COVID-19 VACCINE UPDATES FEBRUARY WEBINAR - February 24, 2021 - Washington ...
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COVID-19 VACCINE UPDATES FEBRUARY WEBINAR February 24, 2021
Moderator Phil Wiltzius, MS, CHES Health Educator Center for Public Affairs
Before We Start…
• All participants will be muted for the presentation.
• You may ask questions using the questions box, and questions will be
answered at the end of the presentation.
• Continuing education is available for nurses, medical assistants, and
pharmacists attending the webinar or watching the recording. If you’re
watching in a group setting and wish to claim CE credit, please make sure
you register for the webinar as an individual and complete the evaluation
separately.
• You can find a copy of the slides and more information on our webinar page
here:
www.doh.wa.gov/YouandYourFamily/Immunization/ImmunizationNews/Immu
nizationTraining/COVID19VaccineUpdatesWebinarFebruary
Washington State Department of Health | 3
Presenters
• SheAnne Allen, MPH, MCHES
COVID-19 Vaccine Director
• Danielle Koenig
Health Promotion Supervisor
• Megan Deming
COVID-19 Vaccine Supervisor
• Kathy Bay, RN, CENP, Doctorate of Nursing Practice
Clinical, Quality, Epidemiology, and School Section Manager
Washington State Department of Health | 4
Continuing Education Disclosure
• The planners and speakers of this activity have no relevant
financial relationships with any commercial interests pertaining to
this activity.
• Information about obtaining CEs will be available at the end of this
webinar.
WA State DOH | 5
Continuing Education
• This continuing nursing education activity was approved by the Montana Nurses
Association, an accredited approver with distinction by the American Nurses
Credentialing Center’s Commission on Accreditation. Upon successful
completion of this activity, 1.0 contact hours will be awarded.
• This program has been granted prior approval by the American Association of
Medical assistants (AAMA) for 1.0 administrative continuing education unit.
• This training was approved by the Washington State Pharmacy Quality
Assurance Commission (PQAC) for pharmacist education. Upon successful
completion of this activity, 1.0 credit hour of continuing education will be
awarded.
WA State DOH | 6
COVID Vaccine Updates SHEANNE ALLEN
Getting to 45K doses a day
70% of eligible population – 4.3 million
population over 7 months / desire for faster
Photo credit: Seattle Times 1/14/2021: Randall Thomas, 71, took this photo as he waited in line for a
coronavirus vaccination on Thursday in Sequim, only to be turned away just 10 cars from... (Courtesy
of Randall Thomas)
Washington State Department of Health | 8
https://www.doh.wa.gov/Emergencies/COVID19/DataDashboard#dashboard
Provider Enrollment Snapshot Washington State Department of Health | 10
COVID-19 Vaccine Doses Administered by Date
Washington State Department of Health | 11Vaccine Supply Washington State Department of Health | 12
3 Week Forecast Washington State Department of Health | 13
COVID Vaccines
• The mRNA COVID-19 vaccines currently available require two doses:
• Pfizer-BioNTech: Three weeks (21 days) apart
OR
• Moderna: One month (28 days) apart
• Vaccines in Phase 3 Currently in Clinical Trials in the U.S.:
• Johnson & Johnson (Janssen)
• Single dose vaccine
• Viral vector type vaccine
• AstraZenca
• Two doses
• Adenovirus vaccine
Washington State Department of Health | 14Washington State Department of Health | 15
WA State COVID-19 Best Guess Supply & Phase Projections
450,000
400,000
Updated 1/18/21
350,000
45k/day target inclusive
first and second doses 300,000
Second doses Second doses
250,000 - allocations – projections
200,000
150,000 First doses - First doses -
allocations projections
100,000
50,000
0
Phase Size estimate (sizes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37
not overlapping and assumes 100%
vaccine adoption) Dec Jan Feb Mar Apr May June July
1a 850,000 Ph 1a
Ph 1b-1
1b-1 1,484,000
Ph
1b-
1b-2 95,000 2
1b-3 1,100,000 Ph 1b-3
Ph
1b-4 370,000 1b-
Some 1b-4 populations may be 4
vaccinated with 1b-2 for
2 1,620,000 implementation feasibility
Ph 2
3 2,000,000
Ph 3
4 200,000 Ph 4Challenges
Limited vaccine supply
o Balancing supply vs. demand
Standing up large scale clinics
o Logistics/personnel
Communications/engagement
o Amplify message/voice
Disparate data systems/data lags
o Technology solutions Unboxing the very first shipment of COVID-19 vaccine to
arrive in Washington state
Stretched public health and healthcare systems
o Capacity constraints
Reaching communities with inequities from COVID
disease
o Building trustWashington Plan for Increased Vaccinations
Note: Vaccine Supply
Traditional Delivery Systems Constraints Remain
1. Healthcare system (hospitals and clinics)
2. Pharmacies
3. Workplace clinics
Enhanced Delivery Systems:
1. Local jurisdiction operation high volume community vaccination sites
2. Mobile vaccination teams
3. Community-based pop-up clinics
Mass Vaccination Delivery Systems (state-supported):
o High through-put mass vaccination sites
o Mobile vaccination teams
WA State DOH | 18Mass Vaccination Clinics
POD/V TOTAL
Benton County 12,011
Fairground
Spokane Arena 11,772
Chelan County Toyota 13,200
Town Center
Clark County Fairground 14,349
Mobile POD/V 1,850
Mobile Nurse teams 126
TOTAL RESIDENTS 53,308
Washington State Department of Health | 19https://www.doh.wa.gov/Emergencies/COVID19/
VaccineInformation/AllocationandPrioritization
Washington State Department of Health | 20Recommendation: Equity as a cross-cutting factor
People with access barriers to health care: People with limited People who live in areas with greater spread: Geographic
transportation, people with limited English proficiency, individuals hotspots and outbreaks, congregate housing with outbreaks
with disabilities, people without health insurance, undocumented
people People who have been disproportionately impacted by
COVID-19 because of systemic inequities: Communities of
People at higher risk for exposure: Farm and factory workers, color, people with limited English proficiency, individuals with
essential workers, people who live in congregate housing, people disabilities, low-income people
experiencing homelessness, people who are incarcerated or People at risk for severe illness: Older adults and elders,
detained, people in workplaces with outbreaks pregnant people, people with underlying medical conditions
that put them at a higher risk for severe morbidity or mortality
People essential to health and wellbeing of populations at higher
if infected with COVID-19
risk: Doulas, caregivers (both formal and informal), home care
aides, health care interpreters, community and mutual aid People who are at higher risk for spreading COVID-19 to high
volunteers, community health workers risk populations: Caregivers, people living in multi-generational
households, children and youth, essential workers, people who
must travel for work
Washington State Department of Health | 21Washington State Department of Health | 22
Ensuring equitable access: Where to start
❑ Use DOH’s COVID-19 Social Vulnerability Index (SVI) for planning.
❑ Reserve appointments to be filled directly by trusted community partners.
❑ Reserve appointments to be filled by phone only.
❑ Collect race, ethnicity, and language data and ensure appropriate reporting
through the IIS.
❑ Provide alternative and accessible options for those to get their vaccine.
❑ Ensure translated and culturally relevant materials are available on-site.
❑ Set up telephonic interpretation services.
❑ Be explicit in your statements that the vaccine is for everyone, including
immigrants and any person living or working in Washington regardless of
immigration status.
WA State DOH | 23COVID-19 Vaccine Newsletter
• The COVID-19 Vaccine Newsletter is a topic people can subscribe to on GovDelivery.
• People can manage their subscriptions by going to the following link.
• From there, click on ‘add subscriptions’ at the bottom of the page.
• On the next page, expand the ‘Immunizations’ tab and check the box
for “COVID-19 Vaccine Partner Newsletter.”
Washington State Department of Health | 24Communication & Updates
Washington State Department of Health:
https://www.doh.wa.gov/.
COVID Vaccine Email
■COVID.Vaccine@doh.wa.gov
Washington State Department of Health | 25Health Promotion and Vaccine Communications
DANIELLE KOENIGWebsite Changes
Public-facing pages Provider-facing pages
Updates to in-language pages Tile-based front page
Updated Frequently Asked Content separated into pages
Questions
New guidance section
Vaccine Collaborative page
Toolkit is easier to navigate
Coming soon: Information on new vaccine candidates
WA State DOH | 27WA State DOH | 28
Vaccine Locator
Changes to Vaccine Locator
• Easier-to-navigate map
• Easier to see where vaccine
is in stock*
• Multiple languages
• Updated daily
• More coming soon!
* Current data are only as reliable
as providers reporting in WA Health
WA State DOH | 29Phase Finder
Changes to Online Phase Finder
• Now available in 10 languages
• Coming soon: 20 more languages
New: Paper Version!
• Providers: Please print to help anyone
who has struggled with the online version
• Found in partner toolkit:
https://coronavirus.wa.gov/partner-toolkit/
covid-19-vaccine-phase-finder
WA State DOH | 30Vaccinate WA Campaign: Current Activities
• As of Feb. 15:
• Campaign has delivered 175 million impressions, reaching 77% of the Washington
population an average of 45 times.
• Social media and Google Search campaigns have delivered 798,000 clicks to
CovidVaccineWA.org, Coronavirus.wa.gov, and FindYourPhaseWA.org.
• Feb. 15: Launched traditional and digital ads focused on Phase Finder. Online ads
are in 28 languages that direct people to in-language Phase Finder.
• Feb. 18: Hosted expert panel webinar, “Understanding WA’s COVID-19 Phases.” Over
2,750 people registered, and over 800 people attended.
• Last week: DOH’s videos on How Vaccines Work in the Body and How Vaccines are
Being Made were translated into 11 languages. Find them in the partner toolkit.
• Continue to do audience research. A couple recent points:
• Over 80% of respondents know if they are currently eligible for the vaccine.
• 80% of respondents say they doWA
notState
planDOH
to |ask
31
for a particular brand.Vaccinate WA Campaign: What’s Coming
Campaign Messaging Stages
Gratitude (March): Highlight stories of people helping others get the COVID-19 vaccine
and thank them for their efforts to vaccinate our communities.
Success Stories (April-May): Highlight individuals and families who have received the
vaccine and share their stories of why they chose to get vaccinated and how their
experience went.
Trusted Messengers (June-onward): Feature trusted community voices to address
specific priority audience barriers – those with either “wait and see” attitudes or
hesitancy due to historical trauma around engaging with health care and public health
systems.
WA State DOH | 32Health Promotion and Communication Activities
• Weekly newsletter: 40,000 subscribers, about 20-25% open rate
• Regular provider guidance (email, website)
• Blogs
• Recent topics: Importance of second doses, vaccine safety, developing resilience
• Upcoming topics: Expert panel follow-up, COVID-19 numbers (Spanish only)
• Educational materials
• One recent item: “Is it COVID-19 or a Vaccine Reaction?” visual (see next slide)
• Toolkits
• Translation
• Culturally competent approaches
• Template clinic signs (in provider toolkit). Signs are available in two sizes in English
and Spanish.
• Social media (see next slide)
WA State DOH | 33Recent items WA State DOH | 34
Vaccine Ordering, Receiving, and Transferring
MEGAN DEMINGCOVID-19 Vaccine Ordering Update
On Friday, January 22nd, COVID-19 vaccine providers eligible to receive vaccine
started using the Immunization Information System (IIS) to place vaccine orders for
their facility.
• This process is in addition to the weekly REDCap survey.
• COVID vaccine ordering will be open in the IIS each weekend from Friday
5:00pm through Monday 5:00pm.
• Providers should request the number of doses they can administered in a 7-day
timeframe.
• Tuesday DOH will review all COVID vaccine requests received, and any
adjustments or reductions will be made to fit within our allocated amounts each
week.
• Approved provider orders will be submitted to CDC by Thursday morning and
vaccine will arrive the following Monday or Tuesday.
Washington State Department of Health | 36COVID-19
Vaccine
Provider
Schedule
Washington State Department of Health | 37COVID-19 Vaccine
Provider Ordering
Schedule
Washington State Department of Health | 38Ordering COVID-19 Vaccine in the IIS
For providers are approved for multiple
order sets. A COVID order set must be
selected from the dropdown menu
based on whether you’re ordering
prime (1st dose) or booster (2nd dose).
Providers are responsible for
understanding and ordering
doses they can store and
administer within seven days.
WA State DOH | 39Receiving COVID-19 Vaccine in the IIS
Washington State Department of Health | 40Viewing & Reconciling COVID-19 Vaccine in the IIS
COVID-19 Vaccine must be reconciled at minimum on a All lost COVID-19 Vaccine (waste, spoiled, expired)
weekly basis in the IIS doses must be reported in the IIS
How to Search, Add, Reconcile and Report Inventory Online Vaccine Returns
WA State DOH | 41COVID-19 Vaccine Transfers
• Vaccine transfers must be accounted for in the
Immunization Information System (IIS)
• Please enter your transfer request in the IIS 24 hours prior to
needing to conduct the transfer to allow time for the
program to review, asking any follow-up question and
approve the transfer request
• If you do not see the “Create Transfer” button on your
Create/View order page, please notify the program at
COVID.vaccine@doh.wa.gov with your PIN number if
known
• Reminder: Providers must have an approved redistribution
agreement on-file with the program prior to transferring
vaccine
WA State DOH | 42Resources for Managing COVID Vaccine in the IIS
Vaccine Ordering Inventory Management
• Guide: Vaccine Ordering & • Guide: How to Search, Add,
Receiving Reconcile and Report Inventory
• Video: Vaccine Ordering • Guide: Managing Inventory with
• Video: Vaccine Receiving an Interface
• Guide: Troubleshooting Inventory
• Guide: Vaccine Transferring with the Patient Detail Report
• Video: Vaccine Transferring
Additional resources available:
• COVID-19 Vaccine Provider Toolkit and Resources
• IIS Training Materials Portal and YouTube channel
WA State DOH | 43Questions? COVID.VACCINE@DOH.WA.GOV
Vaccine Updates and Transportation Management
KATHY BAYCOVID Vaccines
• The mRNA COVID-19 vaccines currently available require two doses:
• Pfizer-BioNTech: Three weeks (21 days) apart
OR
• Moderna: One month (28 days) apart
• Vaccines in Phase 3 Currently in Clinical Trials in the U.S.:
• Johnson & Johnson (Janssen)
• Single dose vaccine
• Viral vector type vaccine
• AstraZenca
• Two doses
• Adenovirus vaccine
Washington State Department of Health | 46Source: Advisory Committee on Immunization Practices meeting, 01-25-2021. Available at: https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-
2021-01/06-COVID-Shimabukuro.pdf. Accessed 02-02-2021.
Washington State Department of Health | 47Source: Advisory Committee on Immunization Practices meeting, 01-25-2021. Available at: https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-
2021-01/06-COVID-Shimabukuro.pdf. Accessed 02-02-2021.
Washington State Department of Health | 48COVID Vaccines
• The mRNA COVID-19 vaccines currently available require two doses:
• Pfizer-BioNTech: Three weeks (21 days) apart
OR
• Moderna: One month (28 days) apart
• Vaccines in Phase 3 Currently in Clinical Trials in the U.S.:
• Johnson & Johnson (Janssen)
• Single dose vaccine
• Viral vector type vaccine
• AstraZenca
• Two doses
• Adenovirus vaccine
Washington State Department of Health | 49Transportation of Vaccines
WA State DOH | 50Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 51Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 52Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 53Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 54Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 55Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 56Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 57Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 58Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 59Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 60Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 61Source: CDC presentation, Wolicki, Healthcare Professionals Clinical Materials Update; CDC.gov/coronavirus, accessed 02/17/2021
WA State DOH | 62Obtaining Continuing Education
• Continuing education is available for nurses, medical assistants, and pharmacists.
• Successful completion of this continuing education activity includes the
following:
o Attending the entire live webinar or watching the webinar recording
o Completing the evaluation available after the webinar or webinar recording
o NEW: On the evaluation, please check Yes if you’re interested in CEs and
please specify which type of CE you wish to obtain
o CE certificates will be automatically sent via email. Due to increased COVID
work, certificates may be delayed
• Expiration date is 2/24/22
• If you have any questions about CEs, email Trang Kuss at trang.kuss@doh.wa.gov
WA State DOH | 63Questions?
To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email civil.rights@doh.wa.gov.
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