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Task Task! ActivitylDescription Number <br />Documentation that all VFC Site Visit corrective <br />actions have been completed must be available to <br />DOH upon request. <br />All VFC compliance site visits and the <br />required site visit follow-ups conducted in the <br />January -March time period must be <br />completed by March 31st. <br />All VFC compliance site visits and the <br />required site visit follow-ups conducted in the <br />April-September time period must be <br />completed by September 30th. <br />7 NOTE: The period of performance for this <br />task is April 1, 2017 through December 31, <br />2017. Any AFIX visits conducted prior to <br />April 1, 2017 will not be counted toward the <br />requirements of this task. <br />a) Conduct AFIX (Assessment, Feedback, <br />Incentive, and Exchange) visits with two (2) <br />provider sites in your jurisdiction between <br />April 1,2017 and December 31, 2017. <br />Visits can be conducted in-person, by telephone, <br />or by webinar. All initial AFIX visits must be <br />completed by December 31 st <br />• <br />b) Conduct AFIX follow-up visits with all <br />provider sites receiving an AFIX visit. Follow-up <br />visits can be conducted in-person, by telephone , <br />or by webinar. All AFIX follow-up visits must be <br />completed six (6) months after the feedback visit. <br />Continue following up with provider sites until <br />they fully implement their selected quality <br />improvement activities. <br />Exhibit A, Statements of Work <br />Revised as of March 15 , 2017 <br />*May Support PHAB Deliverables/Outcomes StandardslMeasures <br />c) Submit copy of signed <br />Acknowledgement of <br />Receipt <br />a) Enter the following data in <br />the AFIX Online Tool: <br />• General Site Visit <br />Information. <br />• Questionnaire responses. <br />• Coverage assessment <br />results (from CoCASA reports <br />or SMART AFIX Tool). <br />Assessments must be <br />completed within seven (7) <br />days of feedback visit <br />• Feedback visit information . <br />b) Enter the following data in <br />the Exchange tab of the AFIX <br />Online Tool for follow-up <br />visits: <br />• Clinic progress on <br />implementing quality <br />improvement strategies. <br />• Follow-up coverage <br />assessment results (from <br />CoCASA reports). <br />Page 12 of 17 <br />AMENDMENT #11 <br />Due Date/Time Frame Payment Information <br />and/or Amount <br />c) Within five (5) days of *See Restrictions on <br />the visit Funds below <br />NOTE: All VFC <br />compliance site visits and <br />the required site visit <br />follow-ups conducted in <br />the January -March <br />time period must be <br />completed by March 31st. <br />All VFC compliance site <br />visits and the required <br />site visit follow-ups <br />conducted in the April- <br />September time period <br />must be completed by <br />September 30th. <br />a) Within five (5) days of Reimbursement for <br />visit. All AFIX visits actual costs incurred, <br />must be completed not to exceed total <br />by December 31, funding consideration <br />2017 amount. <br />Funds available for this <br />task*: <br />April 2017 - <br />December 2017 <br />FFY17 AFIX- <br />74110275 <br />b) Within five (5) days of *See Restrictions on <br />visit. All follow-up Funds below <br />visits must be <br />completed six (6) <br />months after the <br />feedback visit . <br />Contract Number C 17114-11