WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...

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WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
WSHA COVID-19 Meeting with State Leaders
July 12, 2021
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Agenda
• Welcome – Cassie Sauer, WSHA

• Epi Report & COVID-19 Update – Marcia Goldoft, DOH

• Vaccine Counseling Billing Code – Molly Voris, Office of the Governor

• Vaccine Update – SheAnne Allen, Kathy Bay, & Jeff Chorath

• Washington State Power of Providers Campaign – Darcy Jaffe, WSHA & SheAnne Allen,
  DOH

• Long-Term Care Issues –Zosia Stanley, WSHA
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Epi Report & COVID-19 Update
Marcia Goldoft, DOH
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
WSHA LEADERSHIP
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Current situation
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Statewide trends
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
County-level trends
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Trends in case rates by age
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
healthcare
WSHA COVID-19 Meeting with State Leaders - July 12, 2021 - Washington ...
Hospital admission rate trends by age - WDRS data
Hospital admission rate trends by age - WA Health
WA Health COVID-19 hospital admissions
WA Health hospital occupancy
Vaccination impact

                                               Hospital admission rate by vaccination status in those 45 to 64                                                  Hospital admission rate by vaccination status in those 65+
14-day hospital admission rate (per 100,000)

                                                                                                                 14-day hospital admission rate (per 100,000)
variants
Fraction of cases attributable to variants
Number of cases attributable to variants
vaccinations
Washington State Department of Health is committed to providing customers with forms
 and publications in appropriate alternate formats. Requests can be made by calling
        800-525-0127 or by email at civil.rights@doh.wa.gov. TTY users dial 711.
Vaccine Counseling Billing Code
Molly Voris, Office of the Governor
Vaccine Update
SheAnne Allen, DOH
Kathy Bay, DOH
Jeff Chorath, DOH
COVID-19 WSHA Call Updates
July 12, 2021
As of July 11,

      69.8% *
  of the population
       16 and up
     has received
  at least one dose.

  *This percent includes aggregate
data from the Department of Defense
 and Department of Veterans Affairs
  and is higher than the DOH data
             dashboard.
Balancing Vaccination Opportunities and Wastage

Take every opportunity to vaccinate every eligible person
• As access to COVID-19 vaccine increases, it is important for providers to not miss any
  opportunity to vaccinate every eligible person who presents at vaccine clinics.

Vaccine wastage may increase as the vaccine rollout continues because:
  o more providers, including smaller provider sites, are now receiving vaccine,
  o vial sizes for some vaccines have increased,
  o vaccine vials may be opened without every dose being used

We recognize that as we continue to create more opportunities to vaccinate
more people, it may increase the likelihood of leaving unused doses in a vial.

                       Washington State Department of Health | 30
How to Receive COVID-19 Vaccine &
             Help Our Mission to Reduce Vaccine Waste
         • Check Vaccine Advertisement page – verify whether the (Pfizer, Moderna, and/or Janssen) vaccine doses
           needed are available within your region for transfer prior to placing a vaccine order.
            *Transferring provider is responsible for removal of advertisement once a receiving facility is identified.
Step 1      *Transferring provider is responsible for submitting vaccine transfer request to receiving facility in the IIS.

         • If doses are not available on advertisement page, submit a vaccine order request in the IIS between 12pm
           Friday through 5pm Tuesday
              *If a transfer is initiated after an order is place, provider is responsible for contacting DOH at
Step 2        COVID.vaccine@doh.wa.gov to cancel their order request.

         • Receive vaccine into your inventory in the IIS
           • Guide: Vaccine Ordering & Receiving
Step 3     • Guide: Online Vaccine Transfer

                              Washington State Department of Health | 31
Power of Providers
Childhood Immunization Update

         KATHY BAY
Monthly Vaccines* Administered for Individuals 0 through 18 years old in
                    Washington State Comparing Average Number in 2015-2019 with 2020 and 2021

                                                            AVG 2015 - 2019      2020      2021
300,000

250,000

200,000

150,000

100,000

 50,000

      0
            January    February     March       April       May         June        July        August September October November December
Data source: WA State Immunization Information System; all vaccines reported as of 06/30/2021
*Does not include Influenza and COVID-19 vaccine doses administered
Monthly Percent Change in Vaccines Administered Comparing Average Number
                    in 2015-2019 with 2020-2021, Various Age Groups, Washington State
 40.0%
                                                                                                 0-24 mo    4-6 yrs   11-12 yrs   13-17 yrs

 20.0%

  0.0%
          Jan 2020        Mar 2020          May 2020          Jul 2020         Sept 2020         Nov 2020       Jan 2021      Mar 2021        May 2021

 -20.0%

 -40.0%

 -60.0%

 -80.0%

-100.0%
 Data source: WA State Immunization Information System; all vaccines reported as of 06/30/2021
About the Campaign

• Purpose: Educate parents that school-age children in pre-kindergarten through 12th grade
  need to stay on schedule with their required and recommended vaccinations
• Call to Action: Contact your child’s health care provider to discuss how to get your child up
  to date on their vaccines
• Time Frame: June to December 2021
• Funding Amount: $250,000
• Partners:
     o Washington State Department of Health
     o Washington State Medical Association
     o Washington Chapter of the American Academy of Pediatrics
     o WithinReach
     o Public Health – Seattle & King County
     o Snohomish Health District

                       Washington State Department of Health | 36
Project Goals

   Letter to
    Parents                       Promote Vax to
                                   School Resources              Evaluate the
                                                                  Mailing(s)
    • Personalized                 • Encourage parents            • Mailing from May
    • Children age 4 to 6            to get their                   2020- children age
                                     children up to                 4 to 5
    • Required and                   date on vaccines
      recommended                                                 • This year’s
                                     before school
      vaccines                                                      mailing- children
                                     reopens in the fall
                                                                    age 4 to 6
    • Flyer on Required            • Encourage flu
      Immunizations for              vaccination
      School Year 2021-              throughout fall
      2022                           and winter

                     Washington State Department of Health | 37
Project Timeline

   Letter to
    Parents                      Promote Vax to
                                  School Resources               Evaluate the
                                                                  Mailing(s)
    • June to July                • June to December              • November to
      2021                          2021                            December 2021
                                  • Focus on flu
                                    October to
                                    December 2021

      https://immunitycommunitywa.org/covid-19-and-immunizations

                     Washington State Department of Health | 38
Washington State Department of Health | 39
IIS Update

JEFF CHORATH
Large Data Requests

• Situation:
        - Providers are requesting Covid vaccination data on their patients
        - Many patients are vaccinated outside of network
        - Data analysis to implement new programs

• Problem: IIS Limitations on querying (3x data)
       - Not a scale-up cloud problem, but an application one

• Short-term Solution: DTT Large Data Request Program
       - Limitation 1: Manually intensive
       - Limitation 2: IIS Capacity
       - Limitation 3: Frequency (Deltas)

                       Washington State Department of Health | 41
Non-Prod IIS Database

   Data
    Replication                   Patient Matching
                                   System                         Provider
                                                                   Onboarding
    Table                                                          • Weekly Basis
                                   • Replicate vendor
    • AWS to Azure                   coding                        • TBD
    • S3 Containers                • Either finds match
      as short-term                  or not (85%)
      solution                     • Challenging phase
    • RDS as long-                   of project
      term solution

                      Washington State Department of Health | 42
Questions?
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.
Resources 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 | 45
Resources and Contacts

• Information on how to get access: www.doh.wa.gov/WAIIS

• IIS Training Materials Portal: www.doh.wa.gov/trainingIIS

• IIS Help Desk: 1–800–325–5599 or WAIISHelpDesk@doh.wa.gov

• IIS Training Team: IIS.Training@doh.wa.gov

                Washington State Department of Health | 46
Washington State Power of Providers Campaign
Darcy Jaffe, WSHA
SheAnne Allen, DOH
Long-Term Care Issues
Zosia Stanley, WSHA
Questions?
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