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Task <br />Number Task! Activity/Description <br />mail that corrective actions were completed. <br />Documentation that all VFC Site Visit <br />corrective actions have been completed must be <br />available to DOH upon request. <br />All VFC compliance site visits and the <br />required site visit follow-ups must be <br />completed by September 30th• <br />Participate in all DOH/CDC trainings required <br />for site visit reviewers and supervisors (a list of <br />required trainings will be provided by DOH). <br />7 a) Conduct AFIX (Assessment, Feedback, <br />Incentive, and Exchange) visits with one (I) <br />provider site(s) in your jurisdiction per <br />instructions at this link. Visits can be <br />conducted in-person, by telephone, or by <br />webinar. All AFIX visits must be <br />conducted by August 31st. <br />b) Conduct initial AFIX follow-up visits with <br />all provider sites receiving an AFIX visit. <br />Follow-up visits can be conducted in- <br />person, by telephone, or by webinar. All <br />AFIX follow-up visits must be conducted <br />by November 30th• <br />Continue following up with provider sites <br />until they fully implement their selected <br />quality improvement activities. <br />8 a) In coordination with hospitals, health <br />care providers, and health plans (if <br />applicable), conduct activities to <br />prevent perinatal hepatitis B infection <br />in accordance with the Perinatal <br />Hepatitis B Prevention Program <br />Guidelines, including the following: <br />Exhibit A, Statements of Work <br />Revised as of November 16, 2015 <br />*May Support PHAB <br />StandardslMeasures Deliverables/Outcomes <br />PEAR for each incorrect <br />response. <br />c) Submit copy of signed <br />Acknowledgement of Receipt <br />d) Document completion of each <br />required training <br />a) Enter the following data in the <br />AFIX Online Tool: <br />• General Site Visit Information. <br />• Questionnaire responses. <br />• Coverage assessment results <br />(from CoCASA reports). <br />• Feedback visit information. <br />b) Enter the following data in the <br />Exchange tab of the AFIX Online <br />Tool for follow-up visits: <br />• Clinic progress on implementing <br />quality improvement strategies. <br />• Follow-up coverage assessment <br />results (from CoCASA reports). <br />a) Enter information for each case <br />identified into the Perinatal <br />Hepatitis B module of the W A <br />lIS. <br />b) Annual Perinatal Hepatitis B <br />Outreach Summary <br />Page 6 of 10 <br />AMENDMENT #5 <br />Payment <br />Due Date/Time Frame Information and/or <br />Amount <br />follow-ups must be *See Restrictions on <br />completed by Funds below <br />September 30th.) <br />c) Within ten (10) days <br />of the visit <br />(NOTE: All VFC <br />compliance site <br />visits and the <br />required site visit <br />I follow-ups must be , <br />completed by <br />September 30th.) <br />d) Within ten (10) days <br />from the completion <br />of each training <br />a) Within ten (10) days Reimbursement for <br />of visit. actual costs incurred, <br />(NOTE: All AFIX not to exceed total <br />visits must be funding consideration <br />conducted by amount. <br />August 31st <br />Funds available for <br />this task*: <br />b) Within ten (10) days <br />I <br />of visit. FFY16 AFIX, <br />(NOTE: All initial 74110265 <br />AFIX follow-up <br />visits must be *See Restrictions on <br />conducted by Funds below <br />November 30th <br />a) by the last day of each Reimbursement for <br />month actual costs incurred, <br />not to exceed total <br />funding consideration <br />amount. <br />b) December 15th <br />Funds available for <br />Contract Number C17114-5