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At-A-Glance

IQIP is CDC’s national, Vaccines for Children (VFC) provider-level immunization quality improvement (QI) program.

IQIP promotes and supports implementation of provider-level strategies designed to help increase on-time vaccination of children and adolescents.

IQIP Strategies

• Schedule the next vaccination visit before the patient leaves the provider location
• Leverage immunization information system (IIS) functionality to improve immunization practice
• Give a strong vaccine recommendation (include HPV vaccine if provider has adolescent patients)
• Strengthen vaccination communications

The IQIP Process

IQIP is a 12-month process where public health representatives and VFC providers collaborate to identify QI strategies to increase vaccine uptake by improving and enhancing vaccination workflow.

2-Month and 6-Month Check-Ins

12-Month Follow-Up

• Provider’s vaccination workflow is observed, and initial coverage is reviewed
• QI strategies are selected
• Technical assistance is provided by the IQIP consultant
• Action items are chosen for strategy implementation plan
• Progress toward strategy implementation is reviewed
• Strategy implementation plan is reviewed and updated
• Progress toward strategy implementation is reviewed and updated
• Year-over-year coverage change is reviewed
• Epidemiology and Prevention of Vaccine-Preventable Diseases
• Immunization Schedules
• Vaccines & Immunizations
• Preteens and Teens Still Need Vaccines
• HIPAA and Access to Patient Records during IQIP & VFC Visits

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VFC Resource Guide

This website highlights Michigan's VFC Program as well as additional Michigan public vaccine programs such as the Universal Hepatitis B Vaccine Program, the Michigan Adult Vaccine Program (MI-AVP), and the High-Risk Hepatitis A&B Vaccine Program.

Featured below is the new Michigan VFC Provider Manual. All VFC and/or additional public vaccine providers must save or "bookmark" this website and the website page directly to the VFC Provider Manual. There are also several templates and tip sheets below to support in successfully completing various VFC tasks. If you have questions, please contact your local health department: www.Michigan.gov/LHDmap .

Your active participation in the VFC Program is vital to increasing immunization rates and ensuring all children are protected against vaccine-preventable diseases. Thank you for your commitment to a healthier Michigan!

Visit our website  dedicated to resources for vaccinating during the COVID-19 pandemic.

VFC Program Overview

MI VFC Provider Manual - 4/17/24   This interactive manual includes guidance for all public vaccine providers. Upon entering this web page to access the manual, ensure you save/bookmark it!  Always access the manual through the website link rather than saving the PDF to ensure you always access the most current version!

• Spanish MI-AVP: MI Programa de Reemplazo de Vacunas  - 10/24/19
• Frequently Asked Questions - 02/21/2024
• Local Health Department Responsibilities - 02/22/2024
• VFC Primary & Backup Responsibilities - 02/22/2024
• Vaccine Resources for Eligible Populations - 7/18/22

Required to Post

• Vaccine Management & Emergency Response Plan-  03/14/2024
• Vaccine Preparation & Administration Table - 1/21/20
• Vaccine Storage & Handling Table - 08/11/2023
• "Do Not Unplug" Signs: Outlet & Circuit Breaker - 02/23/2024
• Vaccine Borrowing Log - Updated 1/05/2024

VFC Enrollments & Site Visits

• VFC Annual Training - 03/06/2024
• Updating VFC Information after Online Enrollment Submission - 03/06/2024
• VFC Enrollment & Re-enrollment Instructions - 01/11/23
• Provider Agreement - Sample Only- 11/01/23
• MCIR Provider Profile - 02/29/2024
• Enrollment Preparation Checklist - 8/24/20
• Site Visit Preparation Checklist - 5/19/23
• Guide to Inactivating a VFC Provider  - 02/29/2024 

Vaccine Storage

• MDHHS Guidance on Vaccine Transport - 2/13/20
• Packing Vaccine for Emergency Transport
• MDHHS Guidance for Responding to Temperature Excursions - 2/13/20
• Emergency Response Worksheet - 2/14/20

Temperature Logs

• Transport Temperature Log 12/19/19
• Landscape Fahrenheit Refrigerator Days 1-15 AND 16-31
• Landscape Fahrenheit Freezer Days 1-15 AND 16-31
• Landscape Celsius Refrigerator Days 1-15 AND 16-31
• Landscape Celsius Freezer Days 1-15 AND 16-31
• Combined Celsius Refrigerator and Freezer
• Combined Fahrenheit Refrigerator and Freezer
• New Full Month Fahrenheit Refrigerator
• New Full Month Fahrenheit Freezer
• New Full Month Celsius Refrigerator
• New Full Month Celsius Freezer

Vaccine Administration

• Vaccine Preparation and Administration Table - 1/21/20
• VFC Eligibility Screening Form - 2/15/19
• Michigan Vaccine Information Statements (VIS)
• Current VIS List - 7/24/23
• CDC Immunization Schedules
• Refusal to Consent to Vaccination Form - 12/21/2022

Vaccine Ordering

• Prebooking VFC Influenza Vaccine - 12/26/17
• VFC Provider Guide to E-Ordering - 9/3/19
• How to Review and Revise Shipping Information in MCIR for Vaccine Orders - 9/1/21
• LHD Guide to E-Ordering - 12/27/17
• Vaccine Resources for Eligible Populations -7/18/22
• Helping Adult Clients Pay for Vaccines - 6/7/22
• Guide to Approving VFC Provider Vaccine Orders Checklist  - 11/7/17
• Physical, Ending Inventory and Transaction History Reports
• Doses Administered Report in MCIR  - 4/3/18
• Reviewing Supporting Documentation  - 10/16/17
• Processing Provider Vaccine Orders

Vaccine Losses & Accountability

• Vaccine Losses - Return & Wastage Log - 8/23/19
• Vaccine Lot Expiration Report  - 1/10/18
• Online Return & Waste Reporting  - 12/26/17
• Correct VIM Vaccine Lot Transactions for Returns and Wastage Reports - 02/23/2024
• How to Return Non-Viable VFC Vaccine to McKesson  - 6/26/18
• LHD Responsibility for Returns and Wastage Reporting
• Fraud and Abuse Corrective Action Procedure

Vaccine Resources & Web Links

• After the Shots - 11/29/22
• Free Immunization Education Programs
• Disposing of Unused or Expired Vaccine in Michigan - 2/13/18
• Vaccine Quick Looks (michigan.gov) Includes Immunization Quick Looks for specific vaccine information and Education Resources including vaccine storage and handling, vaccine administration, vaccine guidelines for selected vaccines, and vaccine serology guidance.  

Become a Public Vaccine Provider! Recruitment Flyers

• Detailed flyer - Become a VFC Provider!
• Simple flyer - Become a VFC Provider!
• Birthing Hospitals - Become a Universal Hepatitis B Vaccine Provider!
• Tribal Health Providers - VFC & AVP

VFC Information for the Public

Vfc info for parents - worried about the cost of shots.

• PDF/Poster File -  Download here
• PNG/Image File -  Download here  

VFC Info for Parents - Your child may be eligible for free vaccines

• PNG/Image File -  Download here

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NYC Vaccines For Children Provider Requirements: Provider Site Visits

Site visits are conducted to ensure that Vaccines For Children (VFC) and other publicly funded vaccines are stored, handled, distributed and administered in accordance with the laws, policies and recommendations of: the VFC Program, the Advisory Committee on Immunization Practices (ACIP) and the Childhood and Adolescent Immunization Schedules, as published by the Centers for Disease Control and Prevention (CDC).

In NYC, the Provider Quality Assurance (PQA) Unit program reviewers are responsible for conducting provider site visits. The PQA unit chief may accompany program reviewers on visits to ensure optimal services.

All providers are visited once every two years at minimum. Additional visits may be scheduled if needed (e.g., practice moving to another location, large order histories or unusual ordering patterns, prior reports of vaccine fraud or abuse, suspected misuse of VFC vaccines, large amount of vaccine loss due to improper storage and handling, and previous unacceptable storage and handling practices).

Your practice’s main physician and vaccine coordinator must be available during site visits. All other staff members involved in the storage, handling, accountability and administration of publicly funded vaccine should also be present for feedback.

There are four types of provider site visits conducted by the NYC VFC program:

VFC New Enrollment site visit

The New Enrollment site visit is conducted as soon as the provider enrolls in the VFC program. This visit must be conducted within two weeks of enrollment and it must be conducted prior to processing the first VFC vaccine order. This visit is to ensure that providers enrolled in the VFC program are meeting the requirements of vaccine storage and handling and to educate providers on VFC requirements so that vaccines are stored, distributed, handled, accounted and administered only to VFC-eligible children in accordance with the laws, polices and recommendations of: the VFC Program, the Advisory Committee on Immunization Practices and the Childhood and Adolescent Immunization Schedules, as published by the CDC. During this visit, PQA program reviewers complete the VFC New Enrollment Site Visit Questionnaire and Checklist.

VFC Compliance site visit

Unannounced storage and handling site visit.

The Unannounced Storage and Handling site visit is conducted as needed. This visit is to follow up on whether providers are meeting requirements that may have been recommended during a previous site visit in terms of storage, handling and accountability. Providers are not alerted about this visit before it is conducted. Unannounced site visits are also considered when a provider fails to adhere to recommended vaccine storage and handling practices (e.g. storing food and drinks in the refrigerator, not rotating vaccine stock or finding expired vaccine in the refrigerator) or when a provider fails to maintain a proper amount of privately purchased vaccine in their refrigerator.

Immunization Quality Improvement for Providers site visit

As part of participation in the VFC program, enrolled provider sites are required to participate in the Immunization Quality Improvement for Providers (IQIP) program if selected. IQIP is CDC’s national VFC provider-level immunization quality improvement (QI) program. The goal of IQIP is to work together to identify opportunities to improve vaccine uptake so that more children and adolescents are vaccinated on time and protected against vaccine-preventable diseases.

IQIP is delivered over 12 months and consists of an initial site visit, 2-month check-in, 6-month check-in and 12-month follow-up. During the initial site visit, which can be conducted virtually or in-person, Program Reviewers from the PQA unit will discuss site-specific childhood and/or adolescent coverage rates, as well as the site’s current immunization delivery practices and strategies for improving these practices. Technical assistance, including Citywide Immunization Registry (CIR) trainings, will also be provided throughout the year-long IQIP cycle. It is strongly encouraged that staff who play a role in immunization processes are available to participate, including a clinician with decision-making authority who is knowledgeable about the facility’s immunization practices. IQIP site visits typically average one hour and check-ins/follow-ups, which are conducted via phone or webinar, average 15-30 minutes. IQIP and VFC Compliance visits will be administered in alternating years. For more information about the IQIP program, please visit CDC: Immunization Quality Improvement for Providers .

More Information

• Enrollment & Re-Certification
• Vaccine Management
• Administering Vaccines
• Vaccine Storage & Handling
• Vaccine Fraud and Abuse