Common use of Provider Quality Assurance Clause in Contracts

Provider Quality Assurance. 3.5.01 Utilize the CDC Provider Education Assessment and Reporting (PEAR) system and CDC Immunization Quality Improvement for Providers (IQIP) database to document TVFC compliance and IQIP site visits for all subcontracted clinics and non-LHD Grantee’s clinics (as applicable) 3.5.02 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC unannounced storage and handling visits to a minimum of 10% of providers within the LHD Grantee's jurisdiction 3.5.03 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC Unannounced Storage and Handling Visits, Compliance Visits and other visits conducted at TVFC provider offices 3.5.04 Complete and document 100% of the follow-up activities for TVFC quality assurance visits within required timeframes Required Activity Required Activity Required Activity Required Activity 3.5.05 Utilize Texas Immunization Registry or DSHS-provided coverage rates to assess immunization practices and coverage rates for all subcontracted entities and non-LHD Grantee’s clinics (as applicable) 3.5.06 Review 100% of re-enrollment applications from TVFC and ASN providers in your jurisdiction by the DSHS specified deadline Required Activity Required Activity 3.5.07 Ensure that expired, wasted, and unaccounted-for vaccines (excluding flu) do not exceed 5% in TVFC provider clinics within the LHD Grantee’s jurisdiction 3.5.08 Review monthly reports to ensure data quality. This includes: - Identify sites that have not administered or ordered vaccine in the previous six months. Conduct a discussion and develop a plan of action; - Identify sites that are suspended to ensure 90 days is not exceeded; and - Ensure enrollment and withdrawal forms are submitted correctly and on time to the PHR staff 3.5.09 Review submitted reports to ensure data quality. This includes: - Quarterly, review 25% of enrolled sites to ensure contacts are listed correctly in EVI; and - Quarterly, review 25% of enrolled sites and provide education for the Vaccine borrowing and Vaccine transfer forms Standard (Universal) Required Activity Suggested Activity 3.5.10 Review monthly data logger reports for 25% of providers in LHD Grantee's jurisdiction to validate the accuracy of provider- submitted monthly temperature reporting forms 3.5.11 Review monthly data logger reports to validate the accuracy of provider-submitted monthly temperature reporting forms for all providers within LHD Grantee's jurisdiction who experience a vaccine loss as a result of temperature excursions 3.5.12 Conduct a monthly review of 10% of randomly selected providers in LHD Grantee's jurisdiction to identify vaccine loss report forms that were completed in EVI but were not submitted 3.5.13 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to identify those that have adjusted more than 10% of their vaccine inventory 3.5.14 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to ensure the reported patient population matches the number of doses ordered 3.5.15 Utilize the CDC IQIP database and directly enter data to document IQIP follow-ups visits conducted at TVFC provider offices Suggested Activity Standard (Conditional) Suggested Activity Suggested Activity Suggested Activity Required Activity

Provider Quality Assurance. 3.5.01 Utilize the CDC Provider Education Assessment and Reporting (PEAR) system and CDC Immunization Quality Improvement for Providers (IQIP) database to document TVFC compliance and IQIP site visits for all subcontracted clinics and non-LHD Grantee’s clinics (as applicable) 3.5.02 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC unannounced storage and handling visits to a minimum of 10% of providers within the LHD Grantee's jurisdiction 3.5.03 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC Unannounced Storage and Handling Visits, Compliance Visits and other visits conducted at TVFC provider offices 3.5.04 Complete and document 100% of the follow-up activities for TVFC quality assurance visits within required timeframes Required Activity Required Activity Required Activity Required Activity 3.5.05 Utilize Texas Immunization Registry or DSHS-provided coverage rates to assess immunization practices and coverage rates for all subcontracted entities and non-LHD Grantee’s clinics (as applicable) 3.5.06 Review 100% of re-enrollment applications from TVFC and ASN providers in your jurisdiction by the DSHS specified deadline Required Activity Required Activity 3.5.07 Ensure that expired, wasted, and unaccounted-for vaccines (excluding flu) do not exceed 5% in TVFC provider clinics within the LHD Grantee’s jurisdiction 3.5.08 Review monthly reports to ensure data quality. This includes: - Identify sites that have not administered or ordered vaccine in the previous six months. Conduct a discussion and develop a plan of action; - Identify sites that are suspended to ensure 90 days is not exceeded; and - Ensure enrollment and withdrawal forms are submitted correctly and on time to the PHR staff 3.5.09 Review submitted reports to ensure data quality. This includes: - Quarterly, review 25% of enrolled sites to ensure contacts are listed correctly in EVISyntropi; and - Quarterly, review 25% of enrolled sites and provide education for the Vaccine borrowing and Vaccine transfer forms Standard (Universal) Required Activity Suggested Activity 3.5.10 Review monthly data logger reports for 25% of providers in LHD Grantee's jurisdiction to validate the accuracy of provider- submitted monthly temperature reporting forms 3.5.11 Review monthly data logger reports to validate the accuracy of provider-submitted monthly temperature reporting forms for all providers within LHD Grantee's jurisdiction who experience a vaccine loss as a result of temperature excursions 3.5.12 Conduct a monthly review of 10% of randomly selected providers in LHD Grantee's jurisdiction to identify vaccine loss report forms that were completed in EVI but were not submitted 3.5.13 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to identify those that have adjusted more than 10% of their vaccine inventory 3.5.14 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to ensure the reported patient population matches the number of doses ordered 3.5.15 Utilize the CDC IQIP database and directly enter data to document IQIP follow-ups visits conducted at TVFC provider offices Suggested Activity Standard (Conditional) Suggested Activity Suggested Activity Suggested Activity Required Activity

Provider Quality Assurance. 3.5.01 Utilize the CDC Provider Education Assessment and Reporting (PEAR) system and CDC Immunization Quality Improvement for Providers (IQIP) database to document TVFC compliance and IQIP site visits for all subcontracted clinics and non-LHD Grantee’s clinics (as applicable) 3.5.02 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC unannounced storage and handling visits to a minimum of 10% of providers within the LHD Grantee's jurisdiction 3.5.03 Utilize the CDC PEAR system and directly enter data into PEAR to document TVFC Unannounced Storage and Handling Visits, Compliance Visits and other visits conducted at TVFC provider offices 3.5.04 Complete and document 100% of the follow-up activities for TVFC quality assurance visits within required timeframes Required Activity Required Activity Required Activity Required Activity 3.5.05 Utilize Texas Immunization Registry or DSHS-provided coverage rates to assess immunization practices and coverage rates for all subcontracted entities and non-LHD Grantee’s clinics (as applicable) 3.5.06 Review 100% of re-enrollment applications from TVFC and ASN providers in your jurisdiction by the DSHS specified deadline Required Activity Required Activity 3.5.07 Ensure that expired, wasted, and unaccounted-for vaccines (excluding flu) do not exceed 5% in TVFC provider clinics within the LHD Grantee’s jurisdiction 3.5.08 Review monthly reports to ensure data quality. This includes: - Identify sites that have not administered or ordered vaccine in the previous six months. Conduct a discussion and develop a plan of action; action - Identify sites that are suspended to ensure 90 days is not exceeded; and exceeded - Ensure enrollment and withdrawal forms are submitted correctly and on time to the PHR staff 3.5.09 Review submitted reports to ensure data quality. This includes: - Quarterly, review 25% of enrolled sites to ensure contacts are listed correctly in EVI; and . - Quarterly, review 25% of enrolled sites and provide education for the Vaccine borrowing and Vaccine transfer forms Standard (Universal) Required Activity Suggested Activity 3.5.10 Review monthly data logger reports for 25% of providers in LHD GranteeXxxxxxx's jurisdiction to validate the accuracy of provider- submitted monthly temperature reporting forms 3.5.11 Review monthly data logger reports to validate the accuracy of provider-submitted monthly temperature reporting forms for all providers within LHD Grantee's jurisdiction who experience a vaccine loss as a result of temperature excursions 3.5.12 Conduct a monthly review of 10% of randomly selected providers in LHD Grantee's jurisdiction to identify vaccine loss report forms that were completed in EVI but were not submitted 3.5.13 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to identify those that have adjusted more than 10% of their vaccine inventory 3.5.14 Conduct a quarterly review of 25% of providers in LHD Grantee's jurisdiction to ensure the reported patient population matches the number of doses ordered 3.5.15 Utilize the CDC IQIP database and directly enter data to document IQIP follow-ups visits conducted at TVFC provider offices Suggested Activity Standard (Conditional) Suggested Activity Suggested Activity Suggested Activity Required Activity