Site Go-Live Onboarding Guide - June 2021 - Knowledge Hub
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Site Go-Live Onboarding Guide June 2021 1
Site Go-Live Onboarding Guide Welcome to the site go-live onboarding guide. This guide provides you with an overview of each step of the site go-live process and timelines required for completion of each step. This will help you to complete each step of the process ahead of the go-live date. 2
When to use the onboarding guide Use it understand the site Use it as a guide for the go-live process – including activities that need to be Contact details – where to the six core steps, the completed –instructions per submit the required timelines for completion of step of the process to information/access forms each step and the key roles ensure each stage is per step and who to contact responsible at each step of completed according to the for additional support the process required timelines 3
Contents 1 Site Go-Live Process 4 Key Roles 2 Timelines 5 Step by Step Guide 3 Site Go-Live Tracking 6 Support Channels 4
Site Go-Live Process Steps to complete ahead of site go-live 5
Site Go-Live Process – Summary Steps 3, 4, 5 and 6 can only occur once Step 1 and 2 Step 1 and Step 2A can have been fully completed occur in parallel 3 5 Start Go-live SVS Implementation* Supply Vaccine 1 2 Area based planning & Facility Registration & 5A Site Selection Site Curation on MFL Supply Vaccine 4 2A EVDS Implementation 5B Site Curation on MFL This step kicks off the go-live Reporting process – once sites are 4A selected and approved at this 2B Site Activation step, this will be locked in with 6 no further additions until the Application for Section Go-live next go-live cycle 22 A 15 Permit Training 4B Scheduling Administrator Access The application for the Section 22A 15 Permit will occur once the site has 4C been registered and On-site EVDS approved on MFL Note: * This is required only for sites requiring permits 6
Site Go-Live – Detailed 1 Area based planning 2A Facility registration and 2B Application for Section 22 A 15 Permit 3 SVS implementation o Provincial Leads plan Site Curation on MFL o Electronic token/link sent by Pharmacy o Site details confirmed and verified against the MFL and provide list of Provincial Leads to confirm MFL Council (SAPC) to facilities with primary o Confirm site has a Section 22A(15) permit if it is permitted sites, MFL loading: vaccination site or fixed outreach service storing vaccine and providing vaccination services code, catchment o Check on MFL active on MFL and/or outreach services* districts, users and o Clean/add and reupload o Facility representative complete o Confirm updating method and designated persons to scheduler corrected data to MFL application enrol the new SVS Covid-19 app and submit stock o Site selection signed o Primary sites linked to o SAPC and NDoH review and levels – by site off by NDoH outreach services approve/reject o Train end-users on the reporting procedure and o Approve sites on MFL o NDoH issues the permit requirements o Site loaded and enrolled on SVS Gaurang Tanna Petro Rousseau Marione Schonfeldt Sithembele Jara Complete site lists loaded Sites approved on MFL Permits issued Loaded on SVS and activated 4A EVDS implementation - 4B EVDS implementation - 4C EVDS implementation - On-site EVDS 5A Supply vaccine 6 Training: Site Activation Scheduling o EVDS set up (users identified, o EVDS on-site users Supply of Vaccine o Link MFL approved sites Administrator Access documentation submitted and accounts o Scheduling Rob Botha to EVDS (enrolment, o Scheduling administrator created and approved) administrators scheduling, catchment) accounts created and o Check users have activated their Vaccines delivered and o Vaccinator (on o Bulk upload or individual assigned to facilities accounts (Patient Administrator , administered knowledge hub as upload for site activation o Scheduling templates Vaccinators, Report Administrator and required) working Back Capturing Administrator) 5B o Back-capturing forms delivered to site Reporting EVDS training Monitor Vaccine Harsha Desai Sithembele Jara Vaccinator training Kevin Naicker & Cyprian Lucas Kevin Naicker & Cyprian Lucas Pierre Fabe Sites routinely report Marione Schonfeldt vaccine stock levels EDVS users trained Sites activated Sites activated Users accounts activated and schedules working Note: * Sites operating as primary distribution sites only without any vaccination and/or outreach services do not need a permit. 7
Site Go-Live Process – Summary (Type of vaccination site) 3 5 Start Go-live SVS Implementation* Supply Vaccine 1 2 Area based planning & Facility Registration & 5A Site Selection Site Curation on MFL 4 Supply Vaccine EVDS Implementation 2A 5B Site Curation on MFL Reporting 4A Site Activation Go-live 2B Application for Section 4B Scheduling 6 22 A 15 Permit Administrator Access Training 4C On-site EVDS Key : Fixed Temporary Note: * This is required only for sites requiring permits Primary Mobile Outreach Outreach Vaccination site site site site 8
Go-live steps required per site Primary Step Vaccination Secondary Vaccination Site Site Temporary Mobile Outreach sites will Fixed Outreach Outreach Outreach be linked to a primary vaccination site Area Based Planning & Site 1. Selection ✓ ✓ ✓ ✓ Facility Registration & Site A. Site Curation on MFL ✓ ✓ ✓ 2. Curation on MFL B. Application for Section 22 A 15 Permit ✓ ✓ 3. SVS Implementation ✓ ✓ ✓ A. Site Activation ✓ ✓ ✓ Temporary Outreach and Mobile B. Scheduling 4 EVDS Implementation Administrator Access ✓ ✓ ✓ Outreach are not required to submit POs – supply of C. On-Site EVDS ✓ ✓ vaccine is provided by the primary 5. Supply of Vaccine ✓ ✓ ✓ ✓ vaccination site 6. Training ✓ ✓ ✓ ✓ Temporary outreach site – the requirement for on-site EVDS will depend on the decision to use on-site EVDS Key : Fixed Temporary Primary Mobile users from the primary site or whether additional users Outreach Outreach Vaccination site will be required site site site 9
Information flow – Key submissions along the process Step Activity Role Responsible Document Submission Channel Area Based Planning & Covid 19 Vaccine Roll Out 1. 1. Submit list of site for go-live Provincial Lead NDoH Site Template Site Selection Sharepoint (link here) 1. Submit list MFL Facility 1. Provincial Lead 1. Request list 1. Hissupport@health.gov.za Representatives A. Site Curation on 2. Provincial Lead 2. Request list 2. Hissupport@health.gov.za 2. Submit list MFL Curators MFL 3. MFL Facility 3. MFL platform 3. MFL - Master Facility List Facility Registration & 3. Submit or update facility 2. Representative (csir.co.za) Site Curation on MFL information on MFL B. Application for 1. Complete and submit MFL Facility Section 22 A 15 Section 22 A 15 permit Online application Link sent via email Representative Permit application 1. Load site details on the SVS 3. SVS Implementation District Lead SVS access form Via email system 1. Submit list of MFL compliant A. Site Activation Provincial Lead SOP 001 form sop@health.gov.za sites requiring activation B. Scheduling 1. Submit list of Scheduling Administrator Provincial Lead SOP 002 form sop@health.gov.za Administrators 4 EVDS Implementation Access 1. Submit list of EVDS Account 1. EVDS Access Control 1. Provincial Lead Creators and Approvers form, ID and Letter of 1. Hissupport@health.gov.za C. On-Site EVDS 2. Facility 2. Submit list of vaccinators, Accountability 2. Directly to Account Creator representative patient admin and back cap. 2. Province dependent 5. Supply of Vaccine 1. Submit purchase order Provincial Lead Bulk PO Via email to ACTA team Training- 6. Training 1. Send training request Provincial Lead Email schedule@health.gov.za Incorrect submissions will cause delays in the process and jumping submissions will not be tolerated 10
A practical example: Primary Healthcare Facilities (1 of 2) There has been a notice that 600 000 doses of vaccines will arrive, there is a need to select sites and complete the site go-live process to be able to administer these vaccines to the target population 1. Area based planning 2A. Site curation on MFL The MFL Approver ✓ Engage with the sub- Sipho will now check if the confirms the ✓ Communicate facility is registered. He She confirms districts within the province information on this selection to confirms that it is that all is to determine which sites MFL, all the the NDoH by registered and updates correct and should be selected and go information is in completing the any information that needs up to date through the site go-live the right format NDOH site readiness updating on MFL and submits process and approves sheet the request Priya to the MFL MFL Curator Approval Link to MFL Thembi Thembi Prov lead Sub-district lead Prov lead Sipho MFL Facility repr 4. EVDS implementation 3. SVS implementation 2B. S22A permit application ✓ Sipho submits the request for Site ✓ Thembi checks if the site ✓ Sipho receives a ✓ At the same time, Activation to the SOP NDOH has SVS access, she link for the SAPC to Thembi and the rest of email sees it does not so she apply for a Section the team consults the submits the SVS access 22A 15 permit. He Site Go-Live tracker to ✓ Sizwe, the scheduling form with the site details completes the assess progress of the administrator completes Sipho application and process – she sees that the access control form ✓ The site details are MFL Facility submits for review MFL is linked to EVDS and gets this signed off repr confirmed and verified and approval and user accounts can by his supervisor/facility Thembi Sizwe Thembi against the MFL now be created Scheduling admin. representative Prov lead Prov lead The permit is issued by the NDoH Proceed to Step 5. Vaccine Supply 11
A practical example: Primary Healthcare Facilities (2 of 2) There has been a notice that 600 000 doses of vaccines will arrive, there is a need to select sites and complete the site go-live process to be able to administer these vaccines to the target population 5. Vaccine supply 4. EVDS implementation ✓ Thembi consults the tracker and sees that all steps 1 – ✓ Sipho submits a bulk ✓ Sipho submits Matt’s control form to the SOP 4C have been completed purchase order for the email and that vaccine supply has vaccines required for ✓ He gathers the information for the Vaccinators been scheduled the week at the primary and the Patient Administrator and submits this ✓ She also organises for site and outreach site to the account creator back-capturing forms to be and communicates this delivered to the facility with the Provincial team Sipho The Account Creator creates the On- Thembi Sipho Facility repr. Facility repr. site EVDS user accounts Prov lead 6. Training ✓ At end of day, unused stock is stored overnight at the ✓ Thembi consults with facility her team on training needs, she requests On-site EVDS ‘Train ✓ The Vaccine Controller the Trainer’ training Primary submits daily reports on and sends out the Healthcare vaccine stock on SVS invites Facility Thembi Go-Live Prov lead 12
A practical example: Temporary Outreach facilities (1 of 2) There has been a notice that 480 000 doses of vaccines will arrive, there is a need to select sites and complete the site go-live process to be able to administer these vaccines to the target population 1. Area based planning 2A. Site curation on MFL ✓ Engage with the sub-districts ✓ Communicate She confirms that all within the province to this selection is correct and up to determine which sites should to the NDoH Jane will now date and submits be selected and go through the NDOH by completing check the the request to the site go-live process the site facility data on MFL Approve readiness MFL and sheet update any Link to MFL Linda information that MFL Curator needs updating Thato Thato Jane Prov lead Sub-district lead Prov lead MFL Facility repr 3. SVS implementation 2B. S22A permit application Jane ✓ Jane expects to receive a link for NDOH ✓ The SVS Provincial DoH/ MFL Facility the SAPC to apply for a Section if the site does not already repr 22A 15 permit – she does not have SVS access, if not receive one Proceed to Step 4. then he will load the site EVDS Implementation details on the SVS system ✓ Jane goes to Linda for help. Linda reminds ✓ The site details are her: confirmed and verified ❖ The outreach site needs to be curated Rajesh against the MFL but does not need to have s22A as it SVS prov DOH will be linked to primary site. Jane MFL Facility ❖ The site is linked with primary site. The repr facility registration step is now complete 13
A practical example: Temporary Outreach facilities (2 of 2) There has been a notice that 480 000 doses of vaccines will arrive, there is a need to select sites and complete the site go-live process to be able to administer these vaccines to the target population 4. EVDS implementation 5. Vaccine supply ✓ At the same time, ✓ Matt, the ✓ Jane confirms Thato and the rest of scheduling that vaccines will the team consults the administrator be supplied to the tracker to assess complete the outreach site by progress of the access control the primary process 4. EVDS implementation form and gets vaccination site this signed off by his ✓ Jane submits Thato supervisor/facility Matt Prov lead Jane Matt’s control Facility repr. representative Scheduling admin. form to the SOP email ✓ She confirms that vaccinators and patient administrators 6. Training Jane ✓ At end of day, unused stock Facility repr. will be allocated is sent back to the to the temporary ✓ Thato consults the tracker and outreach site distribution site sees that all steps 1 – 4C have been completed ✓ The temporary outreach site Temporary ✓ Thato requests training for all sites outreach closes after its initial Thato that will go-live on the same day site population is vaccinated. All Prov lead (including for users allocated to accounts are suspended and this temporary outreach site) and re-opened in 42 days to sends the invite to the relevant administer the second dose users 14
Site Go-Live Timelines 14 day time horizon 15
Go-live schedule overview Day -14 Day -13 Day -12 Day -11 Day -10 Day -9 Day -8 Day -7 Day -6 Day -5 Day -4 Day -3 Day -2 Day -1 Day 0 Go-Live Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday 1. Area Based Planning 2. A. Site Curation on MFL 2. B. Application for Section 22 A 15 Permit 3. SVS implementation 4. A. EVDS implementation: Site Activation 4. B. EVDS implementation: Scheduling Administrator Access 4. C. EVDS implementation: On-site EVDS 5. A. Supply of vaccine 5. B. Reporting 6. Training* Note: * EVDS on-site user training, Scheduling Administrator training & Vaccinator Training 16
Go-Live schedule (steps 1 & 2A) Day Day Day Day Day Day Day Day Day Day Day Day Day Day Day Go- Steps -14 -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 live Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday 1. Area Based Planning and Site Selection Identify the vaccination need in the area Quantify the need Determine the number of sites required Identify appropriate sites & required capacity Determine the type of site Sign off by province Sign off and approval by NDoH 2A. Facility Registration and Site Curation on MFL Determine whether site is registered on MFL If facility is not on MFL then register facility on MFL Curate (Review and confirm) updated data Approve updates to MFL Link outreach site to vaccination site on MFL Lock in date for completion of each step. Those sites not completed by this date may not be activated on the estimated Go-Live date NOTE: Steps run can run in parallel 17
Go-Live schedule (steps 2B & 3) Day Day Day Day Day Day Day Day Day Day Day Day Day Day Day Go- Steps -14 -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 live Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday 2B. Application for Section 22 A 15 Permit Electronic token/link sent by SAPC to facilities with vaccine site on MFL Facility Representative completes application SAPC reviews application NDoH reviews and approves/reject NDoH issues permit 3. SVS Implementation Site details confirmed and verified against the MFL Train end-users on the reporting procedure and requirements Site loaded and enrolled on SVS Clarify the end-user support process Customise site formularies as relevant (i.e. load the relevant vaccine(s), ancillary items and diluent used by the site Ongoing monitoring and evaluation Lock in date for completion of each step. Those sites not completed by this date may not be activated on the estimated Go-Live date NOTE: Steps run can run in parallel 18
Go-Live schedule (step 4 – A, B and C) Day Day Day Day Day Day Day Day Day Day Day Day Day Day Day Go- Steps -14 -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 live Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday 4A. EVDS Implementation: Site Activation Link MFL Approved sited to EVDS Provinces to indicate catchment site ID per site Bulk upload or individual upload for site activation 4B. EVDS Implementation: Scheduling Administrator Access Scheduling administrators confirmed by sites Scheduling administrator accounts created Scheduling templates setup 4C. EVDS Implementation: On-site EVDS Determine Account Creators and Account Approvers and Users with Super User functionality Facility assigned to on-site EVDS account creator Identify onsite EVDS users (vaccinators, patient administrators) provide details for user accounts Account creators create EVDS accounts for administrators, vaccinators, and back capturers Account Approvers approve account created Users must activate accounts by changing their password Back capturing forms delivered to facility Lock in date for completion of each step. Those sites not completed by this date may not be activated on the estimated Go-Live date NOTE: Steps run can run in parallel 19
Go-Live schedule (steps 5 & 6) Day Day Day Day Day Day Day Day Day Day Day Day Day Day Day Go- Steps -14 -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1 0 live Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday 5. Supply of Vaccine Demand quantified for sites Distribution schedule developed for all sites Place orders for vaccine Place orders for vaccine (National to Distributor) Place orders for ancillary items NATJOINTs approval Delivery Re-distribution of vaccine to the site 6. Training Request training Train Scheduling Administrators Train On-site EVDS Users Vaccinator training on Knowledge Hub (as required) Lock in date for completion of each step. Those sites not completed by this date may not be activated on the estimated Go-Live date NOTE: Steps run can run in parallel 20
Site Go-live Tracking Tracking sites through the process 21
Site Go-Live Tracker Tracker Purpose Step Metric Provincial: District, Sub-district, Facility The purpose of the tracker is to: Site list Type of facility • Provide an overview of the site Go-Live process Estimated go-live date • Track where sites are relevant to each step in the process according to envisaged timelines MFL ID • Be the one source of truth for the Go-Live and assist with flagging Site Registered on MFL where focus should be given along the journey (for example, if we Site Curation on Site Curated notice that training sessions have not been requested/completed) MFL MFL Approval Status • Be used during status meetings (governance) to communicate progress MFL API Permit Status Permit status Tracker Updates Stock availability for go-live confirmed Stock Availability Monday Tuesday Wednesday Thursday Friday Confirmed delivery date SVS Implementation SVS loaded and activated for reporting MFL Link to EVDS Sites on Tracker Tracker can Tracker Tracker can be assessed Scheduling Administrator accounts created tracker updates be assessed updates updated Scheduling templates set up (14 days prior Site Go-Live Site lists for Site Go-Live to go live) Highlight sent go-live Highlight sent EVDS Facility assigned to on-site EVDS Account Creator via email confirmed via email Implementation Patient Administrator accounts created and Site lists submitted approved Vaccinator accounts created (14 days (14 days prior to prior to go Back Capturing Administrator accounts created go live) live) Back Capturing Forms delivered Tracker will be available on the Scheduling Administrators Trained Public Sector sharepoint Training 22 Vaccinator & Patient Administrators Trained
Key Roles Roles involved in the process 23
Key roles for completion of go-live process Which roles need to fulfil which step? 1. Area Based 2, Facility Registration & Site 3. SVS Loading (Sithembele Jara) 5A. Supply Vaccine (Rob Botha) Planning Curation on MFL SVS Administrator and Site Selection Provincial: (Gaurang Tanna) 2A. Site Curation on MFL SVS Provincial DoH/ (Petro Rousseau) Vaccine Controller Group points of contact Provincial Facility Provincial Leads Lead Representative MFL Facility Representative 4. EVDS Implementation (Pierre Fabe) Vaccine Group point of Controller contact District and / or MFL Curator Sub-district leads 4A. Site Activation MFL System Administrator 5B. Reporting (Sithembele Jara) Provincial Lead MFL Approver 4B. Scheduling Administrator Access 2B. Application for Section Provincial Lead 22 A 15 Permit (Petro Rousseau / Marione 4C. On-site EVDS Schonfeldt) Training (Harsha Desai) Facility Representative/ Provincial Lead Account Creators Designated contact person Provincial Leads Facility Account Approvers Permit approver Representative Facility Key : Provincial NDoH Sub-district level 24
Roles: Overall User Profile Definition The provincial lead is responsible for providing oversight and guidance for the site go-live process for their designated province. They also assist and are accountable for specific responsibilities in the process such as: 1. Area based planning – Communication link between sub-district leads and NDOH on the sites identified to go-live 2. MFL - Provide oversight to the facility registration and MFL activation process, ensuring completeness/accuracy of data and progression through the process according to required timelines 3. MFL - Oversee that sites have applied for and have been issued the Section 22A 15 permit 4. EVDS implementation - Request a list of MFL compliant sites to be activated and submit the list of site requiring activation Provincial lead • Identify Scheduling Administrators for access to the system • Collate required user access information and nominate through email submission 5. Training – Identify and manage training requirements 6. Vaccine supply - Submit bulk PO for vaccine supply and attend weekly meeting to discuss weekly supply Note: The private sector lead’s role is similar to that of the provincial lead with the main difference being the vaccine supply process. The private sector lead submits a PO every time stock is required. The sub-district lead is responsible to support the Provincial Lead to manage sub-district challenges and issues. They are accountable for specific responsibilities in the process such as: Sub-district 1. Area based planning - Identifies the sites that need to go-live and provides list of sites with MFL code, catchment districts, users and scheduler to lead the Provincial leads 25
Roles: Facility Registration & Site Go-Live on MFL User Profile Definition This is an individual designated by an institution/facility/ company to serve as contact person on EVDS matters (e.g. Facility manager). They are responsible and accountable for: MFL Facility 1. Creating requests to add details of a new vaccine site or edit facility data on MFL Representative 2. Creating user access requests and require authentication. 3. Viewing all facility data. Central role at the National Department of Health authenticated to review and approve online requests. Review user access requests. Review external systems requests MFL Systems Administrator Requires authentication. The Curator is someone who understands the facility well enough to review and confirm that the data captured by the vaccination site is correct. They are accountable to complete the following: MFL Curator 1. A new (or edit) request is sent to the Curator on the MFL for review and is either reviewed successfully or rejected. The approval confirms that the vaccine site is compliant with the requirements. This person requires authentication This person is responsible for final approval so that a facility site is registered on the system and is a national system role. 1. Approves user access requests, and facility requests. MFL Approver 2. Approves external systems 26
Roles: Application for Section 22 A 15 Permit User Profile Definition This is an individual designated by an institution/facility/ company to serve as contact person on EVDS and vaccination related matters (e.g. Facility manager). They are responsible for: Facility 1. Completing the application for Section 22A 15 permit by following a link/electronic token that is sent by the SAPC Representative 2. Ensuring that the application is submitted timeously based on the site go-live process timelines 27
Roles: SVS Implementation User Profile Definition This is an individual who has sight of the vaccine supply at the facility and is able to provide daily reports on vaccine stock. They are responsible to: 1. Download SVS COVID-19 app Vaccine 2. Upload stock data daily including reporting lost, damaged stock Controller This is an individual who ensure SVS access requests by the facility are checked and access is granted. They are responsible to: 1. Check for completion of the SVS access control form 2. Assesses the access control form and grants access to SVS users SVS Administrator 28
Roles: EVDS Implementation User Profile Definition This is an authorised system user that’s responsible for creating users on behalf of other system users such as the vaccinator and the patient administrator. They are responsible for: 1. Creating new accounts (or edit exiting ones) for the vaccinator, patient administrator, back-capturing administrator users, account creator and Account account approver, depending on the rights the user needs to do their job. Creator 2. Assigning a user to one or more organisational units. 3. Resetting account passwords, deactivate and reactivate accounts. 4. Registering the facility and vaccine site An Account Approver is mainly responsible for reviewing, approving and activating user accounts created. They are responsible for: 1. Reviewing account request and approve or decline newly created accounts and reset account passwords. Account 2. Viewing and finding accounts that need to be activated. Approver 29
Step by Step Guide Process & Reference Cards 30
1 Area-based planning – Process Day -14 to Day -10 Key Provincial/private sector lead NDOH Provincial/private sub-leads Guidance is provided by The sites that need to be NDOH based on population activated are uploaded on Start density in sub-district & the NDOH template by Sites for supply provincial leads go-live are End confirmed per The sub-district leads Sub-district leads provide The NDOH approves province engage with stakeholder on list of sites for go-live to the requested sites for the ground to identify the provincial leads provincial sites that need to go-live as well as each lead obtains MFL code, catchment districts, users and scheduler Sites are considered based on the vaccination targets that need to be met and type of vaccine site. 31
1 Area-based planning – Reference Card – Provincial lead What is area based planning? Escalation contact person Provincial/Private sector Leads plan and provide go-live date, list of permitted sites, MFL code, catchment districts, users Gaurang Tanna and scheduler (signed off). The goal is to ensure full coverage without duplicating number of providers in catchment. What do I need to do? Instructions: Provincial lead Step by step process Document • Responsible for the communication link between 1. Engage with NDoH on guidance for site selection based on population density in sub- sub-leads and NDOH for finalisation of site district & supply of vaccine selection • Accountable for communicating site selection to 2. Engage with sub-district leads or district leads to receive the site selection lists (Including NDoH via the relevant template MFL code, catchment districts, users and schedulers for each site ) 3. Capture the site selection on the template and ensure all information is captured correctly NDOH site addition template (Day -12) 4. The NDOH approves requested provincial sites. If sites are not confirmed/approved on this Refer to: list then they will not be able to proceed with the site go-live process. Communicate this approval to the Districts and Sub-Districts (Day -10) ❑ Site addition template Once completed, Submission process/Check List proceed to… ❑ Site selection for go-live obtained from sub-district leads Facility registration & ❑ All sites have a go-live date, MFL code, catchment districts, users and scheduler allocated to it MFL activation ❑ Site approval is obtained from NDOH 32
1 Area-based planning – Reference Card – Sub-district lead What is area based planning? Escalation contact person Provincial/Private sector Leads plan and provide go-live date, list of permitted sites, MFL code, catchment districts, users Gaurang Tanna and scheduler (signed off). The goal is to ensure full coverage without duplicating number of providers in catchment. What do I need to do? Instructions: Sub-district leads Step by step process Document • Responsible for identifying the sites that need to 1. Engage with the Provincial Leads to obtain guidance on site selection as provided by go-live and providing this list of sites, with MFL NDOH (based on population density in sub-district & supply of vaccine) code, catchment districts, users and scheduling (Day -14) administrator, to the Provincial leads 2. Engage with stakeholders on the ground to identify the sites that need to go-live (Day -14) 3. Provide site selection list to the Provincial Lead - this should include the facility name, the MFL code, catchment districts, users and schedulers for each site (Day -13) Refer to: 4. Receive feedback from Provincial Leads on sites that have been approved for go-live Once completed, Submission process/Check List proceed to… ❑ Obtain sites that need to go-live Facility registration & ❑ Provide list of sites with the estimated go-live date, MFL code, catchment districts, users and MFL activation scheduler allocated to the Provinicial Leads 33
2A Facility registration and Site Curation on MFL – Process Day -10 to Day -9 MFL Curator is nominated by their relevant MFL Approver reviews and approves Key orgainsations’ or departments’ MFL Co- the MFL Curator’s account and an Ordinator/Provincial Leads/Private Sector Leads, MFL Curator email is then sent to the MFL and this nomination form must be emailed to NDoH Curator with their unique log-in MFL Facility Representative (Hissupport@health.gov.za) for approval. details. NDoH MFL South African Pharmacy Council Curator Enrolment & Scheduling MFL System Administrator reviews the nomination form to ensure the MFL EVDS On-site Curator meets all requirements, registers the account and sends request to the MFL Approver for Dual Start approval. MFL Facility Representative is nominated MFL System Administrator reviews MFL Approver reviews and by their relevant orgainsations’ or the MFL Facility Representative MFL Facility approves new or edited departments’ MFL Co-ordinator, and this account to ensure all requirements Representative is now able facilities that meet the nomination form must be emailed to NDoH are met and sends request to the to associate with a facility, requirements to become a MFL (Hissupport@health.gov.za) for approval. MFL Approver for approval. edit or add a new facility. Vaccine Site (pending permit). Facility Rep. MFL Facility Representative is MFL Approver reviews and MFL Curator, using the site then asked to register their own approves the Facility typology tool, reviews the facility details to create an account on Representative account on request to confirm all requirements MFL. MFL and an email is sent are fufilled to become a Vaccine to the MFL Facility Site. The Curator either rejects, Representative with their returns the request to the Facility unique log-in details. Reprenstative to complete missing End information or accepts review. N.B This process flow exists outside the MFL system South African Pharmacy MFL facility data is South African Pharmacy Council emails an electronically pulled Data The system facility Vaccine Site Council reviews the electronic token / link to into the Enrolment Exchange And Scheduling The facility service is “system marked” as application and makes a facilities that are active component is now a compliant. recommendation. Vaccine Sites on MFL. periodically Vaccine MFL facility data is Site with a The NDoH approves or A designated contact electronically pulled valid into the EVDS On- rejects the permit person responsible for the Data permit application. facility, will be prompted to site component Exchange periodically complete the permit application email. 34 N.B This process flow is ONLY for Primary and Fixed Outreach Sites - For Temporary Outreach or Mobile sites permits are not required
2A Facility Registration and Site Curation on MFL – Reference Card What is facility registration and activation on MFL? Escalation contact person The Master Facilities List (MFL) captures and manages approved vaccination site details and permitting status. Sites have to Petro Rousseau be activated on MFL and be associated to the API in order to complete this go-live step What do I need to do? Instructions: Provincial Lead/Sub-District Lead Step by step process Document 1. Nominate MFL Curators by completing a form and sending to Hissupport@health.gov.za Request form • Responsible to provide oversight to the facility registration and MFL activation process, 2. Nominate MFL Facility Representatives by completing a form and sending to Request form ensuring completeness/accuracy of data and Hissupport@health.gov.za progression through the process according to 3. Request MFL training for MFL Facility Representatives and MFL Curators required timelines 4. Ensure MFL Facility Representatives have applied for user access on the MFL site 5. Provide guidance to Facility representatives and MFL Curators for completion of MFL information 6. Check MFL data for accuracy, completeness as required Refer to: 7. Ensure Facility Representatives submit permit application Application form via PHC 8. Track/Confirm approvals of permits ❑ FAQs Once completed, Submission process/Check List proceed to… ❑ Submitted MFL Curators Nominations EVDS ❑ Submitted MFL Facility Representatives Nominations Implementation ❑ Permit application (oversight only) SVS Loading 35
2A Facility Registration and Site Curation on MFL – Reference Card What is facility registration and activation on MFL? Escalation contact person The Master Facilities List (MFL) captures and manages approved vaccination site details and permitting status. Sites have to Petro Rousseau be activated on MFL and be associated to the API in order to complete this go-live step What do I need to do? Instructions: MFL Facility Representative Step by step process Document • Responsible for reviewing information for 1. Activate account using unique log in details facilities already on MFL (update as required) or add new facilities to MFL 2. MFL Facility Representative to edit or add facility on MFL (ensure accuracy and completeness of information) and submit facility request to MFL Curator (Day -10) Things to look out for: • GPS coordinates • Correct site typology allocation Refer to: • Site name (full and short name) are spelt correctly • Correct allocation of facility to district and/or sub-district ❑ MFL Quick Reference Guide ❑ FAQs ❑ Cheat sheet Once completed, Submission process/Check List proceed to… ❑ MFL Facility Request with necessary information accurate and completed EVDS ❑ MFL Facility Request reviewed Implementation SVS Loading 36
2A Facility Registration and Site Curation on MFL – Reference Card What is facility registration and activation on MFL? Escalation contact person The Master Facilities List (MFL) captures and manages approved vaccination site details and permitting status. Sites have to Petro Rousseau be activated on MFL and be associated to the API in order to complete this go-live step What do I need to do? Instructions: MFL Curator Step by step process Document • Accountable for review of facility information that 1. Activate account using unique log in details has been completed by the MFL Facility Representative – either accept or reject for 2. MFL Curator review facility request and confirm requirements are fulfilled information updates (Day -9) 3. MFL Curator to either reject request (Facility Representative to make updates) or accept review and submit to MFL Approver (Day -9) Things to look out for: Refer to: • GPS coordinates • Correct site typology allocation • Site name (full and short name) are spelt correctly ❑ MFL Quick ❑ Cheat Sheet • Correct allocation of facility to district and/or sub-district Reference Guide ❑ Data Definition ❑ FAQs Document Once completed, Submission process/Check List proceed to… ❑ MFL Facility Request with necessary information accurate and completed EVDS ❑ MFL Facility Request reviewed Implementation SVS Loading 37
2B Application for Section 22 A 15 permit – Process Day -9 to Day -6 Key MFL Curator MFL Facility Representative NDoH Roles South African Pharmacy Council Enrolment & Scheduling EVDS On-site South African Pharmacy Council emails an South African Pharmacy Start Council reviews the The system facility Vaccine Site electronic token / link to facilities that are active application and makes a service is “system marked” as The facility Vaccine Sites on MFL. recommendation. compliant. is now a Vaccine A designated contact The NDoH approves or Site with a person responsible for the rejects the permit valid facility, will be prompted to application. permit complete the permit application email. End MFL facility data is electronically pulled Data into the Enrolment Exchange And Scheduling component periodically MFL facility data is electronically pulled into the EVDS On- Data site component Exchange periodically 38
2B Application for Section 22 A 15 permit – Reference Card What is Application for Section 22A 15 permit? Escalation contact person The Section 22A 15 permit issued by the South African Pharmacy Council and the National Department of Health to allow Marione Schonfeldt facilities to administer the vaccine What do I need to do? Instructions: Provincial Lead/Sub-District Lead Step by step process Document • Responsible for overseeing that sites have 1. Facility representative to follow the link/electronic token provided by SAPC Electronic token/link applied for and have been issued the Section 2. Facility representative to complete and submit application for the permit Application/Declaration form via 22A 15 permit (Day -8) PHC Facility Representative 3. Provincial Lead/Sub-District Lead to follow up to ensure Facility Representatives Application/Declaration form via submit permit application PHC • Take ownership for completing and submitting (Day -7) the online application for the Section 22A 15 permit 4. Provincial Lead/Sub-District Lead to track/confirm approvals of permits (Day -6) Refer to: Once completed, Submission process/Check List proceed to… ❑ Permit application (online) EVDS Implementation ❑ Confirmation of approval of permits SVS Loading 39
3 SVS implementation – Process Day -9 to Day -3 Key Provincial lead Site SVS representative NDOH If the site does not already have SVS access, the district lead will request The completed form is checked for completion and access and identify one person per facility the site is granted access to SVS. A site will indicate Start On-site if they are reporting on stock or acillary items as well. to obtain SVS access EVDS report An SVS access form is completed by admin the site and sent to SVS team to upload. Sites need to be registered on MFL before being granted SVS access Recording done on a daily basis on SVS, if not done can be blocked from receiving stock. Train end-users on the Some sites record ancillary The facility reporting procedure and is now requirements done by the stock usage as well. All sites loaded on record stock usage and loss SVS and NDOH begin reporting on The site SVS representative Once registered the site is provided A report is downloaded on a SVS daily basis to identify anomalies downloads the SVS COVID-19 with a website link, mobile link or an and obtain reasons for app. The site can go-live at this API based on their preference. The site differences. The report is sent to point is also directed to the SVS application. DOH management End 40
3 SVS implementation – Reference card What is SVS loading and implementation? Escalation contact person SVS is the stock visibility system for each site that provides the scheduler with an understanding of stock availability at each Sithembele Jara site What do I need to do? Instructions: Reporting administrator Step by step process Document • Responsible for loading site details on SVS and 1. The reporting administrator loads site details (name, address, facility representative, etc.) SVS access form identifying site data upload strategy and key on the SVS system. personnel (Day -8) 2. The completed form is checked for completion and the site is granted access to SVS • Once registered the site is provided with a website link, mobile link or an API based on their preference. The site is also directed to the SVS application (Day -8/ Day-7) 3. Train end-users on the reporting procedure and requirements done by the NDOH (Day -8 or Day -7) Refer to: ❑ SVS access form Once completed, Submission process/Check List proceed to… ❑ Site loaded onto SVS Supply of vaccine, ❑ Data can be uploaded on a daily basis once site goes live – access to data, devices, EVDS implementation connectivity, etc. (in parallel) 41
3 SVS implementation – Reference card What is SVS loading and implementation? Escalation contact person SVS is the stock visibility system for each site that provides the scheduler with an understanding of stock availability at each Sithembele Jara site What do I need to do? Instructions: Site SVS representative* Step by step process Document • Accountable for uploading stock data daily 1. Download the SVS COVID-19 app (Day -6) * Can be either the pharmacist, vaccinator or facility representative. Site to determine user 2. Record stock on a daily basis on SVS once site is live • A report is downloaded on a daily basis to identify anomalies and obtain reasons for differences and is sent to provincial and NDOH teams • If this is not done then site can be blocked from receiving stock. Refer to: ❑ SVS access form Once completed, Submission process/Check List proceed to… ❑ SVS COVID-19 app downloaded Supply of vaccine, ❑ Data can be uploaded on a daily basis once site goes live – access to data, devices, EVDS implementation connectivity, etc. (in parallel) 42
4 EVDS implementation – Site activation, scheduling and On-site EVDS Key Site Activation MFL compliant sites are required to be Scheduling Administrator activated to ensure Scheduling The site is Administrators are linked to a site activated and EVDS Account Creator Site A activation available to link to a EVDS Account Approver NDoH Scheduling Enrolment & Scheduling Administrator EVDS On-site Start Scheduling Administrators are MFL facility data is nominated by Provincial / Private Leads, NDoH approved and The electronically pulled Data created Scheduling into the Enrolment End Exchange And Scheduling component B Scheduling Administrator Administrator has been periodically created and MFL facility data is linked to a electronically pulled site into the EVDS On- Data site component Exchange periodically Account Approvers are nominated by Provincial / Private Leads, On-site NDoH approved and created EVDS Account Account Approver Creators and Account C Account Creators are nominated Approvers can now by Provincial / Private Leads, create new On-site NDoH approved and created EVDS users EVDS Account Creator 43
4A EVDS implementation – Site activation process Day -8 to Day -5 Key Site Activation NDoH End A list of MFL compliant sites Access Request Approver requiring activation by emailing reviews the summary Start NDoH (sop@health.gov.za), report and approves or The site is receiving an excel for population denies the request now activated Site and submitting for approval and available to link to a activation Scheduling Access Request Once approved, Access Request Administrator Administrator checks the Administrator uploads information quality of the data, uploads into Bulk Upload form or individual the data to a summary upload to Mezzanine platform report and sends to the where the instruction is evaluated Access Request Approver by the Mezzanine platformed and activated 44
4A EVDS implementation – Site activation reference card What is scheduling? Escalation contact person Site activation ensures MFL compliant sites are active for scheduling of vaccinees to a date, time and location Kevin Naicker & Cyprian Lucas What do I need to do? Instructions: Provincial Lead Step by step process Document • Request a list of MFL compliant sites to be 1. Identify the sites required for activation and ensure these sites are MFL compliant activated for the sub-district lead (Day -8) • Accountable for submitting the list of sites 2. Email the list of MFL approved sites in need of activation to sop@health.gov.za using the Excel provided by requiring activation excel template provided sop@health.gov.za (Day -7) Refer to: ❑ SOP 002 Once completed, Submission process/Check List proceed to… ❑ Activation site excel provided by sop@health.gov.za Nominate Scheduling Administrator users 45
4B EVDS implementation – Scheduling administrator access process Day -5 to Day -3 Key Scheduling Administrator NDoH Enrolment & Scheduling Scheduling Administrator is nominated by their relevant orgainsations’ or departments’ lead, by emailing the completed Mezzanine Accces form to NDoH (sop@health.gov.za) for approval Scheduling Administrator End Access Request Approver Start reviews the Access Control Request Form (SOP#002) and approves or denies the request The (based on what is allowed by Scheduling Administrator NDOH) is now able to schedule vaccination Access Request Approver confirms Access Request Approver submits the Upon receipt of the approved Access Control bookings to active sites for requests that relate to personal approved Access Control Request Request Form (SOP#002), the Access information, a data sharing Form (SOP#002) to the Access Request Administrator grants rights to the agreement is in place between the Request Administrator specified user by individually adding user requesting organisation information, assigning the Scheduling (province/district/private) and the Administrator role and linking user to a specific NDoH site 46
4B EVDS implementation – Scheduling Administrator access reference card What is scheduling administrator access? Escalation contact person Following the process to grant access to scheduling administrators that will be supporting with scheduling of vaccinees to a Kevin Naicker & Cyprian Lucas facility What do I need to do? Instructions: Provincial Lead Step by step process Document • Engage with sub-district leads for identifying 1. Identify the required Scheduling Administrators per site that require access to the system Scheduling Administrators for access to the (Day -5) system 2. Provide guidance to Scheduling Administrators on the requirements needed for access Mezzanine • Collate required user access information and requests:(Day -5) Access Control request access for scheduling administrators • Complete the access control form, specifying admin function access for scheduling Form administrator users. • Additionally, in this step, the provincial/district/private user specifies the specific reporting requirements needed as below: • Domain (Public or Private Sector) Refer to: • Access to specific platforms (Helium or Tableu) • Access to specific report(s) – specify names 3. Ensure all required documentation has been submitted by these Administrators ❑ SOP 001 4. Email the Mezzanine Access form with MFL UID to sop@health.gov.za (Day -4) Once completed, Submission process/Check List proceed to… Initiating On-site EVDS ❑ Mezzanine Access Control Form super user account creation 47
4C EVDS implementation – On-site EVDS User Access process Day -8 to Day -3 Key Subject line of the email must be marked as EVDS Account Creator “Creation of Super User accounts - or or ” e.g., Creation of Super User EVDS On-site accounts – Eastern Cape”. EVDS Account Approver super user is nominated by an Account Manager (Provincial or Private Lead), and this nomination form must be signed and be Account Approver super user will emailed to NDoH approve other EVDS user accounts End On-site created by the Account Creator (Hissupport@health.gov.za) for approval. EVDS Once the Account Account Creator and Account Approver NDoH representative reviews the nomination form to ensure Account Approver super user Approver meets all requirements, accounts have been registers the account and sends a Account created, future Account notification to the Account Approver Creators and Start Account Creator and Account Approvers Approver account are now able to create request will go to the EVDS Account Creator super user is other EVDS nominated by an Account Manager Account Creator and not Account Creator super user will then users (Provincial or Private Lead), and this create other EVDS user accounts once to the NDoH nomination form must be signed and be a signed application form (found at emailed to NDoH hissupport.health.gov.za) has been On-site (Hissupport@health.gov.za) for approval. received EVDS Account Creator NDoH representative reviews the nomination form to ensure Account Creator meets all requirements, Note registers the account and sends a notification to the Account Approver On-site EVDS user account requests (Vaccinator, Patient Administrator, Back Capturing Administrator) will be sent to the relevant Account Creators for account creation on or before Day -3 48
4C EVDS implementation – On-site EVDS User Access process What is On-site EVDS implementation? Escalation contact person Ensuring that On-site EVDS user accounts are created and that users are able to access EVDS and utilise the system to Pierre Fabre capture vaccinations at the sites What do I need to do? Instructions: Provincial Lead/Sub-District Lead Step by step process Document 1. Identify fist instance of Account Creator and Account Approver with super user EVDS Access Control Form • Responsible for initiating the creation of the functionality, and provide instruction for completion of the EVDS Access Control form Certified ID copy EVDS Account Creators and Account Approver (including supervisor sign-off) and attachment of a clear, certified copy of the ID document Letter of accountability users by identifying users, collating required (Day -8 and Day -7) user information and submitting nomination by email 2. Email the completed and signed EVDS Access Control and ID document to hissupport@health.gov.za • Mark the subject line of the email as “Account Creators with super-user access - or or ”. Replace “Creators” with “Approvers” in the subject for Account Approvers. Refer to: • Note: Failure to add the appropriate subject line will result in a delayed response 3. Ensure new Account Creators and Account Approvers view and/or download the latest EVDS User Manual (pdf) that is available on the On-site EVDS portal ❑ SOP 4. Ensure new Account Creators and Account Approvers are aware of their responsibility to Excel Template ❑ User manual update the provided Excel Spread Sheet Template regularly with the accounts created - this is for user account auditing purposes as the NDOH EVDS team will not take any responsibility if the accounts created are not recorded Once completed, Submission process/Check List proceed to… Requesting relevant ❑ EVDS Access Control Form (with relevant certified ID copies) training session from available slots 49
4C EVDS implementation – On-site EVDS User Access process What is On-site EVDS implementation? Escalation contact person Ensuring that On-site EVDS user accounts are created and that users are able to access EVDS and utilise the system to Pierre Fabre capture vaccinations at the sites What do I need to do? Instructions: Account Creators and Account Approvers Step by step process Document 1. Follow the email sent and follow the instructions to activate your account • Responsible for the creation of the EVDS (Day -6 and Day -5) account by completing the required access control steps 2. View and/or download the latest EVDS User Manual (pdf) that is available on the On-site EVDS portal • Accountable for creating accounts for On-site (Day -6 and Day -5) EVDS users 3. Create accounts for on-site EVDS users (Day -4) 4. Update the provided Excel Spread Sheet Template regularly with the accounts created - this is for user Excel spreadsheet account auditing purposes as the NDOH EVDS team will not take any responsibility if the accounts Refer to: created are not recorded ❑ SOP Once completed, Submission process/Check List proceed to… Requesting relevant ❑ EVDS Access Control Form (with relevant certified ID copies) training session from available slots 50
5 Supply vaccine and reporting – Process Day -5 to Day -0 Key Provincial leads SVS data uploader Facility representative A meeting between supply chain team and provincial Once vaccines are delivered it is A bulk PO is submitted to leads is held on a weekly adjusted against the bulk PO ACTA team for vaccine basis to discuss the next submitted by the site. When the PO supply per site weeks supply runs out, a new PO is submitted. End Provincial leads Details about the next The next week supply is Stock is delivered and daily weeks supply is sent out finalised and delivered to changes is updated on every Monday to provincial distribution site which is SVS. A check is done to leads then re-distributed understand stock differences. Start Stock is allocated against the order submitted, with Stock is delivered and daily changes A PO is submitted based any shortages in allocated is updated on SVS. A check is done Facility on stock required per site being considered as lost to understand stock differences. End rep.: Private Supply chain receives The delivery is scheduled information about supply of and on delivery day, the vaccine per province site is made aware of delivery Note Batch information is sent to NDoH weekly so that this supply information is loaded onto the system 51
5 Supply vaccine and reporting – Reference card – Provincial Lead What is supply vaccine and reporting? Escalation contact person Supply vaccine and reporting refer to the last step in the go-live process, where sites receive the vaccine supply ordered and Main: Rob Botha report daily on usage. Support: Stuart Murray, Willem Becker What do I need to do? Instructions: Provincial leads Step by step process Document • Responsible for submitting bulk PO for vaccine supply 1. A bulk PO is completed and submitted based on the POs submitted by the facility Vaccine PO- bulk for • Attend weekly meeting to discuss weekly supply representative detailing the site information, number of vaccines required for time period. provincial and normal for (Day -3) private 2. Attend weekly meetings to discuss the weekly supply Refer to: ❑ SVS site addition form Once completed, Submission process/Check List proceed to… ❑ Bulk PO is submitted for vaccine order Go-Live 52
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