COVID-19 Vaccination Program
Our Participation in Operation Warp Speed
COVID-19 has had a remarkably negative impact on the world – especially on elderly and acutely-ill populations.
By way of a partnership with Managed Healthcare Associates (MHA) and the Centers for Disease Control and Prevention (CDC), HealthDirect has become one of eight approved providers of the COVID-19 vaccination. As such, we worked diligently to build and execute a well-developed plan that improves the health, stability, and vitality of the residents and staff served by our clients and partners and delivers on our mission of providing Personalized Care in Every Interaction.
Below is information on our journey to becoming an approved provider, our clinic organization and deployment plan, the CDC’s algorithm for the triage of persons presenting for Pfizer COVID-19 vaccine, and post-vaccine considerations for both residents and staff.
Our Path to Becoming a CDC Approved Pharmacy
- Through our network arrangement with MHA, we were introduced to the Operation Warp Speed COVID vaccination program
- HealthDirect leadership evaluated the requirements for participation in program – timeline, required information, and capacity standards for involvement, and agrees to partner
- Began work on Operation Warp Speed required submissions, including:
- Reporting capabilities with both state and federal agencies
- Storage capacity and capabilities (ultra-low temp, frozen, refrigerated) for all HealthDirect pharmacy sites
- Billing capabilities
- Documentation and agreements for provider agreements
- State and federal survey information
- Customer outreach to gauge their expectations
- Continued work required submissions
- Immunizers identified and prepped for vaccination certification
- Initial planning for clinic modeling and flow
- Identification and acquisition of resources
- Tentative mapping of clinic details
- Receive notification from CDC granting formal acceptance into program
- Resource and supply ordering and positioning
- Customers contacted to communicate our approved status and update them on program details
- Engaged clients to organize planning schedule
- Finalization of mapping and tentative clinic scheduling
- Clinics begin Monday, December 21st
Our Comprehensive Plan
HealthDirect’s vaccination program is all-inclusive and includes policies and procedures for:
- Coordination of clinics
- Product acquisition
- Cold chain management
- Safe handling and storage
- Record-keeping and reporting
- Control measures for clinics including use of personal protective equipment and social distancing.
The program planning and execution is managed by the HealthDirect team, but successful clinics require both collaboration with our clients and “behind the scenes” efforts in the pharmacy.
Collaboration with Our Clients
- Clinic deployment team members identified.
- Staging and production area, and workflow of clinic are defined.
- Facility team obtains consent forms and gathers roster data.
- Consent forms and census information sent to HealthDirect
- Staff from both the facility and HealthDirect meet virtually to determine if the clinic is a go, or no-go based on active COVID cases and vaccine allocation availability.
- HealthDirect immunizers and vaccination clinic support staff are tested for COVID and are vaccinated if they choose to
5 FINAL PREP
- Immunizers and support arrive at the facility 30-60 mins before the clinic, meet with designated facility staff, and review the deployment plan.
- Materials and supplies are staged in the designated prep area.
- Vaccinations are given according to the defined workflow.
- After the clinic is complete, facility and HealthDirect staff will collaborate to determine if changes to the workflow are needed for the subsequent clinics.
- Dates for subsequent clinics are verified and the previous steps are repeated.
Completed in Tandem at the Pharmacy
- Consent and demographic information established with operations and finance teams.
- Vaccine is ordered by our operations team via specific systems and according to clinic needs.
- Daily, the pharmacy team monitors storage, performs temperature checks, and maintains controls.
4 CLINIC PREP
- Clinic supply carts are stocked and prepared for deployment
- Reporting managed daily for each clinic and vaccine administered.
To ensure clinics run smoothly, our team meets routinely throughout the week.
Pre and post debriefs with team and clients to prepare and assess.
On December 12, 2020, the Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use of the Pfizer-BioNTech COVID-19 vaccine for the prevention of COVID-19 in persons aged 16 years and older.
The chart below provides information on the contraindications and precautions that should be taken when vaccination special populations and those who have a history of allergic reaction to vaccinations.
CDC website for more information on:
The chart below provided the CDC’s suggested approaches to evaluating and managing new-onset systemic post-vaccination signs and symptoms in Healthcare Personnel (HCP). These suggestions apply to:
- HCP who have received COVID-19 vaccination in the prior 3 days (including day of vaccination, which is considered day 1) and are not known to have had unprotected exposure to SARS-CoV-2 in a communityor healthcare setting in the previous 14 days.
- Symptomatic HCP who are within 14 days of an unprotected exposure to SARS-CoV-2 in a communityor a higher risk exposure in a healthcare setting should be excluded from work and evaluated for SARS-CoV-2 infection.
The CDC states that the approaches suggested in the table below should be tailored to fit the clinical and epidemiologic characteristics of each specific case. Ultimately, clinical judgement should be used to determine the likelihood of infection versus post-vaccination symptoms and the indicated clinical approach.
The table below provides the CDC’s suggested approaches to evaluating and managing systemic new onset post-vaccination signs and symptoms for residents in long-term care facilities. The approaches apply to residents who have received COVID-19 vaccination in the prior 3 days (including day of vaccination, which is considered day 1).
The CDC states, all symptomatic residents should be assessed; the approaches suggested in the table below should be tailored to fit the clinical and epidemiologic characteristics of the specific case.
In any situation, positive viral (nucleic acid or antigen) tests for SARS-CoV-2, if performed, should not be attributed to the COVID-19 vaccine, as vaccination does not influence the results of these tests.
The CDC has several ready-made materials you can use to educate your healthcare teams and other staff and equip them with the tools they need to educate patients and answer their questions about the vaccine. Material include:
Our Continued Commitment to Care
As the COVID-19 vaccination program continues to unfold, like always, the wellness of the LTC and Special Needs Communities that we serve will remain top of mind. No matter the new challenges and opportunities, our team of dedicated employee-owners will continue to relentlessly seek and find ways to support our clients and their residents.
**If your inquiry is regarding scheduling a COVID-19 vaccination, please visit the CDC website to find a vaccination location near you. HealthDirect is a long-term care pharmacy, not a retail pharmacy; thus, we cannot provide immunization services to the general public.
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