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<br />EXHIBIT A <br /> <br />Assessments for these facilities can be automated using the (CASA) import feature. The <br />following issues must be considered prior to an automated assessment: <br /> <br />" <br /> <br />Should be validated with at least one manual assessment. <br />Can only be used if complete immunization histories are entered into computer <br />database. <br />Methodology used for an automated assessment must be approved by RECEIVING <br />AGENCY meeting contract requirements. <br />Complete enumeration should be performed (i.e.. CASA sampling feature is not used) <br /> <br />" <br />" <br /> <br />" <br /> <br />Assessment Criteria #1 <br /> <br />CASA Clinic/Provider Site Requirements <br /> <br />Dou of Assessment <br />Common RtYiew Dau of 01102196 for QUJdren 24 10 35 Monlhs of Age <br />Provider Type <br />NIIIIIl of CliDicJProvider SilO <br />Reviewer lDitials <br />Clty <br />F<rimoIP<l . Active" C1iClll Populalion and Sample Size for Children Born in 1993 <br /> <br />CASA Client Information <br /> <br />FULL Last and Fim Name <br />Date ofBinh (BetWeen 01101193 and 12131/93) <br />Client Zipcode <br />Moved or Gooe Elsewhere <br />Nwnbcr of Visits (Medical Cbans Only) <br />Shot Type <br />Shot DalO <br /> <br />Assessment Criteria #2 <br /> <br />CASA CliniclProvider Site Requirements <br /> <br />CASA Client Information <br /> <br />Dou of AssuSlMIIt <br />Common Review Dote ofOI/02I96for arildnn12 10 24 Monzhs of Age <br />Proviclcr Type <br />Name of Clinic/Proviclcr Site <br />Reviewer lDitials <br />City <br />Eslimated . Active' Client Population and Sample Size for Children 12 to IS <br />Months of Age as of 01102196 <br /> <br />FUll Last and Fim Name <br />Date of Binh (Between 01101193 and 12131/93) <br />Client Zipcoclc <br />Moved or Gone Elsewhere <br />Nwnber of Visits (Medical Cbans Only) <br />Shot Type <br />Shot Date <br />