AccuVax

• After storing the vaccines, is the best way to check on vaccine totals in the AccuVax kiosk?

  Although this will certainly give you the data you need, best practice stipulates that practice staff print the updated On-hand Inventory Report from the AccuSite portal.

• CAUTION

  CAUTION: While the door does not present a danger to AccuVax users, users are advised to stay clear of the door while the system opens and closes. Interrupting the opening and closing of the door may cause the system to keep its door open.

AccuVax is a vaccine storage and inventory management system. The system is comprised of an enclosed storage-freezer system and AccuSite—information management portal. The enclosed robotically automated inventory management system rotates and presents vaccines that will expire soonest first. Through AccuSite, private practices can customize automatic alerts related to inventory and temperature thresholds. The system streamlines VFC compliance reporting; its data and other digital systems are HIPAA-compliant (New Jersey Chapter, American Academy of Pediatrics, n.d.). AccuVax’s growing installation base indicates that increasing VFC and vaccine manufacturer compliance requirements is a growing concern among private medical practices.

AccuVax Systems

AccuVax	Primary Storage and Inventory Management System
AccuVax Reserves	Any Additional AccuVax Unit is managed as an AccuVax Reserves System
AccuShelf	Medical Inventory Management System; manage medications inventory; medical supplies;
AccuSite	Admin Panel used to manage and operate AccuVax, AccuShelf, and AccuVax Reserves: https://my.accusite.com/

The Vaccine Inventory Cycle

1. Delivery: Incoming vaccines are delivered

2. Storage: Vaccines are stored

3. Administration: Vaccines are administered

Vaccine Delivery

Upon delivery, the vaccines are deposited into the system. A depositing tray can accommodate up to 10 vials, pre-filled syringes at a time.

Vaccine Integrity

During onboarding and training, team members at the medical practice, receiving vaccine deliveries is presented first.[1] Training vaccine management this way emphasizes the fact that the practice prioritizes the preservation of the vaccine inventory’s integrity. Up until the preparation of the vaccine for administration, security the vaccine inventory is the practice’s highest priority.

The VFC distributes vaccines at a purchase cost of $4 billion each year. 35 percent of vaccines distributed are wasted due to improper storage while in transit.[2] When vaccines are stored at the wrong temperatures, re-vaccination for those that received the improperly stored vaccine erodes patient confidence, as private practices are put into the embarrassing situation of having to recall patients.

VFC Requirements

Each State in the United States administers its allotted VFC resources independently. In the state of California, the California Department of Public Health’s Immunization Branch provides to the State’s VFC providers training material and onboarding material, important news, and updates, as well as other critical communications via the Immunization Branch’s information portal and service, EZIZ. In the State of Oregon, the Oregon Health Authority administers its VFC resources via the Oregon Immunization Program. California’s VFC Program requires practices to list the specific team member responsible for “handling shipping issues.” Bear in mind that shipping issues may include:

1. Lost shipments

2. Delayed shipments

3. Deliveries that arrive in substandard storage

4. Shipments and deliveries missing vaccines

5. Shipments and deliveries that include too many vaccines

Vaccine Delivery and Documentation

Upon delivery of the ordered vaccine inventory, important hardcopy documentation that lists tracking and vaccine identification data must be filed and stored at the office.

AccuVax: Loading and Storing

After securing and organizing the paper documentation that accompanied the vaccine inventory delivery and shipment, —which lists tracking and vaccine identification data— the vaccine doses must be loaded into the AccuVax system following the procedures listed in the AccuVax user manual.

AccuVax loading features:

• 10 vials or prefilled syringes at a time may be loaded

• A limited number of non-vaccine types may be loaded

• Barcode recognition of all vaccine/non-vaccine boxes, vials, prefilled syringes

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[1] Before ordering, even though vaccine inventory will not be shipped without ordering.

[2] https://www.nist.gov/industry-impacts/reliable-vaccine-storage