HomeMy WebLinkAboutPR 18524: FY 2014-2015 DEPARTMENT OF STATE HEALTH SERVICES, IMMUNIZATION BRANCH-LOCALS IN THE AMOUNT OF $162,630.00 Memorandum
City of Port Arthur, Texas
Health Department
TO: John Comeaux, P.E., Interim City Manager
FROM: Judith A. Smith, RN, BSN, Director of Health
DATE: August 27, 2014
SUBJECT: Proposed Resolution No. 18524
Contract Approval between the City of Port Arthur and the
Department of State Health Services Immunization Branch
RECOMMENDATION
It is recommended that the City Council approve P.R. No. 18524, the FY 2014 contract
between the City of Port Arthur and the Department of State Health Services,
Immunization Branch-Locals.
BACKGROUND
This contract approval for renewal will allow the Health Department to continue its
immunization program for children, adolescents and adults to eliminate barriers, expand
immunization delivery, and establish uniform policies. The award is the same as FY
2014 and covers the period between September 1, 2014 and August 31, 2015.
BUDGETARY AND FISCAL EFFECT
The total grant award is $162,630 for personnel, fringe benefits, supplies and travel.
STAFFING EFFECT
The grant funds 3 full-time employees.
SUMMARY
The Health Department recommends the City Council's approval of P.R. No. 18524, the
FY 2015 contract between the City of Port Arthur and the Department of State Health
Services, Immunization Branch-Locals, to continue the immunization program for
children, adolescents, and adults.
P. R. NO. 18524
08/27/2014-js
RESOLUTION NO.
A RESOLUTION APPROVING THE FY 2014-2015 CONTRACT
BETWEEN THE CITY OF PORT ARTHUR AND THE
DEPARTMENT OF STATE HEALTH SERVICES,
IMMUNIZATION BRANCH-LOCALS IN THE AMOUNT
$162,630.00
WHEREAS, the contract between the City of Port Arthur and the Department of
State Health Services provides financial assistance to the Port Arthur City Health
Department to supplement the delivery of public health services; and,
WHEREAS, this contract renewal will allow the City's Health Department to
continue an immunization program for children, adolescents, and adults to eliminate
barriers, expand immunization delivery, and establish uniform policies.
NOW THEREFORE BE IT RESOLVED BY THE CITY COUNCIL OF
THE CITY OF PORT ARTHUR:
Section 1. That, the facts and opinions in the preamble are true and correct.
Section 2. That, the City Council of the City of Port Arthur hereby approves
the contract renewal between the City of Port Arthur and the Department of State Health
Services.
Section 3. That, the City Council deems it is in the best interest of the City to
approve and authorize the City Manager and the Director of the City's Health
Department to execute the contract between the Department of State Health Services and
the City of Port Arthur, TX to continue the immunization program as delineated in Exhibit
«A„
P. R. NO. 18524
Page 2— 08/27/2014
Section 4. That, a copy of the caption of this Resolution be spread upon the
Minutes of the City Council.
READ,ADOPTED,AND APPROVED, this day of September
2014 A.D.,at a Regular Meeting of the City Council of the City of Port Arthur, Texas by
the following Vote: AYES: Mayor:
Council members:
NOES:
Mayor
ATTEST:
Sherri Bellard, City Secretary
APPROVED AS TO FORM:
Val izeno, City At • ey
APPROVED FOR ADMINISTRATION:
u�a v A,Ana Jb M 6∎1/V
John Comeaux, P.E., Interim City Manager Vdith A. Smith, RN. BSN
Director of Health Services
EXHIBIT "A"
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT 2015-001079-00
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This Contract is entered into by and between the Department of State Health Services (DSHS or
the Department), an agency of the State of Texas, and Port Arthur Health Department (Contractor),
a Governmental, (collectively, the Parties) entity.
1. Purpose of the Contract: DSHS agrees to purchase, and Contractor agrees to provide,
services or goods to the eligible populations.
2. Total Amount: The total amount of this Contract is $162,630.00.
3. Funding Obligation: This Contract is contingent upon the continued availability of funding. If
funds become unavailable through lack of appropriations, budget cuts, transfer of funds between
programs or health and human services agencies, amendment to the Appropriations Act, health
and human services agency consolidation, or any other disruptions of current appropriated funding
for this Contract, DSHS may restrict, reduce, or terminate funding under this Contract.
4. Term of the Contract: This Contract begins on 09/01/2014 and ends on 08/31/2015. DSHS
has the option, in its sole discretion, to renew the Contract. DSHS is not responsible for payment
under this Contract before both parties have signed the Contract or before the start date of the
Contract, whichever is later.
5. Authority: DSHS enters into this Contract under the authority of Health and Safety Code,
Chapter 1001.
6. Program Name: IMM/LOCALS Immunization Branch-Locals
Page 1 of 25
7. Statement of Work:
Contractor shall implement and operate an immunization program for children, adolescents, and adults,
with special emphasis on accelerating interventions to improve the immunization coverage of children two
(2) years of age or younger(0 to 35 months of age). Contractor shall incorporate traditional and
non-traditional systematic approaches designed to eliminate barriers, expand immunization capacity, and
establish uniform operating policies, as described herein.
Contractor shall perform the activities required under this Program Attachment in the Service Area
designated in the most recent version of Section 8. "Service Area" of this contract.
Contractor shall be enrolled as a provider in the Texas Vaccines for Children (TVFC) program, which
includes a signed Deputization Addendum to TVFC Provider Enrollment Form (E6-102), by the effective
date of this Program Attachment, and must adhere to the TVFC Operations Manual and associated TVFC
policy guidelines provided by DSHS (located at
http://www.dshs.state.tx.us/immunize/tvfc/tvfc_manual.shtm).
Contractor shall comply with written policies and procedures provided by DSHS in managing vaccines
supplied through the TVFC program, including guidelines for proper storage and handling of vaccines and
for safeguarding vaccine in the event of natural disaster. Contractor shall comply with all requirements laid
out in the final, approved Work Plan (Exhibit A).
• Contractor will use the current vaccine management system as described in the TVFC Operations
Manual.
• Contractor shall notify providers of changes to vaccine storage and handling, vaccine management
reporting, and present updates and training to providers, as requested by DSHS.
• Contractor shall plan and implement community-based activities and collaborations to accomplish the
required tasks as specified in the final, approved Work Plan (Exhibit A).
Contractor shall report all reportable conditions as specified in 25 Texas Administrative Code (TAC) Part I
§§97.1-97.6 and §§97.101-97.102, and as otherwise required by law.
Contractor shall report all vaccine adverse event occurrences in accordance with the 1986 National
Childhood Vaccine Injury Act (NCVIA)42 U.S.C. § 300aa-25 (located at http://vaers.hhs.gov/or
1-800-822-7967).
Contractor shall inform and educate the public about vaccines, and vaccine-preventable diseases, as
described in the DSHS Immunization Contractors Guide for Local Health Departments (located at
http://www.dshs.state.tx.us/immunize/docs/contractor/E11-13985_FY2015_ContractorsGuide.pdf).
Contractor shall conduct outreach and collaborative activities with American Indian tribes located within the
boundaries of the contractor's jurisdiction.
Contractor shall work to promote a health care workforce within the Local Health Department's service area
(including Contractor's staff)that is knowledgeable about vaccines, vaccine safety, vaccine-preventable
diseases, and delivery of immunization services.
Contractor shall not deny vaccinations to recipients because they do not reside within Contractor's
jurisdiction or because of an inability to pay an administration fee.
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Contractor shall comply with all applicable federal and state regulations and statutes, including but not
limited to:
• Human Resources Code §42.043, VTCA;
• Education Code §§38.001-38.002, VTCA;
• Health and Safety Code §§12.032, 81.023 and 161.001-161.009, VTCA;
• 25 TAC Chapter 97;
• 25 TAC, Chapter 96;
• 25 TAC, Chapter 100;
•42 USC §§247b and 300 as-25;
• Omnibus Budget Reconciliation Act of 1993, 26 USC §4980B; and
• Senate Bill 346.
Contractor shall comply with current applicable state and federal standards, policies and guidelines,
including but not limited to DSHS's Standards for Public Health Clinic Services, revised August 31, 2004
(located at http://www.dshs.state.tx.us/qmb/default.shtm#public).
Contractor shall be responsible for conducting outreach regarding vaccinations for children (19 through 35
months of age in the Contractor's jurisdiction) included on the list distributed to Contractor by DSHS. Lists
are distributed at the start of each quarterly reporting period (September 01, 2014, December 01, 2014,
March 01, 2015, and June 01, 2015.).
Contractor must receive written approval from DSHS before varying from applicable policies, procedures,
protocols, and/or work plans, and must update and disseminate its implementation documentation to its
staff involved in activities under this contract within forty-eight (48) hours of making approved changes.
Contractor shall review monthly grant funding expenditures and salary savings from any grant-paid staff
vacancies and revise spending plan to ensure that all funds will be properly expended under this contract
before the end of the contract term on August 31, 2015.
DSHS reserves the right, where allowed by legal authority, to redirect funds in the event of financial
shortfalls. DSHS will monitor Contractor's expenditures on a monthly basis. If expenditures are below what
is projected in Contractor's total Program Attachment amount, Contractor's budget may be subject to a
decrease for the remainder of the Contract term. Vacant positions existing after ninety (90)days may result
in a decrease in funds.
SECTION II: PERFORMANCE MEASURES:
The following performance measure(s)will be used, in part, to assess Contractor's effectiveness in
providing the services described in this Program Attachment, without waiving the enforceability of any of
the terms of the Contract.
Contractor shall:
• Investigate and document, in accordance with DSHS Texas Vaccine-Preventable Disease Surveillance
Guidelines (located at http://www.dshs.state.tx.us/idcu/investigation/conditions/) and NBS Data Entry
Guidelines, at least 90% of suspected reportable vaccine-preventable disease cases within thirty (30) days
of notification.
• Complete 100% of the follow-up activities, designated by DSHS, for TVFC provider quality assurance
Page 3 of 25
site visits assigned by DSHS.
• Ship overstocked vaccines and vaccines approaching expiration to alternate providers for immediate use
when instructed to do so by the DSHS Health Service Region (HSR) Immunization Program Manager to
avoid vaccine waste.
• Contact and provide case management to 100% of the number of hepatitis B surface antigen-positive
pregnant women identified.
• Contact 3% or 250 children per FTE (whichever is more)who are not up-to-date on their immunizations
according to the ImmTrac-generated client list provided to the contractor by DSHS at the beginning of each
reporting period.
• Perform outreach and education activities targeting adolescents 14 to 18 years of age and their parents
via health-care providers, health-care clinics, hospitals, and any other health-care facility providing health
care to adolescents 14 to 18 years of age to satisfy Texas Health and Safety Code Chapter 161,
Subsection A, Section 161.0095 requirements. Additional outreach and educational activities may focus
on high schools, colleges, and universities.
• Participate in at least one collaborative meeting concerning tribal health issues, concerns, or needs with
American Indian tribal members during the contract term if American Indian tribes are in their jurisdiction.
• Report outreach done, and collaborative efforts made, with the American Indian tribes in the contractor's
jurisdiction.
• Review 100% of monthly biological reports, vaccine orders (when applicable), and temperature logs for
accuracy to ensure the vaccine supply is appropriately maintained and within established maximum stock
levels.
• Complete 100% of child-care facility and Head Start center assessments, in accordance with the
Immunization Population Assessment Manual, as assigned by DSHS.
• Complete 100% of public and private school assessments, retrospective surveys, and validation surveys,
in accordance with the Immunization Population Assessment Manual, as assigned by DSHS.
• Report number of doses administered to underinsured children monthly, as directed by DSHS.
• Report the number of unduplicated underinsured clients served, as directed by DSHS.
Contractor shall utilize the AFIX (Assessment, Feedback, Incentives, and eXchange)on line tool and
methodology, found in the Immunization Quality Assurance Tool Resource Manual, (located at
http://www.dshs.state.tx.us/immunize/docs/QA_site_visit.pdf)to assess immunization practices and
coverage rates for all sub-contracted entities and non-local health department Women, Infant and Children
(WIC) clinics. Immunization provider coverage rates will be generated using the Comprehensive Clinic
Assessment Software Application (CoCasa), as specified by DSHS.
Contractor shall utilize the Center for Disease Control and Prevention (CDC) Provider education,
Assessment, and Reporting (PEAR) system to document TVFC quality assurance site-visits for all
sub-contracted entities and non-local health department Women, Infant and Children (WIC) clinics. .
Contractor shall submit the final assessment results in the PEAR system within 10 days of conducting the
Page 4 of 25
visit.
Contractor shall utilize the CDC PEAR system to document TVFC unannounced storage and handling
visits conducted at TVFC provider offices. Contractor shall submit the final unannounced storage and
handling visit results in the PEAR system within 10 days of conducting the visit.
Contractor is required to complete and submit Immunization Inter-Local Agreement Quarterly Report form,
utilizing the format provided by the DSHS Program and available at
http://www.dshs.state.tx.us/immunize/providers.shtm, by the report due date.
Report Type Reporting Period Report Due Date
Programmatic 09/1/2014 to 11/30/2014 12/31/2014
Programmatic 12/1/2014 to 02/28/2015 03/31/2015
Programmatic 03/1/2015 to 05/31/2015 06/30/2015
Programmatic 06/1/2015 to 08/31/2015 09/30/2015
Contractors LHD ILA Quarterly Reports should be submitted electronically to
dshsimmunizationcontracts @ dshs.state.tx.us according to the time frames stated above.
SECTION III: SOLICITATION DOCUMENT:
Governmental Entity
SECTION IV: RENEWALS:
There are no renewals.
SECTION V: PAYMENT METHOD:
Cost Reimbursement
Funding is further detailed in the attached Categorical Budget and, if applicable, Equipment List.
SECTION V: BILLING INSTRUCTIONS:
Contractor shall request payment using the State of Texas Purchase Voucher(Form B-13) and acceptable
supporting documentation for reimbursement of the required services/deliverables. The Form B-13 can be
found at the following link http://www.dshs.state.tx.us/grants/forms/bl3form.doc. Vouchers and supporting
documentation should be mailed or submitted by fax or electronic mail to the addresses/number below.
Department of State Health Services
Claims Processing Unit MC 1940
1100 West 49th Street
P. O. Box 149347
Austin, Texas 78714-9347
The fax number for submitting State of Texas Purchase Voucher(Form B-13)to the Claims Processing
Unit is (512)458-7442. The email address is invoices @dshs.state.tx.us.
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8. Service Area
Jefferson County
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This section intentionally left blank.
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10. Procurement method:
Non-Competitive Interagency/Interlocal
GST-2012-Solicitation-00022 DCPS "GOLIVE" IMMUNIZATION LOCALS
PROPOSAL
11. Renewals:
Number of Renewals Remaining: 0 Date Renewals Expire: 08/31/2015
12. Payment Method:
Cost Reimbursement
13. Source of Funds:
93.268, 93.268, 93.268, 93.268, 93.268, 93.268, State
14. DUNS Number:
137134909
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15. Programmatic Reporting Requirements:
Report Name Frequency Period Begin Period End Due Date
LHD ILA Quarterly RI Quarterly 09/01/2014 11/30/2014 12/31/2014
LHD ILA Quarterly RI Quarterly 12/01/2014 02/28/2015 03/31/2015
LHD ILA Quarterly RI Quarterly 03/01/2015 05/31/2015 06/30/2015
LHD ILA Quarterly RI Quarterly 06/01/2015 08/31/2015 09/30/2015
Financial Status Repl Quarterly 09/01/2014 11/30/2014 12/31/2014
Financial Status Rep Quarterly 12/01/2014 02/28/2015 03/31/2015
Financial Status Rep Quarterly 03/01/2015 05/31/2015 06/30/2015
Financial Status Rep Quarterly 06/01/2015 08/31/2015 10/15/2015
Submission Instructions:
LHD ILA Quarterly Reports shall be sent to dshsimmunizationcontracts @ dshs.state.tx.us.
Financial Status Reports shall be sent to invoices @dshs.state.tx.us.
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16. Special Provisions
General Provisions, ARTICLE III SERVICES, Section 3.02 Disaster Services, is revised to include the
following:
In the event of a local, state, or federal emergency the Contractor has the authority to utilize approximately
5% of staffs time supporting this Program Attachment for response efforts, as pre-approved in writing by
DSHS. DSHS shall reimburse Contractor up to 5% of this Program Attachment funded by Center for
Disease Control and Prevention (CDC)for personnel costs responding to an emergency event. Contractor
shall maintain records to document the time spent on response efforts for auditing purposes. Allowable
activities also include participation of drills and exercises in the pre-event time period. Contractor shall notify
the Assigned Contract Manager in writing when this provision is implemented.
General Provision, ARTICLE IV. FUNDING, Section 4.03 Use of Funds, is revised to include:
• Funds shall not be used for purchase of vaccines, inpatient care, construction of facilities, or debt
retirement.
For immunization activities performed under this Program Attachment, General Provisions, ARTICLE XIV.
General Business Operations of Contractor, Section 14.06 Overtime Compensation, is replaced with the
following paragraphs:
• Contractor is authorized to pay employees who are not exempt under the Fair Labor Standards Act
(FLSA), 29 USC, Chapter 8, §201 et seq., for overtime or compensatory time at the rate of time and one-half
per FLSA.
• Contractor is authorized to pay employees who are exempt under FLSA on a straight time basis for work
performed on a holiday or for regular compensatory time hours when the taking of regular compensatory
time off would be disruptive to normal business operations.
•Authorization for payment under this provision is limited to work directly related to immunization activities
and shall be in accordance with the amount budgeted in this contract Attachment. Contractor shall document
proper authorization or approval for any work performed by exempt or non-exempt employees in excess of
forty (40) hours per work week.
•All revenues directly generated by this Program Attachment or earned as a result of this Program
Attachment during the term of this Program Attachment are considered program income; including income
generated through Medicaid billings for immunization related clinic services. The Contractor shall use this
program income to further the scope of work detailed in this Program Attachment, and must keep
documentation to demonstrate such to DSHS's satisfaction. This program income may not be used to take
the place of existing local, state, or federal program funds. Program income shall not be used for purchase
of vaccines, inpatient care, construction of facilities, or debt retirement.
General Provisions, ARTICLE XV. GENERAL TERMS, Section 15.15 Amendment, is amended to include
the following:
Contractor must submit all amendment and revision requests in writing to the Division Contract Management
Unit at least ninety (90) days prior to the end of the term of this Program Attachment.
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17. Documents Forming Contract. The Contract consists of the following:
a. Contract (this document) 2015-001079-00
b. General Provisions Subrecipient General Provisions
c. Attachments Budgets
d. Declarations Certification Regarding Lobbying, Fiscal Federal Funding
Accountability and Transparency Act (FFATA) Certification
e. Exhibits Exhibit A
Any changes made to the Contract, whether by edit or attachment, do not form part of the Contract
unless expressly agreed to in writing by DSHS and Contractor and incorporated herein.
18. Conflicting Terms. In the event of conflicting terms among the documents forming this Contract, the
order of control is first the Contract, then the General Provisions, then the Solicitation Document, if any, and
then Contractor's response to the Solicitation Document, if any.
19. Payee. The Parties agree that the following payee is entitled to receive payment for services rendered
by Contractor or goods received under this Contract:
Name: Port Arthur City Health Dept
Vendor Identification Number: 17460018850
20. Entire Agreement. The Parties acknowledge that this Contract is the entire agreement of the Parties
and that there are no agreements or understandings, written or oral, between them with respect to the
subject matter of this Contract, other than as set forth in this Contract.
I certify that I am authorized to sign this document and I have read and agree to all parts of the contract,
Department of State Health Services Port Arthur Health Department
By: By:
Signature of Authorized Official Signature of Authorized Official
Date Date
Name and Title Name and Title
1100 West 49th Street
Address Address
Austin, TX 787-4204
City, State, Zip City, State, Zip
Telephone Number Telephone Number
E-mail Address E-mail Address
Page 11 of 25
Budget Summary
Organization Name: Port Arthur Health Department Program ID: IMM/LOCALS
Contract Number: 2015-001079-00
Budget Categories
Budget Categories DSHS Funds Cash Match In Kind Match Category Total
Requested Contributions
Personnel $111,276.00 $0.00 $0.00 $111,276.00
Fringe Benefits $51,354.00 $0.00 $0.00 $51,354.00
Travel $0.00 $0.00 $0.00 $0.00
Equipment $0.00 $0.00 $0.00 $0.00
Supplies $0.00 $0.00 $0.00 $0.00
Contractual $0.00 $0.00 $0.00 $0.00
Other $0.00 $0.00 $0.00 $0.00
Total Direct Costs $162,630.00 $0.00 $0.00 $162,630.00
Indirect Costs $0.00 $0.00 $0.00 $0.00
Totals $162,630.00 $0.00 $0.00 $162,630.00
Page 12 of 25
Exhibit A
Organization Name: Port Arthur Health Department
Contract Number: 2015-001079-00 Program ID: IMM/LOCALS
Contract Term: 09/01/2014 -08/31/2015 Program Name: Immunization Branch-Locals
UNIT A
Program Stewardship and Accountability
Contractor General Requirement Unit A-1:
Implement a comprehensive immunization program. Activities under this requirement shall be conducted in
accordance with the Department of State Health Services (DSHS) Immunization Contractors Guide for Local
Health Departments.
Activities:
• Adhere to Standards for Child and Adolescent Immunization Practices and Standards for Adult
Immunization Practices found at:
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-pediatric.pdf and
http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/H/standards-adult.pdf.
• Maintain current policies in compliance with the DSHS Immunization Contractors Guide for Local Health
Departments and have them available to Contractor's staff.
• Lapse no more than 5% of total funded amount of the contract.
o Maintain and adjust spending plan throughout the contract term to avoid lapsing funds.
o Account for and use Program Income appropriately throughout the contract term.
o Maintain staffing levels to meet required activities of the contract and to ensure that all funds in the
personnel category are expended.
• Submit required Quarterly Local Health Department (LHD) Inter-Local Agreement (ILA) Reports to DSHS
Immunization Contracts at dshsimmunizationcontracts @dshs.state.tx.us by Close of Business (COB)on
December 31, 2014; March 31, 2015; June 30, 2015; and September 30, 2015 or the next business day if
the date falls on a weekend or state approved holiday.
• Submit Corrective Action Plan (CAP) letter to DSHS Contract Management Unit (CMU)within fifteen (15)
business days after On-Site Evaluation if findings are not resolved at time of site visit to the satisfaction of
the HSR Immunization Program Manager and DSHS Immunization Branch Contracts staff.
Contractor General Requirement Unit A-2:
Complete Texas Vaccines for Children (TVFC) site visits, TVFC unannounced visits, and follow-up visits
assigned by DSHS Immunization Branch or DSHS Health Service Region Immunization Program staff
within prescribed timeframes outlined in the TVFC Operations Manual. Activities under this requirement
shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local Health
Departments.
Activities:
• Conduct TVFC site visit follow-up and submit results following the process described and within deadlines
established in the TVFC Operations Manual.
• Conduct TVFC site visits in 100% of subcontracted entities as listed in the Inter-Local Application and
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non-Local Health Department WIC immunization clinics, if applicable.
• Conduct TVFC unannounced storage and handling visits at TVFC enrolled provider offices within the
jurisdiction following the process described and within deadlines established in the TVFC Operations
Manual.
Contractor General Requirement Unit A-3:
Ensure that expired, wasted, and unaccounted-for vaccines do not exceed 5% in Contractor's clinics.
Activities under this requirement shall be conducted in accordance with the DSHS Immunization Contractors
Guide for Local Health Departments and TVFC Operations Manual.
Activities:
• Ensure that expired, wasted, and unaccounted-for vaccines do not exceed 5% in Contractor's clinics.
• Ensure that all expired, spoiled/wasted vaccines is appropriately identified and entered into the Electronic
Vaccine Inventory (EVI) system.
• Maintain storage and handling policies and procedures according to the TVFC Operations Manual.
(http://www.dshs.state.tx.us/immunize/tvfc/tvfc.manual.shtm)
• Ensure that appropriate Vaccine Management plan is in place at each clinic location and that it includes
an updated Emergency Contingency Plan.
• Ensure that overstocked vaccines or those vaccines nearing expiration are shipped to alternate providers
as directed by the Health Service Region (HSR) Immunization Program managers, for timely use to avoid
vaccine waste.
Contractor General Requirement A-4:
Implement a plan to assure that vaccines provided through the TVFC program are not provided inadvertently
to fully privately insured individuals, including children covered by S-CHIP.
Establish and maintain protocols for screening individuals for eligibility and insurance coverage before
administering vaccines provided through the TVFC program. Contractors may use Patient Eligibility
Screening Form (C-10) or electronically store this information.
Any child who upon screening meets one of the eligibility criteria listed below and who is 18 years of age or
younger qualifies for state or federal vaccine through the TVFC program:
a. Eligible for Vaccine For Children (VFC)Vaccine:
• Medicaid Enrolled,
• No Health Insurance,
• American Indian or Alaskan Native, or
• Underinsured* served by a Federally Qualified Health Center, Rural Health Clinic, or a deputized
provider.
b. Eligible for State/Federal Vaccine:
• Enrolled in CHIP**, or
• Other Underinsured***.
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• Underinsured includes children with health insurance that does not include vaccines or only covers specific
vaccine types. Children are only eligible for vaccines that are not covered by insurance. In addition, to
receive VFC vaccine, underinsured children must be vaccinated through a Federally Qualified Health Center
(FQHC) or Rural Health Clinic (RHC) or under an approved deputized provider. The deputized provider
must have a written agreement with an FQHC/RHC and the state/local/territorial immunization program in
order to vaccinate underinsured children.
** Children enrolled in separate state Children's Health Insurance Program (CHIP). These children are
considered insured and are eligible for vaccines through the TVFC program as long as the provider bills
CHIP for the administration of the vaccine.
*** Other underinsured are children that are underinsured but are not eligible to receive federal vaccine
through the VFC program because the provider or facility is not a FQHC/RHC or a deputized provider.
However, these children may be served if vaccines are provided by the state program to cover these
non-VFC eligible children.
UNIT B
Assessing Program Performance
Contractor General Requirement Unit B-1:
Conduct educational, promotional, and outreach activities for the general public to enhance immunization
awareness, including distribution of DSHS-provided materials. Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities:
• Contractor will provide vaccine and immunization education to target audiences and to the general public
on the benefits of vaccination, the risk of vaccine-preventable diseases, staying on the Advisory Committee
on Immunization Practices (ACIP) Recommended Immunization Schedule(s), and the importance of not
missing any vaccines.
• Inform and educate parents of infants, children, adolescents, adults (men and women), grandparents,
seniors, health-care providers, and the general public about vaccines for all age groups and
vaccine-preventable diseases. Information should include the importance and benefits of being fully
vaccinated, vaccine recommendations, and the location of community vaccination clinics.
• Conduct at least one monthly immunization education activity specifically directed to one of the target
groups as directed by DSHS.
• Conduct at least twelve (12) outreach and educational activities during the contract period in accordance
with Texas Health and Safety Code Chapter 161, Subsection A, Section 161.0095, to each of the following
audiences: health-care providers, health-care clinics, hospitals, and any other health-care facility providing
health care to adolescents 14 to 18 years of age and report results on the Quarterly Report. Additional
outreach and educational activities may focus on high schools, colleges, and universities.
• Document the activity with the number and type of participants and evaluate activity by obtaining feedback
from participants.
• Use national immunization observances as opportunities to conduct specific education and promotional
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activities to give emphasis to the importance and benefits of vaccines: National Infant Immunization Week
(NIIW), National Immunization Month (NIM), National Adult Immunization Week (NAIW), and National Influenza
Week (NIW).
• Develop and implement a written communications and customer service plan to assure customers receive
consistent, correct immunization information and services in a courteous and friendly manner on a timely
basis.
• Participate in special initiatives as directed by DSHS, such as the Dairy Queen Coupon project, the
Hallmark Card Governor's Program, and others.
• Participate in statewide media campaigns by distributing DSHS-developed and produced public service
announcements and materials to local television and radio stations, newspapers, parent publications,
university newspapers, high school newspapers, and neighborhood newspapers.
• Promote www.ImmunizeTexas.com, the Immunization Branch's website; The Upshot, electronic newsletter;
and the Vaccine Advisory, vaccine newsletter to providers in the Contractor's jurisdiction.
• Promote and distribute immunization literature for the public to TVFC providers and Contractor's clinics.
• Provide information to clients, families, health-care providers, and the general public on the purpose of
ImmTrac, the benefits of ImmTrac participation, and the importance of maintaining a complete immunization
history in ImmTrac.
• Inform the general public about the Texas Vaccines for Children (TVFC) program and the qualifications to
participate in it.
• Distribute TVFC information and educational materials at venues where parents of TVFC-eligible children
might frequent.
• Inform and highly recommend to the medical community and local providers within the Contractor's'
jurisdiction on the annual Centers for Disease Control and Prevention (CDC) Epidemiology and Prevention
of Vaccine-Preventable Disease (EPI-VAC)training.
Establish collaborative efforts with appropriate community entities regarding promoting immunizations and
the reduction of vaccine-preventable diseases. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities:
• Identify providers, hospitals, schools, child-care facilities, social service agencies, and community groups
involved in promoting immunizations and reducing vaccine-preventable diseases.
• List and maintain contact information of group members and collaborations and identify the best practices
they are promoting.
• Maintain written agreements and updates of group members and collaborations.
• Document communications, group meetings, and planning of activities that promote the Best Practices
identified in contract agreement. Documents are to be accessible during site visits.
• Report new group members on the Quarterly Report.
Contractor General Requirement Unit B-2:
When assigned by DSHS, complete 100% of child-care facility and Head Start center assessments and
child-care audits. Activities under this requirement shall be conducted in accordance with the DSHS
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Immunization Contractors Guide for Local Health Departments and Population Assessment Manual.
When assigned by DSHS, complete 100% of public and private school assessments, retrospective surveys,
and validation surveys. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments and Population Assessment Manual.
Activities:
• Complete and report 100% of required audits/assessments as assigned by the Immunization Branch,
DSHS. These will include:
o Texas Child-Care Immunization Assessment
o Child-Care Audit
o Annual Report of Immunization Status (school self-assessments)
o School Audit
o Texas School Immunization Validation Survey
o Texas County Retrospective Immunization School Survey (TCRISS)
• Assigned surveys/assessments must be completed utilizing the instructions in DSHS Immunization
Contractors Guide for Local Health Departments and the Population Assessment Manual.
• Monitor vaccination and exemptions per respective areas for completed audits/assessments.
• Analyze, provide feedback, and monitor vaccination trends for public school districts, private schools,
licensed child-care facilities, and registered family homes to increase vaccination coverage using
audit/assessment data.
• Identify trends and areas of need for local health department jurisdictions and coordinate interventions.
• Collaborate with school/child-care facilities and registered family homes to identify needed improvements.
Report these results/findings to the Assessment, Compliance and Evaluation Group, Immunization Branch,
DSHS.
Contractor General Requirement B-3:
Work with TVFC providers to develop quality improvement processes to increase coverage levels and
decrease missed opportunities using AFIX components, as appropriate, and move toward use of IIS as
primary source of data for provider coverage level assessment by the end of project period. Activities under
this requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local
Health Departments and the Texas Vaccine For Children Provider Manual.
Activities:
• Conduct immunization coverage level assessments utilizing the AFIX online tool and (CoCASA) in 100%
of subcontracted entities as listed in the Inter-Local Application and non-Local Health Department WIC
immunization clinics, if applicable.
• Conduct TVFC quality assurance site-visits for all sub-contracted entities and non-local health department
Women, Infant and Children (WIC) clinics utilizing the CDC Provider Education, Assessment, and Reporting
(PEAR) system and submitting the final assessment results in the PEAR system within 10 days of
conducting the visit.
• Conduct TVFC unannounced storage and handling visits at TVFC provider offices utilizing the CDC
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PEAR system and submitting the final unannounced storage and handling visit results in the PEAR system
within 10 days of conducting the visit.
Contractor General Requirement B-4:
Investigate and document at least 90% of reportable suspected vaccine-preventable disease cases within
thirty (30) days of notification in accordance with DSHS Texas Vaccine-Preventable Disease (VPD)
Surveillance Guidelines (http://www.dshs.state.tx.us/idcu/health/vaccine_preventable_diseases/resources/)
and National Electronic Disease Surveillance System (NEDSS). Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
Activities:
• Adhere to the DSHS VPD Surveillance Guidelines, NEDSS Data Entry Guidelines, and Epi-Case Criteria
Guide
(https://txnedss.dshs.state.tx.us:8009/PH I N Dox/UserResou rces/Epi%20Case%20Criteria%20Guide%2020
12.pdf) in conducting this General Requirement and the associated activities.
• Complete all data entry into NEDSS Base System (NBS)following the NBS data Entry Guidelines.
(https://txnedss.dshs.state.tx.us:8009/PHINDox/UserResources/Data_Entry_Guidelines_2007.pdf).
• Verify and enter complete vaccination history in NBS on all VPD investigations with case status of
confirmed or probable. Complete vaccination history should be assessed through ImmTrac, provider
offices, school records, or patient records.
• Routinely review and follow up on all VPD laboratory reports received, including electronic lab reports
(ELRs) sent from DSHS through NBS and Health Alert Network (HAN).
• Provide feedback on any unmet performance measures during each Quarterly Report review.
• All new VPD surveillance staff will attend Introduction to NBS training and complete the certification
process in order to gain access to the NBS system.
Contractor General Requirement Unit B-5:
Educate, inform, and train the medical community and local providers within Contractor's jurisdiction on
immunization activities listed below. Activities under this requirement shall be conducted in accordance with
the DSHS Immunization Contractors Guide for Local Health Departments.
Activities:
• Provide training on TVFC requirements and updates (as described in the TVFC Operations Manual)to
TVFC providers annually at a minimum.
• Ensure that the TVFC providers have the most up-to-date, DSHS-produced immunization information in
their offices.
• Provide training, information, and technical assistance to promote the effective use of ImmTrac by private
providers (which includes education regarding the benefits of ImmTrac participation).
• Educate private providers about the ImmTrac enrollment process and the
statutory requirement to report immunizations.
• As directed by DSHS identify first responders and their immediate family in the community and inform
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them of the opportunity to be included in ImmTrac.
• Conduct educational training for hospital and health-care providers within the Contractor's jurisdiction, to
increase mandatory screening and reporting of hepatitis B surface antigen (HBsAg_- positive women.
• Provide training on the prevention of Perinatal Hepatitis B to providers within the Contractor's jurisdiction.
• Educate physicians, laboratories, hospitals, schools, child-care staff, and other health providers on VPD
reporting requirements.
• Educate and update providers on the most currentACIP recommendations for all age groups, as well as
on applicable regulatory vaccination requirements.
• Provide training relating to Standards for Child and Adolescent Immunization Practices
(http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html) and Standards for Adult Immunization
Practices (http://www.cdc.gov/vaccines/schedules/hcp/adult.html)to all immunization providers within
Contractor's jurisdiction.
• Inform all private providers on the federal requirement that the most current Vaccine Information
Statements (VIS) must be distributed to patients (http://www.cdc.gov/vaccines/pubs/vis/default.htm).
• Promote a health-care workforce that is knowledgeable about vaccines, vaccine recommendations,
vaccine safety, vaccine-preventable diseases, and the delivery of immunization services.
• Educate health-care workers on the need to be vaccinated themselves.
• Provide information to community health-care employers (hospitals, clinics, doctor's offices, long-term
care facilities) about the importance of vaccination of health-care workers.
• Educate private providers to send National Immunization Surveys (NIS)to the Contractor for research prior
to returning the survey to CDC, if applicable.
• Coordinate educational and other activities with local WIC programs to assure that children participating in
WIC are screened and referred to their"medical home"for vaccination using a documented immunization
history in accordance with the Standards for Child and Adolescent Immunization Practices
(http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html).
• Offer educational opportunities to all WIC programs in the service area, including information about on-line
and satellite-broadcast continuing education opportunities from the Centers for Disease Control and
Prevention (CDC) Continuing Education web site
(http://www.cdc.gov/vaccines/ed/default.htm).
• Report on education, training, outreach activities or collaborative efforts conducted to the medical
community and local providers in the Contractor's jurisdiction and the outcomes on each Quarterly Report.
UNIT C
Assuring Access to Vaccines
Contractor General Requirement Unit C-1:
Engage American Indian tribal governments, tribal organizations representing those governments, and tribal
epidemiology centers of Alaskan Native Villages and Corporations located within contracted local health
department boundaries in immunization activities. Activities under this requirement shall be conducted in
accordance with the DSHS Immunization Contractors Guide for Local Health Departments.
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Activities:
• Perform education, training, outreach activities and provide technical assistance for American Indian tribal
governments, tribal organizations representing those governments, and tribal epidemiology centers of
Alaskan Native Villages and Corporations.
• Report on education, training, outreach activities, or collaborative efforts conducted to American Indian
tribal governments, tribal organizations representing those governments, and tribal epidemiology centers of
Alaskan Native Villages and Corporations and the outcomes on each Quarterly Report.
Contractor General Requirement Unit C-2:
Provide immunization services and ACIP-recommended vaccines in Contractor's clinics to children,
adolescents, and adults to maximize vaccine coverage levels within Contractor's jurisdiction. Activities
under this requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for
Local Health Departments.
Activities:
• Ensure that all ACIP recommended vaccines are routinely available to TVFC patients and that Adult
Safety Net vaccines are available to eligible adult patients.
• Recommend the simultaneous administration of all needed vaccines for the patient.
• Follow only medically supportable contraindications to vaccination.
• Verbally educate patients and parents/guardians about the benefits and risks of vaccination and distribute
DSHS educational materials as applicable as part of this conversation.
• Discuss, and attempt to schedule, the next immunization visit at each client encounter.
• Explain the benefits of a "medical home" and assist the parent/guardian in obtaining or identifying the
child's medical home.
• Use a Reminder/Recall system (manual, TWICES, ImmTrac, or other system).
• Establish "standing orders"for vaccination in Contractor's clinics, consistent with legal requirements for
standing orders (including, but not limited to, those found in the Texas Medical Practice Act).
• Implement an employee immunization policy according to CDC recommendations in Contractor's clinics.
Enroll and sustain a network of TVFC and other providers to administer federally funded vaccines to
program-eligible populations according to CDC/ACIP and National Vaccine Advisory Committee (NVAC)
standards.
Conduct recruitment to increase the number of ImmTrac providers, TVFC providers, and Perinatal Hepatitis
B Providers. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments.
Activities:
• Conduct recruitment activities as defined in the TVFC Operations Manual with providers on the
DSHS-supplied provider recruitment list.
• Target adolescent health-care providers for recruitment and emphasize adolescent vaccine requirements
and recommendations
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Contractor General Requirement Unit C-3:
Assure compliance with Health and Human Services (HHS) Deputization Guidance. Activities under this
requirement shall be conducted in accordance with the DSHS Immunization Contractors Guide for Local
Health Departments.
Activities:
• Annually sign Deputization Addendum to Texas Vaccines for Children Program (TVFC) Provider
Enrollment Form (E6-102), and provide immunization services to underinsured children.
• Report monthly the number of vaccine doses administered to underinsured clients by age categories 0-6
and 7-18 years of age as directed by DSHS.
• Report monthly the number of unduplicated underinsured clients served by age categories 0-6 and 7-18
years of age as directed by DSHS.
Contractor General Requirement Unit C-4:
Work with partners, as appropriate, to assure coordination of the following activities in order to prevent
perinatal hepatitis B transmission.
a.) Identification of HBsAg-positive pregnant women.
b.) Newborn prophylaxis with hepatitis b vaccine and hepatitis B immune globulin (HBIG).
c.) Timely completion of doses two and three.
d.) Post-vaccination serology.
Ensure all pregnant women are screened for HBsAg and that all HBsAg-positive pregnant women are
reported to DSHS. Activities under this requirement shall be conducted in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activities:
• Develop a surveillance system that includes prenatal care providers, obstetrical and gynecological care
providers, family practitioners, and labor and delivery facilities to assure all HBsAg-positive pregnant women
are reported to DSHS within one week of diagnosis.
• Educate prenatal care providers to ensure they are screening pregnant women for HBsAg status during
each pregnancy; implement procedures for documenting HBsAg screening results in prenatal care records,
and forward original laboratory results to the delivery facility.
• Educate delivery hospitals to ensure they verify prenatal HBsAg test results of pregnant women on
admission for delivery and test for HBsAg at delivery.
• Provide DSHS produced educational materials on how to prevent perinatal hepatitis B transmission for
distribution to appropriate clients in agencies that include WIC, religious organizations, refugee/immigration
assistance programs, and other community-based organizations.
• Provide trainings, as directed by DSHS, to delivery hospitals on reporting HBs-Ag positive test results for
women who have delivered at their facilities.
• Submit a Perinatal Hepatitis B (PHB)quarterly report to the Perinatal Hepatitis B Prevention Program
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Coordinator reporting educational trainings conducted.
Ensure that all infants born to HBsAg-positive women and women whose HBsAg status is unknown will
receive the first dose of the hepatitis B vaccine and hepatitis B immune globulin (HBIG)within 12 hours of
birth. Activities under this requirement shall be conducted in accordance with the DSHS Immunization
Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Activities:
• Ensure all labor and delivery facilities develop standing orders and policies to administer the first dose of
the hepatitis B vaccine and HBIG to at-risk infants within 12 hours of birth.
• Identify labor and delivery facilities that do not have standing orders and/or policies and educate providers
to establish standing orders and policies to administer to at-risk infants the first dose of the hepatitis B
vaccine and HBIG within 12 hours of birth.
•\ Determine the number of newborns that do not receive the first dose of the hepatitis B vaccine and/or the
hepatitis B immune globulin and work with those facilities to ensure all at-risk infants receive the hepatitis B
vaccine series and hepatitis B immune globulin within 12 hours of birth.
• Report to DSHS all infants born to HBsAg-positive women within fifteen (15) calendar days of the event.
Ensure that 100% of the number of identified infants born to HBsAg-positive women will complete the
hepatitis B vaccine series and post-vaccination serology testing. Activities under this requirement shall be
conducted in accordance with the DSHS Immunization Contractors Guide for Local Health Departments
and Perinatal Hepatitis B Prevention Manual.
Activities:
• Administer or obtain from the provider or ImmTrac the complete hepatitis B vaccine series. Infants shall
complete the hepatitis B vaccine series by 6—8 months of age if the infant receives a single antigen or
Pediarix vaccine and by 15 months of age if the infant receives the Comvax series.
• Perform post-vaccination serology testing or obtain from the provider the post-vaccination serology testing
results to determine immunity against hepatitis B. Post vaccination serology testing shall be done by 9— 15
months of age if the infant received a single antigen or Pediarix vaccine and by 18 months of age if the infant
received the Comvax vaccine series.
• For all cases documented as a lost to follow-up on the Perinatal Hepatitis B case management form,
report the number and types of attempted activities performed in locating the mother or guardian of the infant
to DSHS on the Perinatal Hepatitis B case management form.
Contractor General Requirement C-5
All household contacts over 24 months of age and sexual partners of reported HBsAg-positive women shall
be referred for serologic testing to determine susceptibility status in accordance with the DSHS
Immunization Contractors Guide for Local Health Departments and Perinatal Hepatitis B Prevention Manual.
Household contacts over the age of 24 months and sexual contacts are not eligible for the program. They
should be referred to health care providers for screening and vaccination if susceptible. The number of
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contacts over age 24 months identified and referred to a health care provider is to be documented on the
woman's case management form.
Ensure all household contacts below or equal to 24 months of age are case managed as appropriate to
ensure the infant completes the hepatitis B vaccine series and receives post-vaccination serology testing as
scheduled. A contact case management form should be completed for all contacts under or equal to 24
months of age and case management activities performed.
UNIT D
Immunization Information Technology Infrastructure-Assure that the immunization information technology
infrastructure supports program goals and objectives.
Contractor General Requirement Unit D-1:
Promote provider site participation and assure immunization record completeness, timeliness, accuracy,
efficiency, and data use to support immunization program goals and objectives.
Effectively utilize ImmTrac, the statewide immunization registry, in Contractors' clinics.
Work in good faith, and as specified herein, to increase the number of children less than six (6)years of age
who participate in ImmTrac.
Work in good faith and as specified herein, to ensure ImmTrac registered private providers use ImmTrac
effectively as defined in the DSHS Immunization Contractors Guide for Local Health Departments.
Activities under the requirements above shall be conducted in accordance with the DSHS Immunization
Contractors Guide for Local Health Departments
Activities:
• Recruit new private provider sites for ImmTrac.
• Search for the client's immunization history at every client encounter.
• Review the client's record for vaccines due and overdue according to the CDC Recommended Schedules
at: http://www.cdc.gov/vaccines/schedules/index.html.
• Report to ImmTrac all immunizations administered to children (younger than 18 years of age) and
consented adults in Contractor's clinics, either directly into ImmTrac or through TWICES.
• Follow and explain recommended guidelines for obtaining and submitting ImmTrac consent forms
according to the instructions found at http://www.dshs.state.tx.us/immunize/docs/consent_guidelines.pdf.
• Implement changes to the consent process as directed by DSHS.
• Offer updated Immunization History Report to the client or client's parent or guardian at every client
encounter.
• At every client encounter, compare all immunization histories (ImmTrac, TWICES, validated patient-held
records, clinic medical record) and enter into ImmTrac or TWICES any historical immunizations not in
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ImmTrac.
• Verbally and with DSHS produced literature, inform parents presenting at Contractor's clinics about
ImmTrac and the benefits of inclusion in ImmTrac.
• Provide orientation to all ImmTrac providers at least once a year and maintain documentation of all
technical assistance provided (e.g., telephone logs).
• Explain and demonstrate the effective use of ImmTrac according to the instructions located in the DSHS
Immunization Contractors Guide for Local Health Departments.
• Conduct follow-up with registered ImmTrac providers who are inactive or not using ImmTrac effectively.
• Train ImmTrac providers' staff on ImmTrac data entry and quality standards.
• Update all demographic information, including address and telephone number, at every client encounter.
• Conduct outreach (including, but not limited to, the specific outreach described in the DSHS Immunization
Contractors Guide for Local Health Departments)to families of children 19 to 35 months of age who are not
up-to-date on their immunizations according to ImmTrac; locate additional immunization histories; and enter
history data into ImmTrac.
• Collaborate with prenatal health-care providers, birth registrars, hospital staff, pediatricians, and other
entities to educate parents, expectant parents, and providers about ImmTrac and the benefits of
participation. Includes the dissemination of DSHS educational materials as appropriate.
• Identify and contact families of children for whom ImmTrac consent has been granted but who do not have
complete immunization records in ImmTrac.
• Identify all providers who administer vaccine in awardee's jurisdiction, including both pediatric and adult
immunization providers.
• Collaborate with partners and develop a provider recruitment strategy to include complementary
vaccinators, such as pharmacists and school-located vaccination clinics.
• Encourage ImmTrac participation among providers.
• Use and train providers on the use of the new immunization information system (IIS) as the system
becomes available.
Contractors General Requirement Unit D-2:
Incorporate dose-level accountability into IIS functionality so that information can be received and stored
(Dose-level accountability includes assigned a provider-determined program eligibility category for a patient
to each administered dose of vaccine.
• Conduct education and monitoring of providers to improve eligibility tracking and reporting.
Contractors General Requirement Unit D-3:
Assure provider participation in vaccine ordering and inventory management using the Electronic Vaccine
Inventory system.
• Educate providers regarding vaccine ordering policies.
• Train providers to use the Electronic Vaccine Inventory system for inventory and order entry.
• Train providers on the use of the new IIS system as the system is available.
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Assist all other TVFC providers in local jurisdiction with maintenance of appropriate vaccine stock levels.
Activities under this requirement shall be conducted in accordance with the DSHS Immunization Contractors
Guide for Local Health Departments and TVFC Operations Manual.
Activities:
• Evaluate maximum vaccine stock levels twice a year in all TVFC provider clinics under Contractor's
jurisdiction and assess providers' inventories when visiting clinics. This activity will become part of the
Electronic Vaccine Inventory (EVI) system and local health departments will be advised if any assistance on
this activity is needed.
• Review 100% of all vaccine orders, monthly biological reports, and monthly temperature logs for accuracy
and to ensure that the vaccine supply requested is within established guidelines. Review may be done from
a paper report or on the EVI system.
• If vaccine is available locally, conduct transfers and/or deliveries to support the TVFC providers requesting
assistance.
• Educate and assist all TVFC providers with TVFC Provider Choice, as directed by DSHS.
• Offer provider updates, training, and information as changes to vaccine management occur
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