VACCINE FOR CHILDREN (VFC) PROGRAM Tennessee Robert H. Brown Vaccine For Children Program Manager...
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![Page 1: VACCINE FOR CHILDREN (VFC) PROGRAM Tennessee Robert H. Brown Vaccine For Children Program Manager 2010 Annual Immunization Spring Review 13-16 April 2010.](https://reader038.fdocuments.us/reader038/viewer/2022102923/5516e607550346fe558b4727/html5/thumbnails/1.jpg)
VACCINE FOR CHILDREN (VFC) PROGRAM Tennessee
Robert H. BrownVaccine For Children Program Manager
2010 Annual Immunization Spring Review13-16 April 2010
VFC Highlights and Updates
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VACCINE FOR CHILDREN (VFC) PROGRAM
VFC Protocol
Tennessee
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VACCINE FOR CHILDREN (VFC) PROGRAM VFC Protocol Highlights
Section A - Enrollment/ Annual Re-Enrollment:
NOTE: PRACTICES WITH MULTIPLE SITES MUST ENROLL EACH SITE AS A SEPARATE VFC PROGRAM PROVIDER.
To enroll/re-enroll (annually) as a VFC program provider, the following forms must be completed:
-VFC Provider Enrollment form (PH-3349, Revised 11/08), which has two pages
-VFC Provider Profile form (PH-3348, Revised 10/08)
-Emergency Vaccine Storage and Handling Plan form (PH-3800, Revised 10/08)
-Initial (One-Time Only) Varicella Order and Provider Survey (Enrollment Only)
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This area summarizes the VFC Protocol in which the provider acknowledges the program requirements and agrees to abide by them.
VFC Provider Enrollment form (PH-3349, Revised 11/09), which has two pages
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Identifies the status of the provider in the VFC Program
The provider estimates the number of patients served in their facility for a one year period
The provider indicates the source used to determine the number of VFC eligible children
VFC Provider Profile form (PH-3348, Revised 11/09)
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VACCINE FOR CHILDREN (VFC) PROGRAM
VFC Protocol Highlights
Section B - Requirements to Participate in the VFC Program:
All provider changes must be communicated to the VFC Program:
- Change of address, telephone, or fax
- Change in VFC contact person
- Change in the number of VFC eligible children
- Additions/deletions of physicians to provider site
All changes can be faxed or emailed to Becky Loveless
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section C - Eligibility Criteria Categories:
(a) Uninsured (b) Enrolled in or eligible for TennCare (Medicaid) (c) American Indian or Alaskan Native
VFC Protocol Highlights
Persons who are 18 years of age or younger, and meet one or more of the following categories:
Note: CoverKids are fully insured and NOT VFC eligible.
IN ALL VFC Sites:
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section C - Eligibility Criteria Categories cont:
(d) Underinsured Children are eligible only in FQHCs, RHCs and Health Departments
The following conditions are defined as “underinsured”
• A child who has commercial (private) health insurance but the coverage does not include vaccines,
• A child whose insurance covers only selected vaccines (VFC-eligible for non-covered vaccines only)
• A child whose insurance caps vaccine coverage at a certain amount. Once that coverage amount is reached, the child is categorized as underinsured.
VFC Protocol Highlights
ONLY IN VFC FQHCs, RHCs and Health Departments Sites:
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section D - Vaccine Accountability:
• Vaccine Doses Accountability Report (VDAR) (PH-3350 Rev 10/08): Submit monthly even if vaccines were not administered during month.
• Report must be completely filled out with all the proper information.
• The VFC Program no longer has the ability to ship vaccine as an “emergency” rush order but additional orders can be requested, if necessary.
VFC Protocol Highlights
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section D - Vaccine Accountability:
VFC Protocol Highlights
• As of January 1, 2010 Tennessee’s Vaccines for Children (VFC) has fully adopted the CDC policy for “Two Directional Borrowing” which means the borrowing of VFC vaccines for private patients or privately purchased vaccines for VFC patients.
• Borrowing should only occur when there is a lack of appropriate stock vaccine due to unexpected circumstances such as:
- Delayed vaccine shipment
- New staff that calculated ordering time incorrectly
- Vaccine spoiled in-transit to provider
Note: VFC vaccine cannot be used as a replacement system for a provider’s privately purchased vaccine inventory.
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section D - Vaccine Accountability:
VFC Protocol Highlights
• When borrowing vaccines the provider must follow these guidelines:
- Providers must notify VFC Program
- Document all borrowed vaccine on the CDC VFC Vaccine Borrowing Report Form
- The borrowing reports must be kept as part of the VFC program records and be made available to the VFC staff during the VFC Site Visit.
Note: VFC-enrolled providers are expected to maintain an adequate inventory of vaccine for both their VFC and non-VFC-eligible patients.
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VFC Vaccine Borrowing Report
The Guidelines and Direction for use of this form must be followed
The provider must document all borrowed vaccine on the CDC VFC Vaccine Borrowing Report Form
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section E - Proper Vaccine Storage and Handling:
• After January 1, 2009, all VFC providers can no longer use dorm style units or combination units with single thermostats as the primary storage unit. Providers may use separate refrigerators and freezers or combination unit with separate thermostats for refrigerator and freezer section.
VFC Protocol Highlights
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VACCINE FOR CHILDREN (VFC) PROGRAM
Section H- Non-Compliance with VFC Program Protocols:
Section I - Request for Inactivation in the VFC Program:
• TIP has adopted CDC guidelines for responding to provider non-compliance with VFC Program Protocol identified during VFC site visits.
• A VFC provider may request to withdraw from the VFC Program at any time by submitting the request in writing along with a completed Vaccine Transfer Form (PH-4023). Vaccines will be picked up by a regional VFC representative.
VFC Protocol Highlights
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VACCINE FOR CHILDREN (VFC) PROGRAM
Vaccine Management
Tennessee
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Pre-filled (PF) syringe gives the provider a
choice
Allows provider to order the
amount vaccine requested
Vaccine Doses Accountability Report (PH-3350, Rev 11/09) must be submitted monthly.
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Recipient must
complete the transfer
section and fax to the
VFC Program
Section B for Health
Department Staff Only
Vaccine Transfer Form (PH-4023)
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This area was updated with the corrected NDC# for Flu Vaccine and New Vaccines
Return to McKesson only spoiled or expired vaccines, in their original vials or pre-filled syringes.
Expired or Wasted Vaccine Report (PH-3589, Rev 11/09)
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Vaccine Inventory Management (VIM)
VACCINE FOR CHILDREN (VFC) PROGRAM
Economic Order Quantity (EOQ)
Updates
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• In 2010 the Tennessee Vaccines For Children (VFC) Program will began implementing the next phase of vaccine distribution, Economic Order Quantity (EOQ). EOQ is an effort by CDC to implement best practices for vaccine ordering.
• It strives to balance order size, order frequency, and storage & handling costs with a goal of improving vaccine flow nationwide.
• EOQ assigns ordering tiers for providers based on annual volume of publicly–funded vaccine ordered.
VACCINE FOR CHILDREN (VFC) PROGRAM
Economic Order Quantity (EOQ)
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The EOQ guidelines places providers in four categories based on their annual volume of doses ordered per year to determine the number of times a provider should order vaccine.
High volume 6000 doses/year Monthly 12 times a year
Med volume 800-5999 doses/year Bi-monthly 6 times a year
Low volume 200-799 doses/year Quarterly 4 times a year
Very low volume 0-199 doses/year As is no change
Ordering Guidelines of EOQ
VACCINE FOR CHILDREN (VFC) PROGRAM
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• The goal of EOQ is to improve vaccine flow and NOT to run out of vaccines.
• To help ensure you do not run out of vaccines.
Goals of EOQ
Note: No matter when your scheduled order date is, if you are running out of vaccines, place an order.
VACCINE FOR CHILDREN (VFC) PROGRAM
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Vaccine Inventory Management (VIM)
VACCINE FOR CHILDREN (VFC) PROGRAM
• VFC vaccine Ordering
• Inventory control and Reconciliation
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VACCINE FOR CHILDREN (VFC) PROGRAM Tennessee
VFC Program OperationsRobert Brown(615) [email protected]
Vaccine replenishment status requestsMadelyn Ragland(615) [email protected]
Provider Enrollment and Short-Dated Vaccines ReportingBecky Loveless(615) [email protected]