Learning Objectives for this Presentation:
By the end of the presentation participants will be able to identify ways to ensure accountability of providers enrolled in the Vaccines for Children Program
By the end of the presentation participants will be able to use data to project vaccine needs for individual providers decreasing amount of vaccine waste
By the end of the presentation participants will be able to recognize increased provider accountability and decreased vaccine waste will ensure vaccination of eligible children and decrease risk of fraudulent use of VFC vaccine


Background:
In New Jersey, the birth cohort in 2004 was 118,575 children. According to New Jersey's Vaccines for Children (NJVFC) Providers (reported on Provider Profile) the total number of less than one years olds eligible to receive VFC vaccine in NJ was 411, 944. This discrepancy totals a percent difference of 71%.
Currently, NJ uses numbers obtained from each individual provider profile submitted yearly and entered into VACMAN to determine their yearly maximum allotment of vaccine. These inflated numbers may have contributed to a 34 % increase in vaccine waste over the past.


Objectives:
Decrease vaccine waste
Increase VFC provider accountability
Ensure proper distribution of VFC vaccine


Methods:
The NJVFC Program will randomly select thirty NJVFC providers. Both Medicaid and managed care companies will be contacted to request billing, CPT and capatated data. This data will be compared to provider profile and doses administered/distributed data.


Results:
By comparing the data from the Medicaid/managed care companies to VFC collected data, the findings will show an inflation of VFC provider profile data.

Conclusions:
The data obtained from Medicaid/managed care companies is more accurate than the data obtained from the VFC providers. Using the more accurate data to determine vaccine allotment will decrease vaccine waste and increase provider accountability. Ultimately, this should ensure that all NJVFC eligible children are age appropriately immunized.