Slide 1
VMBIP Pilot Team Overview
National Immunization Conference
Washington, DC 
March 20, 2005

Slide 2
As you know, we will use a pilot to test the implementation of the new vaccine processes
•	Change is necessary (and not always easy) – we want to implement these changes in a way that does not drive away providers 

•	To ensure we minimize any negative impacts, the first step of the implementation will rely on carefully selected “pilot sites” – enabling changes to be tested with a small group of providers before rolling out to a broader group

•	The VMBIP team has been working to ensure that the pilot phase of the project accomplishes several very important goals:
	Test and improve the new ordering, distribution and funds management processes to ensure the best possible results
	Ensure challenges and characteristics that will be encountered during the broader roll-out are encountered during the pilot phase
	Validate the new model before rolling out to the broader immunization community

Slide 3
The pilot team recently went through a process to identify an appropriate portfolio of pilot projects

Overall Pilot Selection Process
Identify Pilot Selection Criteria
Identify Pilot Volunteers
Inform the AIM Criteria Review Team
Apply Criteria
Inform Selected and Non-selected Pilot Volunteers
Inform NIP and CDC Senior Leadership
Inform All Grantees

Slide 4
The pilot team worked with AIM to establish a set of criteria to aid the “pilot site” selection
Criteria Used for Pilot Selection

Criteria: 	Population Size
Choices:  	Large population projects (10 million)
Small population projects (400 thousand)

Criteria:  	Geographic Area
Choices:  	Large geographic projects (200,000 square miles)
Small geographic projects (100 square miles

Criteria:  	Population Density
Choices:  	High density of children and providers (Urban areas – 4,000 people per square mile)
Low density of children and providers (Rural areas – 5 people per square mile)

Criteria:  	Type of Project
Choices:  	City project
State project

 Criteria:  	Location
Choices:  	Variety of regions across the continental US
Winter weather conditions

Criteria:	Brand Choice
Choices:	Allow providers to choose manufacturer brand
Mandate manufacturer brand

Criteria:	Funding Approach
Choices:	No state funding
Some state funding

Criteria:	Universal Coverage
Choices:	No Universal coverage
Universal coverage

Criteria:	Data Administration
Choices:	No requirements regarding reporting of usage data
Full usage data reporting required

Criteria:	Order Method
Choices:	Manual (phone or fax)
Electronic (system or internet)

Criteria:	Existing Distribution
Choices:	In-house
3rd party distributors

Criteria:	First Dollar Coverage
Choices:	Projects with First Dollar Law
Projects without First Dollar Law

Criteria:	Adult Vaccine Distribution
Choices:	Large amounts
Minimal amounts
Criteria:	Ordering Method
Choices:	Standard Ordering
Dose Replacement

Slide 5
Four initial pilot sites have been selected from the fifteen state and city projects who volunteered 
•	California
	A large Western state with brand choice and significant adult vaccine usage
•	Chicago
	A Midwestern city project with brand choice, that currently does not use a third party distributor
•	Maryland
	An Eastern state that uses a dose replacement model, and includes brand choice
•	Washington state
	A Western universal project that currently uses both in-house and 3rd party distribution, and is located on the northern border with harsh winters (particularly east of the mountains)

Slide 6
We are currently evaluating implementation options – including consolidating distribution before implementing ordering

Target Implementation Timeline – PRELIMINARY

Activities:	Final Business Requirements and Award contract(s)
Time:		April 2005 through September 2005

Activities:	Distribution
Pilot
Time: October 2005 through January 2006
		Centralized distribution rollout
		Time:  December 2005 through November 2006
Activities:	Ordering
		Develop system
		Time: October 2005 through November 2006
		Pilot
		Time:	August 2006 through March 2007
		Centralized ordering rollout
		Time:  April 2007 through December 2007

Slide 7
The next steps for the pilot team are focused around ensuring a successful implementation
•	Finalize the project timeline sequence for the distribution pilot and rollout

•	Develop detailed activity plans for the distribution implementation
	General communication plan 
	Project preparation check list prior to implementation
	Project implementation check list 

•	Determine necessary resources for implementation of the distribution pilot and rollout
•	Identify performance measures through which to evaluate pilot performance
Slide 8
Questions & Contact Info
Brock Lamont
VMBIP Pilot Lead

This document can be found on the CDC website at: 
http://www.cdc.gov/vaccines/programs/vmbip/downloads/nic/05-pilot.rtf