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efficient coverage of holidays, weekends, and vacations taken by CDH nursing staff. CDH will likely continue to employ 2-3 additional part-time nurses who will provide coverage at KCJ on weekends, holidays, and during scheduled vacations similar to how CDH has currently staffed the KCJ for buprenorphine and medication passes Friday- Sundays over the past several months. Upon release from custody, NCM's will provide inmates with follow up appointment cards, training in use of naloxone, a naloxone injection kit, and a quantity of buprenorphine from KCJ stock to last them until their follow up appointment in the community. Upon discussion with KCJ leadership, it may be feasible under certain circumstances to provide the inmate with a prescription to receive his/her buprenorphine at an outside pharmacy, depending on the availability of the medication on hand at KCJ. CDH is poised to hire and train additional staff, being prepared to assume full responsibility of the MOUD program at KCJ within 90 days of notice of receipt of the grant award. lf KCJ prefers a slower or alternative ramp-up period, that can certainly be addressed and negotiated between KCJ and CDH. Additionally, CDH is prepared to provide MOUD service, at a minimum, through the grant-funded period of September 301h,2026 or until the program funding ends or is extended. CDH will also develop in collaboration with KCJ staff the appropriate policies and procedures surrounding MOUD care for those incarcerated, including ordering, inventorying, administrating, and dousing medications (Suboxone and Sublocade), and provide them to KCJ within 3 months of signing this agreement. Research and Evaluation CDH will evaluate the success of the KCJ MOUD program by tracking data associated with OUD. This will include the average number of inmates on the MOUD program, total number of inmates treated, and perhaps most importantly, the recidivism rate for inmates who were treated with the MOUD program while in custody at KCJ. NCM's will gather and analyze this data with quarterly and annual reporting available, unless othenruise requested by KCJ. Any additional specific metrics KCJ desires to be tracked may be requested as well. Grants awarded through the United States Department of Justice require that funds be assigned to evaluation research. Partner agencies or organizations that connect with the Kittitas County Jailto provide various services related to MOUD funded though the COSSUP 15pBJA-23-cc-023s3-coAp grant will be required to engage cooperatively with any individual(s) who are selected to conduct the evaluation research associated with this grant. Cooperative engagement includes, but is not limited to: providing de- identified data outlined in the grant narrative on a quarterly basis to the Kittitas County Jail clerk, assisting with recruitment of individuals who are receiving MOUD through this grant who can/will participate in one-on-one interviews with researchers, and/or providing a letter of cooperation to the researcher(s) to fulfill lnstitutional Review Board Professi onal Services Ag ree ment (rev . 09 I 24 I 20 1 8) Page 15 of 22