TISWG Update Vaccine Choice

August 19, 2010

Vaccine Choice

HB448 requires vaccine choice in Texas Vaccines for Children and Adult Safety Net

programs by September 1, 2010

• Provider Choice Statistics

• Electronic Vaccine Inventory System

• Flu Update

Provider Choice Selections

• Online survey and paper began May 2010. • Providers choose by by July 31, 2010. • Providers that did not wish to choose

vaccines had the option to pick from a list of default vaccines.

• Providers that did not choose vaccines by the deadline would be automatically assigned a set of default vaccines.

Choice Survey Overview

• Total Providers = 3,750

• 87% completed survey, 13% assigned

• Pediatric Vaccines = 3,507

• Adult Vaccines = 434

• Some providers may be both adult and pediatric vaccine providers.

Ped: Vaccine Choice Distribution

Ped Choice Distribution Data TableBy Percentage

  DTaP Kinrix Hep A Hep B Twinrix HIB HPV MCV4 Rotavirus Td Tdap

  A. Tripedia vial

A. Kinrix vial A. Vaqta vial

A. Engerix B vial 

A.  Twinrix vial 

A. PedvaxHIB 

A. Gardasil  A. Menactra A. RotaTeq  A. Decavac vial 

A. Boostrix vial 

  B. Daptacel vial

B. Kinrix PFS B. Havrix vial 

B. Engerix B PFS 

B.  Twinrix PFS

B. ActHIB  B. Cervarix vial 

B. Menveo B. Rotarix B. Decavac PFS 

B.  Boostrix PFS

  C. Infanrix vial

  C. Havrix PFS

C.  Recombivax

  C. Hiberix C. Cervarix PFS

    C. MassBio vial

C. Adacel vial 

  D.  Infanrix PFS

                  D. Adacel PFS

Choice A 22.1 53.3 36.7 27.6 78.6 5.6 91.8 95.7 90.7 12.9 24.4

Choice B 35.5 46.7 27.5 32.1 21.4 81.5 1.3 4.2 9.2 20.3 20.9

Choice C 15.6 35.7 40.3 12.9 6.9 38.8 32.9

Choice D 26.7 21.8

Adult: Vaccine Choice Distribution

Adult Choice Distribution Data TableBy Percentage

Hep A Hep B Twinrix HPV PPSV23 Tdap

A.     Havrix vial A.     Engerix B vial

A.     Twinrix vial

A.     Gardasil A.     Pneumovax 1-dose vial

A.     Boostrix vial

B.     Havrix PFS B.     Engerix B PFS

B.     Twinrix PFS

B.     Cervarix vial

B.     Pneumovax 5-dose vial

B.     Boostrix PFS

  C.     Cervarix PFS

  C.     Adacel vial

          D.    Adacel PFS

Choice A 64.3 62.8 57.2 94 89.2 23.9

Choice B 34.9 36.4 42.8 0.6 10.8 18

Choice C 5.4 41.3

Choice D 16.7

Electronic Vaccine Inventory (EVI) System Development

Phase I Activities

(available by September 1, 2010)

Phase II Activities

(Estimated September 1 - December 31, 2010)

Phase I Activities: Providers

  (available by September 1, 2010)

• Providers will have the ability to:– update demographic information online– input current inventory online– order their chosen vaccines online – access online help– access provider online training

Phase I Activities: LHD/HSR

•  Local Health Departments/Health Service Regions will have the ability to:– access the provider demographic, order and

inventory information online– perform quality assurance activities online

• Approve and adjust orders online

• Assist providers with look-up information

• Limit provider access

– access administrative user online training

Phase II Activities(Estimated September 1 - December 31, 2010)

• Provider submission of monthly vaccine accounting information online (currently paper)

• online reporting capabilities for LHD/HSR/Austin office

• EVI-generated fax and email communication

• EVI-generate provider recommended orders based on seasonal trends

Training

June/July LHD/HSR Group and Individualized TVFC Provider Choice Training

August 18 Austin Office staff training on EVI

August 23-24 Webinars to LHD/HSR on Administrative EVI Usage

August 25-26 Onsite training to HSR 2/3

Other Choice Resources

May Choice Webpage

August Toll Free Customer Service Call Center (1-888-777-5320)

August EVI Online Provider Training (Projected 8/23/10)

August EVI Provider Desk Reference

(Projected 8/23/10)

Vaccine Choice

Texas Vaccines For Children

Influenza Update

TVFC Vaccine received to date (~ 23%):

• Sanofi MDV 304,870

• FluMist 90,930

State Vaccine received to date (~62%):

• Sanofi MDV 75,000

It’s all but a memory