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Washington State Health Care Authority 9/24/2024
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6 Years Then Destroy
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Washington State Health Care Authority 9/24/2024
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Last modified
9/25/2024 12:27:31 PM
Creation date
9/25/2024 12:26:30 PM
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Contracts
Contractor's Name
Washington State Health Care Authority
Approval Date
9/24/2024
Council Approval Date
9/4/2024
End Date
6/30/2025
Department
Community Development
Department Project Manager
Julie Willie
Subject / Project Title
Emergency Mobile Opioid Team in Everett
Tracking Number
0004528
Total Compensation
$500,000.00
Contract Type
Agreement
Contract Subtype
Grant Agreement (City as Grantee)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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<br />3.1 Individuals on SM teams who attended quarterly training during the reporting <br />period and report the training on an attendance sheet to include date/time and <br />duration of time, type of training involved, name of personnel attending the <br />training, and instructor/title providing the training. <br />3.2 Data collection. The contractor will collect and report on the following data <br />elements on a quarterly basis. <br />3.2.1 Program information <br />3.2.1.1 Quarterly staffing report including number and type of <br />providers. <br />3.2.1.2 Total number of sites visited to include date/time/location <br />and participating staff. <br />3.2.1.3 Any manner of deaths (natural, accident, homicide, <br />undetermined and pending) if possible. <br />3.2.2 Billable services <br />3.2.2.1 Total number of patients seen, including: <br />3.2.2.1.1 Client demographics to include age, racial, <br />ethnic and gender. <br />3.2.2.1.2 Number and type of treatments/services <br />performed on individuals and outcomes <br />such as testing and overdose prevention, <br />number of wound care services, number of <br />individuals started on medications (including <br />injectables) for opioid use disorder, <br />infections and pain management, <br />3.2.2.1.3 Number of referrals made to primary care <br />and behavioral health <br />treatments/appointments. <br />3.2.2.1.4 Number of top medical and behavioral <br />health diagnosis. <br />3.2.2.1.5 Number of transportation arranged for <br />individuals to ER, primary care and <br />behavioral health. <br />3.2.3 Non-billable services <br />Docusign Envelope ID: 7EC81747-3EF3-474B-9285-ED8CE267229C
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