- Georgia will prioritize distribution to providers that serve high volumes of “frontline workers/first responders (hospitals, EMS, etc.), long term care facilities (LTCs), and [that have] the capacity to vaccinate their staff, patients, and community.” They will determine which providers to prioritize using provider surveys.
- They will partner with the Georgia Office of Emergency Preparedness and Response and the Georgia Emergency Management Agency (GEMA) to utilize Geographic Information System (GIS) mapping to asses vaccine accessibility throughout the state, factoring in provider type and population served.
- In order to obtain the vaccine, providers will need to ensure they can maintain cold storage requirements.
- Georgia will use the CDC Vaccine Tracking System (VTrckS) to upload provider information and orders will be completed using VTrckS EXIS Provider Orders (Sales Orders) Interface.
- Vaccine waste and inventory levels will be managed via the Georgia Registry of Immunization Transactions and Services (GRITS).
- Georgia officials have issued recommendations for providers to maintain vaccine integrity during transportation and storage. These recommendations include assigning a primary and secondary contact person at each location, extensive record keeping for cold storage verification, reporting vaccines that are within 30-days of expiration to the GIP and possibly returning short-dated vaccines to be redistributed, and maintaining emergency vaccine handling plans.
- They have also issued recommendations for off-site or satellite vaccination locations. These recommendations include that vaccine be transported, not shipped, to off-site locations and that temperature be taken every hour during the clinic day.
- Georgia will follow the CDC ACIP recommendations and the National Academy of Medicine’s Framework for Equitable Allocation of COVID-19 Vaccine to ensure vaccine is equitably distributed. The Georgia Department of Public Health will utilize existing data sources, data collected for the purpose of vaccine distribution, mapping and modeling and survellience data in order to identify critical populations. Some of the specific data sources and tools include the Cybersecurity and Infrastructure Security Agency (CISA), the U.S. Census, Medicare, Medicaid and Georgia’s Online Analytical Statistical Information System (OASIS).
- Georgia has created a COVID-19 Health Equity Team which has formed partnerships with community-based organizations (CBOs) “to address health inequities exacerbated by COVID-19.” They will utilize these partnerships to identify and contact critical populations.
- The Georgia Department of Public Health will utilize the following criteria to determine prioritization: the risk of acquiring infection, the risk of severe morbidity and mortality, the risk of negative societal impact, and the risk of transmitting the disease to others.
Data & Reporting
- Georgia will track vaccine administration and dosages using the Georgia Registry of Immunization Transactions and Services (GRITS). COVID-19 vaccine providers will need to undergo training in GRITS prior to administering vaccines. Information collected will be provided to the CDC as well as utilized to calculate clinic-based and county based immunization rates.
- The Georgia DPH is working to create “a mobile IIS app for out-of-office use.“
- The Georgia Department of Public Health (DPH) has created the COVID-19 Vaccine Core Planning and Coordination Team which is responsible for most COVID-19 vaccine distribution plans in Georgia. This includes ensuring plans align with “the GIP Manual and Nursing Protocols as well as current federal guidance”, ensuring adequate information and training is provided, identifying priority populations, and coordinating vaccine distribution.
- Public Health Districts will be responsible for creating Points of Distribution (PODs) as Mass Vaccination Clinics (MVCs) for mass COVID-19 vaccination campaigns.
- Most vaccine reporting will be done utilizing existing technology programs including the Georgia Registry of Immunization Transactions and Services (GRITS) and the CDC Vaccine Tracking System (VTrckS).
- However, some additional technology is being developed, like a mobile vaccine dosage tracking app for off-site locations where internet may not be available.
- Providers are required to follow state and federal laws regarding vaccine security in order to be allowed to continue providing the vaccine. These include maintaining a constant chain of custody of vaccines.
- The Georgia Emergency Management and Homeland Security Agency is part of the Georgia vaccine task force in order to ensure the vaccine distribution plans include adequate security.
- Idaho plans to utilize “ (“Tiberius”) to aid in COVID-19 vaccine distribution planning, tracking, modeling, and analysis.”
- They will begin by providing vaccines to providers that serve critical populations (see prioritization, below). Providers will need to guarantee that they have the necessary equipment and resources to maintain the vaccine cold chain and storage requirements.
- Providers will “order COVID-19 vaccine through the immunization program’s IIS. Prior to ordering COVID-19 vaccine, providers will be required to submit a physical onhand inventory count though the IIS. The organization’s contact information, physical inventory counts, and COVID-19 vaccine orders will be exported from the immunization program’s IIS and uploaded into VTrckS.” These orders will then need to be approved by the COVID-19 Vaccine Advisory Committee.
- The Idaho Immunization Program will also assist with reallocating and redistributing vaccine in order to avoid any waste.
- The Idaho Immunization Program will verify that all provides have access to proper storage equipment and undergo storage training prior to receiving any COVID-19 vaccine. These storage requirements will follow CDC guidance. Training will be provided via the Idaho COVID-19 Vaccine Provider Toolkit.
- Idaho has released further guidance on storage of COVID-19 vaccines for redistribution purposes and for mass-vaccination clinics hosted off-site, which is included in the Idaho COVID-19 Vaccine Provider Toolkit.
- In the event that the vaccine undergoes a temperature incident, i.e. being exposed to temperatures outside the required range, providers must mark that as “Do Not Use” while viability is determined
- The Idaho Department of Health and Welfare (DHW) is working with the seven local public health districts in Idaho, tribal health entities, and the Idaho Hospital Association to identify and plan for the vaccination of critical populations in Idaho.
- DHW is creating a provider survey to identify which critical populations each provider serves.
- The DHW is also working to estimate critical population sizes in different areas of the state.
- Phase 1 vaccine distribution will include critical populations such as healthcare workers, nursing home workers, pharmacists, emergency medical services providers, and other emergency services providers.
Data & Reporting
- The Idaho Immunization Program will require providers to utilize PrepMod™ to collect COVID-19 vaccination administration data. They will require that all of the CDC’s COVID-19 required data elements are submitted. This information will be transferred to Idaho’s Immunization Information System (IIS) and eventually to the CDC.
- The Idaho Immunization Program is also creating a “new functionality that is currently called Mobile IIS. This module will allow providers in rural areas of Idaho to enter limited vaccine administration data into a cell phone or tablet application when internet access is limited or unavailable. When the provider has internet access, the app would connect to Idaho’s IIS through a real-time electronic data connection to upload the data into the IIS.”
- “The two organizations leading the vaccination planning and implementation are the Idaho Department of Health and Welfare (DHW) and the Idaho Office of Emergency (IOEM).”
- Two key programs within the Idaho Department of Health and Welfare that are overseeing COVID-19 vaccine distribution are the Idaho Immunization Program (IIP) and the Public Health Preparedness and Response (PHPR) Program.
- There are seven health districts in Idaho, each involved in the pandemic response, as well as the Idaho Office of Emergency Management (IOEM).
- Idaho has created the Idaho COVID-19 Vaccine Advisory Committee to oversee COVID-19 vaccine planning efforts, in partnership with local organizations.
- The majority of the Idaho Immunization Program will be deployed using existing technology programs like PrepMod™ and the Department of Health and Human Services’ Operation Warp Speed Tiberius Platform. However, some new programs, specifically to aid in mass vaccine drives taking place where internet access may not be possible, are in development.
- All data collected and transferred regarding the COVID-19 vaccine will “meet HIPAA and requirements mandated by state statute.”
- Illinois will require those interested in providing the COVID-19 vaccine to “legally enroll in the Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE).”
- Providers will be allocated vaccine dosages “based on the overall jurisdiction’s population size and disease burden.”
- Vaccine will be directly shipped to the providers via private carriers. The Illinois Department of Public Health may help with redistribution if necessary.
- Providers in Illinois wishing to distribute the COVID-19 vaccine will need to follow all CDC recommendations for storage and transport of the vaccine.
- The State of Illinois will provide provider training on the storage and transport of the vaccine.
- The State of Illinois has formed the COVID-19 Mass Vaccination Planning Workgroup to determine guidelines for off-site COVID-19 mass vaccination clinics. This guidance will include information on proper storage of vaccine for these types of events.
- According to the State of Illinois, “vaccine priority groups will be determined by the epidemiological data and will follow HHS and CDC guidelines based on input from the Advisory Council for Immunization Practices (ACIP).”
- Those of the highest priority will be healthcare workers, long-term and assisted living facility staff, and members of the “critical workforce that maintains essential functions of society.”
- According to the State of Illinois, “public health departments should coordinate with their health care coalition, emergency management, and other response partners to develop a list of entities serving the priority groups, [and to] determine their capabilities to serve as sites for vaccine administration.”
Data & Reporting (Sections 9, 11)
- “The Illinois Comprehensive Automated Immunization Registry Exchange (I-CARE) is the state’s immunization information system (IIS) and will be the primary system utilized to order and track SARS-CoV-2/COVID-19 vaccine administration during an event.”
- COVID-19 vaccination planning in Illinois is governed by the Illinois Department of Public Health (IDPH), state and local response partner agencies, and other stakeholder.
- The COVID-19 Mass Vaccination Planning Work Group is creating a mass vaccination planning guide for Illinois.
- Illinois is utilizing pre-established programs such as I-CARE to track and maintain COVID-19 vaccination records.
- All vaccine sites in Illinois must agree to IDPH security and confidentiality policies. The ICARE Registry also has strict security measures in place to ensure patient confidentiality.