COVID-19 VACCINATION IN MANITOBA TECHNICAL BRIEFING - February 24, 2021

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COVID-19 VACCINATION IN MANITOBA TECHNICAL BRIEFING - February 24, 2021
COVID-19 VACCINATION IN MANITOBA
              TECHNICAL BRIEFING

February 24, 2021
COVID-19 VACCINATION IN MANITOBA TECHNICAL BRIEFING - February 24, 2021
COVID-19 VACCINATION IN MANITOBA
             OPERATIONAL UPDATES
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.

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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
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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
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                                                                                                                                                                                                                                                                                                                                                                                                                      2021-03-21
                                                                                                                RBC Supersite                                                        Keystone Supersite                                                                  Thompson Supersite                                                                       Total

                                  Projections as of February 23. Each rise in doses represents a scheduled delivery.

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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
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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

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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

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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

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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

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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.

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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

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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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