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Nebraska has a detailed COVID-19 vaccine release plan that include priority phases, vaccine kit details, and a group of software platforms that will help with reporting and ordering. Nevada has a tiered-release plan for the vaccine that will also be released first in certain, high-risk counties. New Hampshire intends to release the vaccine state-wide, using a phase system for priority populations. Information about each state’s vaccine release plan is located below.

Nebraska COVID-19 Vaccine Plan

Distribution

  • The COVID-19 vaccine will be distributed using the same procedures used in the Vaccines For Children program.
  • All vaccine order requests will be submitted, tracked, and fulfilled through the NESIIS program.
  • The vaccine will be distributed based on availability and will prioritize those in “priority groups” if there is a shortage of the vaccine.
  • In phase 1a of the vaccine process, the vaccine will be distributed through pre-selected facilities that can store the vaccine at ultra-low temperatures.
  • In other phases, the vaccine will be shipped directly to providers in quantities of 100, along with kits that include things like alcohol prep pads, syringes, needles, and masks.

Storage

  • Depending on the manufacturer, providers will be expected to store the COVID-19 vaccine at the proper temperatures recommended by the CDC, using dry ice if necessary.
  • Providers will be required to provide monthly inventory reports for the vaccine.

Prioritization

  • In Phase 1A, those considered a priority population is limited to healthcare workers.
  • In Phase 1B, the priority population includes those who work in nursing homes and long-term care facilities, those over the age of 65, those with certain medical conditions, essential workers in other fields such as education, and vulnerable populations such as those who are incarcerated.
  • In Phase 2, the vaccine will be available to the public.

Data and Reporting

Governance

  • The NDHHS is headed by a CEO, who reports to the Governor.
  • The CEO oversees five directors, one for each department.
  • There is also an Incident Commander, who will be overseeing the Preparedness section and is Nebraska’s Point of Contact for the state’s COVID-19 response.

Technology Infrastructure

  • NESIIS is the main technology center for the COVID-19 vaccine distribution process, and it will work in conjunction with the CDC’s VTrckS system.
  • NESIIS supports 2D barcode scanning for easy and fast reporting.
  • The system will also use a new Logi analytics platform to gather vaccine data and display visualizations as needed.
  • Clinics will also use VAMS to manage vaccine appointments, store and send data, and manage inventory.

Security

  • NDHHS is aiming to continuously coordinate with multiple groups and organizations to provide only accurate information publicly and to ensure that the public campaign for the COVID-19 vaccine contains consistent information at all healthcare and other locations.

Nevada COVID-19 Vaccine Plan

Distribution

  • NSIP will lead the distribution of the COVID-19 and will use a data-driven, tiered approach to first deliver vaccines to those counties that have an elevated rate of COVID-19 transmission instead of focusing on the entire state.
  • In those counties that are considered “elevated”, NSIP will distribute to priority groups until at least 80% of the group is covered.
  • Vaccines will be shipped directly to providers within 48 hours of order approval.

Storage

  • Depending on the vaccine manufacturer, providers will be expected to have approved cold-chain storage that can range in temperature from 2 degrees Celsius to -80 degrees Celsius.
  • Refrigerated trucks may be used in rural areas where there is not enough cold-chain storage within the clinics.
  • In the first phase of the vaccine, any county with more than 975 people will have the vaccine shipped directly to each administrating facility. Counties with less than 975 people will have the vaccine shipped to a central storage site and the NISP will distribute the vaccine from there as needed.

Prioritization

  • In Tier 1, those considered to be critical infrastructure workers include healthcare personnel, lab workers, department of corrections staff, and law enforcement.
  • In Tier 2, those considered to be critical infrastructure workers include educators, public transportation staff, food processors, and essential retail workers.
  • In Tier 3, the priority population grows to include those with certain medical conditions, those over the age of 65, corrections inmates, and the homeless.
  • Tier 4 will open up the vaccine to the public over the age of 18.

Data and Reporting

  • Required information about each vaccine administration must be reported within 24 hours.
  • Providers are required to use Nevada WebIZ for their vaccine reporting.
  • Processes are being worked on to connect data for first and second doses of the vaccine.
  • Providers will be required to report the required patient information, document vaccine administration, and report inventory and vaccine wastage.

Governance

  • The COVID-19 vaccine response is coordinated through multiple organizations instead of being lead by one party.
  • Richard Whitley is the Director of DHHS.
  • The main people who oversee portions of the vaccine plan include Shannon Bennett, who manages the immunization program, and Malinda Southard, who manages public health preparedness for the state.

Technology Infrastructure

  • Most of the reporting, ordering, and data collection regarding the COVID-19 vaccine in Nevada will be done with the Nevada WebIZ program.
  • This program will work with the CDC VTrckS program to approve orders for the vaccine.
  • The connection between the two programs will also allow the CDC to receive state reports from Nevada’s providers.

Security

New Hampshire COVID-19 Vaccine Plan

Distribution

Storage

Prioritization

  • In Phase 1A, those considered priority include high-risk health workers and first responders.
  • In Phase 1B, those considered priority include those with health conditions that put them at “significantly” higher risk, and older adults living in crowded spaces.
  • In Phase 2, those considered priority include educators, those with health conditions that put them at “moderately” higher risk, the homeless, and those who are incarcerated.
  • In Phase 3, those who can receive the vaccine include young adults, children, and essential workers not mentioned in the previous phases.
  • Phase 4 will open up the vaccine to the public.

Data and Reporting

Governance

  • Key leaders in the New Hampshire Immunization Program team include people from NH Homeland Security, NH National Guard, state epidemiologists, and the NH Medical Society.
  • Other leaders include the Chief Medical Officer, the Chief of Housing Support, and Chief of the Bureau of Infectious Disease Control.

Technology Infrastructure

  • The state’s plan is vague on what exactly their program will do in terms of technology as it continuously refers to waiting for CDC guidance.
  • The state will use the NHIIS system for their technology needs in distributing the vaccine, along with provider VAMS.
  • New Hampshire has also stated that they are in the fifth phase of the CDC’s IZ Gateway connection and is unsure if it will be used.

Security

  • New Hampshire works with Homeland Security to ensure safe distribution of vaccines.
  • The state has a communication branch to ensure that all messaging released to the public regarding the vaccine is safe and will not create any security risks.
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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