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Data Coilection <br />This table provides a potential outline for evaluation metrics and data collection <br />)Dlla Collectiol <br />PottnIiill JI,tlrirsr Percent of indi'.'idu:rls sr:rcned for OLD. Percent r:f Individrr:rls di:rgtosed n'ith OLIDr Percent oi lldi';iduds offered I{Af. Percenl of lldividudr'.l,ho iruri:rte \L{Tr ,{";rrlge Leugth of Sta.r,. Percmt of iadr-"itiu:rls x,ho rerrnit ol lrl.{T at llte trlile of release to the conuuruuff. Percenl of ltdividrr:rli i{lto hl',,e ajr xpporntllrfl]r scheduled ir,ilh l couu[uuif,'trlAT <br />provider uher releaied. Perceat of Bttlrrtuotpltute tcipienti gilel ;r bridgi:tg srrppl'; or lrre ;criprron.r Percenl of urdi';idrurls ursured rt the tiltti ofreiers*. <br />r Decrel:e flrmber oldisciplinarr reoorts <br />Dectel.:e igcid*nce c.f ,:cruttrbau.{ drue <br />Itr di ti tI rt rtl L tr'*,| D t rt <br />Data Element Derrripdot 5 qrrrc e <br />DEteuriLrr Troe Pre-tr:a1-:eNtiqced Kinrtr: C cuutr Jail <br />Dsut eranhicr "{"se. geqder. 1ace. erlr:uctft Iiirtirai C ouur,' Jril <br />Drre of deretrtiLrll E[lr-,.rruL, dd i.- ','l(inrta: C ounfi hrl <br />RerBlr rrf (JI-. D Screeus DCirtll_e rleqiirr.'P Kir*:r f orrrrrr I:il <br />Rerult of OT-if) .L :,:e: :rueut OLD diagrq:i:;e,;'ur l.L{T Parlner Orsrrizrticu <br />Rc.rrlr ,ri'\f lT 1*e':r'rrolr \L{T retlanrrreurled tarei, r.r I lLl l T Pi?lnFr Orortriritinn <br />Recerring ]I-{T at ture of <br />& re5t <br />;;e.,. uo ud t-''pe ol \L{f \L{T Parlner (lr_gaqsatiou <br />Drre irriirted \Ltr T uu, dd .,^v*,..\Ll,T Parrrer (lr ga&atrou <br />Ferrur ol \LLT i:utiated \Ietha<1poe- <br />Lrrtp 19r:.r1pldfl * a nlo xo re " <br />bnore*orr:rbrae. lilt-\TI <br />Nl{T Partuer Orgauzatirru <br />Dcie cf \L{.T at tiole ot' <br />dircharge fltrur rrea?u*gt or <br />detefltiLlD relea-]e <br />l\Iethrclcue <br />(Bg) bupreuorphiue. aale.xsse <br />{ils) <br />jrl.l,T Parruer Orearuzlrsr <br />Dare of di;rbtu:re i0rrl urm. drl, ;11.-q,'trlAT Prtner Orgaasnliotr <br />Rea:oa tlr di:charee iilur <br />teatfie[t <br />Rel€nred fi'L1B <br />iac u csatioa. fac ilir'i <br />tratr5t'er'. pf, tietrt requert. nredicall'r <br />acltr:ed {de:cribe }. uoq-n€dicalf i <br />adtlred.'dEath {caure] rother <br />{de;cribe\ <br />I\L{T Partner Oreaaizeiiou <br />Dnle of deieflriLra relea:e uu'dJ,-,-,-r,'K;flitii f flrrrrh-Jiil <br />Locarion io ithrth relea.,e,{0tber correctiourl <br />i'a ci-lir,.'c rrnulrruf,, <br />}lrfilrai {: olurfr JJil <br />Le gal statui at relea-re PreriaL. pn tt-trial Kinrras Courn Jail <br />If rr.lea:e<l to ccmlrairy <br />ioru of rclea:e <br />Pretrial: Lrcad citntiLrD- pLr:t-triall <br />''lloe :et-ied^'.'cltatge.: dr.:urilced <br />liittrrar C orrnr* Jai.l <br />ReJ'erral to cerouurruiw hI-{T <br />prc'.'ids nade prior lo telea:e <br />)'er uo NL{f Par:ner O r,saoEr ril1tr <br />Appoiltareut x.ith <br />courauait-'; \L{T pro', ider <br />nrade orior to releare <br />1-e: {rru. dd..',r-.,r). uo I!L-\T Partuer Or eaaizrtiers <br />Io:trrance S{anrr at rhe tee <br />of Release <br />jlledrcaid,lledrc aid eligible ancl <br />nau:ured pnr,'atelv <br />issured' lr.{edicare.&Iedic ard <br />inelisible and unin:ured <br />I!LA.T Partner 0rgaaization <br />Date :esa b;r conmrnit',' <br />[,L{T orevider <br />nru'ddr11r.'IvIAT Fartuer Orsil;nliou <br />Professional Services Agreement (rev. 0912412018) <br />Page 14 oI 23