The purpose of the PPU (Provider Profile Update) Tool is to present you with an online facility for verifying and updating provider data in your district. This includes provider address/contact information, days/timeframes for receiving vaccine shipments, enrollment estimates, and physicians. The information gathered will be used to update our database with current data and to assist us with planning our annual vaccine purchases. Please verify and update this information prior to 10/26/2012. The completed and signed Provider Profile Update can be sent in the mail to: Georgia Immunization Office at 2 Peachtree Street, NW 13-276, Atlanta, GA 30303-3142. Fax completed update to (800) 372-3627 or send via email to gavfc@dhr.state.ga.us. You should receive an e-mail containing a Passcode for logging into the PPU system. If not, please contact Dorlisa Tillman, Vaccines for Children Coordinator, via email at ditillman@dhr.stage.ga.us. Table of Contents Login... 2 Provider Selection... 3 Provider Profile Section... 4 Receiving Periods for Vaccines Section... 5 Enrollment Estimates Section... 6 Physicians Section... 7 Saving Changes... 8 Save Button... 8 Finished Button... 9 Print Agreement... 10 Provider Profile Update... 11 Provider Agreement... 12 Contact Us... 14 Page 1 of 14
Login Georgia Immunization Program Portal (GIPP) - PPU Tool Please enter the PPU system by following this link: http://phip.ga.gov/ppu.html From the login drop-down, select your district. Enter the Passcode provided to you in the email and click the Login button. A user manual is available below the Login button. Click this link to view and/or print it. Page 2 of 14
Provider Selection Georgia Immunization Program Portal (GIPP) - PPU Tool A list of providers in your district will appear, along with a status showing whether data for a provider has been reviewed and is complete. Each provider listed is a link. Clicking one will present a screen for verifying and updating provider information. When you are ready to enter information for a specific provider, click that provider link. The Verify Provider Information screen will appear. If you need to return to the list, click the Back to Provider List link at the top. Otherwise, you can begin to review and/or update the information in each section. Page 3 of 14
Provider Profile Section Profile information for the selected Provider will be pre-filled with information collected. Please verify the accuracy of this data and make changes where necessary. Fields shown in pink (such as the Provider Name) are required fields that have already been filled-out. Fields in Red are required fields that require input. If the Mailing Address is the same as the Primary Address, then check, "Check if Mailing Address is the same as above". Once checked, you will not be able to enter any values into the Mailing Address fields. If you need to enter a different Mailing Address uncheck this box and it will allow you to make changes accordingly. Likewise, if the Secondary Contact is the same as the Primary Contact, then check, "Check if Secondary Contact is the same as above". Secondary contact fields will be un-editable when the box is checked. Uncheck to modify values. Save changes once data has been verified. You can read about saving changes on page 8. Page 4 of 14
Receiving Periods for Vaccines Section Select one or more days to receive vaccine deliveries for this provider (required). In addition, you must select at least one receiving time-period (required). A single receiving time-period consists of one pair of specified Start and Stop Times. Or If you request that deliveries occur on either Monday or Wednesday between 9 am and 4 pm you would do the following... Alternatively, if any weekday is fine, but no one is available to accept deliveries between 11 am and 1 pm... You would enter a Start Time 1 of your choosing and Stop Time 1 ending at 11 AM. You would enter a Start Time 2 of 1 pm and a Stop Time 2 of your choosing. Save changes once data has been verified. You can read about saving changes on page 8. Page 5 of 14
Enrollment Estimates Section Enrollment estimates for each category have been pre-filled with estimates of the number of patients eligible for VFC and other state supplied vaccines to be seen by the provider during 2010. Please contact this provider to verify any existing estimates or to obtain updated estimates. Update the quantities in the proper categories accordingly. Totals will be calculated upon making a change to a value and either tabbing-off the field or clicking on another area or field. Please enter whole numbers or a zero. Do not enter letters. Entering the word "thirty" causes a validation error to appear. Correct it accordingly. Save changes once data has been verified. You can read about saving changes on page 8. Page 6 of 14
Physicians Section Georgia Immunization Program Portal (GIPP) - PPU Tool Each public health facility should list the name of the overseeing Nurse Practitioner or Physician for the facility being updated. New for 2012 the signature must belong to either a Nurse Practitioner or Physician only. County Clinic Nurse Managers are no longer allowed to sign unless they are licensed as an advanced nurse. Please be sure to delete the existing information and replace based on the instructions above. Click the "Add New Physician" link to add a physician for this provider. Alternatively, if any existing physician records exist you can click the "plus" box on the left to view/edit this record. If this physician is no longer active, click the red X on the right. This will make this physician inactive and not appear in the list. When ready, add or view/edit a physician. In a moment, the Physician Add/Edit area will appear. Fields in red are required. Fields in pink are required, but already have data. Enter or edit data in these fields and click the Save button immediately below the Active drop-down box. Upon clicking Save, if you fail to enter data into a required field an error message will appear specifying the error. Close the error message box, then enter the missing data and click that same "Save" button again. If this physician is not active anymore just set the Active value to N, then click the Save button. You must use the "Save" button immediately below the Active drop-down box in the Physicians Section to save changes. The "Save" button at the bottom of the webpage is for updating other sections. Read about it on page 8. Page 7 of 14
Saving Changes The Verify Provider Information webpage contains two buttons at the bottom. The Save button is used for saving any changes made to the Provider Profile, Receiving Periods for Vaccines or Enrollment Estimates sections only. The Physicians section contains its own Save button. The Finished button is used when you have completely updated and verified all section changes are ready to print out and sign the required documentation for this provider. Save Button Click the Save button when you want to save changes to all but the Physician section. A system message will appear if any validation errors occur or required fields have not been filled. As per the message, Specialty was not specified and No Vaccine Receiving Days or Time Periods were selected. Correct the issues stated and click Save again. Updates are successful when no system message appears. Page 8 of 14
Finished Button Click the Finished button when you have completely updated and verified all section changes, and are ready to print out and sign the required documentation for this provider. A system message will appear if any section has validation errors or required fields that have not been entered. In this case, the Active field on a physician record has not been specified. Choose an Active value from the drop-down and click the Save button in the Physicians section. Click the Finish button again. If no other system messages appear, the Print Agreement page will present itself in a moment. Page 9 of 14
Print Agreement The Print Agreement webpage will appear upon completing the provider's information and clicking the Finished button. You will need to click on the Georgia Immunization Office 2011 Public Health Policies (.pdf) (first link shown). Please read this document in its entirety. If you have any questions regarding its contents, please contact us. You will not be able to view the other two documents until you check the box indicating that you understand and accept the terms of agreement policy. Checking the box stating that you agree to the terms of the policy will allow you to view the other documents. Page 10 of 14
Provider Profile Update Georgia Immunization Program Portal (GIPP) - PPU Tool Clicking on the Provider Profile Update link will open a window containing the enrollment estimates for this provider. Please print this document, and obtain an authorizer's name, title, signature and date for these estimates. Fax or mail the document to the Mailing Address shown on the form. Page 11 of 14
Provider Agreement Clicking on the Provider Agreement link will open a window containing the agreement conditions. Page 12 of 14
Please print this agreement, and obtain necessary signature(s) for those who will abide by the conditions of this policy. Mail or fax this agreement to the Mailing Address or Fax Number listed on the following page. Page 13 of 14
Contact Us In the event that you have questions or need help or technical support with any portion of this tool, please contact us. Reference GIPP PPU tool in the subject line for e-mails, mailings, or faxes, and provide screenshots if it would be helpful. Email: ditillman@dhr.state.ga.us Telephone: (800) 848-3868 (404) 657-5013 Mailing Address: GA Immunization Office 2 Peachtree St. NW Suite 13-276 Atlanta, GA 30303-3109 Fax: (800) 372-3627 (404) 657-5736 Page 14 of 14