A tool for gap analysis. This detailed report includes 40 pages of narrative addressing all aspects of antiviral and vaccine distribution management that occurred during the 2009 H1N1 pandemic. Section 7.3 (Improvement Plan) provides a matrix of corrective actions regarding medical supplies management and distribution and mass prophylaxis that can function as a gap analysis for agencies evaluating their plans. Data collection comprised input from a wide range of stakeholders, interviews with subject matter experts, regional partner focus groups, and an online survey. This tool was identified through NACCHO's Resource Portfolio Project on the CDC Public Health Preparedness Capabilities. Through this project, NACCHO worked with the Center for Infectious Disease Research and Policy (CIDRAP) to identify, research, and validate tools, practices, and products that can assist LHDs to address challenges in meeting select PHEP capabilities.