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<br />United States Public Health Service, and endorsed by the American Academy of <br />Pediatrics. <br /> <br />SECTION I. PERFORMANCE MEASURES, is replaced m its entirety with the <br />following: <br /> <br />r; <br />All activities shall be performed in accordance with PERFORMING AGENCY'S Annual <br />Plan and detailed budget as approved by RECEIVING AGENCY Program based on the <br />Interlocal Application for Immunization Services, dated June 16, 2003 and any <br />subsequent renewal applications. The following performance measure(s) will be used, in <br />part, to assess PERFORMING AGENCY'S effectiveness in providing the services <br />described in this contract Attachment to the service area, without waiving the <br />enforceability of any of the terms of the contract Attachment. <br /> <br />PERFORMING AGENCY shall submit to RECEIVING AGENCY Program the <br />monthly reports of doses administered and the monthly biological order form in a <br />format provided by RECEIVING AGENCY and in accordance with the schedule <br />provided to PERFORMING AGENCY by RECEIVING AGENCY Program. <br /> <br />PERFORMING AGENCY shall implement an immunization reminder and recall <br />system to notify parents or guardians of children less than 36 months of age when <br />immunizations are due or past due. The notifications may be automated or manual <br />and may consist of mail or telephone contacts. <br /> <br />PERFORMING AGENCY shall complete 100% of annual assessments in sub- <br />contracted entities and local Women, Infant and Children (WIC) clinics using the <br />Assessment, Feedback, Incentives, and eXchange (AFIX) methodology as assigned <br />by RECEIVING AGENCY. PERFORMING AGENCY shall submit assessment <br />results to RECEIVING AGENCY Program within two (2) weeks after completion. <br /> <br />PERFORMING AGENCY shall recruit and enroll providers into the Texas Vaccines <br />for Children (TVFC) program. <br /> <br />PERFORMING AGENCY will perform the following applicable required activities: <br /> <br />I. Implement a plan to improve vaccination coverage levels; <br />2. Work with the local WIC agencies for referral of under-vaccinated WIC <br />enrollees; <br />3. Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5% <br />for DTaP, Rib, hepatitis B, IPV, MMR, PCV7, and varicella vaccines; <br />4. Decrease the proportion of duplicate records or questionable matches in <br />ImmTrac; <br />5. Increase the percentage of children less than six (6) years of age participating <br />in ImmTrac; <br />6. Increase the number of registered provider sites for ImmTrac; <br />7. Increase TVFC provider enrollment; <br />8. Increase the number of educational opportunities on vaccine-preventable <br />diseases available to public and private providers; <br /> <br />A IT ACHMENT - Page 2 <br />