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Vaccine 2D Barcode Scanning Initiatives										Related Pages
										Since 2011, CDC and its partners have been exploring the potential of two-dimensional (2D) barcodes and barcode scanning to streamline immunization practices and improve data quality. Three pilot projects demonstrated that 2D barcode scanning can lead to improved vaccine record accuracy and time savings. Additional initiatives include exploring the practice of vaccine 2D barcode scanning, informing the immunization community of the pilot projects, increasing participation and collaboration among stakeholders, and advancing the practice of 2D barcode scanning are described below.2015-2017: 2D Vaccine Barcode Scalability Pilot
	**Description**
Since prior pilots, there has been a dramatic increase in the number of 2D barcoded vaccines in the U.S. market on unit of use (UoU) (e.g., vial, syringe) products. In October 2015, CDC initiated a pilot to assess the impact of scalability of scanning 2D barcoded vaccines in a large health system, an organization of people, institutions, facilities, and resources that deliver health care services to a target population. The focus of the pilot on a single health system helped to converge on some of the challenges of implementation and removed the variability of different electronic medical record (EMR) software systems on the impact of vaccine 2D barcoding. This project investigated the information technology needs and clinical workflow practice adjustments when implementing 2D barcode scanning of vaccine UoU products in healthcare practices. Additional considerations included an evaluation of staff adherence to scanning, identification of workflow processes used for scanning across different healthcare practices, recognition of challenges experienced, and an assessment of the institutional impact of scanning.
Recruitment criteria for the large health system included the following:
Interest and willingness to participate.
Participation in prior pilots.
Use of a single EMR system with 2D barcode functionality.Sutter Health, “a family of doctors and hospitals serving more than 100 communities” and consisting of different health care practice settings (pediatric, family medicine, internal medicine, and vaccine clinics) was selected to participate based on the recruitment criteria.
**Objectives**
Determine organizational strategies that can support successful implementation of vaccine 2D barcode scanning.
Assess impact of scanning 2D barcoded vaccines on data quality and efficiency within a large health system.
Observe the extent participants scanned 2D barcoded vaccines and assess how their adherence to scanning protocol could be increased.
Evaluate the user experience of integrating vaccine 2D barcode scanning into a clinical workflow setting.Among the 75 healthcare practice sites, or centers, within the Sutter Health system, 27 healthcare centers were selected to participate in the pilot.  Participation included the installation and configuration of 2D barcode scanners within each center, staff training on how to scan the 2D barcoded products, and scanning of 2D barcoded vaccines for approximately six months.  Clinicians at these centers were asked to scan the 2D barcode on the vaccine UoU prior to administration.  Additionally, different strategies were implemented to encourage and increase adoption of scanning by clinicians across the 27 centers.
**Report**
Findings Report: 2D Vaccine Barcode Scanning Pilot [2 MB, 54 pages].2013-2015: Adoption Strategies for 2D Barcodes Pilot
	**Description**
In October 2013, CDC initiated a second pilot project to assess the impact of the introduction of 2D barcodes onto unit of use or primary vaccine products (e.g., vials, syringes). With the increased number of 2D barcoded vaccines on the market, this project expanded upon the intent of the 2D Vaccine Barcode Pilot (2011). This project evaluated the data captured and operational processes in various vaccine administration settings, which included physician settings, pharmacies, and mass vaccination clinics.
The project enlisted three vaccine manufacturers (GlaxoSmithKline, Merck, and Sanofi Pasteur) and approximately 90 immunizing facilities. A subset of the participating immunizers was selected to participate in a time and motion study to assess the impact of the use of 2D barcode scanners and 2D barcoded vaccine products on administration and inventory workflows.
**Objectives**
Evaluate the effect of 2D barcodes on the completeness and accuracy of vaccine administration data.
Obtain practitioner perspectives on 2D barcode scanning adoption and use.
Observe the effect of 2D barcoded vaccines on practice inventory and vaccination operations.**Report**
Summary Report: Reporting for the Adoption Strategies for 2D Barcode Project [38 pages]2013: 2D Vaccine Barcode Pilot’s Education Forum
	**Description**
The 2D Vaccine Barcode Pilot’s (Pilot) Education Forum (Forum) was conducted April 14-15, 2013. Seventy-eight (78) immunization community stakeholders including vaccine manufacturers, public and private immunizing providers, and electronic medical record (EMR) vendors, Immunization Information Systems (IIS) staff, and 2D barcode scanner vendors came together to discuss successes, opportunities, challenges, and next steps for implementing 2D barcoding on vaccine products.
Speaker presentations and panel discussions shared insights gained through the CDC 2D Vaccine Barcode Pilot, vaccine manufacturer application of 2D barcodes, EMR and IIS enablement of 2D barcode scanning, and health care provider adoption of vaccine 2D barcode scanning into practice operations. Facilitated working sessions produced rich discussion on the foremost interests and concerns of the immunization community in the areas of 2D barcoded vaccine standards, adoption, and implementation.
The multiple immunization community perspectives represented at the Forum produced several valuable recommendations and helped to better define next steps to advance 2D barcoded vaccine scanning practices.
**Report**
Two-Dimensional (2D) Vaccine Barcoding Pilot Education Forum Report  [54 pages]
**Forum Presentations**
Forum Presenters and Presentations
Presenter
PresentationElizabeth Sobczyk, MSW, MPH
Manager, Immunization Initiatives, American Academy of Pediatrics
The 2D Barcode History and Progress [13 pages]Paul Robinson
Team Lead, Deloitte Consulting LLP
2D Infrastructure Scanner Overview and Selection [10 pages]Erin Kennedy, DVM, MPH
Medical Officer, CDC/NCIRD
The 2D Barcoding Pilot – Background and Overview [14 pages]Marshall Gaddis, MS
Analytics Consultant, Deloitte Consulting LLP
The 2D Barcoding Pilot Lessons Learned & Early Findings [11 pages]Kenneth Gerlach, MPH, CTR
Health Scientist, CDC/NCIRD
VIS Overview [13 pages]Andrew Sharpin, MBA
Senior Consultant, Deloitte Consulting LLP
Workflow Analysis [13 pages]Paul Robinson
Team Lead, Deloitte Consulting LLP
Breakout Sessions Overview [33 pages]2012: Vaccine Manufacturers Forum
	**Description**
A vaccine 2D barcoding manufacturers forum was conducted in January 2012 to inform manufacturers and other stakeholders about the pilot project and to identify challenges and potential solutions. Over 60 industry stakeholders attended, including representatives from vaccine manufacturing companies, retail pharmacies, standards organizations, as well as the World Health Organization (WHO), The Food and Drug Administration (FDA), and the CDC.
**Report**
Two-Dimensional (2D) Vaccine Barcoding Manufacturers Forum Report [32 pages]2011: Implementation Pilot for Two-Dimensional (2D) Vaccine Barcode Utilization
	**Description**
In September 2011, CDC initiated a pilot project to assess the impact of the introduction of 2D barcodes onto vaccines. Vaccination information was collected August 2012 through May 2013 from a variety of participants, including 10 immunization awardees and 217 public and private practices. During the pilot project, two vaccine manufacturers, GlaxoSmithKline and Sanofi Pasteur, were labeling vaccines with 2D barcodes.
**Objectives**
Evaluate the effect of scanning 2D barcodes on the completeness and accuracy of vaccine administration data.
Obtain practitioner perspectives on 2D barcode scanning adoption and use.
Observe the effect of 2D barcoded vaccines on practice inventory and vaccination operations.
Apply 2D barcodes to Vaccine Information Statements (VIS).**Reports**
Implementation Pilot for Two-Dimensional (2D) Vaccine Barcode Utilization: Summary Report [27 pages]
Implementation Pilot for Two-Dimensional (2D) Vaccine Barcode Utilization: Additional Workflow Analysis (WFA) Final Report [1 MB, 103 pages]2010: Potential Impact Assessment
	**Description**
CDC initiated a study in 2010 of the impact of vaccine products with 2D barcodes on vaccine production, clinical documentation, and public health reporting. The data fields within the proposed 2D barcodes included product identification, lot number, and expiration date.
**Objectives**
Document knowledge, attitudes, and beliefs about the impacts and implications of 2D barcodes on vaccine products.
Assess societal, manufacturer, and healthcare provider economic benefits and costs, and the distribution of these costs and benefits across stakeholders.
Review the exchange of health information and data standards relevant to 2D barcodes to assess how information can be transmitted across stakeholders. (This issue was particularly important as the United States was moving from primarily paper-based medical records system to electronic ones.) A feasibility assessment and a series of recommendations about how to incorporate the information captured from the 2D barcode into both the relevant standards and the guidance was produced.**Report**
Impact of a Two-Dimensional Barcode for Vaccine Production, Clinical Documentation, and Public Health Reporting and Tracking: Final Report  [2.54 MB, 231 pages]
							
					
						Page last reviewed:  January 19, 2021					Content source: 	National Center for Immunization and Respiratory Diseases homeIIS Home
About IIS
Functional Standardsplus icon
Version 4.1
Core Data Elementsplus icon
Core Data Elements For IIS Functional Standards v4.0
Historical Core Data Elements
Data Code Setsplus icon
CVX
CVX Mapped to Vaccine Groups
CVX Mapped to VIS
MVX
Product Name Mapped to CVX/MVX
NDC Crosswalk Tables
VIS Barcode Lookup Table
VIS URL Table
CPT Mapped to CVX
Fall Season Respiratory Vaccine Codes
IIS Technical Guidanceplus icon
HL7
Transport (SOAP)
Deduplication
Clinical Decision Support for Immunization (CDSi)plus icon
CDSi Training Material
IZ Gatewayplus icon
Overview
Information Sheet
Awardee Forum Q&As
Meaningful Use
Vaccine 2D Barcodesplus icon
Vaccine 2D Barcoding for Manufacturers
Vaccines Shipping with 2D Barcodes
Vaccine 2D Barcode Scanning for Vendors
Vaccine 2D Barcode Scanning Initiatives
Vaccine 2D Barcode Scanning Implementation Toolkit
CDC IIS Activitiesplus icon
MIROW
NIS-IIS Collaboration
Sentinel Sites
IIS Strategic Planplus icon
2018-2020
2014-2017
Contacts for IIS Immunization Records
IIS Policy and Legislation
IIS Annual Report (IISAR)plus icon
Overview
Participation Rates and Maps
MMWR Articles on Annual Report Data
IISAR Survey Data
IIS Training
Resources & Reference Materialsplus icon
Acronyms
Conferences & Events
Frequently Asked Questions
Functional Standards Resource Guide
Partner Organizations
Publications
Sustainability Resources National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
1600 Clifton Road NE, Building 24
Mailstop A-19
Atlanta, GA 30333
iisinfo@cdc.gov
 Vaccines & ImmunizationsCDC Meaningful UseVaccine Tracking System (VTrckS)Vaccines for Children Program (VFC)Vaccine Management Business Improvement Project (VMBIP)Comprehensive Clinic Assessment Software Application (CoCASA)


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