1. 02/26/2007 Maine Vaccine Management From Depot To 3 rd Party To National Distribution

2. 02/26/2007 Maine – Self Managed Depot 2002 and Prior  Equipment: (1,760 cu. ft. for vaccine storage) 2 walk-in refrigerators (1,024 cu. ft.), 1 walk in freezer (640 cu. ft.) 3 stand-up refrigerators (96 cu. ft.)  Storage (1,104 sq. ft. for materials storage) Packing materials and Shipping area.  Maintenance: Contract for maintenance and oversight of vaccine storage equipment.  Shipping: UPS Ground and Overnight.  Staffing: 2 Perma FTE & 2 Temp FTE  Cost: 606,300 doses @ $1.28/dose = $776,074

3. 02/26/2007 Maine – 3 rd Party Shipping 2003 to Current  Contract: Bellco/GIV 2003 – $87,282.00 2006 - $121,997.00  Equipment: OCR Equipment – 2 PCs, 1 Server, 1 Scanner.  Software: OCR Forms and Modification (Usage/Ordering) ImmPact/ImmPact2  Staffing: 2 Perma – 1 Contract (QA Focus)  Cost: 522,880 doses @ $.51/dose = $270,999 (2006 cost – 4 years from transition)

4. 02/26/2007 Maine – National Distribution 2007 Forward  Contract: None  Equipment: (Same) OCR Equipment – 2 PCs, 1 Server, 1 Scanner.  Software: OCR Forms and Modification (Usage/Ordering) ImmPact2/VacMan 4.0 Modifications.  Staffing: 2 Perma – 1 Contract (QA Focus)  Cost: ??? Operations (Local) vs Distribution (National)

5. 02/26/2007 Vaccine Transition – Why Programmatic Direction  CDC Findings – 2002 2003 Grant Guidance specifies in Funding Preferences “CDC will not approve funding for shipping vaccines in excess of the cost of shipping through a third party contract.”  Program Action Item(s):  Study to determine internal cost ($1.28/dose) vs 3 rd Party Realized by other States ($.15/dose)  Grant Revision to Management of Shipping rather than Performing Shipping

6. 02/26/2007 Vaccine Transition – How Programmatic Activities Contract Implementation Requirements  Fiscal (3 rd Party Distribution)  Technical (ImmPact/OCR/ImmPact2)  Oversight (Reclassification of Staff – Manager/CQI/QA)  Contracts (OCR Verifier)

7. 02/26/2007 Vaccine Transition – How Programmatic Activities Integration of Program Tools (Integrate VFC)  Provider Contract/Provider Profile  Total Inventory Management (Registry/Paper-based)  Allocation and Verification (Usage/Orders/Temp logs)  Outreach/Event Tracking  CASA-like functionality  Reporting Capabilities across all the above

8. 02/26/2007 Vaccine Transition – Result Programmatic Position Integrated Provider Vaccine Management  Eliminated Program liability for losses  High Utilization equals <4% Wastage  Paper-Based and Electronic Orders  Data Exchange with VacMan/VacMan 4.0  Staged for Integration with VMBIP/VODS  State Managed Ordering/Distribution

9. 02/26/2007 Vaccine Transition – Result Programmatic Position Integration of Program Goals  Integration of VFC/IIS/Vaccine Management  All Data – One Source Enhanced Public Health Planning  Continuous Quality Improvement Not just a catch phrase  Efficiency through Business Planning and Technology

10. 02/26/2007 Maine Vaccine Management Q&A

11. 02/26/2007 Maine Vaccine Management Shawn M. Box, B.S. Assistant Director (VFC Manager/IIS Manager) Shawn.Box@Maine.Gov Tonya Philbrick, NCMA Vaccine Manager Tonya.Philbrick@Maine.Gov http://www.immunizeme.org/vmbip/

12. 02/26/2007 Presentation Key CASA: Clinical Assessment Software Application CQI: Continuous Quality Improvement GIV: General Injectibles and Vaccines, Inc. IIS: Immunization Information System OCR: Optical Character Reader QA: Quality Assurance VFC: Vaccines For Children Program VMBIP: Vaccine Management Business Improvement Plan VODS: Vaccine Ordering and Distribution System