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<br />and in accordance with the schedule provided to Contractor by DSHS. Reports <br />should be submitted to: <br /> <br />Department of State Health Services <br />Immunization Branch (Mail Code 1946) <br />1100 W. 49th Street <br />Austin, TX 78756 <br /> <br />Contractor shall implement an immunization reminder and recall system to notify <br />parents or guardians of children less than 36 months of age when immunizations are <br />due or past due. The notifications may be automated or manual and may consist of <br />mail or telephone contacts. <br /> <br />Contractor shall utilize the AFIX (Assessment, Feedback, Incentives, and eXchange) <br />methodology to conduct quality assurance site-visits for all sub-contracted entities <br />and non-local health department Women, Infant and Children (WIC) clinics. <br />Assessment shall be done using the DSHS Immunization Quality Assurance Site <br />Visit tool and the Clinic Assessment Software Application (CAS A), as specified by <br />the DSHS Program. Contractor shall submit assessment results to the appropriate <br />DSHS Regional Immunization Program manager within two (2) weeks after <br />completion. <br /> <br />Contractor shall recruit and enroll providers into the Texas Vaccines for Children <br />(TVFC) program and recruit and register providers to use the statewide registry, <br />ImmTrac, to look up child records at every visit and to report immunizations <br />administered as required by law. <br /> <br />Contractor shall perform all the activities associated with the following Objectives stated <br />in the 2007 renewal application: <br /> <br />1. Develop a comprehensi ve plan to assure that immunization services and <br />ACIP-recommended vaccines are available to medically underserved and/or <br />under-immunized children and adults living in areas where coverage is low <br />(pockets of need); <br />2. Work with local WIC programs for assessment of children's immunization <br />status and referral of under-vaccinated WIC enrollees for vaccination at their <br />medical home. <br />3. Build and participate in a variety of partnerships with community-based <br />organizations and human service agencies (internal and external to your Local <br />Health Department [LHD]) to promote best practices, specific activities, and <br />special projects to increase vaccination coverage levels for children 0 through <br />35 months; <br />4. Ensure that expired, wasted, and unaccounted for vaccines do not exceed 5% <br />for DTaP, Hib, hepatitis B, IPV, MMR, PCV7, varicella, hepatitis A, and <br />combination vaccines in LHD clinics; <br />5. Effectively utilize ImmTrac in LHD clinics; <br /> <br />ATTACHMENT - Page 4 <br />