263584 Enabling technology to transform and modernize CDC's vaccine ordering and management in support of the Vaccines for Children (VFC) Program

Monday, October 29, 2012 : 5:30 PM - 5:50 PM

Paul Abamonte , National Center for Immunization and Respiratory Disease, Centers for Disease Control and Prevention, Atlanta, GA
The Centers for Disease Control and Prevention's (CDC) National Center for Immunization and Respiratory Diseases (NCIRD) operates the largest and most complex vaccine supply chain in the United States, primarily funded by the Vaccines for Children (VFC) program and distributing over 100 million doses annually. This supply chain connects 64 immunization programs, over 44,000 provider sites, six vaccine manufacturers and a centralized distributor with CDC's back office and internal business partners. For over a decade, this program operated with an outdated and inefficient operating model. As VFC and related programs grew, the technology needs associated with managing these programs also grew in terms of both scale and complexity. Faced with new VFC requirements, such as the implementation of a national pediatric vaccine stockpile and required changes in funding practices, NCIRD was forced to reevaluate its entire operating model for vaccine delivery and accountability. On December 13, 2010, CDC deployed the Vaccine Tracking System (VTrckS) to connect all of the components of this complex supply chain from purchasing and ordering to the fulfillment and distribution of the vaccine to the provider locations. Implementing VTrckS required great coordination between the numerous internal and external stakeholders to achieve an innovative supply chain tracking system with electronic interchanges between agencies to ensure an integrated solution. Based on SAP Enterprise Resource Planning (ERP) technology, VTrckS has, for the first time, allowed the CDC to track ordering patterns at the health care provider level, in response to a vaccine shortage or a disease outbreak. This type of proactive management of a national shortage is just one example of how the ability to obtain real-time accurate reporting shifts the focus of public health resources from low-value data gathering efforts to high-value decision making.

Learning Areas:
Communication and informatics
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Define how electronic data interchange (EDI) is being used as an electronic hub to connect multiple delivery systems within the most complex vaccine supply chain in the United States 2. Describe how technology is enabling the CDC to project national vaccine demand based on actual data to quickly provide tactical support in the case of a nationwide epidemic 3. Describe how technology is being used to support nationwide standardization of vaccine ordering and delivery while still providing individual state immunization agencies autonomy to manage local health providers 4. Discuss why the demand for using external interfaces to link state immunization systems to the VTrckS system was much greater than ever anticipated and how that is affecting the support and roll out of VTrckS.

Keywords: Public Health Administration, Health Information Systems

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Organizational Change Management lead for this project, responsible for the successful implementation and use of the system by the grantees of this CDC funded nationwide on-line vaccine tracking system.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.