COVID-19 VACCINATION IN MANITOBA TECHNICAL BRIEFING - February 24, 2021
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VACCINE DELIVERY MODEL UPDATES Winnipeg Brandon Thompson SUPERSITES In larger centres, supersites 1,653 623 350 allow for rapid and large-scale DOSES ADMINISTERED DOSES ADMINISTERED DOSES ADMINISTERED IN LAST WEEK vaccination for increased IN LAST WEEK IN LAST WEEK speed and efficiency. 32,697 3,844 350 TOTAL DOSES TOTAL DOSES TOTAL DOSES ADMINISTERED ADMINISTERED ADMINISTERED 743 153 116 AVG. DAILY DOSES AVG. DAILY DOSES AVG. DAILY DOSES 55 27 14 3 EST. DAILY STAFF (FTE) EST. DAILY STAFF (FTE) EST. DAILY STAFF (FTE)
VACCINE DELIVERY MODEL UPDATES FOCUSED • FITs will visit 44 PCHs this week and administer about 1,800 second- doses to residents IMMUNIZATION • Second doses will be complete at PCHs by the end of this week, TEAMS (FITs) protecting some of Manitoba's most vulnerable people FITs visit facilities to deliver vaccines where people live. • FITs began visiting congregate living settings in Winnipeg and Brandon on Feb. 19. • All regional health authorities scheduled high priority congregate living sites starting this week. 4
WORKFORCE RECRUITMENT DAILY OPERATIONAL SCHEDULE Overall, staffing is down due to lack of vaccine RBC CONVENTION CENTRE KEYSTONE CENTRE FIT TEAM - Winnipeg 1060 Doses 214 Doses 444 Doses 71 28 10 TOTAL STAFF (FTE) TOTAL STAFF (FTE) TOTAL STAFF (FTE) 31 Immunizers (FTE) 10 Immunizers (FTE) 10 Immunizers (FTE) CURRENT WORKFORCE 2,059 19 • • 1,540 immunizers 16 clinic managers STAFF • 25 clinical leads As of Feb 23, 2021 this week • 376 navigators • 102 observers 5
COVID-19 DOSE DELIVERY SCHEDULE Doses Received & Projected 25.0K 20.0K 15.0K 10.0K 5.0K 0.0K 14-Dec-20 21-Dec-20 28-Dec-20 04-Jan-21 11-Jan-21 18-Jan-21 25-Jan-21 01-Feb-21 08-Feb-21 15-Feb-21 22-Feb-21 01-Mar-21 08-Mar-21 15-Mar-21 22-Mar-21 29-Mar-21 05-Apr-21 12-Apr-21 19-Apr-21 26-Apr-21 Moderna Doses 0.0K 7.3K 0.0K 0.0K 7.4K 0.0K 0.0K 8.1K 0.0K 0.0K 6.1K 0.0K 0.0K 0.0K 0.0K 0.0K 0.0K 0.0K 0.0K 0.0K Pfizer Doses 2.3K 11.7K 1.2K 7.0K 9.4K 9.4K 0.0K 2.3K 3.5K 15.2K 17.6K 16.4K 16.4K 14.0K 14.0K 14.0K 0.0K 0.0K 0.0K 0.0K Total 2.3K 19.0K 1.2K 7.0K 16.8K 9.4K 0.0K 10.4K 3.5K 15.2K 23.7K 16.4K 16.4K 14.0K 14.0K 14.0K 0.0K 0.0K 0.0K 0.0K
SUPERSITE Closing Stock Balance - Supersites INVENTORY 12,000 16,000 14,000 MANAGEMENT 10,000 12,000 8,000 10,000 Projected for the next 30 days 6,000 8,000 6,000 4,000 4,000 2,000 2,000 0 - 2021-02-21 2021-02-22 2021-02-23 2021-02-24 2021-02-25 2021-02-26 2021-02-27 2021-02-28 2021-03-01 2021-03-02 2021-03-03 2021-03-04 2021-03-05 2021-03-06 2021-03-07 2021-03-08 2021-03-09 2021-03-10 2021-03-11 2021-03-12 2021-03-13 2021-03-14 2021-03-15 2021-03-16 2021-03-17 2021-03-18 2021-03-19 2021-03-20 2021-03-21 RBC Supersite Keystone Supersite Thompson Supersite Total Projections as of February 23. Each rise in doses represents a scheduled delivery. 7
DOSE ADMINISTRATION PROJECTION • Based on current Daily Doses Administered - Projection Does not include doses allocated to First Nations supply projections, 3,000 100,000 we estimate an 2,500 80,000 average of 1,684 2,000 injections per day in 60,000 1,500 March, subject to 40,000 1,000 current vaccine 20,000 supply forecasts. 500 - - Supersites FIT (Pfizer for WRHA, Moderna for other RHAs) Total Cumulative Projected as of February 23 8
LOW-RANGE SCENARIO Based on currently-approved Pfizer and Moderna vaccines 13
HIGH-RANGE SCENARIO Based on Pfizer, Moderna and other vaccines that have not yet been approved 10
DELIVERING 1.5 MILLION DOSES Ramping up for the 2nd quarter
SECOND Daily • Manitoba now reports Site / Approach Maximum QUARTER Capacity Daily Maximum Capacity Supersites EXPANSION • This shows how many doses (RBC, Backup Site, Keystone, Thompson, Vaxport) 6,499 Building from Manitoba's could be delivered on any small, deliberate and safe given day in Manitoba if we Distributed Model 4,260 starting point to deliver the had adequate supply. largest immunization Focused 500 campaign in provincial Immunization Teams • This will be updated as history new facilities and staff are Pop-up Clinics 500 added to increase capacity. Current Daily Maximum Capacity 11,759 TARGET CAPACITY Q2 20,000 12
SUPERSITES Expanding Capacity Throughout Manitoba Selection Criteria: • Population density • Winnipeg supersite at RBC • Details of Morden-Winkler site to • Geographical location Convention Centre will be be released soon expanding capacity to more than • Mid March • Other key considerations 6,000 appointments per day by such as space, accessibility, mid-March telecommunications • New supersite in Selkirk will be • Safety and wellness of staff located at the former Selkirk & and clients centred in all District General Hospital, 100 decisions Easton Drive • Early March 13
SUPERSITE Improvements to Service, Future Planning APPOINTMENT BOOKING Centralized Call Centre • Average booking time: 12 minutes • 2,000 lines now available • Average wait time: less than 1 • Over 370 trained agents minute • Tools and processes continuously improved to support daily eligibility Online Booking expansions • Self-serve tool in pilot phase • 19,400 calls handled since Feb. • Will complement, not replace, the 8, when more 1st dose call centre appointments became available 14
SUPERSITE Call Centre Booking Process APPOINTMENT BOOKING • What to expect when calling: • 1st and 2nd dose • automated voice recording for appointments booked at same initial eligibility screening time • agent-led eligibility • 2nd dose interval questionnaire, including set to manufacturer declaration recommendation, exceptions • collecting client information, possible with an including contact details escalation process • Call-back option available instead of waiting on the phone 15
SUPERSITE Call Centre Booking Process APPOINTMENT BOOKING • Before arriving on site: • Call centre also supports rescheduling and • Text messages sent 48 cancellations hours and 3 hours before appointment • Clients are reminded to have consent forms filled out and ready to submit on site 16
SUPERSITE Agent Supports APPOINTMENT BOOKING • Two days of formal training • Pre-screening through automated • Ongoing coaching and team recording, eligibility questionnaire lead support and agent scripts updated to align • Tools include: with daily eligibility expansion • pre-screening with automated voice recording; • eligibility validation questionnaire; • agent talking scripts, appointment booking system; and • standardized processes 17
SUPERSITE Online Booking Process APPOINTMENT BOOKING • Will require an email address and • 2nd appointment is Another option Personal Health Identity Number. automatically determined • Manitobans without these can • confirmation email with available soon still book through the call appointment details centre • Consent form must be completed & • What to expect when booking brought to appointment online: • virtual waiting area if volumes are high • client account creation, including email address validation • eligibility questionnaire • selection of appointment date 18 and time
MOVING TO THE Supersites to Open to Oldest Manitobans GENERAL POPULATION • Later today, Dr. Joss Reimer and • Age-based criteria will continue to Dr. Marcia Anderson will be going be regularly expanded. into more detail about opening up immunizations to the general public • Manitoba is following the science & evidence about our experience: The oldest people are at greatest risk of the most serious outcomes. 19
MOVING TO THE Supporting Older Manitobans to be Immunized GENERAL POPULATION • Family members or caregivers can • Whenever possible, pre-print, make appointments on behalf of review and bring the consent form someone else and fact sheet to the appointment • Helpers can attend appointments • Sites are putting plans in place for with individuals to assist them this shift in clients – extra space, through the clinic. more wheelchairs available, etc • Helpers should be household members or designated support person 20
COVID-19 VACCINATION IN MANITOBA QUESTIONS? Media are invited to provide feedback on future tech briefings or specific areas of interest to lenore.kowalchuk@gov.mb.ca
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