TM1

Vaccine Doses Administered Exercise 2008

May 20, 2008

Presented by:

Immunization Services DivisionNational Center for Immunization and Respiratory Diseases

andDivision of Emergency Preparedness and Response

National Center for Public Health Informatics

TM2

Agenda

• Background• Exercise Summary• Doses Administered Reporting

and Vaccine Safety Training Conference

• Next Steps• Questions and Answers

TM3

Background

• The National Strategy for Pandemic Influenza: Implementation Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine

• To accomplish this, states/project areas are asked to track vaccine doses administered, collect and aggregate minimum data elements and transmit weekly to CDC

• CDC’s CRA system was modified to provide three ways for states and partners to report vaccine doses administered:

TM4

Background

• Data Exchange (Option 1): For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: flat file (pipe-delimited), XML file, HL 7

• Direct Web Entry (Option 2): For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser

• Individual Level Entry (Option 3): For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated

TM5

2008 Doses Administered Exercise

• The 2007 pilot demonstrated project areas ability to collect and report to CDC and CRA’s technical capability to accept and aggregate data

• The 2008 exercise expands on this capability to test the following:• Weekly reporting• Increased volume• Priority group tracking

TM6

2008 Doses Administered Exercise

• Report data weekly for four consecutive weeks from eight or more clinics during the timeframe of Oct. 1 – Dec. 31, 2008; fully successful criteria:• Weekly reporting: aggregate reporting

data is sent by Tuesday for the previous reporting week (Sunday through Saturday; MMRW week); for any four consecutive weeks

• Increased volume: data is from a minimum of eight clinics over the course of the four weeks

• Priority group tracking: each general population priority group is tracked

TM7

Proposed Pandemic Priority Doses Administered - Category

and TiersHomeland and Nations

SecurityTier 1 (HNSt1) Tier 2 (HNSt2) Tier 3 (HNSt3)

Health Care and Community Support ServicesTier 1 (HCCSSt1)Tier 2 (HCCSSt2)Tier 3 (HCCSSt3)

Critical Infrastructure Tier 1 (CIt1) Tier 2 (CIt2) Tier 3 (CIt3)

General PopulationTier 1 (GPt1) Tier 2 (GPt2) Tier 3 (GPt3) Tier 4 (GPt4) Tier 5 (GPt5)

TM8

Priority Groups for 2008 Exercise

• Focus on General Population Category and its Tier GroupsGeneral population, Tier 1 (GPt1) contains

"Pregnant women““Infants and toddlers 6 - 35 months old"

General population, Tier 2 (GPt2) contains“Household contacts of infants < 6 months"

“Children 3 - 18 years with high risk conditions"General population, Tier 3 (GPt3) contains

“Children 3 - 18 years without high risk conditions"

General population, Tier 4 (GPt4) contains “Persons 19 - 64 with high risk conditions"“Persons > 65 years old"

General population, Tier 5 (GPt5) contains“Healthy adults 19 - 64 years with high risk conditions"

• Build Other 9 “Tier Groups” - Not planning to collect data on these for the 2008 exercise

TM9

Data Exchange Specification forOption 1 Users

• Available on webpage http://www.cdc.gov/phin/activities/applications-services/cra/2008Exercise.html

• Reorganized and reformatted• New Pandemic Influenza Priority

Groups• Event-specific Valid Value/Data

Validation Worksheets• Explanation of “full replacement

of aggregate reports”• Improved sample messages

TM10

Option 2 Screen Mock-Up

TM11

Option 3 Screen Mock-Up

TM12

Sample Screening Form - Clarification

• Intended to be a generic guide• Example of one

strategy/algorithm to determine the correct priority group

• Project areas can choose whether to use it or not

• Form will be posted on the CRA web page

TM13

Expected Benefits and Lessons Learned

• Expand capabilities to screen for priority groups, report on a regular basis under increased volume conditions more comparable to a pandemic

• Identify and address technical gaps, equipment needs, operational barriers, staff training needs

• Gain a better understanding of resources and personnel needs at all levels: clinic, project area, registry and CRA operations

TM14

Schedule of Events

Date Event Topic

June 11 Webinar Option 1 Users

June 24 Webinar Option 2 and 3 Users

July 9 Webinar Option 1 Users and Exercise Status Report

July 23 Webinar Option 2 and 3 Users and Exercise Status Report

August 6 Conference Call General Information and Questions

August 21-22

Doses Administered and Safety Training Conference

Doses Administered Reporting Training and 2008 Exercise

September 10

Webinar Exercise Overview and Refresher

September 17

Webinar Release of CRA Version 1.8

October 1 DAX 2008 Kickoff

TM15

Technical Assistance

• CRA webpage• Quick reference/Checklist • CRA Exchange (Sitescape)• Contact email crahelp@cdc.gov• PHIN Email – PHINTech@cdc.gov

• To obtain a digital certificate• To obtain access to the CRA

demonstration site

TM16

Doses Administered Reporting and Vaccine

Safety Training Conference• E-mail sent 05/16/2008• Conference will focus on training key

aspects of pandemic influenza vaccine safety and vaccine doses administered reporting via CRA

• CDC will fund travel for one CRA coordinator and one vaccine safety coordinator

• Meeting is August 21-22, 2008 in Atlanta, GA

• Hotel location to be announced

TM17

Funding Announcement

• Supplemental funding to enhance preparedness for pandemic influenza

• Focus is on specific task related to pandemic influenza preparedness that is a key aspect of managing and monitoring the public health response—tracking pandemic influenza vaccine doses administered.

• www.grants.gov• Announcement: IP08-80302SUPP08• Applications due 06/13/2008

TM18

Immediate Next Steps

• Submit updated POC information by 05/31/2008

• Submit updated option choice by 05/31/2008

• Submit information via CRAhelp@cdc.gov

TM19

Questions?