VMBIP Newsletter – April 18, 2008 
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 3-28-08: 82 percent - green
Week Ending 4-4-08: 92 percent - green
Week Ending 4-11-08: 81 percent - green
Weighted Average: Last 3 Weeks: 83 percent
Explanation:  none

B.
Metric: 100 percent – 5 Day Shipments (Orders without Backorder Lines or Allocated Vaccine Orders
Week Ending 3-28-08: 95 percent - green
Week Ending 4-4-08: 98 percent - green
Week Ending 4-11-08: 100 percent - green
Weighted Average: Last 3 Weeks: 98 percent
Explanation:  none

C1
Metric: 99 percent Order Quality (McKesson Responsibility)
Week Ending 3-28-08: 99.4 percent - green
Week Ending 4-4-08: 100 percent -green
Week Ending 4-11-08: 100 percent -green
Weighted Average: Last 3 Weeks: 100 percent
Explanation:  none

C2
Metric: 99 percent Order Quality (All Responsibility – all error types)
Week Ending 3-28-08: 99.92 percent - green
Week Ending 4-4-08: 100 percent -green
Week Ending 4-11-08: 100 percent -green
Weighted Average: Last 3 Weeks: 99.96 percent
Explanation:  none

D
Metric: 99.75 percent – Cold Chain Quality
Week Ending 3-28-08: 100 percent - green
Week Ending 4-4-08: 100 percent -green
Week Ending 4-11-08: 100 percent -green
Weighted Average: Last 3 Weeks: 100 percent
Explanation:  none

E
Metric: Vaccine Receipt and Put Away and CDC Transmission
Week Ending 3-28-08: 100 percent - green
Week Ending 4-4-08: 100 percent -green
Week Ending 4-11-08: 100 percent -green
Weighted Average: Last 3 Weeks: 100 percent
Explanation:  none

F
Metric: State Funded PO Transmission
Week Ending 3-28-08:   100 percent - red
Week Ending 4-4-08: 100 percent -green
Week Ending 4-11-08: 100 percent -green
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 placed on backorder during the most recent week: DTAP-HIB (205 doses) – National shortage, Sacramento does not have inventory and Memphis distributing remaining minimal inventory from pre-shortage; EIPV (1330 doses) – PFS presentation unavailable due to manufacturer shortage, vials available; TD (795 doses) – Issues with manufacturer ASD delivering product to Sacramento, delivery problems resolved early week of April 7.  Hib (17,610 doses) Vaccines on allocation during the most recent week: All Flu and all HIB products
Clarification on Information in April 16 Newsletter 
Grantees have asked several questions about the following text (highlighted) that was included in the first newsletter distributed April 16:
·        Even though McKesson does not ship publicly funded direct-ship vaccines (e.g., varicella), your providers may send such expired vaccines with other expired publicly funded vaccines to McKesson for excise tax credit processing.  To return wasted/expired vaccine to McKesson, follow these steps:
·         Have your provider notify you that they have wasted/expired vaccine 
·         Have the provider send you a copy of your grantee-specific vaccine wastage form (CDC does not provide a standard form)
·         Contact customer service to coordinate pick up of the box of wasted/expired vaccine 
·         Ensure that the provider includes a copy of the completed wastage form in the box 
·        Providers may have direct contact with customer service ONLY to coordinate pick up of EMPTY boxes.  You and your providers must NOT call UPS or FedEx directly, or else the provider will be charged for the pick up at the provider’s expense.  Providers also may NOT contact customer service to coordinate pick up of wasted/expired vaccine.  Such communication must go through you.  It is only for EMPTY box pick up service that providers may contact customer service.
We want to expand and clarify this information.  The contract for pick up service of empty boxes and for pick up service of boxes filled with expired vaccine is between McKesson Specialty and the carrier.  Therefore, it is NEVER acceptable for the provider or you to call the carrier directly to request pick up service, even if to date the carrier has not charged a fee for the service.  Please see sections A, B, and C below for detailed guidance on how to return empty boxes and expired vaccine depending on various situations.
A.  You and McKesson Specialty do NOT need to be involved in returning empty boxes or expired vaccine in the following two scenarios:  
·       If the carrier arrives to deliver another package (vaccine or otherwise), the provider may give the empty box directly to the driver if the driver has space in his/her truck to accept the empty box.  If there is no room in the truck, then a request for a separate trip to pick up the box must be made.  See section B below on the appropriate procedure to request a separate trip for the carrier to pick up the empty box. 
·         If the carrier arrives to deliver another package (vaccine or otherwise), the provider may give the box filled with expired vaccine directly to the driver if all the following conditions are met: 
·       the driver has room in the truck, AND 
·       you have procedures in place to ensure that the provider submits a copy of the grantee-specific wastage form to you, AND
·        you have procedures in place to ensure that the provider has included a copy of the grantee-specific wastage form in the box containing the vaccine.  
If there is no room in the truck, then a request for a separate trip to pick up the expired vaccine must be made.  See section C below on the appropriate procedure to request a separate trip to pick up the expired vaccine.
B.  McKesson Specialty Customer Care MUST be involved when a provider proactively requests pick up service of empty boxes that requires a special trip by the carrier. In this case, the provider may call McKesson Specialty Customer Care directly to coordinate pick up service. Alternatively, the provider may contact you, and then you would contact McKesson Specialty Customer Care to coordinate the pick up service.
C.  You and McKesson Specialty Customer Care MUST be involved when a provider proactively requests pick up service of expired vaccine that requires a special trip by the carrier.  The provider must contact you, and then you must contact McKesson Specialty Customer Care to coordinate the pick up service.  
We apologize for the confusion.  If you have further questions, please send an email to Julie Orta jio7@cdc.gov and cc your POB 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-04-18-08.rtf