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AMENDMENT #17 <br />Exhibit A, Statements of Work Page 8 of 42 Contract Number CLH18249-17 <br />Revised as of September 15, 2020 <br />Task <br />Number Task/Activity/Description *May Support PHAB <br />Standards/Measures Deliverables/Outcomes Due Date/Time <br />Frame <br />Payment <br />Information and/or <br />Amount <br />alerts (high or medium level) confirmed within <br />60 minutes of receipt by LHJ staff. <br />15 Domain 3 Information Management <br />Capability 6 Information Sharing <br /> <br />Provide Essential Elements of Information (EEIs) <br />during incident response upon request from DOH. <br /> <br />Note: DOH will request specific data elements <br />from the LHJ during an incident response, as <br />needed to inform decision making by DOH and <br />state leaders, as well as federal partners when <br />requested. <br /> Provide EEIs upon request. <br /> <br />Note in the mid-year and end-of- <br />year reports that EEIs were <br />provided or none were requested. <br />Upon request. <br /> <br />December 31, 2020 <br /> <br />June 30, 2021 <br />16 Domain 4 Countermeasures and Mitigation <br />Capability 8 Medical Countermeasures Dispensing <br />Capability 9 Medical Countermeasures <br />Management and Distribution <br /> <br />Update and maintain Medical Countermeasure <br />(MCM) Plans for LHJ and/or Region. <br /> <br />Notes: <br /> MCM plans include number of local <br />distribution sites and number for which a <br />detailed point-to-point distribution plan from <br />RSS to distribution site has been jointly <br />confirmed by LHJ and DOH. (LHJ PM 4) <br /> MCM plans include number of local points of <br />dispensing (PODs) and number for which a <br />detailed point-to-point distribution plan from <br />local distribution site to dispensing site has been <br />jointly confirmed by LHJ and POD operator <br />(nursing home, local agency, public POD, and <br />independent pharmacy). (LHJ PM 5) <br /> LHJs are not required to maintain a hub. LHJs <br />may partner with other organizations to <br />centralize distribution. If LHJs opt to maintain a <br />hub, this should be included in the MCM plan. <br /> DOH will provide technical assistance to LHJs <br />on core elements of an MCM plan. <br /> Report progress and/or plans in <br />mid-year report on template <br />provided by DOH. <br /> <br />End-of-year report on template <br />provided by DOH. <br /> <br />If there is a regional plan, provide <br />input to the RERC upon request. <br /> <br />Updated MCM plans will be due <br />June 30, 2021. <br />December 31, 2020 <br /> <br /> <br /> <br />June 30, 2021