VFC Site Visit – Puzzle Solving A Collaboration NC · The Vaccines For Children (VFC) program is...
Transcript of VFC Site Visit – Puzzle Solving A Collaboration NC · The Vaccines For Children (VFC) program is...
11/6/2019
1
OREGON IMMUNIZATION PROGRAMPublic Health Division 1
Site Visit Basics
OREGON IMMUNIZATION PROGRAMPublic Health Division 2
11/6/2019
2
The Vaccines For Children (VFC) program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay. CDC buys vaccines at a discount and distributes them to grantees—i.e., state health departments and certain local and territorial public health agencies—which in turn distribute them at no charge to those private physicians’ offices and public health clinics registered as VFC providers. Children who are eligible* for VFC vaccines are entitled to receive those vaccines recommended by the Advisory Committee on Immunization Practices (ACIP).
OREGON IMMUNIZATION PROGRAMPublic Health Division
5
OREGON IMMUNIZATION PROGRAMPublic Health Division
6
11/6/2019
3
OREGON IMMUNIZATION PROGRAMPublic Health Division
7
OREGON IMMUNIZATION PROGRAMPublic Health Division
8
This Photoby Unknown Author is licensed under CC BY-SA-NC
11/6/2019
4
OREGON IMMUNIZATION PROGRAMPublic Health Division
10
This Photoby Unknown Author is licensed under CC BY-SA-NC
11/6/2019
5
Certifications
OREGON IMMUNIZATION PROGRAMPublic Health Division
14
OREGON IMMUNIZATION PROGRAMPublic Health Division
15
11/6/2019
6
OREGON IMMUNIZATION PROGRAMPublic Health Division
18
11/6/2019
7
• Patient Name
• Patient DOB
• Eligibility Status
• Address of Clinic
• Name, Lot #, Manufacturer of vaccine
• Date when dose administered
• Name and Title of individual administering the vaccine
• Date when VIS was given and VIS publication date.
The Vaccines For Children (VFC) program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay. CDC buys vaccines at a discount and distributes them to grantees—i.e., state health departments and certain local and territorial public health agencies—which in turn distribute them at no charge to those private physicians’ offices and public health clinics registered as VFC providers. Children who are eligible* for VFC vaccines are entitled to receive those vaccines recommended by the Advisory Committee on Immunization Practices (ACIP).
OREGON IMMUNIZATION PROGRAMPublic Health Division
21
11/6/2019
8
OREGON IMMUNIZATION PROGRAMPublic Health Division
22
$21.98
OREGON IMMUNIZATION PROGRAMPublic Health Division
23
$21.98
OREGON IMMUNIZATION PROGRAMPublic Health Division
24
$21.96
11/6/2019
9
OREGON IMMUNIZATION PROGRAMPublic Health Division
26
OREGON IMMUNIZATION PROGRAMPublic Health Division
27
11/6/2019
10
OREGON IMMUNIZATION PROGRAMPublic Health Division
28
OREGON IMMUNIZATION PROGRAMPublic Health Division
29
11/6/2019
11
OREGON IMMUNIZATION PROGRAMPublic Health Division
31
VIS Dates
OREGON IMMUNIZATION PROGRAMPublic Health Division
32
https://www.cdc.gov/vaccines/hcp/vis/current-vis.html
Anything wrong here?
OREGON IMMUNIZATION PROGRAMPublic Health Division
33
We read we can use up our current stock before updating
11/6/2019
12
OREGON IMMUNIZATION PROGRAMPublic Health Division
34
So long as it happens within six months of the update.And note, while rare, an immediate update could be required.
OREGON IMMUNIZATION PROGRAMPublic Health Division
35
Q: You Gave My Client this document?A: YesQ: And what is this document?A: the Vaccine Information StatementQ: Sometimes referred to as a V.I.S. or a Viss?A: That’s rightQ: Was this the newist one?A: NoQ: There was a newer one?A: YesQ: But you gave my client this one?A: YesQ: You made a decision to give my client an out of date VIS?A: well…Q: Please answer the questionA: The CDC said we had six months to update to the new one.Q: So it is your opinion that so long as someone else offers the opportunity to give out of date medical information that it fine to do so?
OREGON IMMUNIZATION PROGRAMPublic Health Division
36
JBW JBW JBW JBW JBW JBW JBW
10:00 10:00 10:00 10:00 10:00 10:0010:00
Mar / 2019 P99999
Out of Practice Pediatrics
6.5
4.5
6.5
3.9
6.2
4.1
6.1
3.8
6.5
3.8
5.9
3.8 3.8
5.8
11/6/2019
13
OREGON IMMUNIZATION PROGRAMPublic Health Division
37
JBW JBW JBW JBW JBW JBW JBW
10:00 10:00 10:00 10:00 10:00 10:0010:00
Mar / 2019 P99999
Out of Practice Pediatrics
6.5
4.5
6.5
3.9
6.2
4.1
6.1
3.8
6.5
3.8
5.9
3.8 3.8
5.8
OREGON IMMUNIZATION PROGRAMPublic Health Division
38
JBW JBW JBW JBW JBW JBW JBW
08:30 08:45 08:40 09:05 07:55 08:2008:00
Mar / 2019 P99999
Out of Practice Pediatrics
3.8 3.8 3.8
4.3 4.4 4.4 4.5
3.7
4.9
3.7
5.2 5.2
3.7 3.7
OREGON IMMUNIZATION PROGRAMPublic Health Division
39
JBW JBW JBW JBW JBW JBW JBW
08:30 08:45 08:40 09:05 07:55 08:2008:00
Mar / 2019 P99999
Out of Practice Pediatrics
3.8 3.8 3.8
4.3 4.4 4.4 4.5
3.7
4.9
3.7
5.2 7.9
3.7 3.7
7.9
3.6
7.9
3.6
7.9 7.9
3.6 3.6
JBW JBW JBW JBW
08:2508:20 08:32 08:20
11/6/2019
14
OREGON IMMUNIZATION PROGRAMPublic Health Division
40
JBW JBW JBW JBW JBW JBW JBW
08:30 08:45 08:40 09:05 07:55 08:2008:00
Mar / 2019 P99999
Out of Practice Pediatrics
3.8 3.8 3.8
4.3 4.4 4.4 4.5
3.7
10.6
3.7
5.2 5.2
3.7 3.8
OREGON IMMUNIZATION PROGRAMPublic Health Division
41
JBW JBW JBW JBW JBW JBW JBW
08:30 08:45 08:40 09:05 07:55 08:2008:00
Mar / 2019 P99999
Out of Practice Pediatrics
3.8 3.8 3.8
4.3 4.4 4.4 4.5
3.7
10.6
3.7
5.2 5.2
3.7 3.8
2
8
0
Fridge Temps in Celsius over Time
Tem
pera
ture
in
C
Time
46
36
Tem
pera
ture
in
F
11/6/2019
15
OREGON IMMUNIZATION PROGRAMPublic Health Division
43
OREGON IMMUNIZATION PROGRAMPublic Health Division
44
https://www.immunize.org/catg.d/p3041.pdfor
OREGON IMMUNIZATION PROGRAMPublic Health Division 45
11/6/2019
16
OREGON IMMUNIZATION PROGRAMPublic Health Division
46
What’s Missing from this Picture?
OREGON IMMUNIZATION PROGRAMPublic Health Division
47
OREGON IMMUNIZATION PROGRAMPublic Health Division
48
11/6/2019
17
OREGON IMMUNIZATION PROGRAMPublic Health Division
49
OREGON IMMUNIZATION PROGRAMPublic Health Division
50
-22.5
40.5
Household?
OREGON IMMUNIZATION PROGRAMPublic Health Division
51
Fridge Interior - Matching
11/6/2019
18
OREGON IMMUNIZATION PROGRAMPublic Health Division
52
OREGON IMMUNIZATION PROGRAMPublic Health Division
53
OREGON IMMUNIZATION PROGRAMPublic Health Division
54
11/6/2019
19
OREGON IMMUNIZATION PROGRAMPublic Health Division
55
OREGON IMMUNIZATION PROGRAMPublic Health Division
56
OREGON IMMUNIZATION PROGRAMPublic Health Division
57
11/6/2019
20
OREGON IMMUNIZATION PROGRAMPublic Health Division
58
OREGON IMMUNIZATION PROGRAMPublic Health Division
59
Why Do We Care?
OREGON IMMUNIZATION PROGRAMPublic Health Division
60
11/6/2019
21
OREGON IMMUNIZATION PROGRAMPublic Health Division
61
OREGON IMMUNIZATION PROGRAMPublic Health Division
62
OREGON IMMUNIZATION PROGRAMPublic Health Division
63
11/6/2019
22
OREGON IMMUNIZATION PROGRAMPublic Health Division
64
OREGON IMMUNIZATION PROGRAMPublic Health Division
65
OREGON IMMUNIZATION PROGRAMPublic Health Division
66
11/6/2019
23
OREGON IMMUNIZATION PROGRAMPublic Health Division
67
OREGON IMMUNIZATION PROGRAMPublic Health Division
68
OREGON IMMUNIZATION PROGRAMPublic Health Division
69
11/6/2019
24
OREGON IMMUNIZATION PROGRAMPublic Health Division
70
Birth Date Patient First Name Patient Last Name
Vaccinatio
n Date Vaccine
Vaccine
Eligibility Vaccine Lot
Historical
Immunization
Borrowed
Inventory From Inventory
######## ###### Tdap B C5601AA No (null) No
######## ###### Tdap Yes (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Influenza-H1N1-09, NOS Yes (null) No
######## ###### PCV13 M X91013 No (null) No
######## ###### HPV9 B R017625 No (null) No
######## ######
Flu
quadrivalent
injectable
pfree M UJ243AC No (null) No
######## ###### Flu quadrivalent injectable pfree Yes (null) No
######## ###### Flu quadrivalent injectable pfree Yes (null) No
######## ###### Flu quadrivalent injectable Yes (null) No
######## ###### Zoster subunit, recombinant, adjuvanted Yes (null) No
######## ###### MCV4P M U6220AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5601AA No (null) No
######## ###### Flu trivalent injectable pfree Yes (null) No
######## ###### Flu NOS Yes (null) No
######## ###### Pneumococcal 23 Yes (null) No
######## ###### PCV13 M X91013 No (null) No
OREGON IMMUNIZATION PROGRAMPublic Health Division
71
Birth Date Patient First Name Patient Last Name
Vaccinatio
n Date Vaccine
Vaccine
Eligibility Vaccine Lot
Historical
Immunization
Borrowed
Inventory From Inventory
######## ###### Tdap B C5601AA No (null) No
######## ###### Tdap Yes (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Influenza-H1N1-09, NOS Yes (null) No
######## ###### PCV13 M X91013 No (null) No
######## ###### HPV9 B R017625 No (null) No
######## ######
Flu
quadrivalent
injectable
pfree M UJ243AC No (null) No
######## ###### Flu quadrivalent injectable pfree Yes (null) No
######## ###### Flu quadrivalent injectable pfree Yes (null) No
######## ###### Flu quadrivalent injectable Yes (null) No
######## ###### Zoster subunit, recombinant, adjuvanted Yes (null) No
######## ###### MCV4P M U6220AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5601AA No (null) No
######## ###### Flu trivalent injectable pfree Yes (null) No
######## ###### Flu NOS Yes (null) No
######## ###### Pneumococcal 23 Yes (null) No
######## ###### PCV13 M X91013 No (null) No
OREGON IMMUNIZATION PROGRAMPublic Health Division
72
Birth Date
Patient First
Name
Patient Last
Name
Vaccina
tion
Date Vaccine
Vaccine
Eligibility
Vaccine
Lot
Historical
Immuniza
tion
Borrowed
Inventory From Inventory
######## ###### Tdap B C5601AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### PCV13 M X91013 No (null) No
######## ###### HPV9 B RO17625 No (null) No
######## ######
Flu
quadrival
ent
injectable
pfree M UJ243AC No (null) No
######## ###### MCV4P M U6220AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5601AA No (null) No
######## ###### PCV13 M X91013 No (null) No
11/6/2019
25
OREGON IMMUNIZATION PROGRAMPublic Health Division
73
Birth Date
Patient First
Name
Patient Last
Name
Vaccina
tion
Date Vaccine
Vaccine
Eligibility Vaccine Lot
Historic
al
Immuni
zation
Borrowed
Inventory From Inventory
######## ###### Tdap B C5601AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### PCV13 M X91013 No (null) No
######## ###### HPV9 B RO17625 No (null) No
######## ######
Flu
quadrival
ent
injectable
pfree M UJ243AC No (null) No
######## ###### MCV4P M U6220AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5660AA No (null) No
######## ###### Tdap B C5601AA No (null) No
######## ###### PCV13 M X91013 No (null) No
OREGON IMMUNIZATION PROGRAMPublic Health Division
74
https://www.oregon.gov/oha/PH/PreventionWellness/VaccinesImmunization/alert/Pages/Reports-Training.aspx
Image Courtesy of CDC
11/6/2019
26
Your Questions are Always Welcome!
VFC Help Desk(971) 673-4832
Nick Chew(971) 673-0289