUISITION ONLY, ANO JS NOT INTENDED TO BE A BOUNDARY SURVEY OF THE LANDS SHOWN HEREON. 5. NC GRID COORDINATES AS SHOWN HEREON ARE BASED UPON GPS OBSERVATIONS UTILIZING NCGS NETWORK RTK SYSTEM ANO ARE REFERENCED TO Tl<E NAO 83(NSRS 2011) DATUM. 6. THIS MAP HAS NOT BEEN REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE WITH A~ APPLICABLE LAND DEVELOPMENT REGULATIONS. 7. TH I S SURVEY WAS MADE WITHOUT BENEflT OF TTTlE REPORT OR OPINION ANO DOES NOT PURPORT TO SHOW AU MATTERS OF Tin.E THAT A COMPLETE nn.e REPORT MAY REVEAL. LEGEND • COMPUTED POINT I, JUSTIN R. WILLIAMS, CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN AcnJAL AELD SURVEY UNDER MY SUPERVISION. THAT THE DEEDS AND MAPS NOTED WERE USED AS REFERENCES, THAT THE BOUNDARIES NOT S URVEYED ARE CLEARLY INOtCATED AS OR.AWN FROM INFORMATION INDICATED, THAT TliE RATIO OF PR.ECJSION AS CALOJlATED JS GREATER THAN 1:10,000; TI-iAT THIS PLAT WAS PREPAR ED FOR TiiE PURPOSE OF R/W ACQUISITION ANO/OR EASEMENT ACQUISffiON ONLY, ANO IS NOT INTENDED TO BE A BOUNDARY SURVEY OF THE PARCEL SHOWN HEREON; THAT n-ns MAP MEETS THE REQUIREMEl'fTS Of THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN NORTH CAROUNA(21 NCAC 56.1600). WITNESS MY HAND ANO SEAL THIS _ DAY OF 2017. Digitally signed by _lus<in R. Williams, N.C. PLS Professio nal Property Surveyors, Inc. 02-08-2017 rusTIN R. WILLIAMS. N.C. PLS-4942 EASE M ENT FOR Q PROPERTY CORNER FOUND (AS DESCRIBED) PIEDMONT NATURAL GAS COMPANY, INC. Profe ssio nal Prop erty Surveyors, Inc. 18335 Old Statesvill e Road Ste. A, Cornelius, N.C. 28031 704-765-5134 Phone/Fax PNG EASE~ __ __ _ SUBJECT BOUNDARY LINE (SURVEYED) SUBJECT BOUNDARY LIN E (NOT SURVEYED) AOJOINER BOUNDARY LINE (SURVEYED) ADJOINER BOUNDARY LIN E (NOT SURVEYED) ROAD R/W LINE _ _ --- ACROSS THE LA N DS OF HARNEIT COU NTY US HIGHWAY #421 ERWIN, HARNETT COUNTY, NC 28334 DEED BOOK 2306, PAGE 448 PROJECT# I R: 25-51329 TRACT #2740 Finn Li cense: C-3666 DRAWN BY: JEC REVISIONS DATE: 02/08/2017 JOB NO. 2S-51329 SCALE I " • 30' PAGE20F2 101217ws HC BOC Page 8 101217ws HC BOC Page 9 ~~Harnett ~(--.. COUNTY ,J_ NORlH CAROLINA TO: HARN ITT COUNTY BOARD OF COMMISSIONERS SUBJECT: ORDINANCE TO DEMOLISH REQUESTED BY: DEVELOPMENT SERVICES-PROBLEM PROPERTIES SECTION REQUEST : Development Services Compliance Enforcement Division www.harnett.org PO Box 65 108 E. Front St. Lillington, NC 27546 Ph: 910-893-7525 Fax: 910-814-6459 Problem Properties Administrator request a public hearing be conducted pertaining to Proposed Resolutions and Ordinances to demolish the structures located at the following locations: 365 Betts Road -PIN# 0646-40-0252.000 -Buckhorn Township 3254 Old Stage Road South -PIN# 0588-71-3505.000-Grove Township BACKGROUND: Case files indicate that both properties contain structures that have been condemned due to structural damage which has the potential to result in structural collapse. Hearings were conducted to allow the property owners an opportunity to submit information regarding the condition of the structures and the actions that would be taken to correct the deficiencies. At the conclusion of the hearings, an Order was issued for demolition of the structures. To this date the owners of the subject properties have failed to take corrective actions as Ordered by the Building Codes Administrator. SITE LOCATION: 365 Betts Road 101217ws HC BOC Page 10 Harnett re::~ .... C O U N T Y NOR H CAROLINA PROPERTY INFORMATION: Parcel ID# PIN# 05-0646-0003 0646-40-0252.000 Parcel Size : Structure Type: 0.72 Acres Stick Built SFD SITE PHOTOS: Development Services Compliance Enforcement Division Zoning District RA-30 Owner(s) Name: Kenneth James Bigda Carol Ann Bigda www.harnett.org PO Box 65 108 E. Front St. Lillington, NC 27546 Ph : 910-893-7525 Fax:910-814-6459 Township Buckhorn Date Condemned: 04/13/2016 101217ws HC BOC Page 11 Harnett COUNTY NORTH LAROLINA SITE LOCATION: 3254 Old Stage Road South 11!!!:,;ii PROPERTY INFORMATION: Parcel ID# PIN# 07-0587-0001 0588-71-3505 .000 Parcel Size: Structure Type: 5.26 Acres Stick Built SFD SITE PHOTOS: Development Services Compliance Enforcement Division Zoning District RA-30 Owner(s) Name: Jimmy Duran Johnson www.harnett.org PO Box 65 108 E. Front St. Lillington, NC 27546 Ph : 910-893-7525 Fax : 910-814-6459 Township Grove Date Condemned: 09/07/2016 101217ws HC BOC Page 12 Harnett COUNTY NORTH CAROLINA Development Services Compliance Enforcement Division www.harnett.org PO Box 65 108 E. Front St. Lillington, NC 27546 Ph: 910-893-7525 Fax: 910-814-6459 101217ws HC BOC Page 13 Harnett ---'="'"" C O U N T Y ..__..;.:..a..::;;;.;._~..1 NORTH CAROL I NA ORDINANCE AUTHORIZING DEMOLITION OF 3254 OLD STAGE ROAD SOUTH (SINGLE-FAMILY RESIDENCE) AND IMPOSITION OF LIEN TO RECOVER COUNTY COSTS WHEREAS, the County of Hamett has received complaints about life safety issues and potential code violations on the single-family residence located at 3254 Old Stage Road South, Erwin, NC, owned by William Charles Johnson (Deceased) and wife, Nannie Sue Johnson (Deceased) and Jimmy D. Johnson and wife, Brenda B. Johnson (Deceased) through deed recorded in Book 817, Page 616 , of the Hamett County Registry, and WHEREAS, the concerns identified have included severe fire damage, structural deterioration and collapse, water intrusion, unrestricted access and other code violations that present clear life safety issues, and WHEREAS , on September 7, 2016 , the structure located at 3254 Old Stage Road South was posted in a conspicuous place as unsafe and a certified letter was sent to the owner, Jimmy D. Johnson, on January 12, 2017 to order the structure not to be occupied, and to advise the owner of the opportunity to present evidence concerning the structure at a hearing, which was scheduled for January 19 , 2017, and www.ha rn ett .org WHEREAS , County staff conducted a hearing with Jimmy D. Johnson, the owner of 3254 Old Stage Road South, on January 19 , 2017, and the owner was advised that a formal order would be issued regarding the determination of corrective actions, and WHEREAS, based on the discussion with Jimmy D. Johnson , the owner of 3254 Old Stage Road South, a formal order was issued to demolish the structure on January 19, 2017, and a deadline of March 24, 2017 to demolish the structure was established as required by NCGS l 53A-369, and WHEREAS , Jimmy D. Johnson, the owner of 3254 Old Stage Road South, did not appeal the January 19, 2017 order to the Hamett County Board of Commissioners, and WHEREAS , no significant progress has occurred to demolish the structure, and it remains in a similar condition as noted in September 2016, and WHEREAS, in the interest of the public health, safety, and welfare , and despite repeated efforts by the Hamett County staff to work cooperatively with the owner of the structure to resolve the outstanding life safety concerns, and as a result of the owner having failed to comply with the order to demolish within the prescribe timeframe, the County has determined that it is now necessary for the County to proceed with the demolition of the single-family residence at 3254 Old Stage Road South, Erwin, NC, and WHEREAS, the County has solicited bids for the demolition of the structure, and the low bid is the sum of $7,050.00 for the abatement of a sbestos containing materials and demolition and removal of debris and material s of the single-family residence , and strong root s • new growth 101217ws HC BOC Page 14 WHEREAS, the cost incurred by the County shall be a lien against the owner, Jimmy D. Johnson, and the real property located at 3254 Old Stage Road South, Erwin, NC as conveyed to owner in Book 817, Page 616, Harnett County Registry, and the County shall sell any usable materials and personal property, fixtures, and appurtenances found in or attached to the structure and credit the proceeds of the sale toward the costs and account to the owner, NOW, THEREFORE BE IT ORDAINED by the Harnett County Board of Commissioners that: Section 1. Due to significant life safety concerns and pursuant to NCGS 153A-3 72, the demolition of the single-family residence at 3254 Old Stage Road South, Erwin, NC, (PIN 0588- 71-3505.000) is hereby authorized, and County staff shall contract for and carry out the demolition and removal of the structure in accordance with the terms of this Ordinance, Section 2. Pursuant to NCGS 153A-372, and NCGS l 53A-200, a lien equal to the amount of the County's cost associated with the demolition and removal, less any credits due the owner, shall be imposed against the real property located at 3254 Old Stage Road South, and the costs shall be repaid to the County within 30 days following demolition and removal of the single-family residential structure. If the County does not receive payment for said costs within 30 days, then all costs not paid to the County within 30 days shall accrue interest at a rate of 8% per annum and said interest shall be added to the amount of the lien imposed, and the County is authorized to foreclose its lien and recover all costs associated therewith including attorney's fees and court costs. Section 3. County shall sell the usable materials of the dwelling and credit the proceeds against the cost of demolition and removal. If a surplus remains after the sale of the materials and satisfaction of the cost of removal or demolition, County shall depos it the surplus in the Superior Court where it shall be secured and disbursed by the Court to the person found to be entitles thereto by final order or decree of the Court. Section 4. A certified copy of the Resolution and Ordinance be recorded in the Office of the Harnett County Register of Deeds. Section 5 . This Ordinance shall become effective upon its adoption. Adopted this the 16th day of October, 20 I 7. HARNETT COUNT Y BOARD OF COMMISSIONERS Gordon Springle, Chairman ATTES T: Margaret Gina Wheeler, Clerk to the Board www.harn ett.org 101217ws HC BOC Page 15 Harnett COUNTY ORDINANCE AUTHORIZING DEMOLITION OF 365 BETTS ROAD (SINGLE FAMILY RESIDENCE) AND IMPOSITION OF LIEN TO RECOVER COUNTY COSTS WHEREAS, the County of Hamett has received complaints about life safety issues and potential code violations on the single-family residence located at 365 Betts Road, Holly Springs, NC, owned by Kenneth James Bigda and wife, Carol Ann Bigda through deed recorded in Book 996, Page 597, of the Hamett County Registry, and WHEREAS , the concerns identified have included structural deterioration and collapse, water intrusion, and other code violations that present clear life safety issues, and WHEREAS, on April 13, 2016, the structure located at 365 Betts Road was posted in a conspicuous place as unsafe and a certified letter was sent to the owners, Kenneth James Bigda and Carol Ann Bigda on April 18 , 2016 to order the structure not to be occupied, and to advise the owner of the opportunity to present evidence concerning the structure at a hearing, which was scheduled for April 28, 2016, and WHEREAS, County staff conducted a hearing on April 28, 2016 in accordance with N.C.G.S. 153A-368, and the owners, persons in interest, agents or attorneys did not appear to submit evidence or participate therein, and WHEREAS, based on the examination of the structure and the absence of evidence or argument from Kenneth James Bigda and Carol Ann Bigda, the owners of 365 Betts Road, a formal order was issued to demolish the structure on April 28, 2016, and a deadline of June 30, 2016 to demolish the structure was established as required by N.C.G.S. 153A-369, and WHEREAS, Kenneth James Bigda and Carol Ann Bigda, the owners of 365 Betts Road, did not appeal the April 28 , 2016 order to the Hamett County Board of Commissioners, and WHEREAS, no significant progress has occurred to demolish the structure, and it remains in a similar condition as noted in April 2016, and WHEREAS, in the interest of the public health , safety, and welfare , and despite the efforts by Hamett County staff to resolve the outstanding life safety concerns, and as a result of the owner having failed to comply with the order to demolish within the prescribe timeframe, the County has determined that it is now necessary for the County to proceed with the demolition of the single-family residence at 365 Betts Road, Holly Springs, NC , and WHEREAS, the County has solicited bids for the demolition of the structure, and the low bid is the sum of $6,295.00 for the demolition and removal of debris and materials of the single- family residence, and Page l strong roots • new growth www.harnen.org 101217ws HC BOC Page 16 WHEREAS, the cost incurred by the County shall be a lien against the owners, Kenneth James Bigda and wife, Carol Ann Bigda, and the real property located at 365 Betts Road, Holly Springs, NC as conveyed to owners in Book 996, Page 597, Harnett County Registry, and the County shall sell any usable materials and personal property, fixtures , and appurtenances found in or attached to the structure and credit the proceeds of the sale toward the costs and account to the owner, NOW, THEREFORE BE IT ORDAINED by the Harnett County Board of Commissioners that: Section 1. Due to significant life safety concerns and pursuant to N.C.G.S. 153A-372, the demolition of the single-family residential structure at 365 Betts Road, Holly Springs, NC, (PIN 0646-40-0252.000) is hereby authorized, and County staff shall contract for and carry out the demolition and removal of the structure in accordance with the terms of this Ordinance. Section 2. Pursuant to N.C.G.S. 153A-372, and N.C.G .S. 153A-200, a lien equal to the amount of the County's cost associated with the demolition and removal, less any credits due the owner, shall be imposed against the real property located at 365 Betts Road, and the costs shall be repaid to the County within 30 days following demolition and removal of the single- family residential structure. If the County does not receive payment for said costs within 30 days, then all costs not paid to the County within 30 days shall accrue interest at a rate of 8% per annum and said interest shall be added to the amount of the lien imposed, and the County is authorized to foreclose its lien and recover all costs associated therewith including attorney's fees and court costs. Section 3. County shall sell the usable materials of the dwelling and credit the proceeds against the cost of demolition and removal. If a surplus remains after the sale of materials and satisfaction of the cost of removal or demolition, County shall deposit the surplus in the Superior Court where it shall be secured and disbursed by the Court to the person found to be entitled thereto by final order or decree of the Court. Section 4. A certified copy of the Resolution and Ordinance be recorded in the Office of the Harnett County Register of Deeds. Section 5. This Ordinance shall become effective upon its adoption. Adopted this the 16th day of October, 2017. HARNETT COUNTY BOARD OF COMMISSIONERS Gordon Springle, Chairman ATTEST : Margaret Gina Wheeler, Clerk to the Board Page 2 www.h arn ett.or g 101217ws HC BOC Page 22 September 22, 2017 To : Harnett County Economic Development Council From: Joseph Jeffries, County Manager Golden LEAF Foundation is seeking proposals for the Community Based Grantsmaking Initiative (CBGI). Each county in the North Central Prosperity zone is invited to submit a slate of projects for consideration, however, not all counties will be invited to submit full proposals for this initiative, and not all submitted projects will be funded, therefore, it is important to submit proposals that are aligned with the Golden LEAF priorities. Due to the extremely competitive nature of the Initiative and the significant interest expressed by Harnett County agencies, the Harnett County Board of Commissioners has asked for your assistance to score each project submittal based on criteria reflecting the CBGI priorities. When scoring the submittals, please consider the following: • Counties may submit between 1-3 Letters of Inquiry for project ideas that total no more than $1.5 million • This is a focused process with grants targeted toward investments in the building blocks of economic growth (economic development, education, workforce development, physical infrastructure, healthcare infrastructure, agriculture) • 20 percent of total project must come from other sources • Clearly meet identified issue/need in the county • Will "do the most good for the most people" • Demonstrate a timeliness of need and an ability to put grant funds to work quickly • Will leverage previous community planning processes and build on their results/findings • Are sustainable • Have strong support from a variety of county citizens/organizations (involvement, letters, process) Low priorities include proposals related to: tourism/art/cultural resources, shell/spec buildings, emergency services, social services. Thank you for your assistance in this process. 101217ws HC BOC Page 23 Golden L EAF~ FOUNDATION~ 301 North Winstead Ave nue, Rocky M ount , NC 27 804 Pho n e: 252-442-7474 Toll Free: 888-6 84-84 04 www.go lde n leaf.org Community Based Grantsmaking Initiative Letter of Inquiry EXPECTED PROJECT OUTCOMES Project Outcomes and Measures of Success -Please check the measures you will use to gauge the success of your proposed project. Check one or more as they apply: Economic Development D Investment in plant & equipment D New jobs created D New wages paid D Percentage(%) by which wage exceeds county average D Jobs retained Agriculture D Increased sales • $ value or volume of new/ alternative products • $ value or volume of existing products D Increased acres in production D Increased purchases of NC agricultural products by producers, distributors or retailers($ value) D Acres of new/ alternative crops in production D Increased head oflivestock in production Workforce Preparedness D Program enrollment (credit programs) D Program completion (credit programs) D Students trained (non-credit programs) D Incumbent workers trained (non-credit) D Percentage(%) of high school students that earn college credit in technical programs (Career & College Promise) D Industry credentials earned D Students participating in internship/apprenticeship programs D Students employed in field of study Education D Student proficiency on EOC exams - • Aggregate • Math • Science • English D Number of students trained and using technology for learning D Number of teachers trained and using technology in instructional practice D High school on-time graduation D STEM participation in elementary, middle and high school D STEM participation by underrepresented populations (female & minority) D On-time completion Algebra I / Math I GOLDEN LEAF C BGI LETIER OF INQUIRY -P AGE 2 OF 5 101217ws HC BOC Page 24 Golden LEAF~ FOUNDATION~ 30 1 North Winstead Avenue, Rocky M ount , NC 27804 Phone: 252 -442-7474 Toll Free: 888 -684 -8 4 04 ·www .go ldenJeaf.org Community Based Grantsmaking Initiative Letter of Inquiry Expected Project Outcomes (contd.) Healthcare D Emergency room visits for primary care D Outmigration from home community to receive diagnosis and treatment D Healthcare positions created D Healthcare positions retained D Increased access to treatment D Improved financial condition of rural hospitals or healthcare pro v ider D Increased access to treatment through telehealth Community Vitality D Public infrastructure • Dollars ($) invested in new infrastructure • Dollar($) value of improvements to existing infrastructure D Percentage(%) by which the average wage for new jobs created exceeds the co unty average D Private investment resulting from infrastructure improvements D New private jobs resulting from infrastructure improvements D Commercial hookups to public infrastructure • Percentage (%) increase • Number increased D Residential hookups to public infrastructure • Percentage(%) increase • Number increased D Tax revenue in creases in target counties • Sales • Property • Occupancy D Business start-ups in target counties GOLDEN LEAF CBGI L ETIER OF INQUIRY -PAGE 3 OF 5 101217ws HC BOC Page 25 Golden LEAF Community Based Grants Initiative Grading Rubric Campbell University 1. Does this project meet at least one of the following criteria? (1 point per area) a. Economic Development b . Agriculture C. Workforce Development d. Education e. Healthcare f. Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2 . Impact: Does this project "do the most good for the most people?" 3 . Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4 . Does this project leverage additional funds/investment and community buy-in? 5 . Does it represent partnerships between multiple agencies or have additional outside support? 6 . Will this project leverage previous community planning processes and build on their results/findings? 7 . Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8. Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 26 ~ (w~AMPI3ELJ _ ~ uNIVtRSITY September 15, 2017 Mr. Joseph Jeffries Harnett County Manager 102 East Front Street Lillington, NC 27546 Dear Mr. Jeffries: Thank you for your letter of August 29 outlining the opportunity to apply for support via the Golden LEAF Foundation's Community Based Grantsmaking Initiative (CBGI). Jn response to this unique opportunity, Campbell University is pleased to submit a project for consideration by the Harnett County Economic Development Council. Specifically, Campbell seeks $1.5 million from the CBGJ via Harnett County to help construot a new community health clinic on the Campbell Health Sciences campus on Highway 421. A new clinic will serve the health care needs of Harnett County and the expanding needs at Campbell. Campbell University is in a unique position to offer outstanding health and medical services through the university's central location in Harnett County and a critical mass of health program instructors, professionals, and students in our medical, pharmacy, physician assistant, physical therapy, nursing, public health, health care management, and other programs. Campbell operates a health clinic on our main Buies Creek campus as well as a facility in Dunn that serves the Harnett County community and university population {faculty, staff, and students). Since the Campbell Health Clinic opened in 2013-coinciding with the opening of the medical school in August of that year-the volume of patient traffic has increased to a point where our facilities cannot efficiently accommodate demand for health care services. Please consider the following details about a new community health clinic at Campbell University: Project scope: Campbell University seeks $1.5 million from the Golden LEAF Foundation's CBGI that will be utilized to construct a new community health clinic on the Campbell University Health Sciences campus on Highway 421. This facility will provide critical space for pharmacy, physical therapy, internal and family medicine, x-ray, urgent care and a CT scanning. The total project cost will be approximately $4 million. Project fit within Golden LEAF's CBGI priorities: The Campbell community health clinic project meets three key objectives of the Golden LEAF CBGI program : 1. Economic development: Staffing within the current community clinic at Campbell University includes 14 healthcare professionals (physicians, physician assistants, nurses) and two administrative professionals. The existing facilities cannot accommodate any additional healthcare professionals. A new facility will allow Campbell to proportionately increase much needed staffing to provide for the healthcare needs of the Campbell campus and broader community. Office of the President Post Office Box 127 Buies Creek , North Carolina 27 506 ' (9 10) 893-1205 www.campbell .edu / '(II', I II II j) I/' )f" ,,,, 101217ws HC BOC Page 27 Mr. Joseph Jeffries Page 2 2. Healthcare infrastructure: According to a 2016 Harnett County Community Health Assessment, "Access to care in Harnett County is poor with only 1 primary care physician for 3,053 people." However, the Campbell community clinic is already a significant provider of primary care services in the county. Consider the following impact d ~ hl th df ata or t e c inic or t e perio o 2013-2016: Year Community Campbell Employee Campbell Total Patients Patients Student Patients Patients 2013 123 1,172 3,664 4,963 2014 549 1,684 4,768 7,024 2015 979 1,940 4,967 7,900 2016 1,316 1,974 5,028 8,523 For the period, the total volume of patient visits increased 72% (4,963 patients in 2013 to 8,523 in 2016). However, the volume of patient visits from the broader Harnett County community increased an incredible 969% for the same period (123 patients in 2013 to 1.1316 in 2016). Patients from the community accounted for just 2.5% of all visits in 2013, but 15.5% in 2016. The Campbell community clinic truly serves a wide variety of individuals from the Campbell campus and the local Harnett County population. New, expanded facilities are desperately needed to accommodate continued demand from both campus and off campus groups. 3. Workforce development: Campbell University is in the workforce development business. Our purpose is to educate students with exemplary academic and professional skills as preparation for purposeful lives and meaningful service. Of approximately 5,000 undergraduate and graduate/professional program students at the university, 50% of these individuals are in a healthcare track, including medical, pharmacy, physician assistant, physical therapy, nursing, public health, health care management programs. Eighty percent (80%) of all Campbell students call North Carolina home. Thus, Campbell is in the business of preparing the next generation of North Carolina healthcare professionals to serve locally and statewide. Through the University's contacts and teaching faculty we are able to bring quality teaching professionals to the clinic that cannot be matched by other area entities. Local need: Of 100 counties in North Carolina, Harnett County ranked 49th for health outcomes and 741h for health factors in 2016. Harnett County rankings reflect mortality and morbidity greater than the state average. The county also has negative rankings for health behaviors (smoking, exercise, binge drinking, and teen births), clinical care (uninsured population, preventable hospital stays, diabetic and mammography screening), and physical environment (access to healthy foods). Social and economic factors are also a challenge as 24% of children in the county live in poverty, 32% of children Jive in single parent households, and just 7 5% of high school students will likely graduate. As previously noted, access to care in Harnett County is poor with only one primary care physician per 3,053 people in the county. Source: 2016 Harnett County Community Health Assessment. 101217ws HC BOC Page 28 Mr . Joseph Jeffries Page 3 Campbell capacity to manage project: The Campbell University administrative and health programs team has full capacity to manage the development, construction, and operation of a new community clinic to serve Campbell campus and broader Harnett County communities. Community support & financing: A grant of $1.5 million represents approximately 38% of the overall estimated $4 million to construct a new community clinic at Campbel) University. The university will match this amount from institutional resources and the remaining $1 million will be secured in the form of contributions from local supporters. Past Golden LEAF investment at Campbell University: The Golden LEAF Foundation was a major partner to Campbell University in the development of the university's school of osteopathic medicine. The Foundation provided a grant of $2 million to the construction of the medical school in 2012. Additionally, Campbell University undergraduate students are significant beneficiaries of the Golden LEAF Scholars Program; 26 Campbell students received $3,000 each during the 2016-17 academic year as Golden LEAF Scholars. Potential community impact: The healthcare needs in Harnett County are significant and challenging. The existing Campbell community clinic realized a 72% increase in overall patient visits from 2013 to 2016. However, the 969% increase in patient visits by members of the community is what truly stands out. Members of the Harnett County community represented 15.5% of all patient visits to the Campbell clinic in 2016 (1,316 of 8,523 visits for the period). This number will continue to increase year after year. Campbell University is not only training the healthcare workforce for Harnett county and region, the community clinic is also providing critical health and medical care for the county's citizenry. A new, expanded community clinic will allow for significantly expanded access to primary care for Harnett County. With just a single primary care physician per 3,053 people in the county, a state-of-the-art clinic at Campbell University cannot be constructed soon enough. * * * Thank you for your thoughtful consideration of our request for $1.5 million in Golden LEAF CBGI support to construct a new community health clinic at Campbell University to s e rve the Campbell community and the citizens of Harnett County. Please advise me if we can provide any additional information or answer questions about this proposal. Sincerely, ~~Cu~ J~radley ere{) President cc: Thomas A Keith, Chairman, Board of Trustees 101217ws HC BOC Page 29 Golden LEAF Community Based Grants Initiative Grading Rubric Central Carolina Community College 1. Does this project meet at least one of the following criteria? (1 point per area) a. Economic Development b. Agriculture C. Workforce Development d. Education e. Healthcare f . Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2. Impact: Does this project "do the most good for the most people?" 3 . Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4 . Does this project leverage additional funds/investment and community buy-in? 5 . Does it represent partnerships between multiple agencies or have additional outside support? 6. Will this project leverage previous community planning processes and build on their results/findings? 7. Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8 . Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 30 CENTRAL CAROLINA COMMUNITY COLLEGE Community Based Grantsmaking Initiative Submitted September 15, 2017 to Harnett County Economic Development Council Central Carolina Community College 1105 Kelly Drive Sanford, NC 27330 (919) 775-5401 submitted by Dr. T.E. Marchant (919) 718-7246 bmarchant@cccc .edu 101217ws HC BOC Page 31 C CENTRAL CAROLINA COMMUNITY COLLEGE Chatham County Campus 764 West Street Pittsboro, NC 27312 -8822 (919) 542-6495 Harnett County Campus 1075 E. Cornelius Hamett Blvd. Lillington, NC 27546-7672 (910) 893-9 10 1 Lee County Campus 1105 Kelly Dr. Sanford, NC 27330-9840 (919) 775-5401 September 14, 2017 Mr. Joseph Jeffries Harnett County Manager 102 E. Front Street Lillington, NC 27546 Dear Mr. Jeffries, Please find Central Carolina Community College's submission for Golden LEAF funding consideration attached. This project will locate an updated Automotive Restoration program and new Automotive Collision Repair and Refinishing program in western Harnett County. These programs will train graduates with the skills necessary to fill high-demand jobs with high wages in and around Harnett County. CCCC is requesting $498,800 in Golden LEAF funding to make this project possible . Directly, this project will serve up to 220 students annually. indirectly, the project serves the economic interests of Harnett County as whole by: (1) increasing career pathways for underemployed and unemployed residents; (2) providing pathways to jobs with weekly wages higher than the county average; (3) growing the pool of trained candidates eligible to fill current automotive- related job openings in Harnett County; (4) increasing the number of individuals able to start an automotive-related business in Harnett County; and (S) ensuring enough skilled workers to provide automotive services, which are needed by most county residents. Central Carolina Community College and Harnett County have worked together successfully for over 32 years to meet workfo rce needs throughout the service area . We look forward to continuing that partnership with Golden LEAF's investment in our county. Sincerely, T.E . Marchant, Ed .D. President 101217ws HC BOC Page 32 {{r ~CENTRAL CAROLINA ~OMMUNITY COLLEGE PROJECT SUMMARY The Opportunity In 2016, Harnett County invested in Central Carolina Community College (CCC() through a building donation in western Harnett County. Leveraging this donation, NC Connect bonds, private foundation funding, and Golden LEAF grant funds, the College will locate two automotive training programs in Harnett County. These programs, Automotive Restoration and Automotive Collision Repair and Refinishing, will train graduates with the skills necessary to fill high-demand jobs with high wages in and around Harnett County. CCCC is requesting $498,800 in Golden LEAF funding to make this project possible . Automotive Restoration CCCC has operated a successful automotive restoration program since 2001. Currently, CCCC is investing significantly in the program by completing a $1M up-fit of the previously mentioned building and relocating the program from its existing 4,800-square-foot, 3-bay building to a newer 8,800-square- foot, 5-bay facility. This program expansion relocates the program from Lee County to Harnett County. The Restoration program consists of a full -time diploma program and a part-time certificate program, each of which can be earned in one year. Students learn skills related to auto body restoration, wood and metal fabrication, engines and drivetrains, painting and refinishing, automobile upholstery, electrical systems, and welding. CCCC's program is currently the only automotive restoration curriculum program offered by the North Carolina Community College System. As one of only a handful of such programs on the east coast, CCCC is a leader in building interest in vintage vehicles and their restoration. Through our Career and College Promise Program, CCCC's Restoration program is available to local high school students, helping develop training and interest in the full range of automotive repairs and restoration in younger generations. Collision Repair and Refinishing In 2017, the College also began plans for the approval of an Automotive Collision Repair and Refinishing Program, which would also be housed at the western Harnett automotive facility and share space with the Restoration program. The Collision program will prepare students to repair, reconstruct, and fini sh automobile bodies, fenders, and external features . The Restoration and Collision programs have significant synergies. They will not only share a facility but also have common coursework, instructors, supplies, equipment, and w ill teach complementary skills. Together, these programs will reinforce and strengthen each other, allowing for efficient use of College resources . 1 101217ws HC BOC Page 33 {(( ~ENTRAL CAROLINA ~OMMUNITY COLLEGE The Challenge The biggest challenge in expanding offerings in this field is the heavy upfront costs required to ensure the new programs are state-of-the-art. Cutting-edge facilities are vital to the success of the program and the only effective way to appropriately train graduates for the modern workforce. The receipt of Golden LEAF funds would allow CCCC to invest in new equipment for the Restoration and Collision programs. This investment would improve educational access, economic development, and job prospects for Harnett County citizens by teaching skills and providing knowledge related to high- demand, community-essential jobs. PROJECT COMPETITIVENESS : CBGI Priorities and Guidelines Promote Economic and Development Growth in the Long-Term Through the expansion of the Restoration and Collision programs, this project ensures automotive career pathways for residents of Harnett County. Job opening and average wage projections are strong both in and around Harnett County, as indicated in Table 2 on page 4. An upfront investment in equipment will ensure both programs are cutting-edge and offer the most up-to-date training available. This investment is sustainable long-term through state funding for equipment updates/maintenance and through increased funding as a result of increased enrollment. Do the Most Good for the Most People Directly, this program will serve enrollees into the Restoration and Collision programs. Combined, these program have the potential to serve up to 200 students per year, as shown in Table 1 . Table 1: Potential Students Served Annually Type of Student Annual Max Enrollment Automotive Restoration -Diploma or Certificate -Day Program 30 Automotive Restoration -Career and College Promise 30 Automotive Restoration -Adult Certificate -Potential Night Program 30 Automotive Collision -Diploma or Certificate -Day Program 30 Automotive Collision Career and College Promise 30 Automotive Collision -Adult Certificate -Potential Night Program 30 Automotive Restoration and Collision -Continuing Education 40 Annual Total: 220 2 101217ws HC BOC Page 34 r CENTRAL CAROLINA ~HUNITY COLlfGE Indirectly, the project serves the economic interests of all of Harnett County through: • Increasing career pathways for underemployed and unemployed residents. • Providing pathways to jobs with weekly wages higher than the county average . • Growing the pool of trained candidates eligible to fill current automotive-related job openings in Harnett County. • Increasing the number of individuals able to start an automotive-related business in Harnett County. • Ensuring enough skilled workers to provide automotive services, which are needed by most county residents. Timeliness of Need/Ability to Put Grant Funds to Work Quickly According to US Census data, there are over 87,000 vehicles in Harnett County and 97% of workers rely on an automobile to get to work . The timeline of this project coincides directly with the timeline of the CBGI grant process. The renovation of the building in western Harnett County is currently in the pre-bid stage, with a projected date of November 2017 to receive bids . Construction is scheduled to begin in early December with a projected completion date of April 10, 2018. Golden LEAF indicates funding decisions would be made in April and the process for procuring equipment could begin immediately. Leverage Additional Funds This project is made possible by investments of state funding, Connect NC Bonds, private foundation donations, and the potential Golden LEAF grant. Sustainability When expanding or establishing technical programs, there is often a large upfront cost related to equipment procurement. For the Restoration and Collision programs, the college anticipates $500k in equipment costs alone. However, once the initial equipment is procured, the programs become self- sustaining. The College receives funding from the state based on a formula that considers student enrollment. The funding received for this year, however, is based on the enrollment from the previous year. That mea ns new or expanded programs do not receive money upfront, and will not see the benefit of increased enrollment until the following years . Going forward, increased enrollment in these programs will provide a budget for program support and maintenance. An initial investment at the start of such expansions allows the College to grow, and following that investment, the College is capable of supporting the expansion through its funding method. 3 101217ws HC BOC Page 35 {(( ~ENTRAL CAROLINA ~MUNFTY COLLEGE NEED IN COUNTY THAT PROJEC T ADDRESSES Th is project brings state-of-the-art automotive restoration and collision equipment to a workforce training center in western Harnett County. The new center will train Harnett County residents to work in the automotive industry, filling high-demand, high -wage jobs within Harnett and surrounding counties. Restorat ion students have historically been employed in range of automotive technician fields, while Coll ision graduates will be eligible for openings i n automotive body, glass, and related repair fields. Table 2 : Employment Opportunities in Restoration and Collision Employment Type Estimated Estimated Employment Hourly wage; (North Central Average Region) Automotive Body and Related 950 $34.09 Repairs* Automotive Glass Installers and 230 $18 .01 Repairers* Automotive Service Techn icians 5070 $23.91 and Mechanics** Estimated Estimated Weekly Wage; Annual Wage; Average (no Average overtime) $1,363 $58,926 $720 $32,883 $956 $40,954 *Automotive Collision Program **Automotive Restoration Program As Table 2 indicates, there are an estimated 6,250 annual jobs with in the North Central Prosperity Zone for Restoration and Collision graduates. Upon employment in thes e fields, Harnett County residents would earn well above the county's average weekly wage ($695). This project affords unemployed or underemployed Harnett County residents with the opportunity to gain skill sets for better employment and higher wages. Without Golden LEAF funding, CCCC will move forward with the ex pansion of the Automotive Restoration program; however, the equipment needed to modernize the program will be procured over a number of years . Moreover, without Golden LEAF funding, the College will not be able to move forward with the addition of the Collision program . The College on ly receives approximately $1m illion annually in state equipment funding to keep each of its 50 caree r and te chnical programs up to date. The upfront equipment cost for both of these programs is too high for the College t o absorb without the investment from Golden LEAF. 4 101217ws HC BOC Page 36 tf(l( ~ CENTRAL CAROLINA ~OMMUNITY COlLECE CAPACITY OF ORGANIZATI ON Project Implementation Currently, Central Carolina Community College manages a grant portfolio of more than $20 million. Due to funders' limitations, none of this grant portfolio is currently ava i lable to assist in equipment procurement. More than 94% of these funds are earmarked for student services and direct student support. However, in the past CCCC has successfully implemented projects similar in design and expenditures through the Duke Energy Foundation and Golden LEAF. Through Duke Energy funding, CCCC updated and expanded the Welding, Integrated Machining, Industrial Systems, and Laser and Photonics Technology programs. These projects successfully procured, installed, and incorporated more than $475k in equipment and tracked the return-on-investment figures related to job creation and wage data . Results For past proj ects, CCCC has set, tracked, and met outcomes relating to enrollment, program completion, credentials earned, and jobs created. For several recent Golden LEAF projects, CCCC exceeded stated outcomes years earlier than projected (see Central Carolina Works and Project Butterfly below). Sustainability The program sustainability was previously discussed in the PROJECT COMPETITIVENESS: CBGI Priorities and Guidelines section on page 3. Reporting Requirements For all of CCCC's grant projects, Central Carolina tracks outcomes and re sponds to reporting requirements in a timely and detailed manner . Central Carolina has successfully met the reporting requireme nts for the Department of Education, Department of Transportation, the National Science Foundation, Golden LEAF, the Duke Energy Foundation, the State of North Carolina, and many private foundations. Additionally, CCCC is the administe r ing agency for a 10 college consortium implementing a $9.2 million Department of Education grant-for this project, the College manages reporting and compliance for all partne rs . COMMUNITY SUPPORT Harnett County and CCCC have su ccessfully partnered for 32 years to meet workforce needs throughout the service area . With the donation of the building in western Harnett, the county demonstrated the i r support and confidence in CCCC's ability to establish programming add r essing the co unty's needs. Additionally, in preparation for this project, CCCC has discussed the project with relevant area employers to ensure industry requirements are met, to provide gu idance on project implementation, and to create proper feedback channel s. 5 CCCC has served local citizens for over 50 years, and I am confident in its ability to provide graduates that will help satisfy the current and growing demand for automotive service technicians and specialists in collision repair and restoration. -John Hiester, CEO Hiester Automotive Group 101217ws HC BOC Page 37 ,r( ~ENTRAL CAROLINA ~COMMUNITY COllfCE IMPACT OF PAST GOLDEN LEAF FUNDING Central Carolina Commun ity College has managed over $1 .12 million in Golden LEAF funding, including the following projects: Central Carolina Works Timeline: 2013-2014 Amount: $100,000 Project Outcomes: Central Carolina Works met Golden LEAF project outcomes within the first year of the project. The leading outcome in this project was to see dual enrollment rates in area high schools rise from 5% to at least 15% by fall 2016 . Because of these efforts, more than 19% of students in service area high schools take advantage of dual enrollment -2,021 students up from 200-250 prior to the start of the program . Proiect Butterfly Economic Catalyst Grant Timeline: 2012-2013 Amount: $447 ,038 .44 Project Outcomes: Exceeded 9 of 11 stated outcomes including outcomes in workers trained, job placement, and salary increases . More than 270 trained workers were hired by Caterpillar and more than 14 companies and 483 workers were trained at CCCC's Innovation Center through this project. Project GLOW: Sustainable Construction Timeline: 2009-2011 Amount : $197,230.71 Project Outcomes : Met 100% of stated outcomes with 10 green construction s classe s held and 80 incumbent workers receiving skills upgrades . Dental Program Expansion Timeline : 2007 Amount: $223,000 Project Outcomes: Succe ssfully expanded the dental program from 6 clinical bays to 12 clinical bays. Since 2007, the program has grown to 18 clinical bays able to graduat e 36 dental hygienist and assistants annually. LOCAL MATCH AND LEVERAGE The 20% match from this project is the NC Connect Bond funding being utilized in the up-fit of the bui lding in western Harnett County. The North Carolina Community College system has approved $1million in bond dollars to be utilized in the retrofit of the we stern Harnett automotive building. Golden LEAF has indicated that these bond monies are an acceptable match for a CBGI grant project. Additionally, the project will leverage state allocations and private foundation donations to ensure the new space is state-of-the -art for students, and ultimately, their employers. 6 101217ws HC BOC Page 38 {( r ~ENTRAL CAROLINA ~COMMUNITY COLLEGE OUTCOMES 1. Program Enrollment Table 3: Target Program Enrollment Type of Student Enrollment Automotive Restoration -Diploma or Certificate -Day Program 15 Automotive Restoration -Career and College Promise 15 Automotive Restoration -Adult Certificate -Potential Night Program 15 Automotive Collision -Diploma or Certificate -Day Program 15 Automotive Collision Career and College Promise 15 Automotive Collision -Adult Certificate -Potential Night Program 15 Automotive Restoration and Collision -Continuing Education 20 Annual Total: 110 Although total maximum potential enrollment in these programs is 220 students, these outcomes represent estimated initial year outcomes based on relocation of the existing Restoration program to the new Harnett County location and the creation of the new Collision program. Figures take into consideration ramp-up time and allow for future growth to maximum program size. 2. Program Completion 80% of Restoration and Collision students will complete a certificate, diploma or associate degree. 3. Industry Credentials Earned 80% of Collision students will sit for and can earn the ASE Student Certification in Collision Repair and Refinishing . 4. Students Participating in Internship Programs 20% of Restoration and Collision students will participate in an internship program. 4. Students Employed in Field of Study 80% of Restoration and Collision graduates will be employed in their field of study within 1 year of graduation . 7 101217ws HC BOC Page 39 ,""f CENTRAL CAROLINA ~t1UN<TY COLLEGE PROJECT BUDGET Equipment Amount A/C Machines $13,000 Advanced Frame Machine $45,000 Autospot Aluminum Repair $8,000 Alignment Machine $45,000 Audio/Visual Equipment $15,000 Body Stand System $5,500 Chain Pulling Set $10,000 Color Matching Camera $3,500 Dent Pulling Station $10,200 Engine Cranes (3x) $3,000 Forklift $15,000 Fresh Air System (PPE) for paint booth $15,000 Gantry Crane and Hoist $8,500 Hand Tools $30,000 Measuring System $40,000 Metal Fabrication Equipment $8,000 Mezzanine $34,000 Oil Safety Storage $3,500 Paint Booth upgrade for waterborne paint $20,000 Paint Guns $12,000 Plastic Welders (2x) $7,000 Plasma Cutters (4x) $10,000 Primer Guns $6,000 Scan Tool $15,000 Spray Gun Cleaning System (2x) $8,600 Steam Cleaning System $5,500 Storage Control Building, Secured Tool Storage, Fireproof Cabinets $61,000 Vehicle Lifts (2x) $11,000 Vehicle Rotisserie (3x) $10,500 Welders and Accessories $20,000 TOTAL: $498,800 8 101217ws HC BOC Page 40 Golden LEAF Community Based Grants Initiative Grading Rubric City of Dunn 1. Does this project meet at least one of the following criteria? (1 point per area) a . Economic Development b . Agriculture / c. Workforce Development d . Education e. Healthcare f . Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2. Impact : Does this project "do the most good for the most people?" 3 . Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4 . Does this project leverage additional funds/investment and community buy-in? 5. Does it represent partnerships between multiple agencies or have additional outside support? 6 . Will this project leverage previous community planning processes and build on their results/findings? 7. Will th is project be sustainable, meaning the work can go on once grant funding is exhausted? 8 . Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 41 c it:l of d u n n POST OFFICE BOX 1065 • DUNN, NORTH CAROLINA 28335 (910) 230 -3500 • FAX (910) 230--3590 www.dunn-nc.org September 14, 2017 Joseph Jeffiies Hamett County, Manager PO Box 759 Lillington, NC 27546 Dear Mr. Jeffries: Mayor Oscar N . Harris Mayor Pro Tem Billy Barfield Council Members Buddy Maness Dr. Gwen McNeil! Frank McLean Billy Tart Chuck Turnage City Manager Steven Neuschafer The City of Dunn is pleased to be considered for Harnett County's Letter of Inquiry that will be submitted to the Golden LEAF Foundation's Community Based Grantsmaking Initiative. On behalf of the City, I am proposing a project that will extend water and sewer mains to a large tract of land adjacent to Interstate 95. If selected, the project would likely create new employment opportunities and a substantial increase to Hamett County's tax base. Enclosed you will find a map, cost estimate and the other items noted in your letter. If you have any questions regarding my proposal, please contact me. Steven Neuschafer City Manager SN/jmf DUNN 101217ws HC BOC Page 42 Rooms to Go Way, Water & Sewer Extensions Supporting Information for Golden LEAF Foundation Community Based Grantsmaking Initiative Grant Application Package The following outline of supporting data begins with a cost estimate and exhibit followed by the specific items the County Manager requested in his letter to the City Manager of August 29 1h. A. Conceptual Probable Project Cost and Project Site Exhibit See Attachment 1 Conceptual Probable Project Cost which has an estimated con struction budget of $310,000 and with the addition of Technical Services, Construction Contingencies (including legal , easement acquisitions, permits, etc.), therefore a project budget of $440,000 is recommended . See Attachment 2 for an exhibit of the project's location, and water and sewer main extension routes from the end of existing water and sewer mains at Rooms To Go's (RTG) northern property line. The proposa l is to extend the mains parallel to RTG Way in private easements to minimize impacts to the large ditch paralleling the roadway and to minimize disturbance s to wetland areas which must be crossed to implement the water and sewer extens ions . B. A Summary of the Project's Scope Harnett County's Comprehensive Growth Plan 2015 states, "the most important factor for successful economic development is building a community product that is attractive to potentia l investors." The Plan identified Interstate 95 as a major attribute for the County and the most likely location for a variety of new investment. The overall scope of the project is to extend water and sewer mains along RTG Way as indicated on Attachment 2 to serve the 138 acre track owned by Hazel Mclamb. This parcel is located just north of RTG. This parcel fronts RTG Way and also extends to Core Road . The w ater and sewer extensions through this parcel include approximately 1,310' of water and sewer mains, (as indicated on Attachment 1) will also end near the south ea stern corner of Ivey Bryant 20 acre parcel. Therefore this parcel could be served in the future . Four other parcels located further north along RT G Way, south of the Interstate 95 -Jonesboro Road Interchange could also be served by f uture extension s of these water and sewer mains. C. A description of what makes the project competitive to CBGI priorities and guidelines Th is water and sewer extension project will provide service to the 138 acre Mclamb parcel that will allow industrial deve lopment by a busine ss or businesses creating new jobs and tax base for the 101217ws HC BOC Page 43 County and State . This project specifically addresses the economic development initiative desired by the CBGI program . This parcel has been identified for development by various businesses since water and sewer was extended across Stony Run Creek to serve RTG . In 2015 the parcel was considered for an Industrial Park with two identified businesses that were considering an initial jobs creation of 97 employees with anticipated 5 year employment of 400 employees. The business anticipates a $25M investment. This project started through the DOC Rural Economic Development Program but failed to materialize because of the owner's reluctance to share financial information required by the DOC. Since that time the City and County has had several other inquiries about developing this parcel and the timeline for water and sewer access has always been a question of the prospective developers . Proceeding with the extension of the water and sewer mains will make this site ready for construction. Given the proven interest in developing the Mclamb property, the extension of water and sewer mains will greatly enhance the marketability of this parcel to businesses looking for water and sewer to be available before they commit to a specific site . D. A description of the need in the county your project seeks to address along with any supporting documentation The County and City both need additional businesses that create new employment opportunities and increase the tax ba se. The 1-95 corridor has ex cellent growth opportunities as water and sewer is extended along the Interstate corridor. Implementation of this project will allow growth to occur more timely. After these water and sewer mains are extended, the property located just north of th e Mclamb site can be served and marketability of that site will be enhanced also. E. The capacity of your organization to carry out the work, achieve results, maintain sustainability and manage reporting/documentation requirements The City of Dunn has implemented many grant related projects historically. It has always met each funding agency's requirements from planning, through design and construction, and grant close outs. The most recent project funded with DOC and GlF grants was the water and sewer extension project, including on site fire protection facilities for the RTG site located just south of the Mclamb prope rty to be served by this grant request . F. Description of the base of community support for the project The City of Dunn's Planning Board , City Council, Harnett County, Harnett County Economic Development, and the Chamber of Commerce actively support economic deve lopment projects in the City and throughout Harnett County. G. If applicable, an assessment of the impact and success of past Golden LEAF funded projects GlF and DOC grant funds were utilized to extend water and sewer extensions, and to provide fire protection facilities to the RTG system. The project moved efficiently from planning, through design and construction to close out of each grant. The City with support from RTG, met all reporting and close out procedures required by the GlF Grant program . 2 101217ws HC BOC Page 44 H. A description of the local match and leverage Based on the projected project budget of $430,000, a GLF CBGI Grant of $366,500 is desired. A 20% local match of $73,500 will be required to finance the remaining cost of the project . The City will utilize its fund balance as its share of the local match . Since the County will also benefit from the project th rough an increase in ta x base , we request the County share a portion of the local match . I. A description of the impact, outcome measures and population served by the proposed project This project will allow the Mclamb property to be developed providing employment opportunities fo r City and County residences, and the businesses investments in site improvements will increase the tax base of the County. The extension of the water and sewer mains for this project will also extend the service area to serve the adjoining property located just north of this site, and through further extensions, would serve four other properties located along RTG Way, located south of the Interstate -95 Jonesboro Road Interchange. Therefore the impact of this project and further extensions from this project will stimulate significant economic development opportunities along RTG Way from RTG to the Interstate 95 -Jonesboro Road Interchange . 3 101217ws HC BOC Page 45 DAVIS • MARTIN • POWELL dmp ENGINEERS & SURVEYORS 6415 Old Plank Road High Point, NC 27265 p. 336.886.4821 Basis of Cost 0 Conceptual 0 Preliminary 0 Final Date: 9/8/2017 ATTTACHMENT 1 • ESTIMATE OF PROBABLE PROJECT COST Owner: City of Dunn DMP Project 170287 Project: RTG Way Water and Sewer Extensions Water & Sewer installed by open cut methods through wetlands Description I Quantity I Unit I Unit Cost Mobilization 1 LS $ 15,350 12" DI sewer (0-8' depth) 280 LF 90 12" DI sewer (8-10' depth) 525 LF 100 12" DI sewer (10-12' depth) 505 LF 110 Sewer Manhole (8 to 10' depth) 1 Ea 3,500 Sewer Manhole (10 to 12' depth) 4 Ea 4,000 Sewer line antiseep collars 12 Ea 800 12" DI water line 1310 LF 60 12" gate valve & box 2 Ea 4,000 6" hydrant assembly 2 Ea 6,000 Water line antiseep collars 12 Ea 600 48" RCP temporary access drive pipe 40 LF 130 Ditch stabilization stone 250 Tons 35 Erosion Control Measures 1 LS 12,550 TOTAL RECOMMENEDED CONSTRUCTION BUDGET Technical Services Technical Planning Services $ Grant Admininistation Environmental Engineering Engineering Surveying and Design Easement Surveying, Mapping, and Legals Construction Administration RPR Services• Total Technical Services 8,000 15,000 5,000 22,000 S,000 10,000 35,000 Construction Contingencies, Legal, Easement Acquistions, Permits, etc I $ $ $ $ TOTAL RECOMMENDED PROJECT BUDGET $ • RPR services based on 150 day construction period and 20 hours/week on-site Total 15,350 25,200 52,500 ss,sso 3,500 16,000 9,600 78,600 8,000 12,000 7,200 5,200 8,750 12,550 310,000 100,000 30,000 440,000 This ENGINEER'S Estimate of Probable ProjeCI/Consrr uction Cast is m ade an the basis of ENGINEER 'S professional Judgment and experience as a professi onal generotly /om /liar w ith the Industry. The OWNER understands that the ENGINEER hos no control over the cost of lobar, materials, equipment, or services furnished by others, the Conrractor's methods of deter mining prices, or t he competitive b iddi ng or market conditions. ENGINEER cannot and does not guarantee that pr oposals, bids, or actual constructi on cost will not vary from estimates of pro bable construction cost a s prepared by ENGINEER. Page 1 of 1 101217ws HC BOC Page 46DA V I S • MA R T I N • PO W E L L dm p E N G I N E E R S & S U R V E Y O R S T: 33 6 - 3 8 6 - 4 8 2 1 I F : 33 6 - 1 1 8 6 - 4 4 5 8 I l. i : : e n s e : F- 0 2 4 5 - 64 1 5 Old Pl r i Ro a d , Hig h Po i n l NC 27 2 6 5 I ww w .dm p - l n c . c o m RO O M S TO GO WA Y WA T E R AN D SE W E R EX T E N S I O N S DU N N , NC DM P PR O J E C T 17 0 2 8 7 SE P T E M B E R 10 , 20 1 7 PR O P . 12" GRAVITY SEWER MH EX . 12" GRAV I TY SEWER MH _ , _ PR O P . 12 " WATER c : : : = , PR O P . 12" GRAVITY SEWER - • EX . 12" WATER - • EX . 12" GRAVITY SEWER - • EX . 6 " FORCE MAIN RO O M S TO GO WAY = WE T L A N D S - WE T L A N D BOUNDARY 100 Fee t -"V IA T T ~ ;; ; ~ ~ ~ T 2 1 4( 10 0 50 0 101217ws HC BOC Page 47 Golden LEAF Community Based Grants Initiative Grading Rubric Good Hope Hospital 1. Does this project meet at least one of the following criteria? (1 point per area) a. Economic Development b. Agriculture c. Workforce Development d. Education e. Healthcare f . Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2 . Impact: Does this project "do the most good for the most people?" 3. Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4 . Does this project leverage additional funds/investment and community buy-in? 5. Does it represent partnerships between multiple agencies or have additional outside support? 6 . Will this project leverage previous community planning processes and build on their results/findings? 7. Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8. Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 48 GOOD HOPE HOSPITAL, INC. 410 Denim Drive, Post Office Box 639 Erwin, North Carolina 28339 Telephone (910} 230-4011 FAX (910) 230-3669 Good Hope Hospital is a sixteen (16) bed freestanding hospital located in rural Hamett County. It provides inpatient mental health and substance use disorder treatment services for adults 18 years old and older. Good Hope Hospital is confronted with a significant umnet demand for inpatient psychiatry care in Harnett and it surrounding counties. The attached funding application represents a critical element in a multi-year effort on the part of the Good Hope Hospital Board of Directors to respond to this critical need . Central to this response is the Hospital's interest in construction twenty (20) additional adult psychiatric beds and sixteen ( 16) badly needed child and adolescent inpatient treatment beds. In support of this expansion proposal Good Hope has already invested significant resources in architectural and engineering studies. These studies place new construction ( on land owned by the Hospital) at approximately $200,000 per bed. The total costs associated with the proposed thirty-six (36) bed expansion are approximately $8. 7 million inclusive to start-up and equipment costs. It should be noted that the North Carolina General Assembly and the State Department of Health and Human Services have endorsed Good Hope's expansion plans with a recent allocation of $3 million dollars in construction funding. This appropriation was included in the recently approved FY 17-18 Budget. It is Good Hope's intention to leverage these new State dollars with a requested $1.5 million in additional funding from the Golden LEAF Foundation to support the expansion of this critical community service. The Hospital is also moving forward with efforts to secure additional State and local funding. Good Hope's plan for expanding community inpatient psychiatric beds is an effort in-keeping with Foundation's Community-Based Grants making Initiative. The expansion program represents: • A significant expansion of healthcare infrastructure, capacity and access that will benefit consumers, community healthcare providers and local law enforcement. • Support for workforce development by providing a specialized training site for health care professionals. And • A strong economic development effort in that the proposed expansion result in the addition of over ninety (90) healthcare jobs to the local economy. • A financially sustainable operation funded with a mix of State, Medicaid and 3rd Party revenues . • A significant increase in the cost efficiency and economies of scale associated with Hospital operations. 101217ws HC BOC Page 49 Attached you will find the supporting information requested in the funding application. These elements include a work plan for hospital expansion, a construction cost estimate, evidence of strong community support and a clear statement of the positive outcomes currently being achieved by the Hospital. Your consideration of this application will be greatly appreciated. Robert P . Cameron Chair 101217ws HC BOC Page 50 I. A Summary of the Proiect's Scope In recent years, North Carolina has been confronted with a critical deficit in community inpatient psychiatric capacity. This shortage with regard to healthcare infrastructure has resulted in longer Emergency Department (ED) wait times with psychiatric patients (both adults and children) being inappropriately housed in EDs for extended periods of time. This ED boarding issue impacts response time and overtime costs for local law enforcement officers who are often required to retain custody of these patients and is of concern to State Mental Officials, local LME-MCOs (public system managers), the Hospital Association and the General Assembly. In response to this access to care crisis, the General Assembly has significantly increased inpatient indigent care funding for local community hospitals such as Good Hope. The unmet demand in this critical service area is documented in the 2017 State Medical Facilities Plan which identifies a demand for an additional 106 child/adolescent and 40 adult psychiatric beds. It should be noted that a large number of these beds are targeted for Local Management Entities/Managed Care Organizations LME-MCO Regions, ( e .g. Alliance, Sandhills, Eastpointe) that are served by Good Hope Hospital. Since the opening of its Psychiatric Hospital on January 29, 2013, Good Hope Hospital, located in Erwin, North Carolina, has demonstrated an abiding commitment to its mission of providing quality inpatient psychiatric care to the citizens of central North Carolina. This commitment has been a constant factor as Good Hope transitioned itself from a small general hospital to a freestanding sixteen (16) bed adult psychiatric unit. The Hospital's Board of Directors, Staff and its contract service provider (Horizon Health) are fundamentally committed to their mission of delivering quality specialty inpatient care to public system patients. Horizon HeaJ~ which owns or manages over eighty (80) psychiatric hospitals scattered across the country, provides Good Hope with access to an array of management and clinical skills that would not otherwise be available to a small rural hospital. In keeping with this mission, during FY 2015-2016 Good Hope Hospital served a total of 589 admissions referred from twenty-nine (29) different hospitals and six of North Carolina's seven LME-MCOs. It is a testament to Good Hope's quality of care and the overwhelming demand for inpatient psychiatric care within the Central Region that the Hospital has operated at close to full capacity over the past year. Throughout its distinguished history, Good Hope has enjoyed the guidance and support of its community. Good Hope is led by a Board of citizen volunteers and receives financial support from Hamett County. It purchases many of its auxiliary services from Harnett Health and contracts with Horizon Health for inpatient staffing and clinical management. The Hospital has strong contractual relationships with its surrounding LME-MCOs and receives State Three~Way Contract Funds to support indigent care from two of them. These efforts are supported by the Hospital's on-going outreach to the emergency rooms in its catclunent area and it discharge planning efforts with community service providers. Good Hope's interest in expanding its inpatient capacity is supported by a recent market analysis that shows 2 .8 million North Carolina citizens living within 60 miles of the Hospital. An analysis of bed availability vs. service demand for this population area points out a significant shortage of approximately 200 adult psychiatric beds and 40 child/adolescent beds. As noted above, this demand mirrors the analytic work included in the State Medical Facilities Plan (SMFP) which points to similar access concerns. This critical shortage in healthcare infrastructure provided the genesis for the 101217ws HC BOC Page 51 Legislative Rural Bed Expansion Initiative which seeks to address this critical community concern. In response to thls crisis in community services, Good Hope Hospital has developed a long-range plan to increase its bed capacity from sixteen (16) beds to a total of fifty-two (52) beds. Of these thirty-six (36) new beds, sixteen (16) would be allocated to the development of a new program for children and adolescents while the remaining twenty (20) beds would represent a significant expansion in the Hospital's adult services program. The new child/adolescent beds will be designed to offer specialized services with a focus on childhood trauma and associated mental health and substance abuse concerns. With regard to the expanded adult services, Good Hope plans to continue its successful focus on serving committed/seriously mentally ill adults often with co-morbid substance use disorder needs. Asswning an average length of stay of nine (9) days for adults and ten-twelve (10-12) for chlldren/adolescents, these bed expansions would accommodate 16 child/adolescent beds @ 85% utilization generating an additional bed capacity of 4,964 beds days. With a 12-day Annual Length of Stay this provides additional capacity for 414 child admissions. Using the same formulae for adults, the result would be approximately 690 new admissions per year. Given the fact that Good Hope does not have unused space that is suitable for renovation, the proposed bed expansion will require significant funding for new construction. It should be noted that Good Hope owns an appropriate building site adjacent to its existing facility. This site would provide a cost-effective alternative for the proposed new construction. Based on a detailed architectural review, the estimated construction costs for thirty-six (36) new beds total $6,966,340 or $193 ,509 per bed for each additional bed. It should be noted that the proposed total project budget also includes funding for start-up, equipment and supplies in the amount of$1,355,I00. These funds will be used to purchase essential equipment and supplies and to support staff hiring and training activities associated with the expansion effort. The estimated total cost of the proposed 36 bed expansion is $8,659,547 (See Attachment A: Project Budget). If total funding for thirty-six (36) beds is not received, Good Hope Hospital plans to move forward with the addition of beds which can be built with the money available. Good Hope Hospital offers a competent and cost-effective strategy for expanding psychiatric inpatient access in the Central Region of North Carolina. Good Hope's commitment to the delivery psychiatric care and its partnership with Horizon Health provide a sound and proven foundation for this effort. The proposed bed expansion would generate increased economies of scale for the hospital while avoiding the pitfalls of a "start from scratch" effort. Based on a projected construction time of twenty-four (24) months, it is anticipated that new services could be on-line within thirty (30) months of receiving a funding award. Good Hope Hospital has the commitment, the expertise, the community support, the history of success and the partnerships to offer the Golden LEAF Foundation a unique opportunity to invest in the health care needs of central North Carolina. 101217ws HC BOC Page 52 II. A description of what makes the proiect competitive to CBGI priorities and guidelines Good Hope Hospital, a 501 (c) (3) non-profit organization, is seeking to increase its capacity to provide specialized healthcare to adults, children and adolescents who are mentally ill ( often with substance use disorders) and in need of services in rural Hamett County as well as its surrounding counties. The addition of these vital services will provide improved access to treatment services closer to home for rural residents, reduces wait times in rural Emergency Departments (EDs) while providing an opportunity for the recruitment and training of psychiatrists and mid-level clinicians, such as Physician Assistants and Nurse Practitioners, in this underserved area. 'Ibe addition of these inpatient beds will also benefit the community by adding 80 to 90 new full and part-time employment opportunities. These jobs will include Registered Nurses, masters level Social Workers and counselors, activity therapists, and a variety of paraprofessionals, such as Mental Health Technicians. There would also be opportunities for housekeepers and food service workers. Good Hope Hospital also contracts with local agencies for goods and services and would expand many of these contracts. Good Hope Hospital has agreements with local institutions of higher learning, including Campbell University, Methodist University, and Central Carolina Community College, to provide an opportunity for students to practice, with professional supervision, in their particular area of education. This has included nursing students, Physician Assistant students, and Health Care Administration majors. The hospital has also signed an agreement with Campbell University School of Osteopathic Medicine, for rotation of those students. Good Hope Hospital administration and staff are active in supporting community goals, including a close working relationship with Campbell University School of Osteopathic Medicine, the Harnett County Health Department, District 1 la Veteran's Treatment Court, and Crisis Intervention Team (CIT) training for local law enforcement officers. These partnerships would grow along with the growth of the hospital. The addition of the new beds adds an approximately 80 to 90 new full time and part time jobs to the area. These jobs range from professionals, such as physicians, nurse practitioners, registered nurses, and masters level therapists. There would also be paraprofessional and unskilled labor added to the workforce, offering an on-going opportunity for workforce development and recruitment, and economic development. The addition of these needed healthcare services expands the critical area of healthcare infrastructure. 101217ws HC BOC Page 53 Ill. A description of the need in the county this proiect seeks to address The proposed expansions of psychiatric beds at for Good Hope Hospital represents a direct response to the rapidly growing number of behavioral health patients presenting to Emergency Departments and the excessive wait times experienced by these for those patients seeking placement in a psychiatric inpatient setting. a. Letters of Support are attached. (See attachment 1) b. Wait time data for Harnett Health (from whom Good Hope has received a letter of support): (Included in narrative above along with wait time averages below) Average Adult wait time -38 hours 30 minutes Average Child/Adolescent wait times -34 hours 36 minutes c. Travel distances are attached. -Attachment 2 d. Good Hope Hospital receives 20 to 30 faxed referrals almost every day but can only admit 45 to 50 individuals per month. (See attachment 3) Good Hope Hospital, Inc. currently has sixteen (I 6) inpatient adult beds and no child/adolescent beds. The hospital attempts to address the problem by working closely with referring EDs and letting them know when the staff expects the next discharges. The clinicians reviewing the referral information make every effort to get an order for admission so that as soon as a bed is available the patient may be transferred from the ED to Good Hope Hospital. Good Hope Hospital typically serves adults, ages 18 and over, who as a result of a Mental Illness have difficulties in daily functioning and require psychiatric rehabilitation for the development of skills and supports to achieve his/her goals and remain in the community; or who without treatment and supports would exhibit such impaired functioning, or had exhibited such impaired functioning in the past. Number of beneficiaries -Good Hope Hospital, with 16 beds, currently admits 45 to 50 adult patients per month. With the proposed expansion of beds, Good Hope Hospital will be able to admit I 05 adults and 45 to 50 adolescents per month. The eligibility requirements for a person to receive treatment at Good Hope Hospital, the referral must be an adult, at least 18 years of age. The individual must have a primary psychiatric diagnosis found in the DSM V. The psychiatric symptoms must be sufficiently severe to require inpatient treatment, typically life threatening. The person must be able to benefit from inpatient treatment. The person may have a secondary Substance Use Disorder and may require medical monitored detoxification. 101217ws HC BOC Page 54 IV. The capacity of the hospital to carry out the work, achieve results, maintain sustainability and manage reporting/documentation requirements (numbering system for main section and subsections) IV. a. A brief overview of the hospital's history Good Hope Hospital, Inc. was built in 1913 as the first hospital in Harnett County. The hospital was created to care for the denim mill employees and their families. The hospital added twenty- nine (29) inpatient psychiatric beds in 1985 and continued to operate those beds until the hospital ceased operations in April 2006. A portion of the hospital building was renovated, through a loan with the United States Department of Agriculture, and the hospital reopened as a sixteen (16) bed freestanding adult psychiatric hospital in January 2013. Good Hope Hospital, Inc. was accredited by The Joint Commission May 11, 2013 and has continued to maintain accreditation. The most recent three.year accreditation was April 7, 2016. This accreditation included "Deemed Status" from the Centers for Medicare and Medicaid Services (CMS). IV. b. Brief overview of the hospital's experience with providing psychiatric and substance use assessment or treatment or similar services (organization's past achievements and accomplishments and evidence of its impact) Once accredited and certified by CMS, Good Hope Hospital, Inc., was certified to provide treatment to involuntarily committed (IVC) patients and to patients with a dual diagnosis of Substance Use Disorder, provided that the patient has a primary mental illness. Good Hope works in partnership with Horizon Health and Horizon Mental Health Management, an organization which has been in business of partnerships with hospitals and mental health facility for thirty-five years. Horizon Health has 80 management contracts for psychiatric units/facilities across the country . IV. c. Brief overview of all senrices provided by the hospital within the last five years, including: Good Hope Hospital, Inc. was awarded a Three Way Contract (State indigent care funding) through Sandhills Center, December 1. These funds cover the cost of approximately five beds for indigent patients. This contract generated $652,500 in revenue and indigent inpatient care for 72 admissions from 6 different LME-MCOs. This contract has been renewed and continues to date. This contract was managed and maintained by one full time employee with the advice from the hospital Director of Clinical Services and the contract Medical Director. Monthly reports regarding the utilization of these five beds are reported to the Board of Directors during monthly meeting. Good Hope Hospital, Inc. also has Medicaid psychiatric inpatient contracts with the following LME/MCOs: Eastpointe, Trillium Health Resources, and Alliance Managed Care Organizations. All contracts were renewed in 2016. Contact information for these contract managers includes: 101217ws HC BOC Page 55 • Alliance Behavioral Healthcare: Margaret Brunson, Ph.D., MPA, 4600 Emperor Boulevard, Suite 200, Durham, NC 27703. Phone 919-651-8805 • Sandhills Center: Kellie Davis, PO Box 9, West End, NC 27376-0009. Phone: 910-673-9111. • Trillium: Ty Martin, 201 West First Street, Greenville, NC 27858-1132. Phone 1-866-998-2597. • Eastpointe: Phyllis Joyner, 514 East Main Street, P.O. Box 369, Beulaville, NC 28518. Phone: (800) 513-4002 Good Hope Hospital, Inc. is also contracted with Medicare, Tricare, the Veterans Administration, and Blue Cross Blue Shield ofNorth Carolina. These contracts, as well, were renewed in 2016. Charles Larrison, God Hope ED, serves as contract administrator for all contracts. 101217ws HC BOC Page 56 IV. d. Regulatory Process: The Good Hope Hospital Board has had recent discussions with the Area Directors for Sandhills L:ME /MCO and Eastpointe LME/MCO regarding the need for additional psychiatric beds in this region. Both Area Directors have agreed that additional adult and child/adolescent beds are needed in the area. A review of the State Medical Facilities Plan (SMFP) also indicates a need for additional adult and child/adolescent beds in this region. Good Hope Hospital has already been in contact with the Division of Health Services Regulation (DHSR), its Acute and Home Care Licensure and Certification Section, and it's Construction Section. In addition, Good Hope Hospital has been in contact with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS), specifically with staff that oversees the process of certification for Involuntary Commitment (IVC). Currently, Good Hope Hospital is licensed and in good standing with DHSR for its operation of the 16-bed facility, and is in compliance and in good standing for the reception of IVC admissions. When construction of the expansion of the facility are at the appropriate points in the implementation of the construction plan, Good Hope Hospital will contact these agencies to schedule reviews of the expanded facility for their approval. IV. e. Construction of the Expansion of Beds: Good Hope Hospital has contacted and contracted with Kevin Turner, LEED AP with Perkins & Will, and an architectural firm in Charlotte, NC . Perkins & Will has further contracted with Monteith Construction and this firm is assisting in cost estimating and feasibility. The architect has drafted an architectural drawing to accommodate the new construction in the existing parking lot west of the existing facility with thirty-six (36) beds and associated infrastructure and support spaces (See attachment 4). IV. f. Compliance: Good Hope Hospital is in compliance with all current requirements from the NC Administrative Code, as current licensure and certification assures. As expansion of capacity requires review and recertification, Good Hope will assure that these regulatory benchmarks are met as well. The Board of Good Hope Hospital has unanimously approved the name, "Dorothea Lynde Dix Memorial Wing," as the name designated for the beds created through this expansion. In addition to persons with mental health issues, individuals who have been served by Good Hope Hospital since its beginning in 2013, the hospital also serves persons with co-existing d isorders of mental illness and substance use. This expansion will also include services to children and adolescents presenting in emergency departments of our referring hospitals. 101217ws HC BOC Page 57 Project Impleme n t a t i o n P l a n ACTION I T E M P e r s o n R e s p o n s i b l e D u e D a t e ITEM 1.1 Ide n t i f y P r o j e c t M a n a g e r B o a r d C h a i r C o m p l e t e d 1.2 Ide n t i f y b a s e l i n e P r o j e c t M a n a g e r 1 1 / 1 / 1 7 - 1 / 1 / 1 8 1.3 Ide n t i f y b a s e l i n e f o r s e r v i c e t o c u r r e n t 3 - w a y f u n d i n g P r o j e c t M a n a g e r 1 2 / 1 / 1 7 reci p i e n t s 1.4 Ide n t i f y i n c r e a s e i n n w n b e r o f 3 - w a y b e d s a v a i l a b l e w h e n P r o j e c t M a n a g e r 3 / 1 / 1 8 pro j e c t c o m p l e t e . 1.5 Ide n t i f y m e t h o d s f o r r e d u c i n g w a i t t i m e s i n i n t e r i m b e f o r e P r o j e c t M a n a g e r 2 / 1 / 1 8 exp a n s i o n c o m p l e t e 1.6 Ide n t i f y w a i t t i m e s p o s t i m p l e m e n t a t i o n P r o j e c t M a n a g e r 4 / 1 / 2 0 1.7 Ide n t i f i c a t i o n o f t r a i n i n g r e q u i r e m e n t s B o a r d C h a i r 1 0 / 1 / 2 0 1 9 Ide n t i f y a l i c e n s e d a r c h i t e c t t o d r a f t w o r k i n g p l a n s f o r t h e 2.1 co n s t r u c t i o n o f b e d s a n d i n f r a s t r u c t u r e t o s u p p o r t h o s p i t a l P r o j e c t M a n a g e r 1 / 2 0 / 1 8 fun c t i o n s 2.2 Ar c h i t e c t u r a l D r a w i n g s a l l o w c o s t e s t i m a t e s a n d e x p a n s i o n P r o j e c t M a n a g e r 3 / 1 / 1 8 opt i o n s 2.3 Ide n t i f y C o s t P r o j e c t M a n a g e r 4 / 1 / 1 8 2.4 Ide n t i f y c o s t s a s s o c i a t e d w i t h e a c h p h a s e o f c o n s t r u c t i o n a n d P r o j e c t M a n a g e r 4 / 1 / 1 8 aff i x p r i c e g o a l 2.5 Est a b l i s h b u d g e t a n d i n t e r i m m i l e s t o n e s f o r c o s t a n d P r o j e c t M a n a g e r 4 / 1 / 2 0 1 8 - co n t i n g e n c i e s . l / 1 / 2 0 2 0 2.6 Ide n t i f y a b u i l d i n g c o n t r a c t o r t o u n d e r t a k e t h e c o n s t r u c t i o n P r o j e c t M a n a g e r a n d B o a r d 5 / 1 / 1 8 of t h e e x p a n s i o n o f c a p a c i t y f o r t h e h o s p i t a l . M e e t w i t h t h e D i v i s i o n o f H e a l t h S e r v i c e R e g u l a t i o n 2.7 Co n s t r u c t i o n s t a f f t o g e t a p p r o v a l o f p l a n p r i o r t o b e g i n n i n g P r o j e c t M a n a g e r a n d e i t h e r 4 / 1 / 1 8 co n s t r n c t i o n . I n v i t e a p p r o p r i a t e r e g u l a t o r y s t a f f t o v i s i t c o n t r a c t o r o r a r c h i t e c t o r b o t h per i o d i c a l l y t o u p d a t e a n d g a i n i n s i g h t i n t o p r o g r e s s . 2.8 Ide n t i f y a n y l o c a l c o d e o r s t r u c t u r a l r e q u i r e m e n t s p r i o r t o P r o j e c t M a n a g e r a n d e i t h e r 4 / 1 / 2 0 1 8 be g i n n i n g c o n s t r u c t i o n c o n t r a c t o r o r a r c h i t e c t o r b o t h 101217ws HC BOC Page 58 ACTION I T E M P e r s o n R e s p o n s i b l e D u e D a t e ITEM 2.9 Rev i e w c o s t p e r m o n t h a n d p r o g r e s s p e r m o n t h o n a P r o j e c t M a n a g e r 5 / 1 / 2 0 1 8 - perc e n t a g e b a s i s 1 / 1 / 2 0 2 0 2.10 Mai n t a i n a c c u r a t e r e c o r d s o f c o s t a n d v a r i a n c e f r o m i n t e r i m P r o j e c t M a n a g e r a n d C o n t r a c t o r 5 / 1 / 2 0 1 8 - goal c o s t s 1 / 1 / 2 0 2 0 Ass i g n a c o l o r ( r e d , y e l l o w , g r e e n ) f o r e a c h p r o j e c t i t e m bei n g m e a s u r e d , a c c o r d i n g t o w h e t h e r t h e i t e m i s c u r r e n t 5 / 1 / 2 0 1 8 - 2.11 (gre e n ) , t h r e a t e n i n g t o b e b e h i n d s c h e d u l e ( y e l l o w ) o r i s P r o j e c t M a n a g e r a n d C o n t r a c t o r 1 / 1 / 2 0 2 0 behi n d s c h e d u l e ( r e d ) . E s t a b l i s h i n c e n t i v e s f o r k e e p i n g o n sch e d u l e , a n d d i s i n c e n t i v e s f o r m i s s i n g t i m e l i n e s . 2.12 Est a b l i s h i n c e n t i v e s f o r k e e p i n g o n s c h e d u l e , a n d P r o j e c t M a n a g e r 5 / 1 / 2 0 1 8 - disi n c e n t i v e s f o r m i s s i n g t i r n e l i n e s . 1 / 1 / 2 0 2 0 3.1 lde n t i f y s t a f f r e q u i r e d t o p r o v i d e f u l l c o v e r a g e a t f u l l P r o j e c t M a n a g e r 4 / 1 / 2 0 1 8 - cap a c i t y w h e n t h e p r o j e c t i s c o m p l e t e d 8 / 1 / 2 0 1 9 3.2 Con s i d e r l o c a l h i r i n g p o o l p o t e n t i a l H o s p i t a l H u m a n R e s o u r c e s 4 / 1 / 2 0 1 9 - M a n a g e r 6 / 1 / 2 0 1 9 3.3 Ide n t i f i c a t i o n o f a n t i c i p a t e d g a p s i n s t a f f n e e d s H o s p i t a l H u m a n R e s o u r c e s 4 / 1 / 2 0 1 9 - M a n a i z e r 6 / 1 / 2 0 1 9 3.4 Cre a t e a d v e r t i s e m e n t s a n d n o t i c e s f o r a v a i l a b l e p o s i t i o n s i n H o s p i t a l H u m a n R e s o u r c e s 4 / 1 / 2 0 1 9 - exp a n d e d h o s p i t a l M a n a g e r 6 / 1 / 2 0 1 9 Ide n t i f y c h a n n e l s o f p o t e n t i a l j o b s e e k i n g s u c h a s l o c a l H o s p i t a l H u m a n R e s o u r c e s 6 / 1 / 2 0 1 9 - 3.5 hos p i t a l s , n u r s i n g s c h o o l s , m e d i c a l s c h o o l s , l o c a l a n d regi o n a l p u b l i c a t i o n s . M a n a g e r 8 / 1 / 2 0 1 9 3.6 Hir i n g o f n e c e s s a r y s t a f f . H o s p i t a l H u m a n R e s o u r c e s 8 / 1 / 2 0 1 9 - M a n a e e r 1 0 / 1 / 2 0 1 9 H o s p i t a l H u m a n S e r v i c e s 3.7 Ide n t i f i c a t i o n o f t r a i n i n g r e q u i r e m e n t s M a n a g e r a n d I n d i v i d u a l 1 0 / 1 / 2 0 1 9 S u p e r v i s o r s Rev i e w o f t r a i n i n g p a c k a g e s v s . r e q u i r e m e n t s f o r H o s p i t a l H u m a n S e r v i c e s 6 / 1 / 2 0 1 9 - 3.8 co m p l i a n c e w i t h a c c r e d i t a t i o n a g e n c i e s a n d S t a t e D H S R M a n a g e r a n d I n d i v i d u a l 8 / 1 / 2 0 1 9 req u i r e m e n t s . S u p e r v i s o r s H o s p i t a l H u m a n S e r v i c e s 6 / 1 / 2 0 1 9 - 3.9 Tra i n i n g o f e a c h n e w s t a f f m e m b e r M a n a g e r a n d I n d i v i d u a l 8 / 1 / 2 0 1 9 S u p e r v i s o r s 3.10 Ful l s t a f f b e g i n s w o r k w i t h c o m p l e t e d a n d a p p r o v e d h o s p i t a l H o s p i t a J H u m a n S e r v i c e s l / 1 / 2 0 2 0 - M a n a g e r a n d S u p e r v i s o r s 2 / 1 / 2 0 2 0 101217ws HC BOC Page 59 ASSUMPTIONS: 1. Total project cost estimate for a 36 Bed free standing facility is $7,258,509 (based on 010/27/16 Design & Construction from Perkins & Will, Option 1 ); PCE based on 36 bed facility (Pro Fonna financials based on 34 bed facility). 2. 3. estimate at $0. and $100,000 for Phase 2 Total costs include land cost FF&E at $150,000 for Phase 1 4. Projected occupancy is based on assumptions by Operator with maturity at year 5 with 90% occupancy. 5. Inpatient yields are consistent 6. 7. 8. 9. 10. with Good Hope historical reimbursement on Good Hope 2016 actual (28%) existing contracted arrangement. purchased services are based corporate default revenue with corporate default 11. consistent with corporate default 12 . corporate default Benefits as % of salaries based Physician costs based on Drugs, food, non-supplies and Maintenance set at 1.0% of net Utilities expense are consistent Estimated real estate taxes Insurance PPD based on 101217ws HC BOC Page 60 The following agencies and LME/MCOs have offered support and assurance that if Good Hope Hospital increases its capacity to 52 beds, and also includes a 16-bed unit for youth/adults, they would avail themselves of the hospital services to reduce wait times in their EDs or to provide new and welcome bed availability for children and youth, and adults in their catchment areas: Good Hope operates in a rural county, with several rural counties adjoining or nearby. • Trillium Health Resources. • Sandhills Center • Eastpointe Mental Health • Hamett Health • Campbell University School of Osteopathic Medicine 101217ws HC BOC Page 61 IV. A description of the base of community support for this project Good Hope Hospital has the critical support of a number of community partners in its efforts to build additional adult and child mental health beds . See Attachment I for letters of support from: • Sandhills Center Local Management Entity/Managed Care Organization (LME/MCO). Sandhills Center manages mental health, intellectual and developmental disabilities and substance use disorder services for nine counties, including Harnett County . In addition, Sandhills Center manages Medicaid and state funded services for the treatment and support of the above mentioned populations. Good Hope Hospital provides inpatient services to the citizens of these counties. • Hamett Health, including Betsy Johnson Regional Hospital and Central Hamett Hospital. • Campbell University School of Osteopathic Medicine. • Eastpointe Local Management Entity/Managed Care Organization (LME/MCO). Eastpointe LME/MCO serves eleven neighboring rural counties. Good Hope Hospital provides inpatient services to these counties. These letters represent support from referring providers, 3rd party payers and healthcare training programs. 101217ws HC BOC Page 62 V. A description of the local match and leverage Good Hope Hospital has received an appropriation of $3 million dollars in the FY 17-18 State Budget. These funds were part of a Legislative statewide initiative to expand Psychiatric inpatient capacity through the construction/renovation of additionaJ hospital beds . Good Hope plans to use this $3M and all money that can be raised to build as many beds as possible. Harnett County contributes $400,000 per year in financial support. The ongoing allocation of these funds clearly indicates Good Hope Hospital's level of community support and the critical role it plays in the regional health care system. 101217ws HC BOC Page 63 VI. A description of the impact, outcome measures, and population served by the proposed proiect As a free-standing psychiatric hospital located in Harnett County, a rural county in the Central Region of North Carolina, Good Hope Hospital believes that the expansion of its bed capacity for both adults and children/adolescents beds will contribute significantly to the reduction of wait times in referring hospital emergency departments of hospitals. The intention is to reduce wait times of referring hospitals. An example of the potential for reduction of wait times is as follows: Wait Time Data from the emergency department of Harnett Health Betsy Johnson Regional Hospital, which refers behavioral health patients to Good Hope has an average wait time for behavioral health patients of 42.83 hours, or 1.8 days. While this wait time is high, it is exacerbated by outliers, which range from 2 days to 12 days. Many of the wait times are, in fact, more reasonable, with a lower range of 2 .8 hours to JO hours. The outliers are, by the information from the staff who maintains wait time data, weighted heavily toward a lack of bed availability. So, if the outliers, so designated primarily due to a lack of bed availability, were reduced significantly by an increase of bed availability, the reduction of overall wait times would follow. The goal Good Hope wishes to achieve is to provide bed availability for additional adults and youth/children, thereby reducing wait times commensurately. A conservative estimate is a wait time reduction of25% overall, and 35-40% for outliers for whom bed availability is the primary issue for delays. With the expansion bed capacity at Good Hope Hospital, we believe the following Goals and Objectives will be addressed: a. Addition of sixteen (16) beds for children/adolescents. Assuming an 85% utilization rate (100% being a full capacity 24/7 /365) for the proposed 16 new child beds would generate an additional capacity of 4,964 beds days. This expanded service capacity ( assuming an ALS = 12 days) would result in expanded service access for an additional 414 child/adolescent admissions per year. Th.is unit will be a specialty unit for children and adolescent patients, with full trauma- based therapy for mental health, intellectual and developmental disabilities and substance use disorders specific to children and adolescents. b. The addition of twenty (20) new beds for adults is projected to result in an additional 690 adult admissions annually. See architectural drawing and legend for the proposal on the following two pages: The drawings represent an addition to conjoin the current facility with the new construction. In addition to the addition of 36 beds, the architectural drawing below represents a significant expansion in the ability Good Hope Hospital will have, upon completion, to serve persons with mental illness and substance use disorders. An overview of the 101217ws HC BOC Page 64 drawings shows that not only is there expanded bad capacity, but capacity for consultation, leisure activities for patients, food service and dining, and administration. The construction site is currently parking space, but the expansion still allows ample parking when fully staffed and at patient capacity. See attachment for most recent outcome measures. (See attachment 5) The average age of a patient at Good Hope Hospital is 44 years old. 57% are male and 43% are female. The racial;/ethnic make up of patients admitted to Good Hope Hospital if 57% are white, 39% African-American, 2% are Hispanic, and 2% other. Outcome measures, which are tabulated every quarter, are attached. 101217ws HC BOC Page 65 Attachment 1 101217ws HC BOC Page 66 {Q_)J Harnett Health January 25, 2017 North Carolina Department of Health & Human Services 101 Blair Drive Raleigh NC 27603 Re: Request for Applications for Psychiatric Beds for Good Hope Hospital Dear RF A Committee Member: P.O. Box 1706 Dunn. N C 28335 !910) 892 -I 000 www.HorneUHeolih.org We understand that Good Hope Psychiatric Hospital in Erwin, NC, has applied for funding in order to expand its capacity to serve persons with psychiatric and substance use disorders by adding thirty-four (34) additional beds in their facility. The Harnett Health System Board of Trustees has voted unanimously to provide a letter of support for this project. The construction of these additional beds for both adult and adolescent inpatients has the potential to reduce Emergency Department wait times for adults and adolescents in our service area. Our Emergency Department sees approximately 14.83 adults and 3.75 adolescents requiring transfer to an inpatient psychiatric facility each month. We referred 159 patients to Good Hope Hospital last state fiscal year. The addition of thirty-four beds would have a positive effect on the overall patient flow of our emergency services and would reduce our average wait times significantly. Therefore, we wholeheartedly support the selection of Good Hope Hospital to expand available capacity from 16 adult beds to SO adult and adolescent beds. B~-:tsy Jc,hn:;.0,1 hosr,it(JI {Du 1n} Cl.nt,n l r-~r1111~tt h.:,spitrtl iliili l fl!'-n,, Hm n,:tt }-h.ollh Fo11 ndutic-n A111iie r Me>diwl Se,,•ir.l?} O..i11n Mt:d1:ul Servites Cool~ Me,.li,:u! S-,1vic,;,, Lill ir,,J k ,11 lv\,;Jiwl s~rvic;,.s Ho111e !I 08.'GYl'-l Prcsinr.,-re Pediolr1cs 6cns1-in Rrh,d , R, V,',...lint·!i~ B,N1 \t Cc11r· Cc ·1t,,, Crird;.,, T1•sf1 t1n · L-lli n qitin Rchoi,ili1 c1 li·Yl V/ciunrI Cn,r: C;!nh, 101217ws HC BOC Page 67 ~r~~~ --- JERRY M-WALLACE SCHOOL or OSTEOPATHIC MEDICINE January 24, 2017 North Carolina Department of Health and Human Services 101 Blair Drive Raleigh, NC 27603 Re: Request for Application for Psychiatric Beds for Good Hope Hospital Dear RF A Committee Member: Office of the Dean My name is Dr. John Kauffman and I am the Dean for t he medical school at Campbell University. It is our understanding that Good Hope Psychiatric Hospital in Erwin, North Carolina, is seeking funding to expand its capacity to serve persons with psychiatric and substance use disorders by adding thi1ty-four (34) additional beds in their facility. We are pleased to write this letter of suppo1t for this project. The proposed construction of the additional adult and adolescent beds will undoubtedly provide increased access to much needed inpatient care in our communities. Good Hope Hospital has already agreed to provide training for the Physician Assistant program and our Nursing School. The expansion will provide an oppo1tunity for our medical students to work in a rural psychiatric setting. The State's support of funding psychiatric bed expansion is a critical element in ensuring our community and sunounding communities have sufficient psychiatric services for our citizens. -Sincere!; ~/. Q.;:J ~auffina,s fr., DO Dean and Chief Academic Officer PO Box 4280 Buies Creek, Norrh Carolina 27506 910-893 -1776 Fax: 910-893-1777 www_campbcll_cd11/cuso111 I I -! i ! 101217ws HC BOC Page 68 SANDHILLS CENTER Managing Mental Health, lntelleaual/Developmental Disabilities and Substance Abuse Services 910-673-9111 (FAX) 910-673-6202 www.sandhillscenter.org Victoria Wh i tt, CEO January 9, 2017 North Carolina Department of Health and Human Services 1 01 Blair Drive Raleigh , NC 2 7603 Re : Request for Application for Psychiatric Beds for Good Hope Hospital Dear RFA Committee Member: One of the key components of the responsibility of North Carolina's LME/MCOs is the management of community behavioral health services while ensuring appropriate access to care. One of the challenges of meeting those responsibilities is having an adequate number of commun ity based psychiatric hospital beds, particularly in the more rural areas of the State. It is our understanding that Good Hope Psych i atr ic Hospital in Erwi n, North Carolina, is seeking funding to expand its capacity to serve persons with psychiatric and substance use disorders by adding thirty-four (34) additional beds in their facility. We are pleased to write this letter of support for this project. The proposed construction of the additional adu lt and adolescent beds will undoubtedly provide Increased access to much needed inpatient care in our region. The expansion will provide an opportunity for greater relief of the wait t i mes for patients who seek care in area hospital emergency departments. The State's support of funding psychiatric bed expansion Is a critical element in ensuring our ability to meet the behavioral health needs of our state's residents. We encourage and support the use of these designated funds to expand Good Hope Hospital from its current capacity of sixteen (16) beds to a capacity of fifty (50) adult and adolescent beds. Sandhills Cente r LME/MCO will appropriately utilize these expanded beds within available funding sources. sz·nc ely, ~~ Victoria Whitt Chief Executive Officer P.O . Box 9, West End , NC 27376 24-Hour Acces~ to Care Line: 1 ·800-256-2452 TTY: 1 ·866-518-6778 or 711 Serving Anson , Guilford, Harnett, Hoke, Lee, Montgomery, Moore, Randolph & Richmond counties 101217ws HC BOC Page 69 s January 13, 2017 North Carotina Department of Health and Human Services 101 Blair Drive Raleigh, NC 27603 Re: Request for Application for Psychiatric Beds for Good Hope Hospital Dear Rf A Committee Member: Corpgrate Rffict: 514 Eut Main S1reet PO$t Office Box 369 Beulaville, N .C . 2.8518 Administration: S00-513-4002 Access to Care: 800-913-6109 Sarah N. Stmvd CEO One of the key components of the responsibility of North Carolina's LMEJMCOs is the management of community behavioral health services while ensuring appropriate access to care. One of the chaDenges of meeting those responsibilities is having an adequate number of community based psychiatric hospital beds. particulal1y in the more rural areas of the State. It is our understancUng that Good Hope Psychiatric Hospital in Erwin, North Carolina, is seeking funding to expand its capacity to serve persons with psychiatric and substance use disorders by adding thirty-four (34} additional beds in their facility. We are pleased to write this letter of support for this project. The proposed construction of the additional adult and adolescent beds will undoubtedly provide increased access to much needed inpatient care in our region. The expansion will provide an opportunity for greater relief of the wait times for patients who seek care in area hospital emergency departments. The State's support of funding psychiatric bed expansion is a critical element in ensuring our ability to meet the behavioral health needs of our state's residents. We encourage and support the use of these designated funds to expand Good Hope Hospital from its current capacity of sixteen (16) beds to a capacfty of fifty (50) adult and adolescent beds. Eastpointe LME/MCO win appropriately utilize these expanded beds within available funding sources. Sincerely, ~ It~~~ Karen Salacki Chief of External Operations ,,-7 ...... _ (u·~c) ,_._..., ~ ..,....cw,a.• __ ,. FQnaglng Behavioral Health!.i!re for the Citizen* of Bladtm, Columbu6, Duplin , Edgecombe, Greene. Lenoir. Hast,, f(obeson, Ssmpson , Sc()dand, Wayne, and Wilson Counties www.eastootnt.e .nel 101217ws HC BOC Page 70 Attachment 2 -· --·--· 101217ws HC BOC Page 71 ATTACHMENT 2: Travel distances from the ED(s) to current psychiatric and/or substance use inpatient beds (that is, the existing beds, not the proposed new beds to be converted/ constructed) REFERRING HOSPITALS TO GOOD HOPE HOSPITAL·· 2016 Hospital Zip Code Travel Distance Travel Time Number Referred LME/MCO Sentara Albemarle Hospital 27909 188 3 hours 12 minutes 6 Trillium Dpe Fear Valley Medical Center 28304 30 39minutes 9 Alliance Carolina East M edical Center 28561 124 1 hour 52 minutes 1 Trillium Carteret General 28557 150 2 hours 32 minutes 55 Trillium Central Carolina Hospital 27330 38 46mlnutes 45 Sandhills Chatham 27344 61 1 hour 5 minutes 4 Cardinal Innovations Columbus Memorial 28472 189 1 hour 34 minutes 12 Eastpointe Gaston Memorial Hospital 28054 190 3 hours 1 Partners Harnett Health 28334 3 16minutes 158 Sandhills !Johnston Memorial 275n 32 33 minutes 2 Alliance Lenoir Memorial 28501 91 1 hour 35 minutes 124 Eastpointe Martin General 27892 129 1 hour 50 minutes 9 Trillium Nash General 27804 80 1 hour 11 minutes 2 Eastpointe New Hanover Regional Medical Center 28401 92 1 hour 47 minutes 1 Trill ium Northern Hosp ital of Surry Countv 27030 150 2 hours 29 minutes 2 Partners Onslow Memorial 28546 104 1 hour 50 minutes 3 Trillium Outer Bank s Hospital 27959 216 3 hours 25 minutes 3 Trillium Pender Memorial 28425 94 1 hour 20 minutes 1 Trillium Randolph General 27203 80 1 hour 32 minutes 16 Sandhills Rockinl!ham General 28379 79 1 hour 37 minutes 2 CenterPoint Sampson Regional 28328 36 43 minutes 59 Eastpointe Yidant Beaufort 27889 122 1 hour 52 minutes 3 Trillium Vidant Chowan 27932 165 2 hours 36 minutes 1 Trillium Vidant Duplin 28349 77 1 hour 2 minutes 2 Eastpointe wake Med 27610 42 45 minutes 8 Alliance Wayne Memorial 27534 62 57 minutes 32 Eastpointe Wilson Medical Center 27893 65 55 minutes 28 Eastpointe 36 101217ws HC BOC Page 72 Attachment 3 -·---- 101217ws HC BOC Page 73 G o o d H o p e H o s p i t a l L M E · S a n d h i l l s a n d H o s p i t a l A d m i s s i o n s • I ' , 1 • I Harnett H e a l t h L ' . , . · , . " " ~ , . . : _ - . · · . 1 1 5 8 . 0 C C H ~ · . ~ , ~ ~ 4 5 . 0 Randolph G e n e r a l t · . J 1 6 . 0 4 1 101217ws HC BOC Page 74 G o o d H o p e H o s p i t a l L M E · S a n d h i l l s a n d H o s p i t a l A d m i s s i o n s LME • SAN D H I L L S 2 1 9 . 0 Harnett H e a l t h 1 5 8 . 0 C C H • 4 5 . 0 Randolph G e n e r a l t · · 1 1 6 . 0 4 1 101217ws HC BOC Page 75 r--------------·-------------·-------- Good Hope Hospital LME -Trillium and Hospital Admissions LME -TRILLIUM -----------• 83.0 Carteret General Martin General ' -· • 9.0 Albemarle Hospital b 3.0 Onslow Memorial ~ · 3.0 Outbanks ~:-3.0 Sentara Medical Center P 3.0 Vidant Beaufort F 3.0 Vidant Chowan r 1.0 Pender Memorial r. 1.0 New Hanover r 1.0 Carolina East Medical. .. r 1.0 ---------------------------------------~ . --------·------------------·---·--------------- Good Hope Hospital LME • ~rdinal Innovations and Hospital Admissions LME -CARDINAL INNOVATIONS 40 4.0 '4.0 101217ws HC BOC Page 76 r -----·-------·----------·---·· ------ Good Hope Hospital LME .. Allliance and Hospital Admissions LME -ALLIANCE 19.01 ---~-,.._ ·.---,--, CFVMC i 9.0 Wake Med '6.0 Novant Health Johnston Memorial I I ! ~·--··--·--·--~-·------------------------------· ----_! --------·---· --------------·--·--· - Good Hope Hospital LME · Partners and Hospital Admissions LME-PARTNERS Northern Hospital of rl· Surry County ................ ....._._........, __ ._·,,: 2·0 Gaston Memorial Hospital L L 3.0 I . ~----------. ----------·--_________________ __J 39 101217ws HC BOC Page 77 LME • EASTPOINTE Lenoir Memorial Good Hope Hospital LME • Eastpointe and Hospital Admissions ~----:....... ....-~-t ..... ~ .,, ... ~·, .. , . -~:_.·."-··· . • ..... ,-, -~• .... ~~-·..,.. .. -~ -'<''P = -r, ·•• ·-,.~ • . r:: 1 ':.· t.' ..> • _.,.,. "·• ,c.¥'"'J..* .~~~:. ""'-·~. !'fX. ~-_.....,....~ 124.0 Sampson Regional ,..,._._.................... 59.0 Wayne Memorial ~ 32.0 I Wilson Medical Center ,...-._ ~ 28.0 · Columbus Memorial : 12.0 Vidant Duplin I 2.0 I I I I 259.0 Nash General f 2.0 L. ----------·---··-------·-________ __J ---·---···--·-----------·---- Good Hope Hospital LME · CenterPoint and Hospital Admissions LME -CENTERPOINT Rockingham General .......... .. ~... ; f ·': ~~~-~~-· ~. ~: 38 2.0 2.0 101217ws HC BOC Page 78 Attachment 4 ·---- 101217ws HC BOC Page 79 I I ~-- - - - + - - - - - - - - 4 s ~f'8'J6· f _ Z6 S . , I - , I I I ~ - - ' " ~ · - - ~ ~ ~ - ~ - - - - - - - - - ?stc TION U . I . u f , I I p.sr .,.,. s1. F---- - - - - = 1 " ' t " - . . . _ _ _ _ _ . . _ . J _ ! . l t J I : w ~ . , . _ . . , , _ _ _ _ , _ _ _ _ . . . _ _ . C{)Rfo HV. ~ u s - W . ~ ~ r . t ' - - . . , . . 1 I I 1 £ 1 1 ' C C W 1 R a . C ( l ! N f R cs c s . . . . . - - - - , I P K N A I L - --;i-· L - - ' o ltl.l E X / S l ' J N G l O N E S T O R Y B U I L D I N G r---------- - - - - - - - - - - - - - - I I I I - I , - - - - - - - - - - - - - - j I I ..... ~.il' ~ Q " " " ' 1 . . - - - - - - : I I , . . . . . . . . . , . , J I i i \ I I I . . - . , . . . . , . . " " ' ~ ' U " n ~ - - - - - - L : J I I I ~--------- - - - - - ~ - - - - - - - - - - - - - ~ E X I S T I N G O N E S T O R Y B U I L D I N G - . . " , I , " . : . . . . I , • PIPt FOCJND r~~ ~~ . ., ···"·· •-1·• GOOD H O P E H O S P I T A L PSYC H I A T R I C B E D G R A N T S T U D Y \ 1 1 1 1 1 1 · 4 U ~ : : , ~ ~ . . . . . . " : : ~ ! " ' " ' , . . ~ ! ~ 4 " I ~ - c " J t , t ; , i - - • n , . . t . J _ . . . " " . : ! ' ~ , ) ~ . . ~ ~ : : . ( " I ! £ . . · ~ I I I ' J " . ! \ . _ i ~ 1 - - , ! I ~ _ . , , . ~ : ! ' - - ' i , , 1 1 0 , · · - · · ~ ~ , , . i I . L E • 1 C O U R T Y A R O • · C O U R T Y A R D r _ ~ , ~ ' H ~ ~ ~ ~ 1 = 4 T l l l : S T ~ : g ; ! 6 ! . I C P . L t " n , l t ' l ! P l . C f ~ ~ ! ~ l L S ~ ~ . A 5 ! : l • ! 1 : . t l \ . . f \ i l . r . . . c f ! O i l i ' , U r r , , • 1 ~ , W . f l . . " ! : : O C - , l t f f l o : i ~ f O . l r . J l ' . ~ : a N t , C U , U C ' T ~ 4 • J • n f N ' T ~ ) U ~ " \ l ~ . - . l : ~ . l X I L I T ' C ' . J ' : J , ~ I ( \ V i f l ' t : R , : 4 • ! : . . ~ 5 f ' J I F ' \ L ' . J . : ~ . i U ~ f A ! ~ J J & E \ ' T ? ; ; , - , - 0 - § ~ . : : . . : i C O N C I " " ~ t ' A L L _ L 0 = = , . ~ . ' , : : ~ > r - r . · , . . . ( u 1 ~ : : n Y . - - - I . . . Q f l < l ! W < C • - - . - - . _ _ _ . . _ _ _ J J I I · . · : . · · 0 1 1 . " " ' c . A c w r n Q 0 1 ' f 1 C f ( i l P T \ . t Q A A ' t ~ ) ( T E o f D l i ) P ! : r C I I " ~ o t . 1 $ ? 1 . . ~ T O t 1 t ~ N f t l t N E W C O N 3 T R U C T I O : · i P _ A N D I A ( i R A t · . ' 1 P E R K I N S + W I L L 101217ws HC BOC Page 80 L E G E N D D A C T I V I T Y D C I R C U L A T I O N D O F F I C E . P T L T D C O M M E R C I A L K I T C H E N D P A T I E N T B E D O c o u R T Y A R D D E N T R A N C E D D I N I N G / A C T I V I T Y . P S Y C H N S O s u P P O R T D T R E A T M E N T 101217ws HC BOC Page 81 PROPOSED CO N S T R U C T I O N , I N F R A S T R U C T U R E A N D S T A F F I N G C O S T S FOR G O O D H O P E H O S P I T A L E X P A N S I O N P R O J E C T CATEGORY I T E M A M O U N T New C o n c r e t e 1 9 7 , 4 3 2 Construction M a s o n r y 1 9 8 , 8 9 1 S t e e l 3 7 , 7 0 0 R o u g h C a r p e n t r y 3 1 , 9 5 0 F i n i s h e d C r u p e n t r y 6 9 , 5 0 0 W a t e r p r o o f i n g 4 2 , 1 8 9 S o f f i t s 1 7 , 0 6 3 L o u v e r s 3 , 8 5 0 R o o f i n g 6 9 , 8 7 5 C a u l k i n g 1 5 , 1 2 4 D o o r s a n d H a r d w a r e 1 8 6 , 5 0 0 G l a s s a n d G l a z i n g 3 9 1 , 7 9 8 D r y w a l l & F r a m i n g 3 6 6 , 1 6 0 C e i l i n g s 8 3 , 0 1 2 T i l e 1 3 8 , 1 2 0 S t a f f T o i l e t s 4 0 , 0 0 0 F l o o r i n g 7 5 , 7 9 5 P a i n t i n g 3 0 , 4 8 7 A c c e s s o r i e s 3 8 8 , 5 2 0 A p p l i a n c e s 1 0 , 3 9 0 S i g n s 1 3 , 3 5 0 D o c k E q u i p m e n t 2 2 5 F u r n i t u r e , F i x t u r e s , E q u i p m e n t 2 8 6 , 5 6 0 101217ws HC BOC Page 82 B l i n d s 5 2 0 F i r e P r o t e c t i o n 5 5 , 7 2 0 P l u m b i n g 3 5 0 , 2 4 0 H V A C 2 2 2 , 8 8 0 E l e c t r i c a l 3 3 4 , 3 2 0 T e l e c o m m u n i c a t i o n s 1 5 , 9 2 0 S e c u r i t y 7 9 , 6 0 0 F i r e A l a r m 1 5 , 9 2 0 N u r s e C a l l 1 5 0 , 0 0 0 D e m o l i t i o n 1 2 1 , 3 5 8 S e d i m e n t a n d E r o s i o n C o n t r o l 3 2 , 0 5 0 E a r t h w o r k 5 1 , 8 5 2 S i t e C o n c r e t e 4 5 , 7 7 0 C o u r t y a r d A l l o w a n c e 4 5 , 0 0 0 D u m p s t e r E n c l o s u r e 6 , 0 0 0 S i t e A s p h a l t P a v i n g 1 3 7 , 7 7 8 PROPOSED C O N S T R U C T I O N , I N F R A S T R U C T U R E A N D S T A F F I N G C O S T S FO R G O O D H O P E H O S P I T A L E X P A N S I O N P R O J E C T CATEGORY I T E M A M O U N T L a n d s c a p i n g 6 1 , 5 8 5 S i t e F u r n i s h i n g s 2 , 3 0 0 F e n c i n g / D e c k i n g 4 4 3 , 6 5 5 S i t e S i g n a g e a n d S t r i p i n g 7 , 9 2 5 S t o r m 4 4 , 4 5 0 W a t e r 4 1 , 1 2 5 S a n i t a r y 3 3 , 3 5 0 S i t e E l e c t r i c a l 3 6 , 0 0 0 P r e c o n s t r u c t i o n 1 5 , 0 0 0 101217ws HC BOC Page 83 G e n e r a l C o n d i t i o n s 3 1 0 , 0 0 0 G e n e r a l R e q u i r e m e n t s 1 5 7 , 7 4 3 I C R A / I L S M 1 0 , 0 0 0 F e e 2 2 9 , 4 4 5 P e r f o r m a n c e B o n d 1 1 9 , 3 0 6 E s c a l a t i o n 3 0 4 , 2 2 9 C o n t i n g e n c y 6 0 8 , 4 5 9 7 , 0 1 2 , 2 7 9 L o a d B e a r i n g M e t a l S t u d i n L i e u o f W o o d 2 9 2 , 1 6 8 F r a m i n g GRAND 7 , 3 0 4 , 4 4 7 TOTAL 7 , 3 0 4 , 4 4 7 7 , 3 0 4 , 4 4 7 PROPOSED CO N S T R U C T I O N , I N F R A S T R U C T U R E A N D S T A F F I N G C O S T S FOR GOOD H O P E H O S P I T A L E X P A N S I O N P R O J E C T : S T A R T - U P C O S T S CATEGORY I T E M A M O U N T Start~Up R e c r u i t i n g S t a f f 5 , 0 0 0 T r a i n i n g S t a f f 1 5 8 , 4 0 0 I n s u r a n c e 1 5 0 , 0 0 0 H i r i n g o f P r o j e c t M a n a g e r 2 1 2 , 5 0 0 S t a f f E x p e n s e s w h i l e u n d e r g o i n g R e g u l a t o r y R e v i e w 4 7 5 , 2 0 0 P e r i o d J o i n t C o m m i s s i o n A c c r e d i t a t i o n o f A d d i t i o n a l B e d s 1 2 , 0 0 0 E l e c t r o n i c H e a l t h R e c o r d 3 0 0 , 0 0 0 101217ws HC BOC Page 84 R o l l i n g C o m p u t e r f o r E l e c t r o n i c H e a l t h R e c o r d 4 2 , 0 0 0 TOTAL: ST ART- U P A N D E Q U I P M E N T C O S T S 1 , 3 5 5 , 1 0 0 GRAND TOTAL B U I L D I N G , S T A R T U P A N D E Q U I P M E N T F O R 8 , 6 5 9 , 5 4 7 PROJECT 101217ws HC BOC Page 85 Attachment 5 101217ws HC BOC Page 86 Good Hope Hospital Adult P sychiatric Inpatient Program -7352 Erwin, NC Report Period 18 Quarter Ending 06/30/2017 I i I '-~-.... . ·" . \ 101217ws HC BOC Page 87 Introduction Report Introduction Good Hope Hospital The purpose of the CQI+ Outcomes Measurement System is to provide a comprehensive, structured, and methodologically sound procedure for measuring treatment effectiveness and for improving the quality of care provided. This system allows administrators, medical staff, and unit clinicians to measure characteristics of the patients and treatment program, the clinical effectiveness of the treatments provided, patient satisfaction, pre-and post-treatment medical resource utilization, and monitor performance improvement activities. Methodology Over time, your program has collected data at admission and discharge in order to ensure a continuous flow of patients throughout the year. These random sampling procedures control for seasonal variation while keeping the overall sample size sufficiently large to conduct meaningful statistical analyses of the data at relevant time intervals . The data reported is intended to reflect a representative sample of your patient population. In addition, Mental Health Outcomes (MHO) staff collects follow-up data on these same patients. Collecting data at more than one point in time allows reporting of patient change over time . This report includes data for Program and National patients admitted in the past two years (past eight quarters) only. National Aggregate Comparison Database In this report, your program is compared to other programs of the same patient population type and level of care that submit data to MHO 's CQI+ Outcomes Measurement System from around the country. Currently the number of programs like yours is 129 with I 89976 patients subm itted to CQI+ within the last two years. Report Utilization The CQI+ Outcomes Measurement System Quarterly Report examines a broad spectrum of patient variables and outcomes associated with treatment in your program. It is important that the findings reported here are replicated over several time periods to ensure their reliability (or "robustness") and validity (or "accuracy") for your program . Thus, programs are cautioned to avoid making strong conclusions about their program, positive or negative, based on any single report. • Review your program over the last two quarters to identify recent advances in improvement efforts. e Review your program over the last two quarters to identify areas that may represent current opportunities for improvement. • Compare your program with the National Aggregate to identify areas of comparative excellence as well as current opportunities for improvement. • Findings may sugge st areas of relative strength and weakness to examine in greater detail. Programs wishing to explore specific aspects of the report are encouraged to contact Mental Health Outcomes for further special analyses. --. Reporting Periods Reporting periods are based on CQI+ implementation dates and are configured using the end of the last month of the most current reported quarter. The reporting periods for this report are as follows . 2015 03 = Jul 2015 -Sep 2015 2015 04 = Oct 2015 -Dec 2015 2016 Q1 = Jan 2016 -Mar 2016 2016 Q2 = Apr 2016 -Jun 2016 Created by : Horizon Health -OutputlD:640 \\lewsrv1\deparll'l\ent,\MentalHealthOuteome\C<:>mmon\BookDete\MHO_RpteUntro rpt 2016 Q3 = Jul 2016 -Sep 2016 2016 Q4 = Oct 2016 -Dec 2016 2017 Q1 = Jan 2017 -Mar 201 7 2017 Q2 ~ Apr 2017 • Jun 2017 8/22/2017 101217ws HC BOC Page 88 Executive Summary Good Hope Hospital Patient Characteristics Differences in patient characteristics can be important factors in explaining the findings reported . The more similar your program 's patients are to the national comparison group, the more likely that differences in outcomes scores are related to differences in treatment or practice patterns. Li kewise, smaller sample sizes contribute to greater variation in data; thus, while quarterly data is helpful in identifying trends, aggregate data is most helpful in modifying the treatment program and setting performance improvement goals . Q3 Q4 Q1 Q2 2016 2016 2017 2017 Program National Number of Participants 123 131 114 101 969 189976 Mean Age 40 38 37 39 38 (N=969) 37 (N=189969) Percentage Female 57% 45% 54% 50% 48 % (N =967) 50% (N=186589) Percentage White 63% 57% 60% 53% 53% (N=968) 77% (N=1 83SQ9) Percentage with Higher Education 69% 66% 71% 67% 67 % (N=855) 78% (N=14679) Program Characteristics Similarities or differences in key program characteristics can be important factors in explaining the findings reported in the following pages . The more similar your program's characteristics are to the national comparison gro up , the more likely that differences in outcomes scores are related to differences in treatment or practice patterns . Length of Stay Percentage Involuntary Admissions Average Number of Co-morbid Illnesses Most Frequent Diagnoses Program Mood Disorders Schizophrenia & other Psychotic Disorders Anxiety and other Nonpsychotic Disorders Rcpon induda onJy patients admttled in tht put 1wo year&. Q3 2016 12 .1 90.8% 0 .4 70 .8% 28 .3% 0 .9% Q4 Q1 Q2 2016 2017 2017 Program National 12 .8 13.2 11 .7 11 .7 (N=947) 9.4 (N =172232) 92.1% 92.2% 88 .5% 94 .0% (N=849) 26.7% (N"15030) 0.4 0 .5 0.5 Q.6 (N =S24) 0 .7 (N:18108) National Mood Disorders Schizophrenia & other Psychotic Disorders Psychoactive Substance Use Anxiety and other Nonpsychoti c Disorders Non-Psychiatric Diagnosis 67.4% 19 .7% 6.4% 4.6% 0 .7% 0 -lnsufficicn l Data 1 101217ws HC BOC Page 89 Executive Summary Good Hope Hospital Patient Outcomes Admission to Discharge Patient outcomes reflect patient change in symptomatology or function ing from admission to discharge. This summary information is explored in greater detail in the following pages. For ease of performance improvement tracking, the "Trend Icons" provide information as to how your program is doing~ compared to the previous report period . QJ Q4 a1 Q2 Program National 2016 2016 2017 2017 Change in Patient Reported Functioning 0 .9 0.9 0.9 0 .9 0 .8 (N=397) 1 .1 {N =5894B ) (BASIS-32) Change in Patient Reported 1 .3 1 .1 1.4 1.4 1 .2 {N=391 ) 1 .5 (N=58719) Depression/Anxiety {BASIS-32) • Change in Psychiatric Symptoms (BPRS) 13.1 10.8 13 .1 16.3 13.5 (N=691) 16 .4 (N=36032) Change in Clinician Rated Anxiety/Depression 8 .2 6 .5 8 .3 8.2 7 .5 {N=691) 7 .3 {N=36032) (BPRS) Patient Satisfaction Patient Satisfaction ratings are collected at time of discharge. This summary information is explored in greater detail in the following pages . For ease of perfonnance improvement tracking, the "Trend Icon s'' provi de information as t o how your program is doing as compared to the previous report period. Q3 2016 • % Rating Quality as EXCELLENT 71 .8% % Rating Length of Stay as JUST RIGHT 76.9% .. % Definitely Would Return to the Program 69.4% .. % Definitely Would Recommend the Program 73.2% .. % Rating Overall Satisfaction as 51 .9% EXCELLENT A Prog ram has shown improvement from previous quarter to current quarte r Program has shown no change from previ ou5 quarter to current quarter Program has shown a decline from previous quarter to current quarter Q4 Q1 Q2 2016 2017 2017 69.9% 56.5% 78.0% 82.4% 78 .9% 82.9% 72.9% 59.5 % 76.5% 73.6% 61 .9% 77.5% 58 .3% 50.0% 63 .9% Gl Both p revious and current quarters must have a sample size of 8 or greater in orde r to warrant t rending analysis Jtcpon indudcJ only patitnl> adroiucd in &he: past n 1 o years ------- Program 67.2% {N=714) 78.0% (N=651 ) 67.9% (N=686) 70 .3% (N=69 1) 54 .0 % (N =728) National 62.3%(N:52836) 79.5%(N=46912) 69.2%(1r-49725) 69.3%(N =28741) 52.So/o(N:54 078 ) 0 · Insufficient Data 2 101217ws HC BOC Page 90 Change in Psychiatric Symptoms The Brief Psychiatric Rating Scale is a clinician's rating of the level of severity of a patient's functioning and symptoms obtained through a structured interview conducted with the patient. The total scores range from O to I 08, with higher scores indicating greater severity. Change scores range from -I 08 to+ 108, with positive scores indicating greater improvement. 36% of all programs fall below your change score for this measure over the past 2 years. 25 20 f 15 13.5 0 u II) .. "' ,:; 10 .. .r: () 5 0 -- Program Score at Admission ~ t 30 ! 18.7 19.1 19.2 19.1 20 • • • • C j 10 2015 Q3 2015 Q4 2016 Q1 2016 Q2 Score at Discharge ~I e . ell ~ 5.9 6.3 ; 4.3 • • 4.7 .. • 2015 Q3 2015 Q4 2016 Q1 2016 Q2 Change Score: Admission to Discharge ~ t g 30 .. 20 13.7 13.4 13.8 14.4 ~ • • • • .:! ,o u • 2016 Q3 2015 Q4 2016 Q1 2016 Q2 Adult Psychiatric Inpatient Program • 7352 1\lewsrv1\departments\MentalHealth0utcome\CommonlBookData\M Admission to Discharge 2 Year Trends 16.8 18.0 • 14.9 • • 2016 Ql 2016 Q4 2017 Q1 4 .6 4.5 4 .2 • • • 2016 Q3 2016 Q4 2017 Q1 13.1 13.1 • 10.8 • • 2016 Q3 2016 Q4 2017 Q1 16.4 National Aggregate Scores Past2 Years 21 .1 21 .7 .. 2017 Q2 • Program National (N=810) (N=46008) Aggregate Scores Past 2 Years ••r-,. lO 5.0 10 5.0 5.9 B 2017 Q2 Program National (N=814) (N=45887) Aggregate Scores 16.3 .. 2017 Q2 • Past 2 Years Program (N=691 ) Nationa l (N=36032) 8/22/2017 3 101217ws HC BOC Page 91 Change in Psychiatric Symptoms -Subscales The specific subscale data is meant to assist the reader in "drilling down " to more clinically specific issues of patient improvement. This infonnation might be used to adjust the milieu and/or encourage additional competency training by trending specific factors of patient improvement over time. 10 9 Activation ! 8 0 7 Aggregate Scores u fl) 6 • 6 "' Program 0.5 (N=691) C 4 . 3 .<: 1.0 National 1.5 (N=36032) 0 2 0.6 0 .6 0.5 0.3 0.3 1 0.4 0.3 0 2016 Q3 2015~ 2016 Qi 2016 Q2 2016 Q3 2016Q4 2017 Q1 2017 Q2 10 9 Anergia ~ • u 7 Aggregate Scores Cl} 6 • 5 "' Program 1.1 (N=691) C 4 2.5 .. ~ 1.4 1.1 ~ National 2.9 (N=36032) u 0.7 0 .9 0.7 0.9 1 ..... • • • • • 0 2015 Ql 2015 Q4 2016 Q1 201' Q2 2016 Q3 2016~ 2017Q1 201702 10 ------· I 8.2 8.3 8 .2 I ' 7.3 7.6 7.6 ~ • Anxiety/Depression e 8 6.5 • • 0 7 • I u ... Aggregate Scores II) ' ., s I "' I P rog ram 7.5 (N=691) C 4 .. J:; 3 National 7.3 (Na:36032) 0 2 1 0 201S QJ 201504 201' Q1 2016 02 1016 0) 2016 C• 2017 01 2017 Q2 10 ' l Hostility/Suspiciousness .. 8 8 7 Aggregate Scores ~ ' I .. 6 I "' 2.9 3 .2 3.2 2 3 Program 2 5 (Na:691) C 4 2.6 2.3 .. .. 2 .0 .: • • •----.. 1.6 ... National 2.3 (N=36032) 0 • • I I 2015 Q3 2015 Q4 201601 201& 02 1016 0 3 2016 04 201701 2017 Q2 10 ---- 9 Thought Disturbance f a 0 7 u Aggregate Scores fl) 6 .. 6 "' Program 1.9 (N=691) C ' 2 .2 2.4 2.3 .. 2.0 1.8 s;; s 1.8 ·~3 1.3 u 2 • • • • .... National 2.3 (N:36032) 1 • 0 2016 03 2015 C. 2016Q1 2016 Q2 2016 03 201& a, 201701 2017 02 Change in Brief Psyehiatric Rating Scale subscales Thought Disturbance, Anxiety • Depression , and Anergia are measured on a scale from -24 to 24 , with a higher score indicating an improvement in symptoms. Subscales Hostility· Su spi cio usness and Activation are measured on a scale from -18 to 18, with a higher score indicating an improvement in symptoms. Adult Psychiatric Inpatient Program -7352 1~ewsnr11<11parunenU1\MentalHealthOulcome\Common\BookOatolMHO_Rpl•IP•ychSymptomsSut>scales rpt ---------- 8/22/20 17 4 101217ws HC BOC Page 92 Change in Patient Reported Difficulty and Functioning The Behavior and Symptom Identification Scale is the patient's rating of the level of severity of their own functioning obtained through either a structured interv iew conducted with the patient or the patient's independent completion of the instrument. Behavior and Symptom Identification Scale (BASIS-32) total scores range from Oto 4, with higher scores indicating greater difficulty. Change scores range from -4 to +4, with positive scores indicating greater improvement. 25% of all programs fall below your change score for this measure over the past 2 years. 4 r 3 J .. 0 " 2 "' .. "' C .. 0.8 -" 1 u 0 Program Score at Admission . ii 0 1.5 ~ 1.2 1.3 C • : 0.8 • • :I! - 2015 Q3 2015 Q4 2016 Q1 2016 Q2 Score at Discharge f i I 3 .. C 0.9 0 .9 0.7 . 0.6 i • • • • 201 5 03 2016 04 2016 Q1 2016 02 C hange Score: Admission to Discharge ~ ~I ,)I & 0 .9 ~ 0 .7 2 0.4 • l!I 0 ... 0 2015 Q3 2015 Q4 2016 Q1 2016 02 Adult Psychiatric Inpatient Program • 7352 \llewsrv1 \departmenls\MentalHeallhOutcome\Common\BookData\M Admission to Discharge National 2 Year Trends 1.4 1.6 1 .5 1.4 • • • • 2016 Q3 2016 Q4 2017 Q1 2017 Q2 0.7 0.5 0.6 0 .5 • • Bl -ti 2016 QJ 2016 Q4 2017 Q1 2017 Q2 :1 0.9 0.9 0.9 0.9 1 fl • • • 2016 03 2016 Q4 2017 Q1 2017 Q2 Aggregate Scores Past 2 Years 1.8 Program National (N=556) (N=80970) Aggregate Scores Past 2 Years 0 .7 0.8 l ' J Program National (N=600) (N=87458) Aggregate Scores Past 2 Years 0.8 Program (N=397) 1.1 National (N=58948) 8/22 /2017 5 101217ws HC BOC Page 93 Change in Patient Reported Difficulty and Functioning .., Subscales The specific subscale data is meant to assist the reader in d ri lling down to more clinically specific issues of patient improvement. This information might be used to adjust the milieu and/or encourage add itional competency training by trending specific factors of patient improvement over time. ' Relationship to Self and Others f 3 0 u Aggregate Scores c.o • 2 f 1.0 1.0 0.9 1.0 Program 0 .9 (N=393) .. 0.8 0.8 s: National 1 .2 (N=58689) 0 0 201' 03 2016 Q4 2016 0 1 2016 02 2016 Q3 2016 Q4 2017 Q1 201702 ' Daily Living Skills f 3 0 " Aggregate Scores <I) • 2 .,, Program 0 .9 (N=394) C 0.9 0.9 0 .9 0.9 1.0 1.0 " .c 0~ • • • • • National 1.2 (N=58765} 0 0 2015 Q3 2015 Q4 2016 Q1 2018 02 2011 03 2016 Q4 2017Q1 2017 Q2 f Depression/Anxiety 0 u Aggregate Scores ., .. 1.3 1.4 1 .4 a, 1.2 1.1 Program 1.2 (N=391} C 1.1 • • .. o.'!--• .. .c • • National 1.5 (N=5871 9) 0 2015 0 3 2015 0 4 2016 01 2016 Q2 2016 Q3 2016 Q4 2017 Q 1 2017 Q2 • Impulsive/Addictive Behavior 0 u Aggregate Scores ti) " Q Program 0 .6 (N =387) C: • 0.7 0.7 .c 0 .7 0 .5 0.6 0.6 Nat ional 0 .8 (N=58597) 0 0.4 .... • • • • • .. 0 2016 03 2015 04 2016 01 2016 02 2016 Q3 201604 2017 Q1 2017 Q2 : I l Psychosis f 0 u Aggregate Scores <I) • :1 I Q Program 0 .5 (N=395) C II 0.7 .c 0 .6 0 .6 0.6 0 .5 National 0. 7 (N=58824} 0 0.4 ol.--• • • • • • 201$ 0 3 201$ Q4 2016 01 201102 2016 03 201 6 Q4 2017 01 2<117 02 Change in BASI S-32 Subscale scores are measured on a scale from -4 to +4 , with a higher score ind icat ing more improvement in symptoms Adult Psychiatric Inpatient Program -7352 lltewsrv1\deparvnent&\MentalHeal thOutcome\Convnon\BookOata\MHO_Rpto\PsychSymptomsSubscales ,pt 8/22/2017 6 101217ws HC BOC Page 94 Change in Functioning The World Health Organization Disability Assessment Schedule 2.0 (WHODAS) is a I 2-item self-report measure of functioning. Total scores range fro m I to S, with higher scores ind icating greater severity. Change scores range from -5 to +5, with higher scores indicating greater improvement. The program has insufficient sample size for inclusion in ranking of this measure. e 0 ,.r 10 " "' • "' C 5 .. ,: (J 1.3 0 P rogram Score At Admission ] i ., C : :E 2015 Q3 2015 Q4 2016 Q1 2016 Q2 Score At Follow-up j t ~ "' C 1 2016 Q3 2015 Q4 2016 Q1 2016 Q2 Change Score: Admission to Follo w-up :: I I! 8 ., . .. " -" " 0 2015 Q3 2015 Q4 2016 Q1 201 6 Q2 Adult Psychi atric Inpatient Program • 7352 1\lewsrv1\departments\Me ntalHea l1h0utcome\Common\BookData\M Admission to Follow -up 0.6 National 2 Year Trends " 10 2.8 3.0 3.2 • • • 2016 Q3 2016 Q4 2017 Q1 2011 a2 --i .. I 10 1.9 1.6 1.4 • • • 2016 Q3 2016 Q4 2017 Q1 2017 Q2 ti 10 1 .3 1.3 • • 2016 Q3 2016 Q4 2017 Q 1 2017 Q2 Aggregate Scores Past 2 Years 3 .1 2 .3 Program National (N =176) (N=3540) Aggregate Scores Past 2 Years 1 .7 1.7 Program National (N=18) (N=171) Aggregate Scores Past 2 Years 1 .3 Program (N=9) 0.6 Nationa l (N=92) 8/22/2017 7 101217ws HC BOC Page 95 Patient Satisfaction Percentile Rankings The Patient Satisfaction Percentile Rankings report is meant to assist the reader in determining the rank of lhe program within the national CQI+ database with respect to specific items. Overall Patient Satisfaction 54% of all programs fall below your score for this measure over the past 2 years. Quality of Treatment 70% of all programs fall below your score for this measure over the past 2 years. Early Phase of Treatment 75% of all programs fall below your score for this measure over the past 2 years . Discharge from Treatment 94% of all programs fall below your score for this measure over the past 2 years. Amenities of Treatment 30% of all programs fall below your score for this measure over the past 2 years. Helpfulness of Staff 85% of all programs fall below your score for this measure over the past 2 years. Helpfulness of Treatment 83% of all programs fall below your score for this measure over the past 2 years. · Sense of Security and Safety 54% of all programs fall below your score for this measure over the past 2 years. Management of Physical Pain 48% of all programs fall below your score for this measure over the past 2 years . Recommend Program 58% of all programs fall below your score for this measure over the past 2 years . Return to Program 39% of all programs fall below your score for this measure over the past 2 years. • Program must have a sample size of 60 or more to be included in percentile rankings. Adult Psychiatric Inpatient Program -7352 \~ews,v1\depanmanto\MenlalH11llhOutcome\Common\8ookOa1olMMO _Rpts\PercentileRanks .rpt 8/22/2017 8 101217ws HC BOC Page 96 Patient Satisfaction Trends The Patient Satisfaction report is meant to assist the reader in determining the level of the patient satis faction with the treatment program. In addition to serving as a reference point for the patient perception of service and quality, patient satisfaction is one factor that may influence the clinical outcomes obtained . Programs with higher scores for each reported issue have higher satisfaction levels . Overall ·~-~-1 -4.3 4.2 4.2 ... 1;] ;;i., Satisfaction 4 I • • • • • • ! !L Ii l 2015 Ql 2016 QC 2016Q1 2016 Q2 2016 Q3 2016 Q4 21>17Q1 201702 Quality of J 4.3 ,u >S.2 •6 -4~ 4.4 4., 45 • • • • ii • -Treatment .. ! i ~ 2015 Q3 2015 04 2016 01 2016 02 2016 03 2016 QC 2017Q1 2017 Q2 Early Phase ·, ll.2 4.2 ~.2 4.4 4.3 4.4 ll.2 ~1 • • • • • • • of Treatment ' • I ! • I ' J % 2016 Q3 2016 Q4 2016 Q1 201'02 2016 Q3 2016 Q4 2017Q1 2017 Q2 Discharge ir H 45 46 45 45 4.4 4..5 1 from j __ __J Treatment f i 2016 Q3 2011 Q4 2016 01 2016 Q2 2016 Q3 2016 Q4 2017 01 2017 Q2 Amenities o f : I 3.9 3.8 3.8 4.0 3.9 4.D 3.8 J.1 I ~I Treatment • • • • • • • 1 • _J i z 2 1 • 20UQ3 201504 20HQ1 2016 Q2 2016 Ql 2016QC 2017 Q1 2017 Q2 Helpfulness ~ I H ~-!! 3 .!j 3.8 3."l'. ~ 3.1 ~-8 • • • • • • I of Staff ! g .. i 2 2015 Q3 2015 Q<I 2016Q1 2016 02 2016 Q3 2016 Q<I 2017 Q1 2017 Q2 H elpfulness !I 3,& 3 6 32 32 36 az 36 ~ • • • • • • • of Treatment j C i 2015 QJ 2015 Q4 2016Q1 2016 Q2 201&Q3 2016Q4 2017 01 2017 02 Patient Satisfaction scores are measu red on a scale from 1 · 5, "Helpfulness' scores are measured on a scale from 1 . 4 . Adult Psychiatric Inpatient Program -7352 1uowsrv11oepanmenls1Men1alHealthOutcome\Common\BookOata\MHO_Rpl!\PSFTrends1 .rpl Program (N =728) Program (N=714) Program (N=728 ) Program (N=709) Program {N=715) Program (N=722) Program (N=720) Nationa l (Na54078) I National (N=52836) National (N=5352 1) National (N=52361) National (N=53280) Nationa l (N =52959) National (N=52700) 8/22/2017 9 101217ws HC BOC Page 97 Overall Patient Satisfaction Overall Satisfaction with Program 101·.!t:===;----, ~-----o.7 30.9 Program 6.1-----, • 1. ExceO•nl $.a o,r.. G 2. Ve,y GOO<! 30 "' a 3 Good 10, .. o•.Fu •-~ C $.Poor D7'A TcuJ 100 0-. Would You Recommend the Program ! a 1 Oe~Wwld 70.3" D 2 . Probabl)' WouSd 21 9,r. a 3. Probll>ly Would Nol 6 ,,. 04.0efini\ety~!:.!!! Total 1DO.~ 0 .9------~ ,.1-----. 13.5--· National 2.5-----~ 5.8----, 22., -52.B 70.3 '----69.3 22 Definitely Would Recommend the Program Definitely Would Return to the Program Received More Benefit Than Anticipated Would You Return to the Program ~------4.8 • 1. OehMely Would 67 ft 8 2. Pt0b•b.'y Would 22 6W. • 3 . P,oblbty Wovld NOi 4 .1'11, O l .OelinilolyWouldNol ,.6'0o I TOIOI: 100.0% 2 Year Trends 1]16~~!6-~6~:~~--74~~~--'~~~A--~~.~---,~~~~ ~ to 0 -----------------------------' 201s a 1 2016 a, 2016 a 1 201s a2 20n C3 201a a, 2011 a1 2011 02 ... •• 66.0 67.9 68.9 69.4 ,,., ~ E 61.2 • • • • -~ .. -l .. ,. 2016 Q3 20H a, 2016 Q1 2016 Q2 2016 Ql 2011 Q4 2017 Q1 2017 Q2 100[ ;i j .. 59.5 56.0 •• 41 .0 48.4 • ---3:.a 40 .5 42.9 j • =L • II • . -- 201$ Ql 2015 Q4 2015Q1 201, Q2 2016 03 2016 Q4 201101 201702 Adult Psychiatric Inpatient Program -7352 lllewctv1\0epartmentc1Menl-a1HeaHhOL4como\C:O-\BookOai.WIHO_Rpts\dVtsP iePS F.rpt National ,eo ,------------. .. 70.3 Program {N=691) Program (N=686) Program (N=630) National (N=28741) National (N=49725) National (N::45512) 8/2212017 10 101217ws HC BOC Page 98 Telemedicine Patient Satisfaction The Patient Satisfaction report is meant to assist the reader in determining the level of patient satisfaction with the treatment program. In addition to serving as a reference point for the patient perception of service and quality, patient satisfaction is one factor that may influence the clinical outcomes obtained. Programs with higer scores for each reported issue have higher satisfaction levels. 6-------------- 5 4 3 2 1 0 U...===~ 4.1 Program Overall Satisfaction 4.1 National Individual Item Scores QJ 04 Q1 Q2 2016 2016 2017 2017 Your overall telemedicine experience 4 .3 4 .3 4 .2 4 .3 Your telemedicine physician 4 .4 4.4 4 .2 4 .3 The availability of your telemedicine physician 4 .1 4 .1 3 .9 4 .0 The amount of time your telemedicine 3 .9 3 .9 3 .8 4.0 physician spent with you The ability to develop a relationship with your 3 .8 3.8 3 .6 3 .9 telemedicine physician Orientation to the telemedicine process 4.2 4.1 4 .0 4.2 Your level of comfort with the telemedicine 4 .2 3 .9 3.9 4 .2 process Your level of privacy with the telemedicine 4.2 4 .1 4.1 4 .3 process (Patient Satisfaction scores are measu red on a scale from 1-5.) Q3 Q4 Q1 Q2 2016 2016 2017 2017 Your telemedicine experience was free of 3 .8 3 .6 3 .5 3.7 distractions Your tefemedicine experience was free of 3.7 3 .7 3 .6 3 .7 technical issues Would you participate in telemedicine in the 3.5 3.5 3 .3 3 .5 future? Would you recommend using telemedicine to 3.4 3 .4 3 .4 3 .5 friends and family? (Patient Satisfaction scores are measured on a sca le from 1-4.) Adu lt Psychiatric Inpatient Program -7352 \\lewsrv1\departments\MentalHealthOutcome\Common\8ookData\M Program {N=313) 4 .2 4 .3 4 .0 3 .9 3 .8 4 .1 4 .0 4.2 Program (N=312) 3.6 3 .7 3.4 3 .4 National (N=352) 4 .3 4 .3 4 .1 4 .0 3 .8 4 .1 4 .1 4 .2 National (N=352) 3 .6 3.7 3 .5 3.4 8/2212017 11 101217ws HC BOC Page 99 Patient Acuity at Admission The Patient Acuity report is meant to assist the reader in determining the level of the severity of patient illness at Admission. This infonnation might be used to adjust staffing levels and /or encourage additional competency training by trending specific factors of patient population acuity over time. Programs with higher percentages of patients presenting with the reported issues have higher acuity levels. Suicidality Psychiatrically Complex Comorbid Illnesses Multiple Medication Usage Thought Disturbance r =1 B 20 . l 10 2015 QJ 2015 Q4 2016 QI 201C Q2 2016 Q3 2016 Q4 2017 QI 2017 Q2 ,., f :1~--~~o--~~-·o---~~-0---~•o---~~o---o~J---~•·o __ ...,.~J 2015 QJ 2015 Q4 2016 Q1 20 18 Ql 2016 QJ 2016 Q4 2017 QI 2017 Q2 2015 QJ 2016 Q4 2016 QI 2016 Q2 2016 QJ 2016 Q4 2017 QI 2017 Q2 .:lr------------31-. ~~9 f ,o l==o.o 23 .1 21~ ~ ~ 21 .. • Ii 10 0 ---------- 2015 QJ 201 5 Q4 2016 Q1 2016 Q2 2016 Q3 2016 QC 201 7 Q1 2017 Q2 =1 · 27.~ j 22. 20.6 21.3 j 20 "-I.-~6---4·---·---.--16.9 ~ .. •'----------------------------' 20,SQJ 20 15(14 201601 201,02 2016Q3 201604 2017Q1 2()17Q2 Patient Reported '° 17.5 I 21[ ---, Difficulty Involuntary Status j 15 ~10.8 12.6 12.8 o.i. .. u--~-~--·· I ~ ': 0. ~ ... ---..... -- 201503 2015Q4 2016Q1 201602 2016Q3 201$04 201101 2017 Q2 99.2 99.2 97.9 i ·1 1 ~ __ · ___ · ____ · ___ 9-~3 9~1 '!'·, I 20UQJ Z015Cl4 201 6Q1 201 6 Q2 201SQJ 2016 Q4 201701 2017Q2 Adult Psychiatlic Inpatient Program · 7352 111wsrv1\:lopartmen1SIMeota1Hoal1hOutcome\Commo:>\Bool<lla1a\MH O_Rpts\Pa t;eiitAcuoty rpt Program (N::516) National (N=9906) lO ~--------~ .. .. 0.0 Program (N=822) Program (N=924) Program (N=747) National (N=149762) National (N=18108) National (N=16567) .. ~---------~ Program (N=810) Program (N=556) Program (N=849) National (N=46008) National (N=80970) National (N=15030) 8/22/20 17 12 101217ws HC BOC Page 100 Risk Man agemen t The Risk Management report is suppli ed to assist the reader in detennining the lev el of patient safety or risk within the treatment program. CQI+ risk management data is based on a sampling of patients and may vary slightly from data using a 100% data collection methodology . Program s with higher percentages of pat ients experiencing the reported issues ha ve higher risk levels . Restrain t Utilization Seclusion Utilization Patient Falls Transfers to Medical Unit % Premature Terminations Patient Deaths i 11 1.5 08 09 1 LI -=----.::::~~~_:·0~---~~-0:..__.,!owwi~=~·~=._:Oiiiaoi:'.-=~·~· ~~...:.o •• o_J :1 ,. • 14 2015 03 2015 04 2016 QI 2015 Q7 201' Q3 2016 04 2017 01 2017 02 0.7 • 2015 Q4 1.8 o.~o.o • • 2016 01 2016 Q2 2016 03 0.8 • 2016 04 0.9 O • -----, .o 2017 01 2017 02 f !i "' 0 ; I _-£2..,,~~2~.3::::=~~~~1!!!i.8:::::::::7-~5:::::1!.81:::'.:::~1,.0~=:::t1.L2_J c... ~ .. -==--~-0 • • • • 2015 OJ 2015 04 2016 01 2016 02 201 6 03 2016 Q4 2017 01 2011 02 -----, I I 0.0 • 201s o• 0.0 • 2016Q1 0.0 • 2016 03 0 .0 • 201604 0.0 • 2011 o, o.o I 2017 0 2 .. .------------------------------, • • I • ! LI -~~2,o..,,~~~~·9:::::::~·~· 0 ~~..!;0w.o~--2.o.:,o __ _:o~.:i.o --~o .::·o~--!lio.::o_J 20,s OJ 20,s °" 2016 01 2016 02 20,s a, 201e °' 2011 0 1 2011 02 ,·1 1 E !I ; 1.0 ~ L~aiiio . .::,o __ -i~r·o::...~::•~~-~~JOliiWo!...... __ o~ilt-o __ _;o~.o::,..._~o • .:.o~--o4il~o_J 2015 Q3 201 6 04 2016 Q l 2016 Q2 2016 03 2016 Q,4 2017 01 2017 02 Adult Psychi at ric Inpatient Program -7352 111ew,rv1\dopartment4\Menta1Hcalth0vtcome\Common\8 ook0•la\MHO_Rpts\RlskMgml rpl 'W- ~.·.· lL------.....1c::..:..:::.:2 .;::o ~i_; . o., let 'J Program (N=946) National (N=143535) ••.------------. I I 7 • • • • !w-.o •. .,s_....,==o:.:.:::6=~ .. .. Program (N =947) National (N=1 40296) :J l l! .... 1 •• 6 • ._.i:,:rc:::::,;;1 ·=o=._J P rogram (N=834) Nationa l (N=21287) ,o .----------- 1 I I ~I 0.0 •'------ Program (N=791 ) 1.1 I ,J National (N=20525) 'f1 ~.I 1.2 oL...... __ o_.3 ___ ...L~· .;.•:;.;.;..,...;·4'<Silll .J Program (N =791 ) Nati ona l (N=20525) ••.----------~ • • 7 • • • • 2 :.__ __ o_._1 ___ ...;o:..;;.o=----' Program (N=791) Nationa l (N=20525) 8122/20 17 13 101217ws HC BOC Page 101 Top Primary Diagnosis Codes The top IO most frequently used JCD-10 diagnosis codes in the program are displayed below. ! 20.0%1 ! 1s.7o/o I i 10 .9°/o 1 i 10.s0k I 9.8°/o 9.1% 6.1°k 6.0%» 3.3% 3.2°/o Mood Disorders F332 Major depressv disorder, recurrent severe w/o psych features Schizophrenia & other Psychotic Disorders F209 Schizophrenia , unspecified Mood Disorders F315 Bipolar disord, crnt epsd depress, severe , w psych features Schizophrenia & other Psychotic Disorders F250 Schizoaffective disorder, bipolar type Mood Disorders F319 Bipolar disorder, unspecified Mood Disorders F314 Bipolar disord , crnt epsd depress, sev , w/o psych features Mood Disorders F329 Major depressive disorder, single episode, unspecified Mood Disorders F333 Major depressv disorder, recurrent, severe w psych symptoms Mood Disorders F312 Bipolar disord, cmt episode manic severe w psych features Mood Disorders F322 Major depressv disord, single epsd , sev w/o psych features Adult Psychiatric Inpatient Program • 7352 \Vcwsrv1\depertJMnts\ManlalHealth 0utccme\Comrnon1BookDe1aW.HO_Rpts1Percen t1leDxCode,.rpl 8/22120 17 14 101217ws HC BOC Page 102 Physician Profile -0 Clinical Outcomes . ~ . ~ Change in Patient Functioning :,-e 8 en . i ~ u 0 --• • • • ·1 .. 2015 03 2015 04 2016 Q1 2016 Q2 2016 Q3 2011 Q4 Change in Psichiatric Slm~toms 10 eo ! 50 : 40 r ,. 1l zo • • • 10 0 ~ 2015 Q3 2015 Q4 2016 01 Practice Patterns Most Common Primary Diagnoses Psychotropic Medications Most Commonly Prescribed at Discharge % Premature Terminations Average LOS in Days • • • 2D16 Q2 2016 QJ 2016 Q4 Physician O Mood Disorders 100.0% Physician 0 Atarax 50.0% Carbatrol 50.0% Celexa 50.0% Physician 0 0 .0% Avg Number of Psychotropic Meds 10.5 3.5 •, .J ;1 0.7 0.8 ~ • 0~ ··L .z ---- 2017 Q1 2017 Q2 Physician Program National (N=1) (N=397) (N=58948) -1 -~ 60 50 ,0 30 D .. 20 20·0 13.5 16.4 • 110 g£j 2017 Q1 2017 Q2 Physician (N=1) Program Aggregate Mood Disorders 70.6% Program National (N=691 ) (N=36032) National Aggregate Mood Disorders 67.4% Schizophrenia & other Psychotic Schizophrenia & other Psychotic Disorders 28 .3% Disorders 19.7% An x,ety and other Nonpsychotic Psych oactive Substance Use Disorders 0.9% 6.4% Program Aggregate Neurontin 30.2% Desyrel 26.5% Ce lexa 20.5% Program Aggregate 0.3% 11 .7 2 .6 National Aggregate Desyrel 23.8% Neurontin 15.9% Seroquel 15.3% National Aggregate 1.2% 9.4 2.5 · Overall Patient Satisfaction .--· -, -· . . D Phys ician • Program 100 100.0 10 f .. 5-4.0 52.8 ~ 40 30.9 28.7 ~ a!Z1 .. -10.4 Excellent Very Good Good Adult Psychiatric Inpatient Program · 7352 \\lowsrv1\deportment,\Menui1Healll>Ou1come1Common1Boo1<Dato1MH O_Rpt>IPhyP,of.,p1 National 13.5 == 4 .0 4 .1 Fair 0 .7 Poor 0 .9 8/22/2017 15 101217ws HC BOC Page 103 It) -C: CII ;; Ill a. -0 CII Medication Utilization The Medication Utilization report is meant to assist the reader in detennining the amount of similarity or difference in Medication Utilization patterns from the National Aggregate. Medications are known to be a significant influencing factor for the clinical outcomes obtained and reported . Medication classes shown are based on predominance of use within the program. Average Number of Psychotropic Medications Prescribed at Discharge Program 2 .6 (N=775) National 2 .5 (N=19629) Most Prevalent Medication Classes Prescribed at Discharge 100 90 BO 70 65.4 64.8 66.3 60 0, 50 Jg C CII t:! CII a. 40 30 20 10 0 Program (N=775) • 8.8 0 0 • Natio nal (N=19629) 7.5 Anti-Anxiety Anti -Depressant Anti-Manic Anti-Psychotic Psychotropic Medication Most Prevalent Medications Prescribed at Discharge Program Percentage of Patients Taking Medication Medications (N=775) Neurontin 30.2% Desyrel 26.5% Celexa 20.5% Haldol 15.2% Ability 13.0% Adult Psychiatric Inpatient Program -7352 \\leWsr,/1 \clep&rtments\Me""'IHeallhOulcomolCommon\BookData\MHO_Rpts\MedaUttli.zat ,on_Paycho.rp! ---------------- National Aggregate Medications Desyrel Neurontin Seroquel Depakote Remeron Percentage of Patients Taking Medication (N:.19629) 23.8% 15.9% 15.3% 12.6% 10.9% B'22/2017 16 101217ws HC BOC Page 104 Medication Switching Patterns The Medication Switching information highlights changes in prescribing patterns for the program over the course of a patient's treatment experience. Medications are known to be a significant influencing factor for the clinical outcomes obtained and reported. Medications shown are based on predominance of use within the program . Most Prevalent Anti-Psychotic Medications Program 50 ~----~--.~--------~ 50 l!l •o C .. "' " 30 ... .!! 40 ' i 30 ... 0 0 . 20 "' l! C .. !:' 10 • ... .. 20 "' E .. !:' 10 .. ... 0 0 Most Prevalent Anti-Manic Medications Program 50 50 !'l 40 !l •o C C .!! .. "' ;; 30 0 .. 30 ... ... 0 0 0 " • "' 20 "' 20 !S l! " C . " !:' u 10 10 ~ • ... a. 0 0 Pro-Admil Foltow-up I C:.vw o,~ Ne~bn I Most Prevalent Anti-Depressant Medications Program 50 !l 40 C • r 30 0 0 ~ 0 • "' .. 20 c • e 10 • ... 0 Pnt-Ad.rn?I Admlulon Oiad'large foOow-up • -c-0 I Colen Cymbal!• Ot&yrel : Adult Psychiatric Inpatient Program • 7352 I VOW$tV1\deportrnentslMentalHealthOu1come\COt\'111'1on\Bool<01t1\MHO_Rpts\MedsSwitchir,g f'pl 50 !l " •o " = .. 30 ... 0 .. "' m 20 1: ·:I .. e .. ... National National I ~-, o:kD<e Neu~~ I National D 0 D 0 ~ [}e- p,..-~ AQ'n1S&lon O lsc.halrg1 ~ -e o I -• CymbllHt Ot&yrel I 0 =4J Fo"OW·UP 8/2212017 17 101217ws HC BOC Page 105 Outcomes by Medication Medications are known to be a s ignificant influencing factor for the clinical outcomes obtained. This report is meant to assist the reader in understanding the influence different medications may have on outcome. The reader is advised that medications are only one factor involved in cl inical improvement, and that only patients taking one medication within the medication class measured are included on this page. Change in Depression/Anxiety (BASIS 32) by 3 Most Frequently Used Anti-Depressant Medications P,u::oc.:11/_ic ,.J _1: D1sr.l1tu9r1 • Program National 4.0 I f 3 .3 0 " 2.7 Ill .. 1.9 C> 2.0 C .. .c 1.3 0 0 .7 0 .0 Celexa Cymbalta Desyrel Change in Psyc hosis (BASIS 32) by 3 Most Frequently Used Anti-Psychotic Medications P1c·:x11!;Pc/ :it 01c-cl1c1151c • Program National 4.0 e 3 .3 0 " 2.7 Cl) .. Dl 2.0 C .. .c 1.3 u 0 .7 0.4 0.0 Ability Haldol Zyprexa 1.0 Ch,rnge in DerressionlA11x1cty (BASI S 32) hy 3 Mos t Frequently Used Anti -Anxiety M edications r>lf'.,,:11!i·:cl ,li fJ1:,r'!1 ·11pu • Program National 4 .0 e 3 .3 0 " 2.7 Ill C> 2.0 Dl 2.0 1 .6 C .. .c 1 .3 0 0 .7 0 .0 Atarax BuSpar Klonopin Change in BASIS-32 Subscale Scores are measured on a scale from -4 to +4, with a higher score indicating more improvement in symptoms . Adult Psy chia tric Inpatient Program -7352 Wews,v11deparonents1Men111Hu1t~Oulcome\Common\8ookOala\MHO_Rpl1\MedaOU1comes rpt I ! I I 8/22/2017 18 101217ws HC BOC Page 106 Outcomes by Medication Medications are known to be a significant influencing factor for the clinical outcomes obtained . This report is meant to assist the reader in understanding the influence different medications may have on outcome. The reader is advised that medications are only one factor involved in clinical improvement, and that only patients taking one medication within the medication class measured are included on this page. Change i n Anxiety/Depression {BPRS) by 3 Most Frequently Used Anti-Depressant Medications F,osc11i,0n a! C1s ,::1:uu0 • Program National 10.0 ! 8 .3 0 u "' .. a, 5 .0 C .. .r:. 3.3 0 1.7 0 .0 Celexa Cymbalta Desyrel Change in Thought Disturbance (BPRS) by 3 Most Frequently Used Anti-Psychotic Medications P1e$C11hed al D,scl1a,gc • Program National 10.0 I· ! 8.3 0 ... 6 .7 U) I) CD 5 .0 C .. .r:. 3.3 0 1.7 0.0 Ability Haldol Zyprexa Change in Anxiety/Depression (BPRS) by 3 Most Frequently Used Anti -Anxiety Medications .C-'1ASClll)C,I a[ [JSC/r,ili ,(' • Program N ational 15.0 .. 12.5 0 u 10.0 8.8 U) .. C) 7.5 C: .. .r:. 5.0 0 2.5 0.0 Atara>1 Ativan Klonopin Change m Brief Psychiatric Rating Scale Subscales are measured on a scale from -24 to +24, With a higher score indicating more improvement in symptoms. Adult Psychiatric Inpatient Program -7352 \\Jewsrv1 ldepattfflet'tls\MentmHeallhOutcome\Common\8ookOa1aW.HO _RP1 s\MedsOuteomes l1>l 8/22/20 17 19 101217ws HC BOC Page 107 Outcomes at FoHow-Up Post Discharge Treatment Measure Program National Percentage of Patients Hospitalized for Mental Health Percentage of Patients Hospitalized for Physical Health Percentage of Patients Receiving Aftercare Treatment 4.1% 8.3% 79.5% (N=73) (N=72) (N=73) 10.8% (N=6280) 3.4% (N =6159) 80.8% (N=6292) Outcomes Change in Patient Reported Total Difficulty and Functioning from Admission to Follow-up The change scores for the BASIS 32 range from -4 to +4 , with positive scores indicating greater improvement Admission Scores Follow-Up Scores Program 1.4 (N=556) 0 .6 (N=45) National 1.8 (N=80970) 0.5 (N=4086) Change in Patient Reported Anxiety/Depression from Admission to Follow-up The change scores for the BASIS 32 range from -4 to +4, with positive scores indicating greater improvement Admission Scores Follow-Up Scores Program 1.9 (N=553) 0.9 (N=45) National 2.4 (N=80772) 0.9 (N=4083) Change in Patient Reported Daily Living Skills From Admissi on to Follow-up The change scores for the BASIS 32 range from -4 to +4 , with positive scores indicating greater im provement Admission Follow-Up Scores Scores Program 1.6 (N=554) 0.8 (N=45) National 2.1 (N=80800) 0.7 (N=4086) ~-I i ~ I Change from Admission To Follow-Up 0.8 .:l 0 i~l~I========================~) Program Aggregate National Aggregate Change from Admission To Follow-Up 4 ....,--------------------- 3 2 0 -1 -2 -3 -4 ld:::===================1 Program Aggregate National Aggregate Change from Admission To Follow-Up 4 ,.,--,------------------- 3 I 2 1.5 1 0.9 0 -1 .2 -3 r . ·-... :I -4 IL::=:=============-== Program Aggregate National Aggregate Adult Psychiatric Inpatient Program -7352 Wewsn11'departfflMll:s'\M•nt•IHeallhOutCOM•\Common\BookOa:eWHO_Rp1s\Ouu:omos.AtF0HowUp rpt 8122/2017 20 101217ws HC BOC Page 108 U sing This Report T he CQI+ Quarterly Report is easily used for assessing the program's performance for the quarter and over t ime. Below are explanations for the commonly used graphi c data representations used within the report. Percentile Ranking 67% of a ll programs fall below your change score for th is measure over the past 2 years Percentile ranking is p rovided on the primary c l inical issues reported. The ranking is based on the number of actively participating units within the report period. Change Score G raphs Change score graphs represent the amount of change from one time period to the next. With these graphs, a greater amount of change indicates a better outcome. a....---------------------, 2 Year Trends Data Tables Data Tables allow for large v olumes of s imple data to be presented for the reader's quick review. Our tables provide a comparison of data o ver time, as well as between the program and benchmark data. A Note A bout Sam ple Siz e 6 ~ b$ CD 4 g, B 2 0 Number of P articipants Mean Age Percentage Female Percentage White Percentage with Higher Education Program Q4 Q1 2003 2004 38 65 75 77 65% 83% 97% 89% 58% 77% National Q2 Q3 Program National 2004 2004 44 61 205 9867 75 78 76 (N=200) 77 {1-1:9960) 65% 5 7% 69% (N"1$7) 66% (N•982 1) 100% 100% 98% (N~196) 90% (N-9801) 66% 56% 63% (N•187) 61% (N:9756) Sample size plays a significant role in the interpretation of the meaningfulness of the data reported by COi+. Small sample sizes can lead to greater variation or "swings· in t h e data, o r g ive the impression that issues ere meaningful, when in fact, they may not be. Reporti ng Periods Reporting periods are based o n CQI+ implementation dates and are configured using the end of the last month of the most current reported quarter. To clearly identify which months are in each reporting quarter. please see the 'Reporting Periods" section of the Report Introduction. Created by: Hor izon Health \~ewsrv1 1do!partment1\Menl8IHHlthOutcomelCommon\8ookDa111MHO_Rp1SIU slngThi•Repon ri,I 8/22/20 17 21 101217ws HC BOC Page 109 Golden LEAF Community Based Grants Initiative Grading Rubric Harnett County Administration 1. Does this project meet at least one of the following criteria? ( 1 point per area) a. Economic Development b . Agriculture c. Workforce Development d. Education e. Healthcare f . Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria . 2. I mpact: Does this project "do the most good for the most people?" 3. Does this project demonstrate a timeliness of need and an ability to put grant fund s to work quickly? 4 . Does this project leverage additional fund s/investment and community buy-in? 5. Does it represent partnerships between multiple agencies or have additional outside support? 6. Will this project leverage previous community planning processes and build on their results/findings? 7. Will this project be sustainable, meaning the work can go on once grant funding is exhau sted? 8. Are project re sults measurable? Add all points awarded together for project total: 101217ws HC BOC Page 110 Harnett COUNTY Office of the County Manager www.harnen.or g Joseph Jeffries County Manager September 15, 2017 Paula Stewart Deputy Count y Manager Harnett County Economic Development Council 200 Alexander Drive Lillington, NC 27546 Dear members of the Harnett County Economic Development Council, I am submitting the attached project on behalf of Cape Fear Christian Academy for your consideration to be submitted as one of Harnett County's proposed projects for the Golden LEAF Foundation's Community Based Grantsmaking Initiative (CBGI). PO Box 7 59 102 E. Front Str eet Li llington, NC 27546 ph: 910-893 -7555 fa x: 910-814-2662 The attached project would address much needed infrastructure needs at Cape Fear Christian Academy by running a sewer line to the school. These infrastructure improvements would allow for additional expansion for Cape Fear Christian Academy, wh ich is currently at capacity for some grade levels. This project would meet the education needs of additional students, as well as provide additional economic development through the addition of more employees at the school and more money being spent at local businesses. I believe this is a worthwhile project and am happy to provide any additional information you may need. Si ncerely, ·, .. , , . L .. /-J . / ·'-'/.·-·>·· 7 L----- Joseph Jeffries Harnett County Manager strong roots , new g rowth 101217ws HC BOC Page 111 Project scope: Cape Fear Christian Academy provides an alternate educational opportunity for the families of Harnett (72%), Johnston (6%), Lee (1 %), Cumberland (6%), and Wake (15%) counties who seek a Christ-centered education in a rigorous and academically challenging environment. Students range from early childhood through the coJlege preparatory years. This project would run a sewer line to Cape Fear Christian Academy at 138 Erwin Chapel Road, Erwin . The project would involve installing a pump station at Erwin Chapel Road along with 10,800 feet of either 4-inch or 6-inch force main along U.S. 421 to the gravity sewer manhole at Jackson Boulevard and N.C. 55 in Erwin. Estimated cost would be $465,002.50 for a 4-inch force main and pump station, and $556,140 for a 6-inch force main and pump station. (See attached construction cost estimates for each option.) Project fit within Golden LEAF's CBGI priorities: This project is aligned with the following Golden LEAF CBGI priority areas. • Economic Development • Education • Physical Infrastructure Local need: Over the past five years, Cape Fear Christian Academy has increased its enrollment 74% to 320 students. The school is currently at capacity with a waiting Hst in several grades. CFCA anticipates additional growth in the coming years and is exploring options for growth and expansion . With additional infrastructure, the CFCA Board is seeking to increase enrollment by 29% over the next five years. The primary impediment to future growth is the school's sewer and septic infrastructure. CFCA is currently tied to an on-site septic system that is handled by a local sewage hauling company. Efforts were made to pursue a septic field adjacent to the Academy, however short and long-term costs proved cost prohibitive. The extension of a sewer line along U.S. 421 would permit significant growth and opportunity for Cape Fear Christian Academy, the residents of Harnett County, and residents of surrounding counties. Capacity to manage project: This project would be completed by the Harnett County Department of Public Utilities, which has vast experience in managing such projects. Community support and financing: This project has the support of Harnett County Administration, Cape Fear Christian Academy, and those families who are currently enrolled in the school and who wish to enroll in the future. N.C. Representative David Lewis has also written a letter of support for this project. We recommend the??? 101217ws HC BOC Page 112 Potential community impact: Cape Fear Christian Academy currently employs 46 full and part-time employees. In addition to the potential growth in student population, expansion would allow CFCA to add more staff, creating additional employment opportunities for local residents. This would also generate additional revenue for local businesses frequented by employees from outside of our immediate community. There are multiple opportunities throughout the academic year where the Academy invites and entertains other schools, guest speakers, and area business persons. Each of these scheduled events creates opportunities for visitors to frequent area businesses and restaurants before and after each occasion. Cape Fear Christian Academy hosted 118 regular season home games last year along with conference playoffs, state tournaments, and several weekend tournaments. Each game was well attended by both CFCA staff, students, and families, as well as the visiting team's family and friends . CFCA also hosts a variety of well-attended summer enrichment and athletic camps. Due to the number of families outside of Harnett County seeking information and enrollment, the Academy believes that the immediate area is poised for growth. According to Google Maps (2017), there are currently 127 businesses and houses as well as unoccupied non perkable land in the affected area that would benefit from the expansion of the sewage system. Current further growth appears to be hindered by the prohibitive cost of bringing sewer lines down U.S . 421 , limiting growth to the western side of the county. Opportunities for business growth and development including housing could be cultivated with this necessary utility infrastructure in place. 101217ws HC BOC Page 113 Cape Fear Christian Academy 4inch Force Main and Pump Station CONSTRUCTION COST ESTIMATE # Item description Quantity Unit Unit Cost Extended Cost 1 4" PVC SDR-21 Force Main 10,700 LF $11.00 $117,700.00 2 4 "DIP Force Main 100 LF $65 .00 $6,500.00 3 4" Gate valve and Box with collar 4 EA $650.00 $2,600.00 4 Core Bore Existing Manhole 1 EA $2,000.00 $2,000.00 5 Epoxy Coating of Existing Tie-in Manhole 1 EA $1,260.00 $1,260.00 6 Air Release Valve in 4' Diameter MH 1 EA $4,500.00 $4,500.00 7 4" -45 Degree Bend 10 EA $465.00 $4,650.00 8 Concrete for Blocking 10 CY $110.00 $1,100.00 9 Gravel Roadway/Driveway Repair 375 LF $22.00 $8,250.00 10 Asphalt Roadway/Driveway Repair 386 LF $75 .00 $28,950.00 11 Concrete Driveway Repair 60 LF $75.00 $4,500.00 12 18" RCP Driveway Pipe Repair 100 LF $35 .00 $3 ,500.00 13 Concrete Valve Marker 2 EA $20.00 $40.00 Force Main-Cleanup and Testing-Including all 14 pressure testing measures, seeding and 10,800 LF $1 .00 $10,800.00 miscellaneous cleanup necessary for completion of the project. Sewer Lift Station @ 80gpm@S8', including grading, 15 fencing, EC , and all necessary components for a 1 LS $110,000.00 $110,000.00 complete station. 16 SCADA 1 LS $18,000.00 $18,000.00 17 Generator/Electrical 1 LS $25,000.00 $25,000 .00 18 Erosion Control 1 LS $35,000.00 $35,000.00 19 Mobilization 1 LS $20,000.00 $20,000.00 Construction Total : $404,350.00 Construction Contingencies: $20,217.50 Engineering/ Administrative Services : $40,435.00 101217ws HC BOC Page 114 froTAL PROJECT COST: Route : Pump Station at Erwin Chapel Road with 10,8001f of fore main along Hwy 421 to gravity sewer manhole at Jackson Blvd and NC 55 in Erwin . tsc 05132015 $465.002.so 1 101217ws HC BOC Page 115 Cape Fear Christian Academy 6in ch Force Main and Pump Station CONSTRUCTION COST ESTIMATE # Item description Quantity Un it Unit Cost Extended Cost 1 6 " PVC SDR-21 Force Main 10,700 LF $14 .00 $149,800.00 2 6" DIP Force Main 100 LF $75.00 $7,500.00 3 6" Gate valve and Box with collar 4 EA $850.00 $3 ,400.00 4 Core Bore Existing Manhole 1 EA $2,000.00 $2 ,000.00 5 Epoxy Coating of Existing Tie-in Manhole 1 EA $1,260.00 $1,260.00 6 Air Release Valve in 4' Diameter MH 1 EA $4,500.00 $4,500.00 7 6" -45 Degree Bend 10 EA $500.00 $5,000.00 8 Concrete for Blocking 10 CY $110.00 $1 ,100.00 9 Gravel Roadway/Driveway Repa ir 375 LF $22.00 $8,250.00 10 Asphalt Roadway/Driveway Repair 386 LF $75.00 $28,950.00 11 Concrete Driveway Repair 60 LF $75.00 $4,500.00 12 18" RCP Driveway Pipe Repair 100 LF $35.00 $3,500.00 13 Concrete Valve Marker 2 EA $20.00 $40.00 Force Main-Cleanup and Testing-Including all 14 pressu re testing mea sures, seeding and 10,800 LF $1.00 $10,800.00 miscellaneous cleanup necessary for completion o f the project. Sewer Lift Station@ 180gpm@ 42 ', including 15 grading, fencing, EC, and all necessary components 1 LS $140,000.00 $140,000.00 for a complete station. 16 SCADA 1 LS $18,000.00 $18,000.00 17 Generator/Electrical 1 LS $40,000.00 $40,000.00 18 Eros ion Control 1 LS $35,000.00 $35,000.00 19 Mobilization 1 LS $20,000.00 $20,000.00 Construction Total: $483,600.00 Construction Contingencies : $24 ,180.00 Eng i neering/ Administrative Service s: $48,360.00 101217ws HC BOC Page 116 'TOTAL PROJECT COST: Route : Pump Station at Erwin Chapel Road with 10,8001f of force main along Hwy 421 to gravity sewer manhole at Jackson Blvd and NC 55 in Erwin. tsc 05132015 $556,140 .001 101217ws HC BOC Page 117 Golden LEAF Community Based Grants Initiative Grading Rubric Harnett County Economic Development 1. Does this project meet at least one of the following criteria? (1 po int per area) a. Economic Development b. Agriculture c. Workforce Development d . Education e. Healthcare f . Phys ical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria . 2. Impact: Does this project "do the most good for the most people?" 3. Doe s this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4. Doe s thi s project leverage additional funds/investment and community buy-in? 5 . Does it represent partnerships between multiple agencie s or have additional outside support? 6 . Will this project levera ge previou s community planning processes and build on their results/findings? 7 . Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8 . Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 118 September 15, 2017 Joseph Jeffries Harnett County Manger 102 E. Front Street Lillington, NC 27546 Dear Mr. Jeffries, Diverse Talent Pool '(' .. w,ife 1 ou, Re: Golden LEAF Community Based Grantsmaking Initiative (CBGI) In response to the Golden LEAF CBGI request for proposals, attached is a proposed project submitted on behalf of Harnett County Economic Development and Harnett Health System . The proposed project requests a grant of s500,ooo -$1,000,000 to assist in the design and construction of water, sewer, road, and drainage improvements into Brightwater Technology Park's Phases IIA and 118 . The extension of infrastructure improvements through Phase IIA will allow Harnett Health System to proceed with development of a planned 40,000 s.f. Medical Office Building that is, without improvements, currently cost prohibitive . Additional CBGI funding, up to a total of u,000,000, will allow for the extension of improvements through Phase 118, opening up additional larger lots making the focused and targeted recruitment of development by private investors, business and industry more economically feasible. In keeping with goals and objectives of the CBGI, the proposed project invests in the building blocks of economic growth by better positioning Brightwater Technology Park forfuture development. The project improves the retention of human/physical capital, increases healthcare services and infrastructure, promotes workforce development and job creation, and creates jobs with above average wages in Harnett County . Thus, the project makes Harnett County a more attractive place to create, grow, or locate a business . Questions or requests for additional information regarding the project should be directed to Angie Stewart, Harnett County Economic Development . Respectfully submitted, Angie Ste art Existing I ustry & Product Development Manager Harnett County Economic De v elopment --.}~:/~,- ./ ' M ike Jones Administrator, Centr I rnett Hospital Vice President, Support Services Harnett Health Harnett Co unty Eco nomic Development I P.O . Box 1270 I 200 A lex ander Dr. I Lil lingto n, NC 27 546 Pho ne: (910) 8 93-752 4 I Fax : (910) 814 -8298 I www.harnettedc.org 101217ws HC BOC Page 119 Summary of the project's scope: Harnett County Economic Development I Harnett Health System CBGI Letter of Intent Nan-ative Harnett Health System (HHS) has developed a Medical Campus plan that calls for the development of a 40 ,000 s.f. Medical Office Building (MOB) near Central Harnett Hospital. (See Exhibit A -Future MOB) The MOB will include a Primary Care Clinic, Cardiology services, and Cancer Center including Medical Oncology and Radiation Therapy, and other specialty clinics. The planned MOB will also accommodate a new location for the Campbell Un iversity/Harnett Health Residency Program Clinic. In this clinic and other clinics in the building, CU/HHS will train residents in the latest outpatient treatment and prevention methods and procedures . The MOB is the highest priority of the HHS Medical Campus plan . Central Harnett Hospital is located in Brightwater Technology Park , and Harnett County owns parcels of undeveloped land in the Park . The Harnett County Economic Development office is seeking a CBGI grant of $500,000 -$1,000,000 (See Exhibit B -Probable Construction Costs) to assist in the design and construction of water, sewer, road, and drainage improvements into Brightwater Technology Park's Phases IIA and 118. Without public infrastructure being in-place, the acquisition of land and development of the MOB is cost prohibitive. $500,000 will allow for the extension of improvements through Phase IIA to serve Lot 2, which adjoins HHS 's Central Harnett Hospital, and is the site of the planned MOB. Additional CBGI funding, up to a total of $1,000,000, will allow for the extension of improvements through Phase IIB, opening up additional larger lots making the focused and targeted recruitment of development by private investors, business and industry more economically feasible . {See Exhibit C -Brightwater Phasing Map) Description of what makes the project competitive to CBGI priorities and guidelines : The CBGI Initiative is designed to identify projects that are ready for implementation, have potential for a significant impact, target investments in the building blocks of economic growth , and specifically address economic development, education , workforce development, infrastructure, (including health care infrastructure), and agriculture. The proposed project clearly meets the CBGI Initiative goals . The project invests in the building blocks of economic growth by promoting economic growth and positions the Brightwater Technology Park for future development. The project improves the retention of human/physical capital, increases healthcare services, promotes workforce development and job creation, and creates jobs with above average wages in Harnett County. Thus , the project makes Harnett County a more attractive place to create, grow, or locate a business. The project also addresses needs outlined in the 2015 Harnett County Comprehensive Growth Plan. The 2015 Comprehensive Growth Plan identified the need to concentrate future growth in the Campbell University / Harnett Health System health-education corridor. The Growth Plan called for efforts to diversify the Harnett County economy with more white-collar jobs to retain more young educated workers. The County further identified a goal to leverage its locational strength of being between the metropolitan areas of Raleigh/Cary and Fayetteville , and a goal of focusing recruitment efforts on compatible target clusters including Advanced Medical Care, Military Support & Defense Technologies , and Medical Equipment & Supplies. 1 101217ws HC BOC Page 120 Harnett County Economic Development I Harnett Health System CBGI Letter of Intent Narrative Description of the need in the county your project seeks to address along with any supporting documentation: Harnett County has experienced exceptional population growth over the past two decades. From a population of just 68,000 in 1990, to a 2013 population estimate of 124,987 residents. Despite strong residential growth , there has been little job growth . The lack of job growth causes the County to face many economic challenges . A majority of residents , 64 percent, commute outside Hamett County for work each day. The number of jobs based in Harnett County has stagnated since 2000 , with only 147 more jobs in 2014 than in 2000. During the same time period , manufacturing jobs in the county have dropped from 4,184 to 1,491 . Wage and income levels for Harnett residents are below neighboring counties, therefore, the quality of local jobs also needs to be improved . The 2015 Comprehensive Growth Plan states the need to bu ild a community product that is attractive to potential investors , noting that the availability of ~shovel ready" sites is a prerequisite for successful investment attraction . Harnett County is designated by the US Health Resources and Service Administration (HRSA) as a Healthcare Provider Shortage Area, particularly due to the county's shortage of Primary Care providers. Increasing locations and opportunities for Primary care will provide more convenient and cost effective access to care for county residents . The CU/HHS residency programs will be playing a big role in addressing this provider shortage. Currently, Harnett County residents must drive to other counties for many types of specialty care, including radiation therapy for cancer treatment. The capacity of your organization to carry out the work, achieve results, maintain sustainability and manage reporting/documentation requirements: Harnett County Government has the capacity to implement and sustain the project. The project team will consist of the County Manager's Office, the Economic Development Department, the County Engineer, the County Finance Department, and private consultants. Harnett County has an engineering firm under contract to design, bid, and provide construction observation/administration on the CBGI project. Harnett County through its County Engineer will manage the engineering firm 's contract including meeting schedule; plan and spec development; recommending change orders for approval; reviewing and recommending for finance office approval engineering and contractor application for payments; and the County's project acceptance . The Harnett County Manager, supported by the County Economic Development and Finance Departments, will be responsible for collecting data and submitting required CBGI reports. Harnett County will contract with a consultant to assist it in the preparation and submittal of CBGI documents . Additionally, the Economic Development Department will have the primary responsibility to market and sell BrightwaterTechnology Park properties . Economic Development staff will continue to work with HHS to bring the full development of the proposed Lillington Medical Campus to fruition within the Brightwater Technology Pa rk . The Economic Development Staff will target the location of new business in the park. • The CBGI grant will provide critical infrastructure reducing site development cost to private business providing for continued and sustainable growth. 2 101217ws HC BOC Page 121 Harnett County Economic Development I Harnett Health System CBGI Letter of Intent Narrative Description of the base of community support for the project: The proposed project is in alignment with Harnett County goals and objectives as outlined in the Grow Harnett County 2015 Comprehensive Growth Plan . Guiding development of the plan was an inclusionary public process . The process included traditional methods and new techniques to encourage a diverse group of citizens to contribute to the plan . The effort was guided by an Advisory Committee, made up primarily of residents and business owners, and also included representatives from the planning board and the development community. Community meetings were held throughout the planning process to provide an opportunity for the public to come together, learn about the project and guide development of the vision for the future of Harnett County. Similarly, the Harnett Health System 2016 Community Health Needs Assessment, a collaboration between HHS, Harnett County Health Department, the Healthy Harnett Coalition, and the Department of Public Health at Campbell University, identified seven (7) priority health needs for County residents with the following areas emphasized: heart disease , cancer, and fitness/nutrition . The Community Health Needs Assessment Team assembled for this assessment included: HHS, Harnett County (HC) Health Department, Campbell University (CU), Cape Fear Valley Health System; Project Access, United Way, Cooperative Extension, HC Division on Aging , HC Social Services , Community Care of the Sandhills, Lillington Star Church, Alcohol and Drug Services , AME Zion Church, and community members. HHS received over 100 letters of support, and more than 80 participants at a public hearing in support of the Certificate of Need application for the Cancer Center. • These inclusive comprehensive assessment and planning processes demonstrate strong support from a variety of citizens and organizations. If applicable, an assessment of the impact and success of past Golden LEAF funded projects: Harnett County, Harnett Forward Together Committee. and Harnett Public Utilities partnered with the Golden LEAF Foundation , and others (including North Carol ina Rural Center, North Carolina Department of Transportation, Economic Development Administration (EDA), and US Department of Commerce) to finance the design and construction of infrastructure to support Phase I of the Brightwater Technology Parl<. Infrastructure construction cons isting of water, sewer, road and drainage totaling $2,674,368 was completed 06/12/2012 . HHS's new $56 ,500,000, two story, 122,500 s.f. Central Harnett Hospital became operational 01/18/2013 , creating more than 100 new fu ll -time jobs . The Golden LEAF Economic Catalyst Brightwater Technology Campus Infrastructure Imp rovement project met its Golden LEAF goals and job commitment. A Golden LEAF Open Cycle Grant was used to assist in financing the construction of a road into the Brightwater Business Park to serve East Carolina University's Lillington , North Carolina based Community Service Learning Center (CSLC). The Business Park is also occupied by First Choice Community Health Center. ECU completed construction of the CSLC and is serving Harnett County residents meeting Golden LEAF goals . 3 101217ws HC BOC Page 122 Harnett County Economic Development I Harnett Health System CBGI Letter of Intent Narrative Description of the local match and leverage: Harnett County has reserved $200,000 to serve as local match for grants to extend infrastructure into Brightwater Technology Park's Phase II. The Park 's Master Plan including Phases IIA and IIB are complete. All required easements/rights-of-way have been obtained . The entire Park including Phase II has been subdivided and is zoned mixed-use: Commercial/Retail, Office & Institutional. Schedule to put grant funds to work follows : Activity o Complete Plans and Specs o Obtain Permits o Advertise/Award Contract o Begin Infrastructure Construction o Complete Construction Days From Grant Offer 60 60 120 160 365 • The above schedule demonstrates that the proposed project is focused on action, not planning, and will be able to put grant funds to work quickly. Harnett County has a long-standing tradition of preparing plans to help guide growth and development decision-making in the community. In September 2000, after major job losses from manufacturing plant closures, Harnett County engaged Leak-Goforth Company to provide an economic assessment and action plan . The assessment outcomes identified a business park in Lillington as a high priority for county economic development. Harnett County, along with its non-profit partner Harnett Forward Together Committee, and Harnett Health System, contracted with Withers & Ravenel to develop a Brightwater Science and Technology Campus master plan. Phase I infrastructure construction utilized this plan. It is the base for proposed Phase II infrastructure improvements. HHS has developed a medical campus plan to expand its presence adjacent to its hospital site. • The requested CBGI grant will leverage previous community planning processes and build on their results/findings to construct water, sewer, road and drainage improvements to extend infrastructure into Phase I I of the Brighwater Technology Park. Description of the impact, outcome measures and population served by the proposed project: The proposed CBGI project, the extension of public water, sewer, drainage, and road improvements into Phase II, will make the acquisition and development of Lot 2 by HHS for its planned MOB and Central Harnett Hospital Campus economically feasible. The new MOB will result in an estimated $7,000,000 private investment and the creation of 20+ new full-time jobs with an average wage of $60,000 and benefits that include at least 50% employer paid health insurance. HHS's MOB will provide all Harnett County residents with improved and better access to health care services. The Cancer Center will improve access to critical healthcare services to cancer patients in 4 101217ws HC BOC Page 123 Harnett County Economic Development I Harnett Health System CBGI Letter of Intent Narrative Harnett County. There is no other oncology/radiation therapy service in Harnett County, which means all Harnett County patients have to travel to other counties for this treatment, which is not only inconvenient, but time-consuming and expensive, which adds to the patient and family burdens during a very difficult time in their lives. Additionally, the proposed CU/HHS residency program will train an estimated 24 residents per year and assist with the recruitment of new physicians to meet other critical healthcare needs. The project will also allow for the extension of improvements through Phase IIB, opening up additional larger lots making the focused and targeted recruitment of development by private investors, business and industry more econom ically feasible . Measurable out-comes include: (1) private investment; (2) jobs creation (number, salary, benefits); (3) additional health services; (4) annual number of residents trained; and (5) number of annual patients served by additional health services . • The proposed project will provide increased access to health services and economic development opportunities in the form of training, private investment, and quality job creation, thus providing a benefit to all citizens of Harnett County. 5 101217ws HC BOC Page 124 ----- ' l I / ,/ .. / ,, / / / ,l( ,/ .' ,· / I .' . : I / / / I / / I / \ 101217ws HC BOC Page 125 E~hibi+ 'B ~e. \of Z.. .-----------------------------------, 9/15/2017 !ngineer's Opinion of Probable Cost Infrastructure to Serve Phase IIA ~_escription ~radin~ ~ ~r<:>sion Control ~ieari~~ & Grubbing Excavation ----. . ~t ~(el?.ing& Resp readin~ Topsoil & Stockpile Skimmer Ba sin Tree Protection Fencne -----· - Combination Silt/Tree Protection Fence Si lt Fence Outlets Construction Entrance --··-·---- Diversion Ditch ------- Erosion Control Blanket Inlet Proteection -----. Temporary Se ~din~ P~ri:n~~~n! Seedin~ Subtotal Pavement 8" ABC 3" S9.5B Concrete ?ide_walk {4" thick) 18" Curb and Gutter 30" Curb and Gutter Pavement Striping Subtotal Storm ~~i!lage 24 " RCP Storm (0 -10') --.. 36" RCP Storm {0 -10') 54" RCP Storm (0-10') Yard Inlet - Catch Basin with Frame and Cover Oversized Catch Ba sin with Frame and Cover -·--------------~- Flared End Section (36 ") Rip -Rap Stormwater Detention Pond -------. Subtotal Sewer 8" DIP Sewer 8 -15 ' 12" PVC Sewer 8 -15' 4' Diame ter Manhole 5 ' Diameter Manhole Subtotal Mobilization Contingency, 5% Grand Total , -! Quantity Unit 8 .8 .AC - 10700 )CY 2750 CY _,_ 1 EA 624 LF I 810 i LF -;- 3 EA 1 EA -.. 325 LF 217 SY ·--·- 5 EA -1-- 350436 ,SF ----- ?~0~~6 !SF j ~~1_]~y 2380 •SY 445S SF 881 LF 891 LF 1 LS I 32 LF 284 LF 314 LF 2 EA 1 EA 2 EA 2 EA 64 TON S 1 ea 103 LF 489 LF 2 EA ·- 1 EA Unit Cost Total Cost - $ 5,500.00 $ 48,400.00 $ ~-59 l .? 48,150.00 ---· $ 3.25 $ 8,937 .50 $ 10,000 .00 $ 10,000.00 ----·-.. -· .? ~:~Q _ $ ;i~~.:00 ; $ 4.00 $ 3,240.00 . ---. - . $ 300.00 $ 900.00 . $ 2,000.~ $ 2,000.00 i $ ~-Q~ : $ 975.00 . $ 3.50 1· $ 759.50 j ~ ~s-~.9.Q. ~ !~250.o_Q I $ 9.lQ ~ ~~,0~3~6-~ ! $ ~.12 I _? ~(9 ~?-_32 i -$ 203,891.92 . -------· - $ 12.00 . $ 33,132.00 $ i s.oo ; $ 35,700.00 $ ~-~O ! $ 17,820.00 $ 17.00 $ 14,977.00 --. --- $ 22 .00 $ 19,602 .00 $ 5,000.00 '$ 5,000.00 ---- $ 126,231.00 $ 37 .00 $ 1,184.00 ---· ------ $ 45 .00 $ 12,780.00 ------- $ 6 ?·9~ l $ 20,410.00 $ 2,500.00 : $ 5,000.00 ----,------- $ 3,000.00 i $ 3,000 .00 6,500:00 i s --- $ 13 ,000 .00 ---. ---- $ 1,500.00 $ 3,000.00 :s 100.00 $ 6 ,400 .00 j • ---------- . $ 80,000.00 $ 80,000.00 $ 144,774.00 $ 40.00 $ 4,120.00 $ 50.00 $ 24,450.00 $ 4,000.00 $ 8,000.00 --------- $ 4,500.00 $ 4,500.00 $ 41,070.00 $27,000 $27,000 $ 569,966.92 101217ws HC BOC Page 126 Engi~er's Opinion of Probable Cost Infrast ructure to serve Phase IIB Description Grading & Erosion Control ~learin~ & Grubbing Excavation ~tripping& Respreading Topsoil & Stockpile Skimmer Basin Combination Silt/Tree Protection Fence ~ ----- Silt Fence Outlets Diversion Ditch Erosion Control Blanket --. - Inlet Proteection . -- !em_po ~!:Y ~!din! Pe~m~nent Seeding Subtotal Pavement 8" ABC 3" S9.SB ~~_r:i crete Sidewalk (4" thick) 18" Curb and Gutter 30" Curb and Gutter ~<!_~E:.i:n~nt Striping Subtotal ~tor~ prainage 15" RCP Storm (0-10') ?4" ~q> ~t ?rm !q-10') 36" RCP Storm (0 -10') 48 °RCP Storm (0 -10') ~~"-~~Storm (0-10') Yard Inlet - Catch Basin with Frame and Cover Oversized Catch Basin with Frame and Cove r Subtotal Sewer 8" DIP Sewe r 8-15' ------- -- 12" PVC Sewer 8-15' -- 12" PVC Sewe r 15'+ 4' Diameter Manhole 5' Diameter Manhole Subtotal Mobilzation Contingency, 5% Grand Total Quantity Unit 2.7 AC 2870 CY 2240 CY 1 EA 869 LF 2 EA 2069 LF 1379 SY 5 EA 63863 SF 63863 SF - 4675 SY ' 3971 !SY 8523 ;SF 1709 'LF 1709 LF 1 :LS 66 LF 66 :L~ 472 LF 191 LF I 31~~F l jEA ~jE~ 2 EA 103 ,LF 827 :LF ---· I 50 LD 2 EA 1 EA $ s s s s s $ s s 1$ '$ 's 1- $ $ '$ $ $ 's ·s 's i s $ $ $ $ $ $ $ $ $ E-t--h ~bit B Fee 2.o+2 Unit Cost 5,500.00 $ 4.50 $ 3.25 $ 10,000.00 $ 4 .00 $ 300.00 $ 3.00 $ 3.50 $ 250.00 $ ---- 0.10 $ 9/15/2017 Total Cost 14,850.00 12 ,915 .00 --- 7,280.00 10,000.00 3,476.00 600.00 6,207 .00 4,826.50 1,250.00 6,386.30 0.12 I $ 7,663.56 I • ------ $ 75,454.36 I 12 .00-1 $ --·-.. - 15.00 , $ .• l 4 .00 i ~ 17 .00 $ --I - 22.00 $ 5,000.00 j $ --. ·- $ i - I - 30.00 ! $ 37 .00 i s 45 .00 1 $ ---i - 60.00 I $ 65 .00 ! $ ~.~~~.~ ! $ 3,000.00 , $ 6 ,500.00 l $ ,$ I ' ~o.~o I s 50 .00 / $ 70.00 . $ I 4,~00.00 . ~ 4 ,500.00 $ ·s 56,100.00 59,565.00 ---. ---- 34,092.00 29 ,053.00 ------- 37,598.00 5,000.00 -------- 221,408.00 !,~89 -~.Q. 2,442 .00 21 ,240.00 --~-- 11,460.00 20,410 .00 2,500.00 6,000.00 13,000.00 77,052.00 4,120.00 41,350.00 3,500.00 8,000.00 4,500.00 61,470.00 $23,000 --- $23,000 101217ws HC BOC Page 127 I ' • I i ~ } f I I • I t / , "/ , I / I' / ,; ,,; / I .I' ., I ,, / / ., .I ,. " .,. / / / , ... -... .,,. / / / ' ., , / .. ___ ,.."" , , , / , "' I I / / I / I ,' / I I I I \ l ' I ' ' \ I ' I ; I ' ' ' ---..... l / -- ' I ' ,,. / ,, --..__LOT / 1 ..... , - ) ; ) LOT 20 I I Ei-h'i\Di + \ ., LOT 19 ~ .., i M l Z: I ,~ I I • I ~= ; • -~ i •= t fl 1 8 l ! ~ a:i j: >< L.U <., z vi < I a. 101217ws HC BOC Page 128 Golden LEAF Community Based Grants Initiative Grading Rubric Harnett County Information Technology 1. Does this project meet at least one of the following criteria? (1 point per area) a. Economic Development b. Agriculture c. Workforce Development d. Education e . Healthcare f. Physical Infrastructure For each of the following, rank projects from Oto 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2. Impact: Does this project "do the most good for the most people?" 3 . Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4. Does this project leverage additional funds/investment and community buy-in? 5. Does it represent partnerships between multiple agencies or have additional outside support? 6. Will this project leverage previous community planning processes and build on their results/findings? 7. Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8. Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 129 Harnett Connect Project I: Scope: We wi11 construct approximately 15 miles of fiber that would extend from the northern side of Lillington to the southern edge of Fuquay-Varina. ( see attached map) Estimated project cost is $1,250,000. The County would be able to accomplish the following goals : 1. Connect the following government and public safety infrastructure a. 911 communication center b. Northwest Harnett Fire Department c. Northwest Harnett Communication Tower d. Northwest Harnett Water Tower e . Connect into MCNC network 2 . Provide dark fiber for economic partners a. Potential Large Businesses b. Potential Industries c. Wireless Internet Service Providers d. Tier 3 wired service providers II : Meets grant priorities with the following benefits: 1. 911 Communication Center would have a direct high speed connection to a core communication tower for dispatching and radio traffic. This connection would also add redundancy to the existing microwave network eliminating possible downtime in emergency events. 2. Northwest Harnett Fire Department would have a direct high speed connection to county infrastructure and the software package used for their county and state reporting. 3. Northwest Harnett Fire Department would have a direct high speed connection to county infrastructure for statistics and maintaining communication during emergency events. 4. MCNC is great resource within North Carolina, but since it only comes through the county at its northwest tip, Harnett County needs to build infrastructure to it to be able to take full advantage of this resource. We would also allow MCNC access to dark fiber on this route if applicable. 5. Expansion of economic development opportunities. 6. With partner support, broadband could be available to over 1000 residents of Harnett County who are currently underserved. This would provide our citizens access to resources in the new data economy, the classroom technology revolution, and the ability to work from home. 101217ws HC BOC Page 130 III: capabilities to complete the project 1. Hamett County will use sub-contractors and internal resources to complete the fiber construction and connectivity 2. Hamett County will provide information to potential partners as needed . IV: Community Support l . The County has pursued connectivity to core infrastructure over the last decade. 2. This would increase our capabilities to provide public safety and radio communication in the surrounding areas. 3. Connecting to MCNC would provide great benefit to our educational institutions including, Hamett County Schools, Campbell University, and Hamett County Library. This would potentially decrease costs, increase bandwidth and provide redundancy for these anchor institutions. 4. Citizens throughout the county have made it plain that broadband needs to be accessible to all. This project will provide dark fiber as an avenue potential internet providers could use to reach this area with broadband. V: matching funds 1. The matching funds will be provided by Harnett County since several government agencies will be direct beneficiaries of the project. VI: impact I. See list of benefits covered under section II 101217ws HC BOC Page 131 Golden LEAF Community Based Grants Initiative Grading Rubric Harnett County Schools 1. Does this project meet at least one of the following criteria? (1 point per area) a. Economic Development b. Agriculture C. Workforce Development d . Education e . Healthcare f . Physical Infrastructure For each of the following, rank projects from O to 2 with O indicating the project does not meet the criteria, 1 indicating that the project does meet the criteria, and 2 indicating that project exceeds the criteria. 2. Impact : Does this project "do the most good for the most people?" 3. Does this project demonstrate a timeliness of need and an ability to put grant funds to work quickly? 4. Does this project leverage additional funds/investment and community buy-in? 5. Does it represent partnerships between multiple agencies or have additional outside support? 6. Will this project leverage previous community planning processes and build on their results/findings? 7. Will this project be sustainable, meaning the work can go on once grant funding is exhausted? 8. Are project results measurable? Add all points awarded together for project total: 101217ws HC BOC Page 132 BOARD OF EDUCATION William H. Morris, Chairman Eddie Jaggers, Vice-Chairman Vivian W. Bennett Roger Farina Jason T. Lemons Charles P. Bullock, Board Attorney September 15 , 2017 Joseph Jeffries, County Manager Hamett County Board of Commissioners Post Office Box 759 Lillington, NC 27546 Dear Mr. Jeffries, Aaron L. Fleming, Superintendent W. Brooks Matthews, Deputy Superintendent Brookie B. Ferguson, Assistant Superintendent Vera D. Jones, Assistant Superintendent Monica J. Thompson, Assistant Superintendent P. 0. Box 1029, Lillington, NC 27546 Phone: 910-893-8151 /Fax: 910-893-4279 Hamett County Schools seeks support for expanding and strengthening our Public Safety Academy, Health Science Academy and Advanced Manufacturing Academy. With support from the Golden LEAF Foundation, Community Based Grantsmaking Initiative (CBGI), these programs will add students with employable skills to the workforce in Harnett County. As you know, Hamett County Schools is committed to not only providing world class oppo11unities and instruction to our students , but also to positively contiibute to the economy of Harnett County. These programs will create the much needed human capital to make Hamett County more attractive to businesses seeking to create, grow or locate a business. These academies also allow Hamett County Schools to collaborate and partner with businesses to close the "skills gap" through internships and on-the-job training. Attached is a description of our proposal that includes the specifics you requested for our proposal. Our plan fits squarely within the CBGl guidelines of economic development , education , workforce development and infrastructure and with Hamett County's vision of approving plans that help improve human and physical capital. Your suppo11 of our application to the CBGI will allow Hamett County Schools to develop programs that plan for growth and sustainability. We look fo1ward to hearing from you soon. ~/#- Dr. Aaron L. Fie,~ Superintendent RECEIVED SEP 1 9 2017 HARNETT COUNTY MANAGER'S OFFICE 101217ws HC BOC Page 133 Summary of the project's scope. Currently, Hamett County Schools in pa1tnership with Central Carolina Community College is the home ofrwo Public Safety Academies, an Advance Manufacturing Academy, and a Health Sciences Academy. As a school district , we would like to apply for a Golden LEAF Community Based Grantsmaking Initiative (CBGI) to enable the district to renovate and expand selected shops/classrooms, add equipment, and classroom resources . These upgrades wi 11 help our district better serve and educate the students in our classes, help to strengthen the involvement in our academies, and better prepare Harnett County's students for success in their future careers. Our Public Safety Academies are working diligently to equip students with skills and certify students in the areas of Fire, Emergency Medical Technician, and Law & Justice. Since beginning the academy in 2012 at Harnett Central High school, ninety-seven percent of students who completed the Fire Technology program are currently employed in this field. Although the generosity of local Harnett County departments and agencies has been tremendous, these programs are still in need of additional training equipment and training facilities. During the 2016-17 school year, Harnett County Schools inducted the first cohort of students into the Advance Manufacturing Academy. This academy was established in response to local industry workforce development needs. The Advance Manufacturing Academy consists of members from all four Hamett County High Schools. Members of the academies are provided opportunities to learn about the vast careers available to them within Hamett County in the welding/manufacturing area. Through a partnership with Central Carolina Community College and the Department of Commerce, Hamett County students have th e opportunity to participate in a welding or machining apprenticeship. In order to suppo11 the oppo1tunities listed above the district is in need of these funds to update and purchase additional welding and machining equipment. The healthcare field is an area that is quickly growing and constantly changing. In an e ffort to help meet the future workforce needs in this area the Harnett Health Sciences Academy was established. This academy is made up of around 130 students from across Harnett County . Each of these students are taking health science courses at their enrolled high school. Skills and knowledge learned from these courses are reinforced through the academy activities. Currently, at Harnett Central and Overhills HS there is only one health science teacher. The student interest at these schools warrants the expansion of thi s program. In summary, the CBGI funds would be used to update and purchase additional equipment, update and build facilities, and expand programs to support the learning of students in the areas of Public Safety, Welding/Manufacturing, and Health Sciences. Description of what makes the project competitive to CBGI priorities and guidelines What greater investment can be made than to invest in th e future of our s tudents? Students that are members of our Career & Technical Education Academies are also considered to be Career & Technical Education (CTE) Completers. For a s tudent to be considered a CTE Completer he/she must take four classes within a Career Cluster with at least one course being a completer. Harne tt County Schools' 2016 graduation rate for C TE 101217ws HC BOC Page 134 Concentrators was 96%. This rate is higher than that of a non-CTE Concentrator. If we can continue to help students find areas of interest, we will continue to see this number increase. Receiving this grant will allow the school district the ability to improve and expand in the core program in the areas of Public Safety, Welding/Machining, and Health Sciences. The programs funded and enhanced with CBGI will create the much needed human capital to support economic growth in Hamett County and meets the guidelines of CBG I in the areas of economic development, education, workforce development and infrastructure. Description of the need in the county your project seeks to address along with any supporting documentation One of the goals of Career & Technical Education is to provide students with skills that will help them to become productive citizens. The CBGI funds will help the district to strengthen the foundational courses in the areas of Public Safety, Advance Manufacturing, and Health Sciences. Currently, across Hamett County jobs in these areas are readily available. Industries such as Angus Fire, Boon Edam, Champion Hoist and Equipment, Rooms To Go, Godwin Manufacturing and Hamett Heath Systems will benefit from a future skilled work force. In order to train a future workforce and help to close the skill gap, it is critical that all stakeholders work together. As we continue to strengthen partnership between the school district, secondary education partners, economic development, local government, and local business and industry; we will start to see the true fruits of our labor. As we strengthen the future workforce, this will also serve to strengthen the overall economy of Harnett County and serve as a marketing tool to help bring new business and industry into the county. Capacity of your organization to carry out the work, achieve results, maintain sustainability and manage reporting/documentation requirements Hamett County Schools will work to use the funds received to carry out the renovation and expansion of programs outlined in the grant application. As a district, we will continue to monitor the success and economic need of our programs. This data will be reported back to the Golden LEAF Foundation and other stakeholders. Local , state, and federal dollars will be used to help match grant funds and sustain the programs after the grant cycle ends. Description of the base of community support for the project Within Hamett County, we are truly blessed to have the Hamett County Business Education Pai1nership and other strong community suppo11 for our Career & Technical Education programs. Through these partnerships and support, the school district is able to offer exploratory and work based learning activities to our students. In order for our CTE Program Areas and CTE Academies to continue to be successful and life changing, we need the continued support from our community partners. The support of our secondary partners, local business and industry, and governmental agencies are an integral part of our success. Receipt of these funds will allow the Career & Technical Education program to strengthen the foundational courses in these areas and to extend the reach to more students. Description of local match and leverage 101217ws HC BOC Page 135 The total requested in our proposal is $584,000.00. Harnett County Schools will match 20% with local , state and federal funds for a total of approximately $700,000.00. This includes the following: -.,. Expansion of Programs $100,000 • Startup costs such as classroom materials and lraining ~ Upgrade Existing Facilities $400,000 • Buildings to house/ire trucks. EMS vehicles and equipment ~ Equipment Needs $150,000 • TIC Welders • MIG Welders • Welding Tables & Booths • Welding Helmets and other Safety Equipment • Se(fcontained breathing apparatus • Protective equipment includingjacket, gloves. pants and boots • Fire Fighter Nomex hoods • Fire Fighter helmets with{rontage ~ Instructional Resources $50,000 • Computer-based Machining Program • Classroom Instructional Supplies for established classrooms Description of impact, outcome measures and population served by the proposal The funding of this grant will positively impact economic development, education, workforce development and infrastructure in providing human capital for Harnett County businesses and industries. This funding will se1ve students in all four of Harnett County's high schools. A breakdown of this impact includes Expected Project Outcomes and Measures : Economic o Investment in equipment o Jobs created and retained o Strengthen workforce and economy of Harnett County o Retention of local graduates for jobs Workforce Preparedness o Program enrollment (credit programs) o Program completion (credit programs) o Students trained (non-credit programs) o Percentage of high school students that earn college credit in technical programs (Career & College Promise) o Industry credentials earned o Students participating in internship/apprenticeship programs 101217ws HC BOC Page 136 o Students employed in field of study Education o Number of students trained o High school on-time graduation o Increase in CTE Concentrators Healthcare o Healthcare positions retained o Increased access to treatment o Improved financial condition of rural hospitals or healthcare provider Community Vitality o Percentage by which the average wage for new jobs created exceeds the county average o Private investment resulting from improvements o New pri vate jobs resulting from improvements 101217ws HC BOC Page 137 Golden LEAF Community Based Grants Initiative Grading Rubric Grade Totals List the final grade assigned for each project next to the submitting agency's name. Campbell University City of Dunn Central Carolina Community College Good Hope Hospital Harnett County Schools Harnett County Economic Development Harnett County Information Technology Harnett County Administration