1. TM 1 Vaccine Doses Administered Exercise 2008 May 20, 2008 Presented by: Immunization Services Division National Center for Immunization and Respiratory Diseases and Division of Emergency Preparedness and Response National Center for Public Health Informatics

2. TM 2 Agenda Background Exercise Summary Doses Administered Reporting and Vaccine Safety Training Conference Next Steps Questions and Answers

3. TM 3 Background The National Strategy for Pandemic Influenza: Implementation Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine To accomplish this, states/project areas are asked to track vaccine doses administered, collect and aggregate minimum data elements and transmit weekly to CDC CDC’s CRA system was modified to provide three ways for states and partners to report vaccine doses administered:

4. TM 4 Background Data Exchange (Option 1): For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: flat file (pipe- delimited), XML file, HL 7 Direct Web Entry (Option 2): For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser Individual Level Entry (Option 3): For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated

5. TM 5 2008 Doses Administered Exercise The 2007 pilot demonstrated project areas ability to collect and report to CDC and CRA’s technical capability to accept and aggregate data The 2008 exercise expands on this capability to test the following: Weekly reporting Increased volume Priority group tracking

6. TM 6 2008 Doses Administered Exercise Report data weekly for four consecutive weeks from eight or more clinics during the timeframe of Oct. 1 – Dec. 31, 2008; fully successful criteria: Weekly reporting: aggregate reporting data is sent by Tuesday for the previous reporting week (Sunday through Saturday; MMRW week); for any four consecutive weeks Increased volume: data is from a minimum of eight clinics over the course of the four weeks Priority group tracking: each general population priority group is tracked

7. TM 7 Proposed Pandemic Priority Doses Administered - Category and Tiers Homeland and Nations Security Tier 1 (HNSt1) Tier 2 (HNSt2) Tier 3 (HNSt3) Health Care and Community Support Services Tier 1 (HCCSSt1) Tier 2 (HCCSSt2) Tier 3 (HCCSSt3) Critical Infrastructure Tier 1 (CIt1) Tier 2 (CIt2) Tier 3 (CIt3) General Population Tier 1 (GPt1) Tier 2 (GPt2) Tier 3 (GPt3) Tier 4 (GPt4) Tier 5 (GPt5)

8. TM 8 Priority Groups for 2008 Exercise Focus on General Population Category and its Tier Groups General population, Tier 1 (GPt1) contains "Pregnant women“ “Infants and toddlers 6 - 35 months old" General population, Tier 2 (GPt2) contains “Household contacts of infants < 6 months" “Children 3 - 18 years with high risk conditions" General population, Tier 3 (GPt3) contains “Children 3 - 18 years without high risk conditions" General population, Tier 4 (GPt4) contains “Persons 19 - 64 with high risk conditions" “Persons > 65 years old" General population, Tier 5 (GPt5) contains “Healthy adults 19 - 64 years with high risk conditions" Build Other 9 “Tier Groups” - Not planning to collect data on these for the 2008 exercise

9. TM 9 Data Exchange Specification for Option 1 Users Available on webpage http://www.cdc.gov/phin/activities/applications-services/cra/2008Exercise.html http://www.cdc.gov/phin/activities/applications-services/cra/2008Exercise.html Reorganized and reformatted New Pandemic Influenza Priority Groups Event-specific Valid Value/Data Validation Worksheets Explanation of “full replacement of aggregate reports” Improved sample messages

10. TM 10 Option 2 Screen Mock-Up

11. TM 11 Option 3 Screen Mock-Up

12. TM 12 Sample Screening Form - Clarification Intended to be a generic guide Example of one strategy/algorithm to determine the correct priority group Project areas can choose whether to use it or not Form will be posted on the CRA web page

13. TM 13 Expected Benefits and Lessons Learned Expand capabilities to screen for priority groups, report on a regular basis under increased volume conditions more comparable to a pandemic Identify and address technical gaps, equipment needs, operational barriers, staff training needs Gain a better understanding of resources and personnel needs at all levels: clinic, project area, registry and CRA operations

14. TM 14 Schedule of Events DateEventTopic June 11WebinarOption 1 Users June 24WebinarOption 2 and 3 Users July 9WebinarOption 1 Users and Exercise Status Report July 23WebinarOption 2 and 3 Users and Exercise Status Report August 6Conference CallGeneral Information and Questions August 21-22Doses Administered and Safety Training Conference Doses Administered Reporting Training and 2008 Exercise September 10WebinarExercise Overview and Refresher September 17WebinarRelease of CRA Version 1.8 October 1DAX 2008 Kickoff

15. TM 15 Technical Assistance CRA webpage Quick reference/Checklist CRA Exchange (Sitescape) Contact email crahelp@cdc.govcrahelp@cdc.gov PHIN Email – PHINTech@cdc.govPHINTech@cdc.gov To obtain a digital certificate To obtain access to the CRA demonstration site

16. TM 16 Doses Administered Reporting and Vaccine Safety Training Conference E-mail sent 05/16/2008 Conference will focus on training key aspects of pandemic influenza vaccine safety and vaccine doses administered reporting via CRA CDC will fund travel for one CRA coordinator and one vaccine safety coordinator Meeting is August 21-22, 2008 in Atlanta, GA Hotel location to be announced

17. TM 17 Funding Announcement Supplemental funding to enhance preparedness for pandemic influenza Focus is on specific task related to pandemic influenza preparedness that is a key aspect of managing and monitoring the public health response—tracking pandemic influenza vaccine doses administered. www.grants.gov Announcement: IP08-80302SUPP08 Applications due 06/13/2008

18. TM 18 Immediate Next Steps Submit updated POC information by 05/31/2008 Submit updated option choice by 05/31/2008 Submit information via CRAhelp@cdc.gov CRAhelp@cdc.gov

19. TM 19 Questions?