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Cold Chain Management (CCM) employs a common sense approach that keeps
Temperature Sensitive Medical Products (TSMPs) in the correct temperature
ranges from the initial entry into Department of Defense (DoD) channels until
administration/issue to the patient or end user. The Distribution Operations
Center (DOC) at the U.S. Army Medical Materiel Agency (USAMMA) developed and
validated many of the principles and methods from lessons learned during the
initiation of the Anthrax Vaccine Immunization Program (AVIP).
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Background:
The DOC at USAMMA is a core group of highly skilled specialists
recognized within the DoD for the management, coordination, and execution of
distribution services. Specifically, the packing and storage of TSMPs requiring
refrigeration or other special handling requirements while maintaining close
in-transit visibility in support of our internal and external customers. The
DOC operates under the clinical and technical direction of USAMMA’s Pharmacy
Consultant who is also the Deputy Director for Distribution Operations of the
Military Vaccine (MILVAX) Agency.
The DOC has been assigned the exclusive mission of the distribution
management of Anthrax and Smallpox vaccines for the entire DoD. The branch’s
expertise expanded with missions to support the distribution of a variety of
other specialty pharmaceuticals, including refrigerated, non-refrigerated, and
frozen items. With each of these pharmaceuticals, packing and shipping
protocols were specifically designed to meet the unique requirements for each
product.
In addition to managing pharmaceutical shipments for both medical
and non-medical units, the DOC provides both on-site and on-line training of
key principles of CCM of temperature sensitive pharmaceuticals. This training
provides state of the art information on tools, techniques, and procedures for
moving pharmaceuticals within narrow temperature ranges.
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