# Presentation: 207864

## National Immunization Conference
Washington, DC 
March 20, 2005

**Washington, DC **
**March 20, 2005**

**VMBIP Distribution Team Overview**

## The design of the distribution and ordering processes has required significant collaboration

**The membership of the distribution working team includes representatives from NIP and AIM**
**NIP team members represent the Program Operations Branch, Program Support Branch, Immunization Services Division, the Office of the Director and the Procurement and Grants Office**
**AIM team members represent Alaska, California, Georgia, Kentucky, Maine, Montana, New York, New York City, Oregon, Texas, Utah and Virginia**
**The team has held weekly conference calls since early October; attendance and participation has been exceptionally high**
**The team met its goal of drafting business rules recommendations in time to post the Request For Information (RFI) in mid-December**

## The business rules to support order management with the doses administered accountability method and were presented to AIM in January

***JANUARY VERSION***

**Draft Business Rules Presented to AIM in January**

## Feedback from grantees led to further investigation and a better understanding of the wide variety of data collection and accountability practices

**Accountability Methods Case Study**

## Although the business rules are still being finalized, we expect they will require less provider behavior change than the original recommendation

| Area | Item | Description |
| --- | --- | --- |
| Required Data Elements | Inventory (doses on hand) | All providers will be required to submit inventory data to support NIP goal of vaccine inventory visibility |
| Optional Data Elements | Doses administered, wastage, transfers | The collection of aggregate doses administered (by antigen) and inventory adjustment data will be supported to facilitate grantee accountability reviews |
| Required Business Rules | Order size | Every provider order will be subject to a size check |
|  | Order frequency | All providers will be asked to order no more than a set number of times per year (except in emergencies) |
| Optional Business Rules | Data reports received
doses administered
current temp or temp log | Projects may choose to have the system hold provider orders based on missing data |
|  | Provider-specific flags | Projects may choose to have the system hold provider orders based on accountability or QA checks that occur outside the system |
| Optional “Pass-Through” Data | Doses administered by age/series/eligibility, temperature logs | Projects may choose to have the call center collect additional detailed data and forward the information to the projects |

***UNDER DEVELOPMENT***

**Although the business rules are still being finalized, we expect they will require less provider behavior change than the original recommendation**

## The current VMBIP implementation plan separates the development effort for centralized distribution, centralized ordering and common accountability

**Pilot centralized distribution**

**Distribution**

**Ordering**

**Accountability**

**Centralized distribution rollout**

**Design ordering system**

**Pilot****ordering system**

**Centralized ordering rollout**

**Implement common accountability****(through VMAP?)**

**0**

**1**

**2**

**3**

**4**

**5**

- Year

**VMBIP Implementation – Key Activities**

***D R A F T******T I M E L I N E***

## The distribution team is putting together the distribution RFP and designing the central order management system

**Distribution**
**The team is working toward an RFP (Request For Proposal) that will kick off the centralization of distribution**
**Ordering**
**The team is working to finalize the business requirements for a centralized ordering management model**
**The team will work together to identify additional functionality (e.g. accountability data collection) that would be beneficial to grantees**
**Accountability**
**Once the centralization of distribution and ordering is underway, the focus will shift to investigating and incorporating accountability best practices**

## Questions & Contact Info

- Mary Mulholland
- VMBIP Distribution Lead
- _[http://www.cdc.gov/vaccines/programs/vmbip/downloads/nic/05-distrib-order.ppt](http://www.cdc.gov/vaccines/programs/vmbip/downloads/nic/05-distrib-order.ppt)_