CRA Overview

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CRA Overview

• Laura Ann Nicolai, MPH
• Division Epidemiologist
• Division of Immunization, VDH
• laura.nicolai_at_vdh.virginia.gov

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Background

• In the event of an influenza pandemic, timely and
  complete reporting of pandemic influenza vaccine
  doses administered will allow the Federal
  Government and States to closely monitor the use
  of scarce vaccine resources.
• To accomplish this, states will track vaccine
  doses administered and collect minimum data
  elements for weekly transmission to CDC
• Virginia will utilize CDCs Countermeasure
  Response Administration (CRA) system to meet this
  requirement

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About CRA

• Web-based application that tracks patients and
  the countermeasures they receive during a public
  health event
• Allows states to
• Create and manage multiple events simultaneously
• Track single and multiple dose dispensing
  countermeasures
• Streamline date entry capabilities by collecting
  patient and/or aggregate treatment information
• Provides data extracts for state reporting
• Allows for off-line deployment at points of
  dispensing

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Testing CRA Using Seasonal Influenza Vaccine Data
as a Proxy

• Objective is to test the infrastructure for
  reporting aggregate counts using seasonal
  influenza data
• Regular reporting of influenza doses only
  required during pandemic
• Reporting of seasonal influenza vaccine is for
  testing purposes only
• Goal is to conduct exercise with minimally
  invasive impact to normal operations

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Testing of CRA Reporting In VA

• Voluntary participation from Districts
• Free influenza vaccine provided to participating
  Districts
• Districts must then record all doses administered
  data in CRA
• Participation throughout Commonwealth with 18
  Districts requesting 10,000 doses

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Use of CRA for Reporting

• Healthcare provider collects patient level
  information locally using CRA
• CRA automatically calculates counts from patient
  level data entered
• CRA can collect detailed individuals level
  information is addition to core data elements
  additional elements are for VDH use only

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Technical Considerations

• Staff entering data on-line must have internet
  access
• Staff accessing CRA must have a digital
  certificate loaded onto the computer they will
  use during vaccination clinic

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Required Data

• Age
• Project Area ID
• Date of Clinic

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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

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Expected Benefits

• Illustrate technical gaps and needs
• Identify operational barriers
• Understand training needs of staff
• Identify equipment needs and capabilities
• Gain a preliminary understanding of impact to
  clinic operations

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Challenges

• Availability and distribution of seasonal vaccine
• Data entry staffing, training, and equipment needs

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Questions?