The vaccine distribution plans of Oklahoma, Oregon, and Rhode Island are provided below. Some variations exist, including how Oklahoma will have a single designated storage facility in Oklahoma City to store the supply initially, while Oregon and Rhode Island will primarily utilize existing provider storage. Neither Oklahoma nor Rhode Island has a robust security plan in place to handle potential threats to the vaccine or the facilities holding it, while Oregon maintains an active program to prepare its providers for potential disruptions at their clinics.
Oklahoma COVID-19 Vaccination Plans
- Distribution: The distribution plan will vary depending on the phase of the project. The Oklahoma State Department of Health (OSDH) will strictly oversee the distribution in phase 1 to critical populations (including health care workers, long term care residents, and OSDH frontline staff). In phase 2, the OSDH will oversee the distribution through other providers with an active role where needed. In phase 3, the OSDH will be primarily overseeing the operation.
- Storage: The OSDH is going to create a single primary facility in Oklahoma City to house the dosages of the vaccine. Up to 100,000 can be received at a time before being distributed to individual providers.
- Prioritization: In the first phase, 12,000 nursing home staff will receive the vaccine, along with 500 frontline OSDH staff, 84,000 healthcare workers, and 19,000 long term care facility residents. In phase 2, 10,000 first responders, 635,000 adults 65 and over, 67,000 additional healthcare workers, 49,000 staff and residents of congregate work sites, and 2,000 public health staff will receive it. In phase 3, 1,022,000 teachers and 1,500,000 critical infrastructure personnel will receive it. Phase 4 will be open to all other residents.
- Data and Reporting: The relevant data will be collected through the Oklahoma State Immunization Information System (OSIIS), and the Vaccine Administration Management System (VAMS). OSIIS allows for age, race, ethnicity, and employment information to be collected.
- Governance: The Governor heads the state, with the Commissioner of Health reporting directly to them. The Commissioner leads 75 of 77 counties via a public health agency and works with tribal partners. The OSDH Immunization Division will be responsible for vaccination administration.
- Technology Infrastructure: The OSIIS provides a messaging system for vaccine coding, enabling providers to enter data via HL7 messaging. Alternatively, a web interface can be used. OSIIS and VAMS should allow for messages to be sent through the IZ Gateway to the CDC for national tracking.
- Security: In the interest of securing the safety of the vaccine at any particular holding and recipient facilities, information related to the vaccine’s status and availability will be carefully distributed to the public.
Oregon COVID-19 Vaccination Plans
- Distribution: Providers across Oregon will enroll in the Vaccination Provider Agreement; in so doing, they will provide data about their ability to “reach priority populations” with a goal of covering all of Oregon through individual providers. The amount received by each provider will depend on population size and number of critical or essential patients.
- Storage: Individual clinics will maintain their own storage units at or below -70C.
- Prioritization: Oregon has listed how it has obtained estimates for the numbers of its different populations, such as using the Oregon Health Care Workfroce Reporting Program and county-wide estimates from the American Community Survey to determine the number of health care personnel in the state. It does not, however, provide these numbers. It does provide that if there is a shortage of the vaccine, there are internal methods of dividing the categories further (such as considering child care workers to be emergency care providers or not).
- Data and Reporting: Oregon will use data from Tiberius, Alert IIS, VTrckS, and multiple Oregon population data sources to determine initial allocation. All administered doses will be tracked through Oregon’s Immunization Information System (IIS).
- Governance: The Oregon Health Authority will be responsible for vaccine administration overall, with the Oregon Immunization Program specifically designated as the branch in charge.
- Technology Infrastructure: Oregon is working to update the existing OR ALERT Immunization Information System to consolidate immunization records and provide “high-quality immunization data” for individuals and providers.
- Security: Oregon maintains a Health Security, Preparedness and Response Program to ensure the ongoing safety of its medical supplies by running preparedness exercises, preparing for medical surges, and more. This team is actively working with each provider that will be carrying the vaccine.
Rhode Island COVID-19 Vaccination Plans
- Distribution: Rhode Island is assembling a COVID-19 Vaccine Subcommittee from various parties to inform a plan to distribute the vaccine. Rhode Island is using Tiberius to help inform its allocation strategy.
- Storage: Rhode Island’s State-Supplied Vaccine program requires providers to submit a list of their facilities, including storage facilities for vaccines. This list will be assessed to determine where vaccines will be sent.
- Prioritization: Phase 1 will see critical populations (high-risk healthcare workers and first responders) treated first, followed by high risk individuals and older adults who congregate in large settings.
- Data and Reporting: The Rhode Island Child and Adult Immunization Registry and PrepMod will both be used to compile a complete listing of COVID-19 vaccinations in Rhode Island. This data will be reported to the CDC.
- Governance: Rhode Island describes itself as undergoing a “whole of government response” from the Governor’s office downward due to COVID-19. The Rhode Island Department of Health, the Rhode Island National Guard, and the Healthcare Coalition of Rhode Island are closely involved in the vaccination planning process.
- Technology Infrastructure: Rhode Island is working to get its existing data infrastructures to be compatible with the CDC’s IZ Gateway; so far it has encountered issues but they are being worked on. If it cannot do so, it will submit data via CSV files.
- Security: Rhode Island is planning a closely-monitored communication campaign to reach out to critical patients or essential workers during phase 1 to limit misinformation and deter widespread demand.