Novel Influenza A (H1N1) Response

Doses Administered Exercise (DAX)

In the event of an influenza pandemic, timely and complete reporting of Pandemic Influenza vaccine doses administered will allow the federal government and Project Areas to closely monitor the use of the vaccine while it is in scarce supply. Following the successful pilot test conducted during November – December of 2007, CDC and PHEP Grantees (also referred to as Project Areas) are planning for a more extensive exercise during the 2008 influenza season.

CDC and Project Areas are planning to further test aggregate reporting capabilities using seasonal influenza clinics as proxies for pandemic influenza vaccine administration sites.  The exercise will increase the number of clinics, the frequency, and the volume of data reported.  In addition, new HHS priority groups will replace age group in the aggregate reporting data set. The exercise will evaluate technical systems for monitoring pandemic influenza vaccine doses administered.

The purpose of this exercise is to:

Test and extend CDC’s and Project Areas’ ability to collect, report, aggregate, and analyze a larger amount of doses administered data using additional clinics and consecutive week reporting for a four week period.

• Operationalize new HHS priority groups for the General Population category and its five tiers to test pandemic prioritization
• Accomplish timely data exchange between key parties
• Identify and address federal, Project Area and clinic practices and needs to scale-up for a pandemic

How the 2008 exercise is different from 2007 pilot:

• Number of clinics and volume of data increases
• Frequency of reporting increases
• Priority group replaces the age group
• CRA’s enhanced technical capability
• Period of exercise for each project area is four consecutive weeks between October 1 and December 31

All project areas are requested to participate in the exercise. Requirements for the exercise include:

Data expected by CDC from the Project Areas

• Priority Group - Tiers 1-5 (as defined in pandemic General Population category)
• Project Area ID

Number of Clinics and Frequency
Vaccine doses administered data from eight or more clinics over four consecutive weeks, averaging at least two clinics per week.

Number of Reports
Doses administered data collectively aggregated from each week’s clinics and submitted to CDC by end of day Tuesday of the following week.

Time Frame
Clinic sessions should occur between October 1 and December 31, 2008.

Supporting Information

General Exercise Information

    2008 Exercise Summary

    Q&A for DAX 2008

    PHEP Biosurveillance Credit Summary

    Guidance on Allocating and Targeting Pandemic Influenza Vaccine (link to HHS)

DAX 2008 Preparation Resources

    Option 1 Exercise Preparation Guide

    Option 2 Exercise Preparation Guide

    Option 3 Exercise Preparation Guide
    Data Exchange Specification Document

    Eight Clinic Request Form

Version 1.8 Training Materials

    CRA Version 1.8 User Guide

    Training-Version 1.8-Entering Aggregate Counts Option 2

    Training-Version 1.8-Configuring CRA Reference Sheet for Option 3 PHA Users

    Training-Version 1.8-Configuring CRA Reference Sheet for Option 2 PHA Users

    Training-Version 1.8-Data Collection Reference Sheet for Option 3 DES Users

Sample Priority Group Screening Forms

The forms in this section are examples of screening tools CDC and other Project Areas have developed to screen for the Priority Tier Groups for DAX 2008. This information is shared to assist others in developing screening tools and processes.

    Influenza Vaccination Screening Form - CDC

    CRA Tier Group Worksheet – California

    CRA Aggregate Screening Form – California

    CRA Patient Level Form - California

    Seasonal Influenza Vaccination Screening Exercise - Wyoming

2008 Vaccine Doses Administered Exercise

Webinar of Doses Administered Exercise (DAX) Results, February 11, 2009
02/11/2009 Webinar Presentation

09/17/2008 Webinar Presentation

Recording of Webinar of Vaccine Doses Administered Exercise (DAX) Training, September 17, 2008

09/17/2008 Webinar Recording

Webinar: Refresher and Overview of Vaccine Doses Administered Exercise (DAX 2008),  September 10, 2008

09/10/08 Webinar Presentation

Recording of Webinar: Refresher and Overview of Vaccine Doses Administered Exercise (DAX 2008),  September 10, 2008

09/10/08 Webinar Recording

07/23/2008 Conference Call Recording

Conference Call: Biosurveillance Exercise Requirements and Action Items for Option 1 Users, July 9, 2008

07/09/2008 Conference Call Recording

Webinar: Detail Discussion of Option 2 and 3, June 24, 2008
06/24/2008 Webinar Presentation
Recording of Webinar:  Detail Discussion of Option 2 and 3, June 24, 2008
06/24/2008 Webinar Recording

February 2008 edition

Pilot Test for Aggregate Reporting of Seasonal Influenza Vaccine Doses Administered

In the event of an influenza pandemic, timely and complete reporting of Pandemic Influenza vaccine doses administered will allow the federal government and public health emergency preparedness grantees (referred to as states/Project Areas) to closely monitor the use of the vaccine while it is in scarce supply.

CDC and the states/Project Areas are planning to pilot test aggregate reporting using a small number of seasonal influenza clinics as proxies for pandemic influenza vaccine administration sites. The pilot test will evaluate technical systems for monitoring pandemic influenza vaccine doses administered.

This pilot test will take place between November 1 and December 31, 2007 and will involve submission of a minimal number of data elements to the CDC.

The purpose of the pilot test is two-fold:

From an operational perspective, the purpose of the pilot test is:

• To assess ability to collect and report vaccine doses administered data
• To provide perspective on federal, states/project area, and clinic needs in order to scale-up for a pandemic situation
• To exercise initial vaccine tracking plans
• To accomplish timely reporting between key parties

From a technical perspective, the purpose of the pilot test is:

• To assess the technical ability of systems to receive, aggregate, and return data
• To identify and address system gaps
• To test tool options and security aspects for federal and state partners

All states/Project Areas are expected to participate in the pilot.  Requirements for the pilot test include:

Data expected by CDC from the States/Project Area

• Age
• Project Area ID
• Date of Clinic(s)

Number of Reports

• Aggregate count data of two distinct dates from one or two clinics during the pilot period

Time Frame

• Clinic sessions should occur between November 1 and December 31, 2007.
• Data from each clinic should be compiled and transmitted within 48 hours of the clinic session.

Pilot Test Resources

CDC has prepared a number of documents to assist States/Project Areas in planning for and participating in the Aggregate Reporting Pilot Test. These documents are easily accessed by clicking the links below.

• Pilot Test Q&A’s
  The Pilot Test Q&A document is a compilation of questions about the pilot test that have been asked by partners during conference calls, webinars, via telephone or email.
• Pilot Test Preparation Checklist for States/ Project Areas
  The Pilot Test Preparation Checklist for States/Project Areas is a step-by-step tool to assist states/Project Areas in preparing for the pilot test. Each step is an integral part of successfully participating in the pilot. CRA team members will be available to review this checklist with states/Project Areas as they prepare for the pilot.
• Aggregate Reporting Data Exchange
  The Aggregate Reporting Data Exchange document provides information needed by states/Project Area technical staff to build data files for electronically submitting aggregate reports to the CRA system for those jurisdictions choosing Option 1. The document contains detailed specifications for the format, composition, data definition, and vocabulary of the aggregate reporting data files.
• How To Access CRA
  The How to Access CRA document provides a step-by-step process for accessing the CRA application, including how to obtain an SDN digital certificate or to create CRA extracts.
• PHINMS Quicksteps
  This is a link to the CDC PHIN Messaging System webpage that gives step-by-step instructions for the necessary procedures to install PHINMS. These numbered steps are listed in the order states/Project Areas need to install, run and test your PHINMS software.

*CRA Aggregate Reporting training materials, as well as a more detailed listing of states/Project Areas’ option choices with contact information are available at CRA Exchange, a collaborative site for project area points of contacts and stakeholders. If you do not already have access to CRA Exchange, we strongly suggest you do so by sending an email to CRAHelp@cdc.gov requesting access. This is a great tool for providing needed feedback to the CDC CRA team as well as sharing experiences/insights with other states/Project Areas.

Webinar on the Status of the Pilot Test, August 8, 2007
8/8/2007 Webinar Presentation

Webinar on Planning for the Pilot Test, June 27 2007
06/27/2007 Webinar Presentation
Recording of Webinar on Planning for the Pilot Test, June 27 2007
06/27/2007 Webinar Recording

Webinar on Option 2 & 3 of aggregate reporting, June 13, 2007
6/13/2007 Webinar Presentation
Recording of Webinar on Option 2 & 3 of aggregate reporting, June 13, 2007
06/13/2007 Webinar Recording

Webinar on Option 1 of aggregate reporting, June 6, 2007
6/6/2007 Webinar Presentation
Recording of Webinar on Option 1 of aggregate reporting, June 6, 2007
06/06/2007 Webinar Recording

Webinar on Aggregate Reporting, May 9, 2007
5/9/2007 Webinar Presentation
Q & A during the Webinar on May 9, 2007 and Conference call on May 30, 2007
5/9/2007 and 5/30/2007 Q & A