Orange County COVID-19 Vaccine Taskforce

Thursday, February 4th, 2021

Introductions&

Reflections

Dr. Clayton ChauHCA, Director

Task Force Group Members

Ellen Ahn, JD, MSWExecutive Director, KCSOC Asian Pacific Islander COVID 19 Task Force

Oliver ChiCity ManagerCity of Huntington Beach

Stu GreenbergTustin Police Chief

Representing Orange County Chiefs of Police and

Sheriff’s Assoc.

Mario A. OrtegaPresident and CEOAbrazar, Inc

Gloria Alvarado

Executive Director for the Orange County Labor

Federation

Dan Cooper, MDAssociate Vice Chancellor for Clinical and Translational

Research, University of California, Irvine

Peter Himber, MD,

Medical Director for Regional Center for Orange

County

Jeff Pagano

UCI, OC Veterans & Military Families Collaborative

Michelle AndersonDirector, Orange County Sheriff's Department, Emergency Management Division Orange County Operational Area

Jason Cord, M.D.President, Board of Directors, OC Medical Association

Chief of Radiology, Kaiser Permanente Orange County

SCPMG Government Relations Lead, Orange County

Candi Kern

President

Fourth District PTA

Karen Pavic-Zabinski, PhD RN, MSN, MBA, MA, MS

Regional Director Of Ethics

Providence St. Joseph Health Southern California

Lisa Armony Senior Director, Community Relations OC Interfaith Network

Director Community Relations Jewish Federation OC

Lucy Dunn President and CEOOrange County Business Council

Aaron Kheriaty, MDUCI School of Medicine

Raj Rajalingam

Restaurant Industry

Whitney Ayers

OC Regional Vice President

Hospital Association of Southern California

Emily Fonda, M.D.

Interim Chief Medical Officer

CalOptima

Cevadne Lee, MPH

Director, Community Outreach & EngagementUCI Cancer Center

Philip Robinson, MD, FIDSAMedical Director of Infection Prevention and Hospital

Epidemiology, Hoag Hospital

Isabel Becerra

Chief Executive Officer

OC Coalition of Community Clinics

Megan FrancisExecutive Director, Orange County Dental Society

Anne Light, MD

Medical Director

OC Social Services Agency

Jasjit Singh, MD

CHOC Children’s Hospital

Bernadette Boden-Albala M.P.H., Dr.PhDirector and Founding Dean of the Program in Public Health

University of California, Irvine

The Most Rev. Timothy Freyer

Auxiliary Bishop

The Roman Catholic Diocese of Orange

Adam Loeser

Fire Chief

City of Brea

Lisa Wright Jenkins

President & CEO

Council on Aging – Southern California

America Bracho, MPH, CDE

Executive Director

Latino Health Access

Joy Anne Fumera, RN, MSNRegistered Nurse

Helen Macfie, Pharm.D., FABC Chief Transformation Officer

Executive Administrator, CIN, MemorialCare

Rebecca Yee

Ensign Services

Margaret Bredehoft, Dr. PH

Deputy Agency Director, Public Health Services

OC Health Care Agency

Jeff Goad, Pharm.D., MPH, FAPhA, FISTM, FCPhA, FCSHPProfessor & Chair Department of Pharmacy Practice, School of Pharmacy, Chapman University

Lieutenant Dave MainOrange County Sheriff’s Department Security Bureau

Matt Zahn, MDMedical Director of the Division of Communicable Disease

Control, OC Health Care Agency

Clayton Chau, M.D., Ph.D

Director

OC Health Care Agency

Laura Gomez

Teacher

Santa Ana Unified School District

Al Mijares, Ph.D.

County Superintendent of Schools

Agenda

1. Introductions

• Welcome & Reflection

• Session Agenda & Objectives

• Ground Rules

2. Updates

• OC/HCA Vaccine Volumes

• Latest State Guidance

3. Community Clinics – Update on Activity

4. Mobile PODs: Data-Driven Strategies for Achieving Equitable Access to Vaccines

• City-supported roll-out with community partners

• Targeted outreach and engagement

• Other strategies to address equity concerns

3. Shared Learning to Prepare for Next Phases/Tiers – Report Outs on Best Practices

• Over-coming hesitancy

• Streamlining workflow

• Planning for 2nd doses

• What else?

4. Next Steps & Wrap-Up

Ground Rules

Guests • Task Force is a closed group with invited guests based on agenda topics.• Please be sure to let us know if you would like to invite guests and for what purpose so we

may confirm appropriateness for session topics and outcomes.• Guests not pre-approved will not be allowed into the session.

Mute yourself when not talking

Use the chat to share thoughts with the group

Keep your comments brief and concise – stay on point and on time

Hold your questions until the end of each section/presentation

Please chat in other recommended ground rules

Vaccines Administered in Orange County

Orange County Health Care Agency

Data as of February 2, 2021

Person Valid Vaccine Doses

First Dose 196,360 196,360

Second dose 45,989 91,978

Total Valid 242,349 288,338

Possible data entry error/duplicate doses

1,505

Total Doses 289,843

Trade Name Number of Doses Percent

Unknown 232,911 81%

Moderna 21,249 7%

Pfizer 34,177 12%

Total Valid Doses 288,338 100%

COVID-19 Vaccinations by Gender

Female Male Other/Unkwn

Sex Number Percent

Female 172,258 60%

Male 115,677 40%

Other/Unkwn 403 0%

Total Valid Doses 288,338 100%

As reported through the California Immunization Registry (CAIR2)

Data as of February 2, 2021

The Othena App is now available in

Spanish; Vietnamese is coming soon!

White43%

Hispanic11%

Asian/PI27%

Black1%

Other/Unknown18%

COVID-19 Vaccinations by Race/Ethnicity

White

Hispanic

Asian/PI

Black

Other/Unknown

COVID-19 Vaccinations by Age Group

< 18

18-24 yrs

25-34 yrs

35-44 yrs

45-54 yrs

55-64 yrs

65-74 yrs

75-84 yrs

85+ yrs

Age Group Number Percent

< 18 140 0%

18-24 yrs 8,639 3%

25-34 yrs 34,297 12%

35-44 yrs 37,798 13%

45-54 yrs 39,222 14%

55-64 yrs 33,317 12%

65-74 yrs 69,759 24%

75-84 yrs 45,114 16%

85+ yrs 20,053 7%

Total Valid Doses 288,338 100%

Race/Ethnicity Number Percent

White 123,520 43%

Hispanic 30,870 11%

Asian/PI 78,517 27%

Black 2,819 1%

Other/Unknown 52,612 18%

Total Valid Doses 288,338 100%

As reported through the California Immunization Registry (CAIR2)

Data as of February 2, 2021

Race/Ethnicity (Age 65+) Number Percent

White 75,603 56%

Hispanic 10,631 8%

Asian/PI 31,641 23%

Black 937 1%

Other/Unknown 16,114 12%

Total Valid Doses 134,926 100%

Race/Ethnicity (Age <65) Number Percent

White 47,917 31%

Hispanic 20,239 13%

Asian/PI 46,876 31%

Black 1,882 1%

Other/Unkwn 36,498 24%

Total Valid Doses 153,412 100%

White56%

Hispanic8%

Asian/PI23%

Black1%

Other/Unknown12%

COVID-19 Vaccinations by Race/Ethnicity (Age 65+)

White

Hispanic

Asian/PI

Black

Other/Unknown

White31%

Hispanic13%

Asian/PI31%

Black1%

Other/Unkwn24%

COVID-19 Vaccinations by Race/Ethnicity (Age < 65)

White

Hispanic

Asian/PI

Black

Other/Unkwn

As reported through the California Immunization Registry (CAIR2)

Data as of February 2, 2021

-

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21

Number of Doses by Date Administered

As reported through the California Immunization Registry (CAIR2)

Othena Data as of February 4, 2021 – Activity for Clinics Using the App

https://othena.com/

Allocations to Orange County – as of close of business 2/4/2021(Not counting MCE or LTC Federal Allocations)

HCA Vaccine Inventory as of 2/4/21 @10am

State AllotmentAmount

DistributedTotal Doses on

Hand

Moderna 148,200 130,020 18,300

Pflizer 66,300 57,870 8,430

Total 214,500 187,890 26,730

Expecting 15,000 Pfizer arriving Friday, Feb 5

California Data

https://covid19.ca.gov/vaccines/#California-vaccines-dashboard

Update on LTC Federal Program

Dr. Calvet

Long Term Care Facility Vaccine Update 2-4-21Orange County Health Care Agency (OCHCA)

Helene M. Calvet, MD

Deputy Medical Director, Communicable Disease Control Division

SNF Vaccinations • All SNFs scheduled for at least 3 vaccination clinics:

• 1st round 12/28/20 - 1/19/21

• 2nd round started 1/18, scheduled to be completed about 2/9/21

• 3rd round scheduled to be completed by first week of March

• Current census 5300 residents, estimated about 7000-8000 staff

• Numbers vaccinated so far:DRAFT/INCOMPLETE OC SNF Vaccination Data

2/3/21

1st Dose 2nd Dose Refusal

Staff 4989 3552 1685

Resident 2792 1907 625

Total 7781 5459 2310

Caveats: of 70 total facilities….• Missing data completely on 13

facilities• Many inaccuracies, many show

more second shots that first shots

• Take these numbers with a huge grain of salt!

ALF and Other Facility Vaccinations• Still trying to reconcile lists with Community Care Licensing Division (CCLD)

• Latest CDPH list from 2/3/21 shows 1582 registered facilities (excluding SNFs):• 172 Assisted Living• 863 “residential” (probably 6 beds)• 7 CCRC• 22 HUD• 518 “IDD”: 122 are CDPH-licensed ICF-DD facilities, rest are likely CDSS-licensed facilities• Very rough estimates for RCFEs (excludes CCRC, HUD and IDD licensed by CDPH): about

31,000 residents and 25,000 staff.

• Vaccine clinics• Of 1582 facilities registered, only 169 have not been scheduled yet• Approximately 1000 facilities have completed first clinic• Other scheduled out through 2/22; most second clinics start around 2/25.

Next Steps

• Continue to work with CCLD and CDPH to identify and arrange vaccination for facilities not registered

• Work with our immunization program on plan to make vaccine available to SNFs for new admissions after 3rd clinic.

• Continue to request and refine data to keep stakeholders informed• Outreach/education to SNFs for accurate input of data

• Walgreen’s sharing data on clinics completed, but doses administered not updated since 1/19 (up until then, over 4000 doses administered)

• CVS yet to share any data with local public health

The Reality of Vaccine Data in California

CAIR2 Data• Zip code is missing in 89% of vaccine

records

• City is missing in 89% of vaccine records

• Ethnicity and race data elements are also

frequently missing

The Latest from the State

Provider FAQ Available on EZIZ

21

View FAQs for Providers here

https://eziz.org/covid/

Updated Weekly!

ADA Factsheet and Checklist

• ADA Factsheet and Checklist for use at mass vaccination sites

• Developed in partnership with the Pacific ADA Network

• Outline the accessibility requirements that must be incorporated at each site

• Posted on EZIZ and on SharePoint

22

Starting today, the Soka University

Super POD is offering in-car

vaccinations for eligible individuals with

disabilities displaying vehicle placards

or license plates at their appointments.

Blue Shield – Third Party Administrator

23

• Steering committee of LHDs (reps from CCLHO/CHEAC and IZ coordinators) is being formed to guide the roll out of the TPA

• First topic discussed will include use of MyTurn scheduling system and automatic data feeds

Doses Administered

• GO Team!! – 3.5 million doses and ½ million fully vaccinated!

24

Description Stats

Today:

2/1/2021

Stats

Yesterday:

1/31/2021

Percent

Change

from

Yesterday

Total Doses

Administered

3,523,111 3,434,295 2.5%

Doses Shipped 5,772,775 5,735,875 0.6%

Doses Delivered 5,666,550 5,666,550 0.0%

Federal Pharmacy Program• A partnership with 21 national pharmacy partners and independent

pharmacy networks, representing more than 40,000 retail and long-term care pharmacy locations

• Direct Federal allocation to the pharmacy partners

• The launch date will be as early as February 11th, 2021

• Incremental rollout with limited supply to initial pharmacy partner(s)• California: CVS and Rite Aid

• CDC has been working with the pharmacy partners already to ensure that they are ready for the launch of the program

• Moderna will the chosen vaccine to start

• Program will start with 1 million doses to pharmacy partners across all states

25

26

https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2021-01/06-

COVID-Shimabukuro.pdf

Key points

• For flu vaccines, 1.35

cases of anaphylaxis/

million doses

• We can expect these

reported rates to

change as more

vaccine is

administered and as

VSD data is available

Questions?Comments?

Please share current and planned vaccination sites / PODs!

Update on Community Clinics

OC Coalition of Community Clinics

Sonia G. Shah, MPH

Director of Programs

Ryan Yamamoto

Chief Operating Officer

z

HUB and SPOKE Model To Provide COVID-19 Immunization To Safety Net Populations

Coalition of Orange County Community Health Centers

OC COVID-19 Vaccine Taskforce- February 4, 2021

zz

Table of Contents

• Overview of Coalition COVID-19 Program

• Overview of HUB and Spoke Vaccination Model

Recommendation

• Safety Net HUB and SPOKE Model Timeline and

Process Steps

• Week One Vaccine Allocation Highlights

z

COVID-19 Program- Driver Diagram

To reduce and/or

prevent the spread

of COVID-19

amongst community

residents in

medically to an

underserved area or

populations in

Orange County

AIM Statement Primary Drivers Secondary Drivers Projects/Initiatives

Prevention and

Treatment

Education and

Training

Communication

and Messaging

Testing

• Testing Playbooks for Health Center Members

• CHC run Mobile; Drive Thru and Walk-In Testing Sites

• Testing Network partnership with County HCA

• Home Test (Ambry) partnership with County HCA

Contact Tracking

• Trained Coalition Staff and Health Scholars through

UCI Contact Tracing Program

Management of COVID Positive Patients

• Monocolonal Antibody Infusion Treatment Program

(One Member Health Center)

COVID-19 Immunizations

• Vaccine Safety Net HUB and SPOKE Model and

Implementation Guidebook

Advocacy and partnership

• Letters at State and Local level for PPE; testing kits;

vaccines

• Participating in OC Vaccine Taskforce

• Partnership with CBOs

• Screening and Treatment

• Testing

• Contact Tracing

• Management of COVID

Positive Patients

• COVID-19 Immunizations

• Culturally Competent and reading

level appropriate material and

resources(COVID-19; Public Health

Preventative Measures; COVID-19

Vaccines)

• Staff training (PPE Usage; Vaccine

Administration)

• Hesitancy

• Clear; timely; personalized and

trusted information to key

stakeholders and community

• Evidence based information

• Access to information

• Culturally; linguistically appropriate

Threads:

• Health Equity and

social justice

• Policy/Advocacy

• Material and/or video to provide education to

community on what happens after 1st and 2nd shot

• COVID-19 Leadership Meetings (Coalition and

Coalition Members)

• Provider Forums (Coalition and Coalition

Members)

• Townhalls Series (February 5th; Coalition specific

townhalls)

• Coalition Newsletter and Social Media

zz

Safety Net HUB and SPOKE Vaccination Model Recommendation

COVID-19 has had a significant impact on communities of color in the United States, who account for a disproportionate share of COVID-19 cases, hospitalizations, and deaths. More specifically in Orange County, data demonstrates the hot spots for COVID 19, including Anaheim and Santa Ana, as well as far South as San Juan Capistrano. Therefore, if COVID-19 vaccines get to the right people, the benefits could impact the entire county- from fewer people getting sick, to increased hospital capacity, to potentially reopening the economy.

In an effort to reach the hardest hit communities and populations the Coalition of Orange County Community Health Centers recommends seven Community Health Centers (CHC) to create a total of five HUBs. The Coalition is defining HUBs as those CHCs that have the freezer capacity to hold more vaccines than they can distribute on their own. The HUBs will partner with other member health centers to form SPOKEs to support the delivery of larger volume of vaccines.

The HUBs will focus on vaccinating Orange County residents in medically to an underserved area or population. Approximately 15,477 vaccinations per week (represents additional CHC membership not serving as a HUB)• The HUBs administering vaccines have the staffing, infrastructure, capacity, workflows, and trust and relationship with

these communities to administer COVID-19 vaccines.• The selected CHCs have experience in administrating COVID vaccines to their HCWs and continue to test and improve

upon their workflows and processes.• The CHCs HUBs include: KCS and Southland; STP and Family Health Matters; Families Together Orange County; Nhan

Hoa, and AltaMed;

AltaMed(up to 9 sites)

Families

Together

Orange

County

CIBD

Hurtt

Lestonnac

Obria

KCS and

Southland

STP and

FHM

Laguna

Beach

Community

Center

Nhan Hoa

County

Health

Equity

Partners

St. Jude

Sierra

Vista

Camino

SOS

Central

City

Livingstone

CDC

CHC Vaccination HUB and SPOKE Model

HOPE

Buena

Park

Community

Clinic

z

HUB and SPOKE Model Goal

To increase the number of OC community residents

in medically to an underserved area

or population receiving COVID-19 vaccinations.

zCounty Approved Vaccines and Terms

and Conditions

15,000 per week (for

approximately 4 weeks)

Total # of approved

vaccines for Safety Net

Hub*

Community Health

Center Patients (65+)

Phase I Target

Population**

*Note: For week one the total allocation is 16,125 (due to tray sizes); and All HUBs with ULF will receive Pfizer vaccines; and HUBs with

Subzero freezer will receive Moderna vaccines

** The HUB and SPOKE Model will start with their patient population (65+) and then will be expected to vaccinate greater community

(including any service agreement partners)

65% per week

Vaccine Allocation

Usage

zSafety Net HUB Geographic Location; Freezer Capacity and Estimated Vaccine Volume

Safety Net HUB Location COVIDREADi

Approval

Geographic

Location

Ultralow

Freezer

Subzero

Freezer

Freezer Capacity Estimated HUB Vaccine

Volume Per Week

Korean Community

Services (KCS) and

Southland (SIS)

Anaheim,

Buena Park

and

Garden

Grove

X North; and

Central and West

County

X • KCS: 17,500

• SIS: 17,500

• KCS: 1000 per week

• SIS: 1500-2000 per week

Serve the People

(STP) and Family

Health Matters (FHM)

Santa

Ana and

Anaheim

X North; and

Central County

X • STP: 2 ULF(40k

and;150K

doses)

• FHM: 40K

doses

• 1500 per week

Families Together

Orange County

(FTOC)

Tustin X Central County X • 100K doses • 1500 per week

Nhan

Hoa Comprehensive

Health (NHCH)

Garden

Grove

X West County X X • 5000 doses • 1500 per week

Alta Med Anaheim X North; Central

and West County

X • 25K for OC &

25K for LA (2

refrigerators)

• 1,350-1,377 per week

AltaMed(up to 9 sites)

Allocation: 1950

Families Together

Orange County

Allocation: 5850

CIBD

Hurtt

Lestonnac

Obria

KCS and

SouthlandAllocation:

KCS- 975

Southland:

1950

STP and FHMAllocation: 3900

Laguna

Beach

Community

Center

Nhan HoaAllocation:

1,500**

County

Health

Equity

Partners

St. Jude

Sierra

Vista

Camino

SOSCentral

City

Livingstone

CDC

Vaccine Allocation Per HUB For

Week One (February 1, 2021)

Total: 16,125

HOPE

Buena

Park

Community

Clinic

**Note: All HUBs

except for Nhan Hoa

will receive Pfizer

vaccine

z

HUB and SPOKE Operational Plan

Vaccine Specifics; Vaccine Clinic Options

zVaccine Allocation Formula(For Future

Allocations)

• Formula Criteria

• HUB and SPOKE Model – Operational Plan

• Joint HUB and SPOKE Walk-In and/or Drive Thru Vaccine Clinic

• Assumption: Staffing Model includes workforce from both HUB and

SPOKE

• Individual HUB and SPOKE Walk- In and/or Drive Thru Vaccine Clinic

(requires Redistribution of vaccines)

• Estimated Vaccine Volume per week by HUB and SPOKE is based on

the Operational Plan (Note this would depend on capacity and staffing etc).

• Assumption: Vaccine supply is not limited

Vaccine Allocation= Volume per week=

Vaccine Clinic Model; Staffing and

Infrastructure

z

Vaccine Clinic Model (Options*)

Option One

Vaccine Clinic

hosted at HUB site

and administered

by HUB Staff (and

if available SPOKE

and Volunteer

Staff)

Option Two

HUB and SPOKE

administer

vaccines at their

own sites(if

COVIDREADI);

(This involves

Redistribution of

vaccine)

Option Three

HUB Site deploys

Mobile Unit to

administer

vaccines (SPOKE

location or other)

*Note: Vaccine Clinic can be walk in or drive thru

**Note: Ideal Option for when HUB and SPOKE start to vaccinate partners and broader

community

Option Four **

HUB and SPOKE

identify a centralized

site to run Vaccine

Clinics (Mobile Units

can be deployed to

this site; or a walk in

or drive thru model

can be used.

z

Coalition; HUB; and SPOKE

Roles and Responsibilities

z

Vaccination HUB and SPOKE Model Roles and Responsibilities

The Coalition of Orange County Community Health Centers is responsible for the following:

• Develop HUB and SPOKE Model Implementation Guidebook

• Provide overall program management, technical assistance and serve as the liaison between the

HUBs and SPOKEs with the Orange County Health Care Agency.

• Submit weekly data information gathered from the HUBs and SPOKES to the designated County

Health Care Agency Staff on Wednesday by COB to inform the following week's vaccine order:

• # of patients scheduled 1st & 2nd dose;

• Shots in Arms- 1st & 2nd dose;

• Vaccine supply remaining

• Race/Ethnicity; Payor Type; Zip Code Data

• Submit vaccine allocation amounts to the designated County Health Care Agency Staff on Wednesday

by COB to inform the following week’s vaccine order.

z

Vaccination HUB Roles and Responsibilities

The Vaccination HUB is responsible for the following:

• Sign MOA with the Coalition.

• Establish a MOA with SPOKE site to formalize management of partnership (if needed).

• In collaboration with SPOKE(s) determine Vaccine Clinic location; hours; days; and patient population to be

served. Additionally, redistribution of vaccines is an option; however, redistribution of vaccines is risky, and it

requires planning, proper equipment, and consistent adherence to transport protocols (can impact efficacy

of vaccine). Approval for redistribution is granted on a case-by-case basis by CDPH.

• All tools and resources, including redistribution forms and guidelines WILL be included in the HUB

AND SPOKE Implementation Guidebook being developed by the Coalition (Timeline: End of day

Friday, January 29, 2021)

• Responsible for storage, coordination and management of vaccine clinic; and administration and

transportation vaccines.

• Determine clinic model (Drive Thru or Indoor or Outdoor Walk-through clinics; Hours and location)

• Scheduling and appointments for HUB and spoke patients; partner organizations (Service

Agreement sites such as but not limited to food banks, schools, shelters, senior centers)

• Developing staffing models(clinical and non-clinical; Volunteers; Security, etc.) and workflows

• Onsite logistical support (e.g., PPE; Supplies; Emergency kits)

z

Vaccination HUB Roles and Responsibilities

The Vaccination HUB is responsible for the following:

• Reporting Requirements for HUB Providers (Note: if redistribution is a strategy HUB and SPOKEs

agree upon – HUB and SPOKE will decide whether centralized reporting or local level reporting will be

implemented. If Local Level Reporting is chosen, then these requirements will apply to the SPOKEs as

well):

• Vaccinating HUBs are required to comply with the following requirements:

• Report COVID-19 doses administered to all patients within 24 hours of administration to CAIR2.

• Submit race and ethnicity information for every vaccinated patient.

• Failure to comply with this reporting requirement may result in your clinic’s expulsion from the

program.

• Report COVID-19 doses in inventory daily to the VaccineFinder website

z

Vaccination SPOKE Roles and Responsibilities

The Vaccination SPOKE is responsible to work in partnership with the vaccination HUB to:

• Determine Vaccine Clinic location; hours; days; and patient population to be served.

• Outreach, schedule and coordinate appointments

• Develop messaging to patient and community members regarding vaccine clinic.

• Operate vaccination clinic (this includes non-clinical and clinical responsibilities; and

onsite logistical support (e.g. PPE; supplies; emergency carts, etc.)

• SPOKE sites must be COVIDREADI approved in order to assist with administering

vaccines.

• If HUB and SPOKEs decide to redistribute vaccines, then SPOKES would be

responsible for reporting as well.

z Week One(February 1, 2021) Vaccine AllocationHUB and SPOKE Model Highlights

The Coalition met

with each of the

HUB(s) and

SPOKE(s)

respectively to

discuss options to

administer vaccines

All Five HUBs and

SPOKEs in process

of ramping up

Vaccine Clinics.

Some vaccine clinics

started Wed February

3, 2021All Five HUBs

received Week One

Vaccine Allocation on

Tuesday, February 2,

2021. Total Allocation:

16,125

(Pfizer/Moderna)

• Total Shots in Arm

(1st dose

Pfizer/Moderna) as

of 2/3/21: 1264

• Total Shots in Arm

(2nd Dose

Moderna) as of

2/3/21: 103

z

Proposed Process Steps; Timeline and Driver Diagram

Strategic Approach to COVID-19 Immunizations

z

COVID-19 Immunization Driver Diagram

To increase the

number of OC

community

residents in

medically to an

underserved

area or

population

receiving

COVID-19

vaccinations

AIM Statement Primary Drivers Secondary Drivers Coalition and/or CHC

Projects/InitiativesMetrics for Success

Education and

Training

Vaccine

Administration

Vaccine Supply;

Logistics;

Management

• Vaccine Hesitancy

• Culturally competent

education materials;

resources; etc

• Vaccine training for staff

• Timely reporting into CAIRS

• Federal, state and local

allocation amounts

• Allocation logistics (indirect vs

direct allocation)

• Workflows and plans for

vaccine storage and

maintenance

• Staffing and Delivery system

capacity

• Workflows (Pre-Clinic:

Outreach, appt scheduling,

etc; Vaccine clinic – check-in,

vaccine administration;

observation, etc; reporting

and data analytics

• Staff Training

• Safety and Handling

• Training Material and

Videos

Immunization

Disparities

• Access to Immunization

(location and hours; appt

process; Culturally competent

staff; Language and

translation capacity;

transportation )

• CHCs have workflows in

place to conduct

outreach and schedule

appointments.

• Shots in Arms (1st and

2nd dose)

• Vaccines wasted

• Wait time for vaccine

administration

• Vaccine Request

• Vaccine Order

• Vaccines discarded

• TAT for data reporting

into CAIRS

• Vaccine Clinic Playbook

developed

• CHC PODs for Vaccine

Administration

• Development of template

for Monthly data

collection

• Coalition led advocacy

efforts with CPCA

• Local, State and Federal

Advocacy Efforts

Communication

and Messaging

• Information (timely; evidenced

based; personalized)

• Trust

• Access

• Culturally competent

• Development of

Communication and Social

Media Strategy

• COVID-19 Vaccine Townhall

Series

• Increase belief that CoVID is a

problem

• Increase in knowledge of local

vaccine process and resources

• Improve understanding of COVID

vaccines

• # of Townhall series

• Number Vaccine Clinic Days

• % of patients scheduled 1st and

2nd dose

• % completed appointments(1st

and 2nd dose)

• % no shows

• Appt. Wait times

zz

Proposed Process and Timeline

Finalize Safety Net HUB and SPOKE Model

(Timeline: January 25-26, 2021)

•Review HUB and SPOKE model recommendation with six HUBs (Lead: Coalition Team)

•Submit recommendation to OC HCA (Lead: Coalition Team)

Submit Safety Net HUB and SPOKE Model Recommendation

(January 27-29, 2021)

•Facilitate conversations with member health centers (SPOKEs) and designated HUB (Lead: Coalition Team)

•Upon approval, submit Vaccine Allocations for Hubs to Jody (Lead: Coalition Team)

Preparation for COVID-19 Immunization via Vaccine

Clinics (Timeline: January 25- February 8, 2021)

•In collaboration with members , develop a HUB and SPOKE Implementation Guidebook including MOA templates, revised workflows, standard job description; suggested staffing models; etc. (Lead: Coalition Team to complete by January 29, 2021)

• HUBs and SPOKEs outline vaccine clinic operational plan (Refer to Slide 10 & 11)

Receive Week One Vaccine Allocation (February 2, 2021)

Start Implementation of Vaccine Clinics

(Week of February 1, 2021)

Mobile PODS

A Key Approach in Orange County’s Plan to

Assure Equitable Access to COVID-19 Vaccination for Seniors 65+

Introduction and Background

The State will be issuing guidance on vaccine distribution that is based on the lowest quartile of socio-economic status

In anticipation of this, the County is utilizing data from the OC COVID-19 Vulnerability Index prepared by Advance OC to develop a data-driven approach to distribution of Mobile PODs

This process allows OC to target Mobile PODs for seniors based on their socio-economic status, vulnerability to COVID-19, and challenges with accessing vaccines through existing sources.

The County’s emerging plan for assuring equitable access to vaccines will have several approaches; Mobile PODS are just one.

Summary of Approach to Mobile PODs One Element of Achieving Equitable Access to Vaccines

Data: Advance OC has prepared census-track level analysis and mapping, including:

• Vulnerability Index (using Social Progress Index, CDC indicators and Orange County COVID experience)

An index consistent with the Healthy Places Index but with richer, more current data

• Population sizes of vulnerable individuals 65+

• Existing community resources

Strategies: Mobile PODs are 1 of several strategies to achieve equity

• FIRST: Mobile PODs (provided by IMT)

As more vaccine becomes available, expand into:

• Community mobile clinics (provided by private providers)

• Community clinics with targeted vaccine allocations (building on current efforts)

Supervisory District/City Planning: Using local leaders and knowledge to reach target populations

• Using data provided by the County and Advance OC, IMT Mobile POD Planning Team will support cities to prepare plans and

partner with community organizations to achieve equitable access to vaccines

• Districts will also support and guide planning

IMT Supports: Providing ‘turn-key’ clinics

• Planning support for cities and their partner community organizations (per above)

• Communications with District and City liaisons

• Logistics and Operations to prepare and conduct safe, accessible Mobile PODS

• Vaccine allocation based on equity data and vaccine availability

Example City View: Fountain Valley

Mobile POD Parameters

• Mobile PODs will be staffed to administer 500 vaccinations per event.

• Mobile PODS will provide vaccinations by appointment only.

• Each host site will provide volunteers for: • Community engagement

• Patient scheduling

• Transportation

• Patient flow

• Translation services

• IMT Mobile Team will provide staff for planning and operational leadership, vaccine management, vaccine administration, Othena support, IT support, supply management, and site set-up and tear down.

Questions?Comments?

Orange County Jails

• Orange County Jails currently house 3216 individuals

• The Jails recently experienced an outbreak of COVID-19 infection that infected

over 1200 individuals

• There are currently over 250 individuals with health conditions are considered

at risk for complications from COVID-19, per CDC

• Additionally, there are over 450 individuals with conditions identified by CDC

that may place them at risk for complications

• Total of 700 individuals with increased risk to COVID-19 Complications

For Consideration

• Allow Correctional Health Services to vaccinate those identified with

vulnerable conditions – prioritizing those who are at risk, per CDC

• Initial request for 250 doses

CHS Goals

• Protect those with conditions that place them at higher risk for complications

• Reduce virus transmission in the congregate setting

o Individuals are also transported to court and eventually back into their communities

Shared Learning to Prepare for Next Phases/Tiers

Report Outs on Best Practices & Key Learning

Shared Learning to Prepare for Next Phases/Tiers Report Outs on Best Practices & Key Learning

Overcoming hesitancy

Streamlining workflows

Planning for 2nd doses

What else?

Thank you!

Standing Schedule: 1st and 3rd Thursdays, 4:00-5:30Next meeting: Thursday, February 18th