Www.barryeatonhealth.org



Local COVID-19 Vaccination Plan for Barry and Eaton Counties, MIleft2408555Creating a System of COVID-19 Vaccination Administration in Barry and Eaton Counties020000Creating a System of COVID-19 Vaccination Administration in Barry and Eaton CountiesBarry-Eaton District Health Department (BEDHD) Publication Date: December 30, 2020Sections:Preparedness PlanningHow we will Organize this WorkPhased Approach to COVID-19 VaccinationCritical PopulationsVaccine Provider Recruitment and EnrollmentVaccine Administration CapacityVaccine Allocation, Ordering, Distribution, and Inventory ManagementVaccine Storage and HandlingVaccine Administration Documentation and ReportingSecond-dose RemindersRequirements for IISs or Other External SystemsCOVID-19 Vaccination Program CommunicationPreparedness PlanningEmergency response and planning for COVID-19 Vaccination Administration, given the sheer scale of the endeavor, must be a shared responsibility across many local partners. BEDHD’s role is to organize planning efforts, coordinate partners, eliminate barriers and bottlenecks, and create a system of vaccination administration across the district. As the public health authority for the two counties, BEDHD’s efforts will be focused on targeting vaccine administration that has the maximum public health impact for our communities.This document will supplement and discuss the local response for COVID-19 Vaccination but is not a substitute for the Michigan plan, or the CDC’s plans. Please refer to these plans for greater detail and discussions of vaccination coordination across the state and nation.BEDHD also has existing detailed plans on Mass Vaccination and Pandemic Influenza, that will be used and modified as needed to flush out response efforts; this document is NOT intended to replicate or replace those plans.How we will Organize this WorkBEDHD’s Internal COVID-19 Vaccination Planning Team consists of an agile workgroup within the health department. Additional staff will be involved as the needs of the planning warrant.Colette Scrimger, MSWHealth OfficerIncident CommanderJennifer Casarez, RNEmergency Preparedness CoordinatorLiaison OfficerAnne Barna, MAPlanning and Health Promotion DirectorPlanning Chief/PIOBrianna Boland, MPHCommunity Health Promotion Specialist IIPlanning StaffJackie Anderson, RNClinic SupervisorImmunizations Coord.Sue Thuma, MSWPersonal Health DirectorOperations ChiefThe Early Planning Workgroup consists of the BEDHD, a local physician, representatives of the 3 hospitals in the district, and Emergency Managers in each county.The Barry-Eaton COVID-19 Vaccination System Planning Team will be a broader group of community leaders, including representatives of the followingBEDHDEmergency Managers for Barry and Eaton CountiesSpectrum Pennock, Sparrow Eaton, and Eaton Rapids Medical CenterEmergency Medical Service Providers PharmaciesPrimary Care ProvidersNon-Profit Organizations that serve the underservedOffices/Commissions on AgingCongregate Living (long term care, AFCs, college)SchoolsLarge Businesses and EmployersReligious LeadersOthers identified by the Early Planning Workgroup as critical for planning or communicationsIn addition, BEDHD will coordinate with the MDHHS Immunization and Emergency Preparedness sections to assure local plans adapt to conditions within the state, as well as regionally with neighboring health departments to minimize confusion and differences in strategies and procedures.Phased Approach to COVID-19 VaccinationThis image comes from the CDC’s COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations – October 29, 2020.Phase One – Potentially Limited Doses Available (December 2020 to Early 2021)Initial allocations of Pfizer/BioNTech vaccine will be to hospitals/healthcare systems that have ultra-cold storage. Allocations to locations without ultra-cold storage (such as BEDHD) will be of the Moderna vaccine. It is likely that hospitals in our district will either receive shipments directly from the State of Michigan or may receive sub-allocations from the larger hospitals in their systems (Spectrum/Sparrow).Barry and Eaton counties will follow the prioritization guidelines published by MDHHS.Additional allocations will be made from the State to BEDHD for distribution to providers who have the capacity to administer vaccine to priority populations as soon as an adequate supply of vaccine is flowing.The CDC is planning to direct-ship vaccine to CVS and Walgreens pharmacy chains that agree to administer vaccine to persons and staff in long-term care facilities. BEDHD will allocate vaccine to non-participating long-term care or similar facilities.BEDHD will coordinate with partners to hold clinics to vaccinate additional priority groups, prioritizing closed PODs when possible to maximize efficiency.It is at this phase when vaccination administration capacity, or vaccines, may be limited. BEDHD will use an ethical decision-making framework to drive decisions on vaccination within priority munication efforts will be focused on explaining the situation to the public, and communicating with healthcare workers and critical populations.See COVID-19 Winter Vaccination Planning Infographic:Phase Two – Large Number of Doses Available, Supply Likely to Meet Demand (Early 2021 to Mid 2021 estimated)BEDHD will continue to allocate vaccine that is not direct-shipped from the State or CDC. An expanded number of providers will be needed to administer vaccinations to critical populations. These may include retail pharmacies, private doctor’s offices, FQHCs, and other temporary or off-site clinics staffed by partners, contractors, or volunteers. Coordination will be needed across regions and within provider munication efforts will be focused on critical populations and the general public. Local partners will need to establish a way to answer questions from the public regarding how to obtain a vaccine. BEDHD will publish and publicize local resources. Nationally, vaccination locations will be listed at Phase Three – Likely Sufficient Supply, Slowing Demand (Mid 2021 to ongoing estimated)All efforts will be expanded to include the general population and incorporate COVID-19 into routine vaccination efforts and practice. Allocation will no longer be through BEDHD; providers will order from MCIR.Critical PopulationsBEDHD will follow the prioritization criteria established by the CDC and MDHHS. According to the CDC, critical populations for vaccinations include:Healthcare personnelOther essential workersLong-term care facility residents (e.g., nursing home and assisted living facility residents)People with underlying medical conditions that are risk factors for severe COVID-19 illnessPeople 75 years of age and olderPeople 65-74 years of agePeople from racial and ethnic minority groupsPeople from tribal communitiesPeople who are incarcerated/detained in correctional facilitiesPeople experiencing homelessness/living in sheltersPeople attending colleges/universitiesPeople living and working in other congregate settingsPeople living in rural communitiesPeople with disabilitiesPeople who are under- or uninsuredThe Barry-Eaton COVID-19 Vaccination System Planning Team will work to identify and implement strategies to ensure access to COVID-19 vaccinations for these critical populations, as well as any additional critical populations identified locally. BEDHD and the Planning Team will establish points of contact and communication systems for providers who are administering vaccine to critical populations.Vaccine Provider Recruitment and EnrollmentMDHHS is coordinating provider enrollment through a state-wide process. BEDHD and the Planning Team will promote and encourage local potential providers to enroll as vaccine providers.The providers who will administer vaccine in Phase 1, including hospitals, local health departments, pharmacies, and long-term-care facilities, have already been contacted and enrolled by MDHHS.TRAINING: Before provisioning vaccine to COVID providers and before MDHHS finalizes a provider to receive the vaccine, the enrollment will be referred to BEDHD. It is expected that each LHD will then reach out to the provider to provide education on the COVID-19 vaccine and validate that they have the capability to appropriately store the COVID-19 vaccine.REDISTRIBUTION: BEDHD will follow the MDHHS rules for redistributing vaccine with providers within the district or across LHD boundaries. EQUITABLE DISTRIBUTION: BEDHD will monitor the distribution of providers across the jurisdiction as well as the saturation of vaccinations. MDHHS will provide a public-facing dashboard for analysis of distribution patterns and areas of concern.Vaccine Administration CapacityEstimating vaccination administration capacity locally will be a challenge; however we anticipate we will use MCIR to monitor the doses administered by provider site, and the percent of the population vaccinated. The local Planning Team will recruit additional providers as needed to address gaps or disparities.Many COVID-19 Vaccination Providers will be needed across the two counties to ensure immunization proceeds as fast as possible.Vaccine Allocation, Ordering, Distribution, and Inventory ManagementThe MDHHS COVID-19 Vaccination Plan provides detailed procedures for various provider types and roles. Hospital allocations and decisions will be determined by MDHHS. BEDHD will be involved in approving allocations, distributions, and relocations as MDHHS rules require. Vaccine Storage and HandlingWhile MDHHS will provide guidance and facilitate necessary training for vaccine providers, BEDHD’s role will be to ensure that local providers have completed training and approve the site to receive vaccine.Sites that will administer vaccine requiring ultra-cold storage may need to provide information or assurance that their capacity and equipment is sufficient. Locally, we will follow MDHHS and CDC guidance on this. BEDHD will likely play a role in reviewing and approving redistribution plans to assure the cold chain is maintained per state and federal guidance.Vaccine Administration Documentation and ReportingMichigan will use the Michigan Care Improvement Registry (MCIR) to record and track COVID-19 vaccinations. For this vaccine, doses must be entered into MCIR within 24 hours, which is faster than current requirements for other vaccines. Providers may need to adjust processes to ensure that data is uploaded appropriately. This means that off-site or remote vaccination locations will either need to have internet connections to utilize the MCIR web application, or use a provider’s EMR that uploads to MCIR. Paper-based tracking will likely be too slow given data-tracking needs. MDHHS and/or BEDHD will provide technical assistance should providers have difficulty meeting the 24-hour requirement.Second-dose RemindersMichigan is planning a variety of methods to ensure that persons receive the second dose at the right time and of the right brand. (See Michigan plan for full details)Postcards Provided to Providers. These will be printed by MDHHS, and not have identifiable PHI. Providers will determine whether they send these to patients.Immunization Record Cards. COVID-19 Vaccination Providers must provide each person with a second-dose card with the name of the vaccine and earliest second dose date.Michigan is planning to use text message reminders automatically generated within the MCIR system. Providers would also be able to see if the reminder was texted.Requirements for IISs or Other External SystemsMichigan’s IIS is the MCIR, and will be used for COVID-19 Vaccination Administration using a new Outbreak module. See Michigan’s plan for greater detail.COVID-19 Vaccination Program CommunicationsBEDHD has convened the Barry-Eaton Joint Information Center (JIC) with local partners to ensure communications are coordinated regarding the COVID-19 response. The JIC includes organizations that are part of the Planning Team. BEDHD, the JIC, and the Planning Team will coordinate communications around COVID-19 Vaccination for Barry and Eaton counties.Local COVID-19 Vaccination Communication Objectives (modified from CDC):Provide clear messaging about who, when, and where people can get COVID-19 vaccine.Educate the public about the development, authorization, distribution, and execution of COVID-19 vaccines and that situations are continually evolving.Ensure public confidence in the approval or authorization process, safety, and efficacy of COVID-19 vaccines.Help the public to understand key differences in FDA emergency use authorization and FDA approval (i.e., licensure).Engage in dialogue with internal and external partners to understand their key considerations and needs related to COVID-19 vaccine program implementation.Ensure active, timely, accessible, and effective public health and safety messaging along with outreach to key partners and the public about COVID-19 vaccines.Provide guidance to COVID-19 vaccination provider locations.Track and monitor public receptiveness to COVID-19 vaccination messaging.The phases of COVID-19 Communication Planning:Before vaccine is availablePhase 1: Vaccine available in limited supply for critical populationsPhase 2: Vaccine becoming more available and in greater supplyPhase 3: Vaccine is widely availableCommunication activities will vary by Phase, but in general include the following:? Communicate early about the safety of vaccines in general and have easily accessible, government information to address myths, questions, and concerns. ? Keep the public, public health partners, and healthcare providers well-informed about COVID-19 vaccine(s) development, recommendations, and public health’s efforts. ? Engage and use a wide range of partners, collaborations, and communication and news media channels to achieve communication goals, understanding that channel preferences and credible sources vary among audiences and people at higher risk for severe illness and critical populations, and channels vary in their capacity to achieve different communication objectives. ? Communicate proactively whenever possible, anticipating issues and forecasting possible problems before they reach broad awareness. ? Ensure that communications meet the requirements of the Americans with Disabilities Act, the Rehabilitation Act, the Patient Protection and Affordable Care Act, the Plain Language Act, and other applicable disability rights laws for accessibility. ? Use information and education campaigns to extend reach and increase visibility of vaccine recommendations and resources. ? Work closely with partner agencies, representatives of local communities with critical populations, and intermediaries to achieve consensus on actions, consistency in messages, and coordinated communication activities. ? Communicate transparently about COVID-19 vaccine risks and recommendations ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download