Document Detail

Delivering vaccines: a case study of the distribution system of Vaccines for Children.
MedLine Citation:
PMID:  19845427     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the efficacy of the centralization by the Centers for Disease Control and Prevention of their pediatric vaccine distribution system. STUDY DESIGN: In March 2007, the Centers for Disease Control and Prevention began a pilot program to reform the Vaccines for Children (VFC) program. All California VFC providers were required to place vaccine orders under the centralized logistic system of the Vaccine Management Business Improvement Project (VMBIP). For this study, VFC ordering, use, and delivery data were collected from 2 large southern California healthcare providers that collectively served more than 200,000 children. Data collection occurred between January 2005 and June 2008. METHODS: This case study measures the change in the mean VFC delivery times before and after the VMBIP. The data underwent simulation to estimate the number of days per year a provider would have zero VFC inventory before and after the VMBIP. RESULTS: After the VMBIP was implemented, delivery times increased from 1.6 to 12.3 business days (P <.001). The probability that VFC deliveries took longer than 1 week increased from 7% before the VMBIP to 89% afterward. Our simulation demonstrates that for 7 of 11 vaccines investigated there was a statistically significant increase in the number of days a provider would be without VFC (P <.01). CONCLUSION: Although the VMBIP was implemented to save costs, this study finds that during the VMBIP's initial implementation timeline, providers experienced longer delivery delays and a higher probability of a VFC stockout.
Jason T Shafrin; John M Fontanesi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of managed care     Volume:  15     ISSN:  1936-2692     ISO Abbreviation:  Am J Manag Care     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2010-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613960     Medline TA:  Am J Manag Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  751-4     Citation Subset:  H    
Department of Economics, University of California, San Diego, La Jolla, CA 92093-0534, USA.
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MeSH Terms
Centers for Disease Control and Prevention (U.S.)
Efficiency, Organizational*
Organizational Case Studies
United States
Vaccines / supply & distribution*
Reg. No./Substance:

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