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<br />EXHIBIT A <br /> <br />Assessments for these facilities can be automated using the (CAS A) import feature. The <br />following issues must be considered prior to an automated assessment: <br /> <br />* <br /> <br />Shall be validated with at least one manual assessment. <br />Can only be used if C'nmpl..t.. immunization histories are entered into computer <br />tI"r-.h3Y'. <br />Methodology used for an automated assessment must be approved by RECEIVING <br />AGENCY as meeting contract requirements. <br />Complete enumeration should be perfonned (i.e., CASA sampling feature is not used) <br /> <br />, <br /> <br />* <br /> <br />* <br /> <br />* <br /> <br />Assessment Criteria #1 <br /> <br />CASA CliniclProvider Site Requirements <br /> <br />CASA Client Information <br /> <br />Dale of ~usmelll <br />Common R..i.... Dale of 01102196 for Children 24 to JS MonJlu of Age <br />Provider Type <br />Nome oC ClinicIProvider Site <br />Reviewer IniliW <br />City <br />Estimeled 'A<:ric" CIicnt PopuIetion and Semple Size for Children Born in 1993 <br /> <br />FULL Last and Fu>t Name <br />Date oCBixtb (Between 01/01/93 and 12/31/93) <br />Cllcnt Zipcode <br />Moved or Gone Elsewhere <br />Number OCVlSits (Medical Charts Only) <br />Shot Type <br />Shot Detc <br /> <br />Assessment Criteria #2 <br /> <br />CASA CliniclProvider Site Requirements <br /> <br />CASA Client Information <br /> <br />Dale of ~es.mu1ll <br />Common R.vi.... Dale of01/02I96for Children 12 to 24 MonJlu of Age <br />ProviderType <br />Nome oC CliniclProvider Site <br />Reviewer Initials <br />City <br />Estimated' Active' Client Population and Somple Size for Childn:n 12 to 15 <br />Months oC Age as oC01/02196 <br /> <br />FULL Last and FIrSt Name <br />Date oCBixtb (Between 01/01/93 and 12/31/93) <br />Client Zipcode <br />Moved or Gone Elsewhere <br />Number DC Visits (Medical Charts Only) <br />Shot Type <br />Shot Detc <br />