The COVID-19 vaccination plans of Mississippi, Missouri, and Montana are outlined below. The Planning and Coordination Team will distribute the vaccine in Montana, while the Bureau of Immunization will handle distribution and approval of providers in Missouri. Mississippi reports that MIIX, its software infrastructure, is adequate to capture all vaccination tracking and reporting information. Unfortunately, research could not find any outlined plans concerning security plans for Mississippi, nor technology infrastructure and security plans in the COVID-19 Vaccination Plans for Missouri and Montana.
- Distribution of the COVID-19 vaccine will be determined by the guidance of CDC’s Advisory Committee on Immunization Practices (ACIP), Human Health Services (HHS) and “local factors“. Distribution will be authorized at the local level.
- Distribution methods will be determined by number of doses, population served by vaccine providers, and vaccine storage capabilities.
- According to the Plan, distribution will be “fluid and re-evaluated” based on available doses. The minimum order size is expected to be 1,000 doses.
- The state will not be responsible for orders made by commercial providers who order directly from the CDC.
- Once available, the vaccines will be ordered through the Mississippi Immunization Information eXchange (MIIX) system to approved providers. The vaccines will be shipped directly to administration sites to maintain the cold chain required for vaccine preservation.
- The Bureau of Immunization will lead the charge in the custody and distribution of COVID-19 vaccines in the states.
- Distribution will be tiered and is expected to run for at least 6 months.
- The Planning and Coordination Team will be the ones to allocate vaccines to approved providers.
- According to the plan, vaccine providers will not be able to directly order vaccines during Phases 1 and 2. This will be determined by the Planning and Advisory Group and completed by the VFC Quality Specialist.
- Mississippi Department of Health Services (MSDH) will provide all vaccine providers with the appropriate vaccine storage and handling procedures. According to the Plan, expected cold chain storage and handling requirements will vary from refrigeration (2 – 8 degrees Celsius) to ultra cold (-60 to -80 degrees Celsius). These temperatures must be reviewed and documented according to CDC’s Vaccine Storage and Handling Toolkit.
- Individual providers must adhere to the guidelines in the CDC Vaccine Storage and Handling Toolkit. For temporary and off-site clinics, they must assure the state of their cold storage facilities as well as providing refrigeration and freezer certificates to the Bureau. The state shall not have any vaccine depots.
- All providers must submit to the requirements of the Storage and Temperature Monitoring Addendum that describes the equipment requirements. Further, the state requires that storage units must maintain the required storage temperatures and must be equipped with a continuous monitoring digital thermometer.
- All temporary, satellite, and off-site clinics must have “enhanced storage and handling practices” as outlined by the CDC Vaccine Storage and Handling Toolkit.
- The identified populations of focus for Mississippi include healthcare personnel, essential services providers, people aged over 65 years, people with underlying medical issues, people living with disabilities, racial minorities, among others. However, the Plan outlines that the CDC, National Institutes of Health (NIH), and the National Academies of Sciences, Engineering, and Medicine (NASEM) are still determining the populations of focus to be given priority.
- Like Mississippi, the state is still waiting for CDC, ACIP, NIH, and NASEM to provide recommendation on priority populations, but has also identified all healthcare personnel, and those at risk of severe COVID-19 illnesses (chronic illness, people over 65 years, etc), as populations of focus.
- The populations of focus for Montana are similar to Mississippi and Missouri; all healthcare personnel, essential workers, people at higher risk of sever COVID-19 illness, racial minorities, people living with disabilities, and rural communities.
Data and Reporting
- Vaccine providers are required by the State and CDC to report “certain data elements” in MIIX within 24 hours of dose administration. MIIX provides for real-time reporting. Providers that do not meet data monitoring requirements stand the risk of termination.
- The Bureau will verify providers using the ShowMeVax (SVM) software. It will also “regularly pull” data from SMV to identify administered vaccines and remaining inventory. Providers that do not comply with data documentation requirements may face termination as well as criminal and civil penalties.
- Each vaccine provider is required to report and document data every 24 hours.
- MSDH is the central agency that “allows for a coordinated statewide effort“. MSDH has also instituted the Incident Command Vaccination Structure for Vaccine Planning and Response.
- The Plan also notes involving the Mississippi Band of Choctaw Indians (MBCI) Medical Director to coordinate vaccine planning for the tribe.
- The Plan outline 6 teams convened by the state to run the vaccination process. These include the executive planning team (EPT), State Implementation Team (SIT), Regional Implementation Teams (RIT), and Vaccination Support Teams (VST), as well as 10 National Guard Planners, and over 50 non-state partners.
- There are 2 key advisory groups tasked with leading the vaccination process: the Communicable Disease Control and Prevention Bureau and the Planning Advisory Group.
- According to the Plan, Mississippi’s MIIX meets the “ infrastructure requirements” for adequate vaccine tracking and monitoring efforts. This was the only relevant information on technology infrastructure for the state.
- The Plan reports that SIT team will be responsible for IT support and providers with validated interfaces with the state’s IIS system have already been pre-qualified.
- Unfortunately, research was unable to identify any relevant information on the security plans for Montana.
- Unfortunately, research was unable to identify any relevant security plans outlined for all 3 states. For Missouri, however, the plan mentions the use of Missouri State Highway Patrol and the National Guard should any security needs arise.