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A high-level overview of the COVID-19 vaccination plans of the states of Indiana, Iowa, Kansas is provided below. Each state has created an organizational structure to manage the program and has the technological infrastructure that’s needed. The states have also determined who their critical populations are as well as how the vaccines will be distributed.

Indiana

Distribution

  • The COVID-19 vaccines and ancillary supplies will be procured and distributed by the federal government at no price to enrolled COVID-19 vaccination providers.
  • The CDC will use its centralized distribution agreement to satisfy orders for most vaccine commodities and associated ancillary supplies.
  • According to CDC’s central vaccine distributor, McKesson, there will be some holiday blackout days during the distribution of the COVID-19 vaccine. Throughout these identified blackout days, there will be no vaccines shipped from the distributor.

Storage

  • The COVID-19 vaccines are temperature sensitive and the state will use temperature reports ensuring that the vaccines are being stored at the correct temperature.
  • To assert that suitable vaccine storage and handling procedures get practiced and followed, Indiana will work with the team at each COVID-19 vaccination provider site.
  • The required storage temperature varies depending on the product. Temperature ranges include refrigerated (2°C to 8°C) to frozen (-15 to – 25°C) to ultra-cold (-60°C to -80°C).

Prioritization

  • Indiana will be implementing a three-phase vaccination approach that entails focusing on getting the COVID-19 vaccine to critical populations in the first and second phases.
  • In Phase 1A, prioritization is to be given to hospital personnel and congregate care setting personnel including, “people 65 years and older, people with comorbid conditions that place them at higher risk for morbidity or mortality from COVID19, and residents of long-term care facilities.”
  • In Phase 2, prioritization is to be given to individuals with an elevated risk of transmission because of working or living circumstances.
  • Finally, Phase 3 will involve vaccination for the general public.

Data & Reporting

  • The State of Indiana makes the reporting of vaccine administration by particular age groups and provider types compulsory.
  • Providers will be required to continue reporting COVID-19 dose-level information to the IIS.
  • The COVID-19 administered doses will need to be reported with 24 hours of administration.

Governance

  • IDOH is the head state department in developing the strategy for COVID-19 vaccination distribution.
  • The IDOH has built an internal vaccine “planning group and working group. The purpose of the working group is to develop the state’s COVID-19 vaccine plan and operationalize functions referenced within the plan.”

Technology Infrastructure

  • Indiana will employ popular practices for patient reminder/recall in existing healthcare provider organizations and pharmacies, such as through healthcare electronic health records (EHRs).
  • CHIRP will be used to send emails and text messages to vaccine recipients.
  • Electronic Health Records (EHR) system will be used by providers to remind patients of a need for a second dose.

Security

  • Indiana Department of Homeland Security (IDHS) is established to address problems concerning the protection and welfare of Indiana residents, property, and the environment.

Iowa

Distribution

  • The federal government will decide the amount of COVID-19 vaccine allocated for each state, based on a methodology not yet available.
  • IDPH will determine distributions of vaccines to counties/Local Public Health Agencies based on ACIP recommendations, the estimated number of doses allocated to the state and timing of availability, populations served by vaccination providers, and geographic location to ensure distribution throughout the state.
  • CDC will present IDPH with frequent updates on the available vaccine stocks and vaccine product-specific distributions.

Storage

  • The COVID-19 vaccines are temperature sensitive and the state will use temperature reports ensuring that the vaccines are being stored at the correct temperature.
  • To assert that suitable vaccine storage and handling procedures get practiced and followed, Indiana will work with the team at each COVID-19 vaccination provider site.
  • On arrival at the COVID-19 vaccination hospital site, vaccines must be stored rightly to secure proper temperature throughout the clinic day.

Prioritization

  • The local public health agencies and healthcare entities will provide the lists of preference critical “populations to create the priority subgroup numbers in each county for the identified priority groups once ACIP, CDC, and the Iowa Infectious Disease Advisory Council provide guidance.”
  • IDPH will work with different sectors to guide the vaccine distribution.

Data & Reporting

  • IDPH will aid and control reporting by enrolled vaccination providers in IRIS.
  • Vaccination providers must ensure the required data is reported within 24 hours.
  • Reporting data “will be transmitted as directed by CDC via the IZ Gateway connect component.”

Governance

  • The Iowa Department of Public Health (IDPH) is the head state department in developing the strategy for COVID-19 vaccination distribution.
  • The Iowa internal planning team includes the state immunization bureau, the hospital, and public health preparedness bureau, the IDPH Medical Director, State Epidemiologist, Deputy State Epidemiologist, Governor’s office staff, and fiscal specialists.

Technology Infrastructure

  • Nearly 90 percent of the data reported to IRIS is through electronic data exchange. The bulk of healthcare associates managing electronic data exchange are presenting data in real-time.

Security

  • IDPH is working with the Iowa Homeland Security and Emergency Management on the coordination of ancillary supplies such as gloves, needles, sharps containers, and more.

Kansas

Distribution

  • The distribution of vaccines in Kansas will depend on diverse factors including, vaccine doses available, vaccine indications, vaccine storage requirements, minimum vaccine ordering allowed, vaccine provider availability.
  • KDHE will work jointly with the local health departments (LHDs) to produce alternate plans for vaccine distribution and delivery.
  • The committee will notify decisions correlated to the distribution of the “COVID-19 vaccine based upon the guidance of the Advisory Committee on Immunization Practices (ACIP), the Centers for Disease Control and Prevention (CDC), and the KDHE ICS Team. “

Storage

  • The COVID-19 vaccine is temperature sensitive and as such must be stored properly to ensure that it remains effective.
  • Suitable temperature monitoring processes for the COVID-19 vaccine will be a vital part of being a COVID-19 vaccine provider.

Prioritization

  • Kansas will focus on providing the COVID-19 vaccine to its critical populations. The state will use the Geographic Information System (GIS) to outline these critical populations.
  • People involved in the critical population include racial and ethnic minority groups; individuals 65 years and older; individuals with disabilities; individuals that are underinsured or uninsured; individuals living in congregate settings; and individuals attending colleges or universities.

Data & Reporting

  • The state is working with the KSWebIZ vendor to generate data extracts of a tab-delimited file to submit every 24 hours.
  • Data reporting will be transmitted daily from KSWebIZ to the CDC via the IZ Gateway Connect component.
  • KSWebIZ is “an online application, which ensures real-time documentation and reporting of COVID-19 vaccine administration data in clinic settings and mobile settings such as satellite, temporary, or off-site clinic locations.

Governance

  • The leaders of the COVID-19 Vaccine Planning Committee consist of Immunization/Tuberculosis Clinical Section Chief and the Public Health Emergency Preparedness Program Specialist.
  • The state’s Department of Health and Environment (KDHE) has an “internal COVID-19 Vaccine Planning Committee that consists of multiple stakeholders from within and outside the Agency.”

Technology Infrastructure

  • The state will employ popular practices for patient reminder/recall in existing healthcare provider organizations and pharmacies, such as through healthcare electronic health records (EHRs) and KSWebIZ.
  • The COVID-19 vaccine providers will be tracked in KSWebIZ.

Security

  • Both the “Kansas COVID-19 Vaccination Program Implementation Committee and the internal COVID-19 Vaccine Planning Committee will work on development and distribution of vaccine safety messaging to assist with vaccine acceptance and willingness to receive the vaccine, which will ultimately provide protection to the residents of Kansas and decrease wastage of the vaccine. “
GLENN TREVOR
Glenn is the Lead Operations Research Analyst at The Digital Momentum with experience in research, statistical data analysis and interview techniques. A holder of degree in Economics. A true specialist in quantitative and qualitative research.

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