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Task Task! Activity/Description Number Documentation that all VFC Site Visit corrective actions have been completed must be available to DOH upon request. All VFC compliance site visits and the required site visit follow-ups conducted in the January -March time period must be completed by March 31st. All VFC compliance site visits and the required site visit follow-ups conducted in the April-September time period must be completed by September 30th. 7 NOTE: The period of performance for this task is April 1, 2017 through December 31, 2017. Any AFIX visits conducted prior to April 1, 2017 will not be counted toward the requirements of this task. a) Conduct AFIX (Assessment, Feedback, Incentive, and Exchange) visits with two (2) provider sites in your jurisdiction between April 1,2017 and December 31, 2017. Visits can be conducted in-person, by telephone, or by webinar. All initial AFIX visits must be completed by December 31 st• b) Conduct AFIX follow-up visits with all provider sites receiving an AFIX visit. Follow-up visits can be conducted in-person, by telephone, or by webinar. All AFIX follow-up visits must be completed six (6) months after the feedback visit. Continue following up with provider sites until they fully implement their selected quality improvement activities. Exhibit A, Statements of Work Revised as of November 15, 2016 *May Support PHAB Deliverables/Outcomes StandardslMeasures c) Submit copy of signed Acknowledgement of Receipt a) Enter the following data in the AFIX Online Tool: • General Site Visit Information. • Questionnaire responses. • Coverage assessment results (from CoCASA reports or SMART AFIX Tool). Assessments must be completed within seven (7) days of feedback visit • Feedback visit information. b) Enter the following data in the Exchange tab of the AFIX Online Tool for follow-up visits: • Clinic progress on implementing quality improvement strategies . • Follow-up coverage assessment results (from CoCASA reports). '======--- Page 19 of21 AMENDMENT #10 Due Date/Time Frame Payment Information and/or Amount c) Within five (5) days of *See Restrictions on the visit Funds below NOTE: All VFC compliance site visits and the required site visit follow-ups conducted in the January -March time period must be completed by March 31s~. All VFC compliance site visits and the required site visit follow-ups conducted in the April-September time period must be completed by September 30th. a) Within five (5) days of Reimbursement for visit. All AFIX visits actual costs incurred, must be completed by not to exceed total December 31,2017 funding consideration amount. Funds available for this task*: April 2017 - December 2017 FFY17 AFIX- 74110275 b) Within five (5) days of visit. All follow-up *See Restrictions on visits must be Funds below completed six (6) months after the feedback visit. Contract Number C 17114-1 0