h1n1 vaccine management basics
DESCRIPTION
H1N1 Vaccine Management Basics. H1N1 Vaccine Management Basics. Ordering. Distribution. Allocations. H1N1 Guidance. Doses Administered. Inventory. Enrollment. Support for H1N1 Vaccine Management. Guidelines. Allocations. Ordering and Distribution. Support Tools. Quality Assurance. - PowerPoint PPT PresentationTRANSCRIPT
H1N1 Vaccine Management Basics
H1N1 Vaccine Management BasicsH1N1 Vaccine Management Basics
Allocations
Inventory
Ordering
Doses Administered
H1N1 Guidance
Distribution
Enrollment
Support for H1N1 Vaccine Support for H1N1 Vaccine ManagementManagement
Guidelines
Reporting
Quality AssuranceSupport
Tools
Allocations
0
5
10
15
20
25
30
May June July Aug Sept Oct Nov Dec Jan Feb
Pentacel Doses ActHib Doses Total Hib Containing
Ordering and Distribution
H1N1 Vaccine GuidelinesH1N1 Vaccine Guidelines
Washington State H1N1 Vaccine Washington State H1N1 Vaccine Management GuidelinesManagement Guidelines
H1N1 Vaccine Ordering and Distribution H1N1 Vaccine Ordering and Distribution BasicsBasics
H1N1 Vaccine Guidelines AvailableH1N1 Vaccine Guidelines Available
This Guidance is in draft form. As This Guidance is in draft form. As information about H1N1 vaccine information about H1N1 vaccine management evolves the management evolves the Guidelines will evolve. Though in Guidelines will evolve. Though in draft format, they will be useful draft format, they will be useful for planning.for planning.
H1N1 Vaccine Management GuidelinesH1N1 Vaccine Management Guidelines
H1N1 Vaccine Allocation StrategyH1N1 Vaccine Allocation StrategyPopulation Based Allocation
County Shipment 1
Total H1N1 Vaccine
Adams 120
Asotin 210
Benton - Franklin 920
Chelan - Douglas 380
Clallam 190
Clark 440
AllocationStrategy
Benton-Franklin
H1N1 Vaccine Order Tracking Shipment 1
H1N1 Vaccine
Total Shipment Allocation 920
Balance (MUST BE ≥ 0) 730
PIN Provider Name Approved
152002 Richland Family Medicine 50
152004 Chou, H.D. 40
H52001 Ham Pharmacy LLC 50
H52002 Wright OB/GYN Practice 20
H1N1 Vaccine DistributionH1N1 Vaccine Distribution
Georgia
McKesson Specialty
Tennessee OhioCalifornia
Washington Experience with Washington Experience with McKessonMcKesson
2 ½ years distribution of childhood 2 ½ years distribution of childhood vaccinesvaccines
8 million doses distributed8 million doses distributed<.01% error rate with shipments<.01% error rate with shipmentsAll shipments monitored for cold-chainAll shipments monitored for cold-chainVaccine packed for 48 hour guaranteeVaccine packed for 48 hour guaranteeTracking numbers with every shipmentTracking numbers with every shipment
H1N1 Vaccine DistributionH1N1 Vaccine Distribution
Private Providers
McKesson Specialty
LHJ P.O.D. or
Depot
Combination
Private Providers
LHJ Depot or Pod DistributionLHJ Depot or Pod DistributionH1N1 H1N1
ProvidersProvidersLocal Health Local Health Jurisdiction Jurisdiction
(LHJ)(LHJ)
WA State WA State Department Department
of Healthof Health
CDCCDC DistributorDistributor
McKesson McKesson SpecialtySpecialty
Provider Submits vaccine
order or Requests
Allocation from LHJ
DOH Approves Processes Pod Orders
CDC Receives
Order and sends to
Distributor
LHJ Places bulk Pod
order with DOH
Provider Clinic
Inventory
LHJ Clinic Inventory
Depot / Pod Inventory
Distributor Fills LHJ Pod Orders
Same day order processing.
Shipment data sent to LHJs at minimum 1x per week.
Information Exchange: Vaccine Product Flow: Vaccine Inventory:
1-2 day order submission timeline.
Electronic shipping file, with ground carrier tracking numbers sent to DOH when shipment leaves warehouse – typically 3 – 5 business days after receipt.
LHJ must send DOH data on vaccine redistribution
to each provider
H1N1 Vaccine Ordering and Distribution
Direct DistributionDirect DistributionH1N1 H1N1
ProvidersProvidersLocal Health Local Health Jurisdiction Jurisdiction
(LHJ)(LHJ)
WA State WA State Department Department
of Healthof Health
CDCCDC DistributorDistributor
McKesson McKesson SpecialtySpecialty
Provider Submits vaccine
order or Requests
Allocation from LHJ
DOH Approves Processes All Orders
CDC sends orders to
Distributor
LHJ Approves Provider
Orders and Submits to
DOH
Provider Clinic
Inventory
Information Exchange: Vaccine Product Flow: Vaccine Inventory:
LHJ Clinic Inventory
Distributor Fills Provider OrderDirect Ships to
Provider
Electronic shipping file, with ground carrier tracking numbers sent to DOH when shipment leaves warehouse – typically 3 – 5 business days after receipt.
Same day order processing.
Shipment data sent to LHJs at minimum 1x per week.
1-2 day order submission timeline.
Existing providers – LHJ processes orders via VOMS
New providers – LHJ processes orders via paper form
H1N1 Vaccine Ordering and Distribution
H1N1 Vaccine Ordering
H1N1 EnrollmentH1N1 Enrollment
Enrollment is a 2 step process:Enrollment is a 2 step process:Pre-registrationPre-registrationH1N1 Provider AgreementH1N1 Provider Agreement
LHJ manages:LHJ manages:vaccine ordering vaccine ordering reporting requirementsreporting requirementsQuality assuranceQuality assurance
H1N1 Provider Pre-registrationH1N1 Provider Pre-registration
On-line pre-registration applicationOn-line pre-registration applicationActivated 8/21/09Activated 8/21/09Web-site:Web-site:
Spreadsheet with pre-registration requestsSpreadsheet with pre-registration requestsCaptured by DOHCaptured by DOHSent to LHJs daily during height of pre-Sent to LHJs daily during height of pre-
registrationregistration Initially: All childhood vaccine participants Initially: All childhood vaccine participants
enrolled (1194)enrolled (1194)
H1N1 Provider AgreementsH1N1 Provider Agreements
Still waiting finalization by CDCStill waiting finalization by CDCOnce available: Once available:
DOH fax out directly to providersDOH fax out directly to providersRequesting fax returnRequesting fax return
Providers with agreements matched with Providers with agreements matched with list of pre-registeredlist of pre-registered
LHJs will receive list of providers with both LHJs will receive list of providers with both (pre-registration and provider agreement)(pre-registration and provider agreement)
At the time of each order:At the time of each order:Simple refrigerator count Simple refrigerator count
Captured on order form or in CHILD Profile Captured on order form or in CHILD Profile Vaccine Ordering and Management SystemVaccine Ordering and Management System
At a minimum weekly report of provider At a minimum weekly report of provider vaccine usage (inventory section only)vaccine usage (inventory section only)Paper formPaper formPossibilities for electronic reportingPossibilities for electronic reporting
Inventory Management for H1N1 Vaccine
Monthly H1N1 Vaccine Usage ReportMonthly H1N1 Vaccine Usage Report
Inventory Management for H1N1 Vaccine
CDC requires CDC requires weeklyweekly reporting of each reporting of each dose administered dose administered
By age range By age range 6-23 months6-23 months 24-59 months24-59 months 5-18 years5-18 years 19-24 years19-24 years 25-49 years25-49 years 50-64 years50-64 years > Or = 65 years> Or = 65 years
Dose NumberDose Number 11stst or 2 or 2ndnd dose administered dose administered
Inventory Management for H1N1 VaccineAggregate Doses Administered Reporting Requirements
Range of Options:Range of Options: CHILD Profile CHILD Profile
Regular CHILD Profile Immunization registry useRegular CHILD Profile Immunization registry use Mass Immunization ModuleMass Immunization Module Mass Immunization Stand AloneMass Immunization Stand Alone
On-line via DOH web-linkOn-line via DOH web-link Paper-basedPaper-based LHJs may use multiple avenues for reporting LHJs may use multiple avenues for reporting
doses administered doses administered Methods should be selected that fit with Methods should be selected that fit with
LHJs/Provider business practicesLHJs/Provider business practices
Inventory Management for H1N1 VaccineAggregate Doses Administered
Reporting
Demonstration showing how Mass Demonstration showing how Mass Immunization can be used to track by Immunization can be used to track by priority tier if desired by LHJpriority tier if desired by LHJ
Inventory Management for H1N1 VaccineUse of Mass Immunization
Paper Report Form:Paper Report Form:Aggregate doses administeredAggregate doses administeredBy ageBy ageBy priority groupBy priority groupNo patient specific data availableNo patient specific data available
Submitted to DOH for aggregatingSubmitted to DOH for aggregatingLHJ level data reports made availableLHJ level data reports made available
By age, priority groupBy age, priority groupFor the jurisdictionFor the jurisdiction
Inventory Management for H1N1 VaccineAggregate Doses Administered Reporting
Inventory Management for H1N1 VaccineDoses Administered Reporting