1. NCIR Accountability Report Training for NCIR Administrators

2. Purpose of Accountability Report To show a detailed accounting, of VFC inventory (state-supplied vaccines), for the date range selected, when generating the report.

3. The Accountability Report… Helps you track the number of unaccounted for vaccine doses in your inventory and shows you what those doses are worth Remember, state-supplied vaccine is purchased with taxpayer dollars so it’s critically important we all do our part to account for every dose!

4. AGENDA How to run the report What’s the goal? Interpreting the results

5. Under the Inventory tab, click ‘vaccine accountability’ Only an Administrator can run the report!

6. If there are multiple sites, select site, then select the date range to run the report, click the Generate Report button **The report can be ran for a maximum of 12 months

7. You will see status of the report as QUEUE, click the Refresh button

8. When the report is ready for viewing, you will see the status as COMPLETE; and the Report Name is now a blue link. Click the link to view the report.

11. What’s the goal ? Less than 5% unaccounted vaccine

12. Unaccounted Vaccine The VFC Operations Guide regarding Unaccounted reads: Vaccine can be lost because it is unaccounted for. Optimally, inventory, wastage reports, and doses administered reports can be used to determine the number of unaccounted for doses for each provider. The following formula should be used: (Vaccine inventory at start of month + doses received) - (doses administered + wastage + vaccine transferred to another location) = expected ending inventory. Expected ending inventory - actual ending inventory = unaccounted for vaccine.

14. Interpreting the Accountability Report

15. June 1-November 30, 2010

16. Start Inventory Doses Shipped From State [RECS] Viable Doses Returned To State [TRAV] Doses Transferred IN [RECT] + [RET] + [REC} Doses Transferred OUT [TRA] Doses Wasted [WAS] Expired Doses Returned to the State [TRAX] Doses Administered [IMMUNIZE-DELETE] Ending Viable Inventory

18. Columns Start Inventory Field - 12 am 1st of month (Total doses) Doses Shipped Field - From Vaccine Distribution Org Total for 1st of month thru last day of month in date range Doses Returned Field - Viable Doses returned to Vaccine Distribution Org Total for 1st of month thru last day of month in date range Doses Transferred in Field - Receipt of inventory from other organization ( not Vaccine distribution ) Total for 1st of month thru last day of month in date range Doses Transferred Out Field - Viable doses transferred to other organization (not Vaccine Distribution) Total for 1st of month thru last day of month in date range Doses Wasted Field - Doses reported as wasted to vaccine distribution. Total for 1st of month thru last day of month in date range Doses Expired Field - Doses reported as expired to vaccine distribution. Total for 1st of month thru last day of month in date range Doses Administered Field - Total for 1st of month thru last day of month in date range End Inventory Field - 12 am on 1st of next month after date range (Non-expired Doses) Doses over(-) /under(+)Field – Doses over/under = (start inventory ) + (Doses Shipped) - (Doses Returned) + (Doses Transferred in) - (Doses Transferred out) - (Doses Wasted) - (Doses Expired) - (Doses Administered) - (End Inventory) Unaccounted Doses Field - Unaccounted Doses = "-" values indicate over accounting and this value should default to "0" = "+" values indicate under accounting and represent unaccounted doses. (These are what we care about.) Error Correction Field - Total for 1st of month thru last day of month in date range and is not included in the calculation for Under/Over accounted doses.

19. Table Columns: Column headers are displayed at the top of every page. Trade Name : Vaccine group and trade names. Rows are sorted first by vaccine group, then trade name. Vaccine Groups for combination vaccines are concatenated (i.e. DTP/aP-Polio- HepB for Pediarix) Inventory : 12 am 1st of month (Total inventory on hand (includes viable and expired doses) Doses Received from State :- From Vaccine Distribution Org Total for 1st of month thru last day of month in date range [RECS] $ Value of Doses Received from State : multiply doses received from State (column #3) by the cost per dose for the lot [RECS * Cost per Dose] Viable Doses Returned : - Viable (non-expired) doses returned to Vaccine Distribution Organization [TRAV] Doses Transferred In : - Receipt of state-supplied inventory from other provider organization (other than Vaccine distribution) [RECT] + [RET] + [REC] Doses Transferred Out : State-supplied doses transferred to other organization (other than Vaccine Distribution) [TRA] Wasted : State-supplied doses reported as wasted to vaccine distribution. [WAS] Expired Doses Returned to State : Expired State-supplied doses transferred to vaccine distribution organization. [TRAX] Doses Administered: - Immunizations given – Immunizations deleted from State-supplied vaccine lots. [IMMUNIZE-DELETE] Viable Inventory : - 12 am on 1st of end month. Non-expired State-Supplied Doses in inventory on hand. Under/Over Accounted Doses : (Start Total State-Supplied inventory) + (Doses Shipped RECS) - (Viable Doses Returned TRAV) + (Doses Transferred in RECT + RET + REC) - (Doses Transferred out TRA) - (Doses Wasted WAS) - (Expired Doses Returned TRAX) - (Doses Administered IMMUNIZE- DELETE) - (Ending Viable State-Supplied Inventory.) Unaccounted Doses Field - Unaccounted Doses = "-" values indicate over accounting and this value should default to "0" = "+" values indicate under accounting and represent unaccounted doses. NOTE: The Under/Over Accounted Doses is calculated when the report is run, not stored in the monthly inventory table.

20. Dose $ Value = Weighted cost per dose. Add the total unaccounted $ value for all lots within trade name / Total unaccounted doses for trade name (all lots combined). NOTE: The Dose $ Value is weighted and is calculated when the report is run, not stored in the monthly inventory table. EXAMPLE: Infanrix Lot # A B Cost per Dose (Vaccine Dist) $10.00 $15.00 Unaccounted Doses -50 -150 Dose $ Value is weighted: ( 50 * $10 + 150 * $15) $2,750.00 total unaccounted value / 200 total unaccounted for doses = $13.75 per dose Unaccounted $ Value - Total cost for Unaccounted Doses for trade name. Formula: * NOTE: The Unaccounted $ Value is calculated when the report is run, not stored in the monthly inventory table. Error Correction : Error Correction transactions to State-Supplied inventory [ERROR]. Can be positive (+) or negative (-). Note: providers are not given credit for error corrections. These does will be included in the Under/Over Accounted Doses. Table footers: ‘Total $ Value Shipped’ = Total $ Value of Doses shipped from State [RECS] during reporting period ‘% of shipped unaccounted’ = Add total unaccounted for doses /total shipped inventory * 100 Total Under/Over Accounted = Total unaccounted $ Value during reporting period

21. Questions?