VMBIP Newsletter, September 12, 2008

VMBIP Updates

•	Due to larger than normal ordering patterns nationwide, and due to hurricane-related holds on orders that are now clear to ship, McKesson has many orders in the queue.  In an effort to clear the backlog as soon as possible, McKesson will ship Saturday, September 13 for delivery to providers with open hours on Monday, September 15.
•	Some grantees are requesting that McKesson send diluent-only shipments to providers due to providers running out of diluent when they still have Varicella and/or MMR doses in inventory.  Please ensure that your providers count the number of diluent doses as soon as MMR and Varicella shipments arrive at the clinic site to verify the correct match of vaccine doses to diluent doses.  Merck ships Varicella with the diluent packed in the top compartment of the shipping container, so please ensure that the providers remove the diluent from the top compartment of the shipping container prior to discarding/recycling the shipping container.  If there is a shortage of diluent doses for the number of MMR doses shipped, have the providers notify you immediately so you can contact McKesson Specialty Customer Care.  If there is a shortage of diluent doses for the number of Varicella doses shipped by Merck, please promptly contact Merck directly.  Timely identification and reporting of diluent discrepancies will help us determine the cause for the diluent shortages.  Thank you for your assistance.
•	Reminder: please review the all-grantee message distributed September 11 entitled “CDC Resources on Hurricanes and other disasters and immunization recommendations” to assist you in vaccination planning efforts.

VMBIP Performance Dashboard
Weekly Performance Metric Scorecard

A.
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 8-22-08: 88.7 percent
Week Ending 8-29-08: 89.8 percent:
Week Ending 9-05-08:  91.3 percent
Weighted Average Last 3 Weeks:  89.6 percent
Explanation:  None

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 8-22-08:  99.0 percent
Week Ending 8-29-08:  98.9 percent
Week Ending 9-05-08:  99.3 percent
Weighted Average Last 3 Weeks:  99 percent
Explanation:  none

C1
Metric: 99 percent Order Quality (McKesson Responsibility)
Week Ending 8-22-08:  99.99 percent
Week Ending 8-29-08:  100 percent
Week Ending 9-05-08:  99.98 percent
Weighted Average Last 3 Weeks:  99.99 percent
Explanation:  none

C2
Metric: 99 percent Order Quality (All Responsibility – all error types)
Week Ending 8-22-08:  99.33 percent
Week Ending 8-29-08:  99.98 percent
Week Ending 9-05-08:  99.98 percent
Weighted Average Last 3 Weeks:  99.73 percent
Explanation:  none

D
Metric: 99.75 percent – Cold Chain Quality
Week Ending 8-22-08:  100 percent
Week Ending 8-29-08:  100 percent
Week Ending 9-05-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  none

E
Metric: Vaccine Receipt and Put Away and CDC Transmission
Week Ending 8-22-08:  100 percent
Week Ending 8-29-08:  100 percent
Week Ending 9-05-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  None

F
Metric: State Funded PO Transmission
Week Ending 8-22-08:  100 percent
Week Ending 8-29-08:  100 percent
Week Ending 9-05-08:  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 lines of product on backorder (backorders or over-allocation)  - 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 lines of product on backorder (backorders or over-allocation)	

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/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/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) / 48 (other) hrs of delivery by manufacturer	

F.  Percent of grantee replenishment orders McKesson faxes/e-mails receipt to grantees within 48 hrs of delivery by manufacturer

Vaccines on allocation HIB and FLU; Vaccines on manufacturer shortage Merck Hep A
Vaccines placed on backorder during the most recent week: DTAPIPV (1480 doses) – vaccine has been ordered but not yet received; HEP AB (2690 doses) – vaccine has been ordered but not yet received; MMR (38,820 doses) – vaccine was ordered and received last week, backorders were cleared; Pneumo (10 doses) – vaccine has been ordered but not yet received; ROTA (1050 doses) – vaccine has been ordered but not yet received; TD (780 doses) – only short-dated vaccine is available from the manufacturer CDC is not ordering until longer-dated vaccine is available 

VMBIP Performance Dashboard – Shipping Metrics by Distribution Center
Weekly Performance Metric Scorecard

Memphis (8578)
A
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 8-22-08:  84.4 percent
Week Ending 8-29-08:  86.7 percent
Week Ending 9-05-08:  86.8 percent
Weighted Average Last 3 Weeks:  85.7 percent 
Explanation:  none

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 8-22-08:  98.5 percent
Week Ending 8-29-08: 98.5 percent
Week Ending 9-05-08:  99.0 percent
Weighted Average Last 3 Weeks:  98.6 percent
Explanation:  none

Sacramento (8576)
A
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 8-22-08:  99.3 percent
Week Ending 8-29-08:  99.8 percent
Week Ending 9-05-08:  99.6 percent
Weighted Average Last 3 Weeks:  99.5 percent 
Explanation:  none

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders
Week Ending 8-22-08:  100 percent
Week Ending 8-29-08:  99.9 percent
Week Ending 9-05-08:  99.8 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 lines of product on backorder (backorders or over-allocation) -  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 lines of product on backorder (backorders or over-allocation)

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)
404-639-8627 (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-09-12-08.rtf