VMBIP Newsletter – 10-3-08
VMBIP Updates

McKesson Specialty Customer Care’s most frequent call type for our program continues to be requests for return labels and return boxes.  On July 21 we sent an all-grantee message providing guidance on where to find the return label.  As a reminder, we are reiterating the information.  McKesson wants to make returning empty boxes and expired/wasted vaccines as efficient and easy as possible for all grantees and providers.  Attached are pictures of what a box looks like with the return label already affixed to the inside flap.  McKesson’s boxes are sent out to your providers with the return label already affixed, yet many providers tend to overlook this label and contact you requesting additional labels.  Please review the picture and feel free to share with your providers so that you can help them locate the label and ensure that it is not missing before contacting McKesson.  Additionally, the providers have been so successful returning boxes to McKesson to be re-used/recycled, that sometimes they simply don’t have a box to return expired/wasted vaccines.  As such, it would be most beneficial and helpful to all if providers keep at least one return box available for returning expired vaccine.  This will also reduce the number of phone calls to you requesting a new box and/or a label for returning expired vaccine.  We hope this information is helpful in assisting you with further education to your providers.  Please contact McKesson Specialty Customer Care at 877.822.7746 or CDCCustomerService@McKesson.com if you have any questions.   

There are two pictures.  Both are pictures of McKesson shipping boxes and the viewer can see where the return label is placed on the flap of the box.

VMBIP Performance Dashboard
A combination of holding orders for NC, LA, MS, KY, OH, & FL due to weather related issues along with an CDC IT issue that prevented orders from being sent from the CDC to the Memphis DC caused a backlog which is reflected in this metric. 

WEEKLY PERFORMANCE METRIC SCORECARD

A.
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 9-12-08:  76.2 percent
Week Ending 9-19-08:  50.5 percent
Week Ending 9-26-08:  69.1 percent
Weighted Average Last 3 Weeks: Not calculated  
Explanation:  9/12, 9/19, 9/26 CDC: Grantees requested orders to be held due to hurricanes as well as other weather related issues.  Many of those orders were released and shipped during the weeks ending 9/12, 9/19, 9/26 – grantees requesting held orders were removed from the calculation9/9 CDC: SDN glitch 
did not allow all grantees to submit their orders.  As a result McKesson received an unusually low number of orders followed by a day with an unusually high number of orders.

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  97.2 percent
Week Ending 9-26-08:  99.3 percent
Weighted Average Last 3 Weeks: Not calculated  
Explanation:  none

C1
Metric: 99 percent Order Quality (McKesson Responsibility)
Week Ending 9-12-08:  99.99 percent
Week Ending 9-19-08:  99.98 percent
Week Ending 9-26-08:  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 9-12-08:  97.93 percent
Week Ending 9-19-08:  99.05 percent
Week Ending 9-26-08:  98.34 percent
Weighted Average Last 3 Weeks:  98.41 percent 
Explanation:  none

D
Metric: 99.75 percent – Cold Chain Quality
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  100 percent
Week Ending 9-26-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  none

E
Metric: Vaccine Receipt and Put Away and CDC Transmission
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  100 percent
Week Ending 9-26-08:  99 percent
Weighted Average Last 3 Weeks:  100 percent 
Explanation:  9/26 McK: 1 DTAP and 1 Flu receipt were outside of the specified metrics.

F
Metric: State Funded PO Transmission
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  100 percent
Week Ending 9-26-08:  100 percent
Weighted Average Last 3 Weeks:  100 percent
Explanation:  None.

Key
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 damageC2. 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: DTAP (100 doses) – systems error; EIPV (50 doses) – systems error; Hep A (44,615 doses) – product arrived this week and orders were released; Hep A – Adult (5,000 doses) – additional orders placed due to large individual orders; Hep AB (5,070 doses) – additional orders placed due to large individual orders; Hep B – Adult (7,000 doses) – additional orders placed due to large individual orders; MMR (30 doses) 
– systems issue; ROTA (5,540 doses) – vaccine ordered pending arrival; TDAP (370 doses) – new order in works;  

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 9-12-08:  68.6 percent
Week Ending 9-19-08:  35.4 percent
Week Ending 9-26-08:  59.2 percent
Weighted Average Last 3 Weeks:  53.8 percent
Explanation:  NC, LA, MS, KY, OH, & FL requested that orders be held due to hurricane/weather concerns – all NC, LA, MS, KY, OH, & FL orders were removed from the calculation.

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  96.4 percent
Week Ending 9-26-08:  99.1 percent
Weighted Average Last 3 Weeks:  98.4 percent
Explanation:  none

Sacramento (8576)
A
Metric: 80 percent – 3 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 9-12-08:  96.3 percent
Week Ending 9-19-08:  99.0 percent
Week Ending 9-26-08:  98.5 percent
Weighted Average Last 3 Weeks:  97.9 percent
Explanation:  TX requested that orders be held due to hurricane/weather concerns – all TX orders were removed from the calculation

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders)
Week Ending 9-12-08:  100 percent
Week Ending 9-19-08:  99.9 percent
Week Ending 9-26-08:  100 percent
Weighted Average Last 3 Weeks: 100 percent
Explanation:  none
Key
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/downloads/newsletters/vmbip-nl-10-03-08.rtf