VMBIP Newsletter –June 6, 2008
Please scroll past the charts for VMBIP updates.
McKesson Performance Dashboard 
CDC Weekly Performance Metric Scorecard

A.
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 5-16-08:  65.5 percent
Week Ending 5-23-08:  74.1 percent
Week Ending 5-30-08:  73.3 percent
Weighted Average Last 3 Weeks:  70.5 percent
Explanation:  On May 5 a duplicate order was received and the entire order file delivered to McKesson was not loaded into SAP.  The duplicate was resolved, a corrected file was sent to McKesson, and the data was loaded into SAP on 5/7.  However, the CDC process dates (McKesson process start dates) for the delayed file still reflected 5/5.  When the 5/5 orders are removed, the metrics are 73.8% (3 Day) and 99.8% (5 Day).  5/23: The residual effect of the duplicate orders continued to plague distribution this week

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders
Week Ending 5-16-08:  97.8 percent
Week Ending 5-23-08:  89.7 percent
Week Ending 5-30-08:  99.2 percent
Weighted Average Last 3 Weeks:  95.5 percent
Explanation:  none

C1
Metric: 99 percent Order Quality (McKesson Responsibility)
Week Ending 5-16-08:  99.94 percent
Week Ending 5-23-08:  99.98 percent
Week Ending 5-30-08:  99.88 percent
Weighted Average Last 3 Weeks:  99.9 percent
Explanation:  none

C2
Metric: 99 percent Order Quality (All Responsibility – all error types)
Week Ending 5-16-08:  99.14 percent
Week Ending 5-23-08:  99.11 percent
Week Ending 5-30-08:  99.77 percent
Weighted Average Last 3 Weeks:  99.3 percent
Explanation:  none

D
Metric: 99.75 percent – Cold Chain Quality
Week Ending 5-16-08:  99.95 percent
Week Ending 5-23-08:  99.90 percent
Week Ending 5-30-08:   99.90 percent
Weighted Average Last 3 Weeks:  99.92 percent
Explanation:  none

E
Metric: Vaccine Receipt and Put Away and CDC Transmission
Week Ending 5-16-08:   99 percent
Week Ending 5-23-08:  100 percent
Week Ending 5-30-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  5/16:  Received short dated product and had to wait on approval from CDC to receive into inventory

F
Metric: State Funded PO Transmission
Week Ending 5-16-08:  100 percent
Week Ending 5-23-08:  100 percent
Week Ending 5-30-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  None.

A.   percent of provider orders shipped within 3 days of McKesson receiving order from CDC; removes all orders which include an allocated vaccine, and all lines of product on backorder  - an order is defined as all vaccines requested by a provider on a given day; a line (order line) is defined as the individual vaccines that make up the order		 
B.    percent of provider orders shipped within 5 days of McKesson receiving order from CDC; removes all orders which include an allocated vaccine, and all lines of product on backorder	
C1.   percent of provider orders delivered with viable vaccine; excludes errors that aren't McKesson's responsibility – Return Reasons: Temp Monitor, non-compliant pack-out, mis-ship, undeliverable or customer not available, or carrier damage
C2.    percent of provider orders delivered with viable vaccine; includes all errors for both CDC and McKesson: Return Reasons: see C1 for McKesson responsibility reasons and incorrect address and delivery info, site damaged, expired product, product recall, and other are CDC’s responsibility 
D.    percent of provider orders delivered with cold chain maintained – Return Reason: Temp Monitor	
E.    percent of CDC replenishment orders McKesson receives into inventory, receives into IT system, and transmits to CDC within 24 (flu) and 48 (other) hrs of delivery by manufacturer
F.    percent of grantee replenishment orders McKesson faxes and e-mails receipt of to grantees within 48 hrs of delivery by manufacturer

Vaccines on Allocation DTAP-HIB, HEPB-HIB, HIB (TriHIBit, PedvaxHIB and ActHIB) and FLU
Vaccines placed on backorder during the most recent week: HEP AB (1350 doses) – A large order was placed against low inventory before a replenishment order arrived.  Vaccine has been ordered and is pending arrival ; TD (2710 doses) – Manufacturer was shipping short-dated vaccine and CDC chose to wait until full shelf-life was available before reordering. Vaccine has been ordered and pending delivery  

McKesson Performance Dashboard – Shipping Metrics by Distribution Center
CDC Weekly Performance Metric Scorecard

Memphis (8578)
A
Week Ending 5-16-08:   58.1 percent
Week Ending 5-23-08:  75.4 percent
Week Ending 5-30-08:  94.2 percent
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Weighted Average Last 3 Weeks:  73.3 percent
Explanation:  none

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders
Week Ending 5-16-08:  96.7 percent
Week Ending 5-23-08:  86.2 percent
Week Ending 5-30-08:  98.8 percent
Weighted Average Last 3 Weeks:  93.3 percent
Explanation:  none

Sacramento (8576)
A
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 5-16-08:  80.6 percent
Week Ending 5-23-08:  70.0 percent
Week Ending 5-30-08:  42.8 percent
Weighted Average Last 3 Weeks:  64.7 percent
Explanation:  5/16:  none

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders
Week Ending 5-16-08:  99.9 percent
Week Ending 5-23-08:  100 percent
Week Ending 5-30-08:  99.9 percent
Weighted Average Last 3 Weeks:  99.9 percent
Explanation:  none
 
A.   percent of provider orders shipped within 3 days of McKesson receiving order from CDC; removes all orders which include an allocated vaccine, and all lines of product on backorder – an order is defined as all vaccines requested by a provider on a given day; a line (order line) is defined as the individual vaccines that make up the order
B.   percent of provider orders shipped within 5 days of McKesson receiving order from CDC; removes all orders which include an allocated vaccine, and all lines of product on backorder

VMBIP Updates

•	It is CDC’s responsibility to ensure an adequate supply of each vaccine in inventory at both the Memphis and Sacramento distribution centers.  As a reminder, we depend on you to help CDC determine how many doses of adult vaccines to be shipped to the distribution centers. With the implementation of the adult hepatitis B vaccination initiative, we have encountered some stockouts because we were unaware of the spike in provider orders that would be needed to support your programs.  Therefore, we have put two systems in place to ensure that this issue is prevented going forward.  First, there is a new procedure for you to alert CDC of your plans to order adult hepatitis B vaccine from now through the end of October, which was communicated to you in an all-grantee message on June 4 and will be followed up shortly with another message to provide clarification and additional information. Second, we have revised the large adult vaccine ordering procedure for all adult vaccines (including adult hepatitis B vaccine and all other adult vaccines); we will be posting that updated procedure as a stand-alone all-grantee message early next week.

•	Recently we have had an increase in the number of orders submitted by grantees in which the grantees submitted screen shots of the order in VACMAN requesting same day shipment; however, those requests were not for public health emergency situations.  As a reminder, please submit screen shots in VACMAN when you utilize the urgent order feature only to respond to outbreaks and natural disasters and only when those doses must be shipped out the same day you place the order.  In addition, when possible, if the site responding to the public health emergency needs only a minimal quantity of doses immediately, please 1) try to borrow those doses from a nearby clinic, 2) place an order in VACMAN to replenish the doses borrowed from the donor clinic, and 3) place a separate order in VACMAN using the urgent order feature, without submitting screen shots in VACMAN, for the remainder of the doses to be shipped out the next business day to the site responding to the public health emergency.    

As a reminder, VMBIP related all-grantee messages are posted to the VMBIP website at: http//www.cdc.gov/vaccines/programs/vmbip/documents.htm and previous newsletters are posted at http//www.cdc.gov/vaccines/programs/vmbip/newsletters.htm 

If you have any questions or comments about the contents of this email, please contact Brad Prescott bap3@cdc.gov or Julie Orta jio7@cdc.gov, with a cc to your project officer. 

Brad Prescott
Project Lead
Vaccine Management Business Improvement Project Immunization Services Division Centers for Disease Control and Prevention
404-639-8796 (direct)
404-639-8215 (main)
404-639-8615 (fax)
bap3@cdc.gov 

This document can be found on the CDC website at:
http://www.cdc.gov/vaccines/programs/vmbip/downloads/newsletters/vmbip-nl-06-06-08.rtf