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Wyoming has a mandatory reporting rule, and it requires all vaccine providers to report the vaccine administration data for all ages of patients using the WyIR tool.

Wisconsin COVID-19 Vaccination Plan

Distribution

  • The state of Wisconsin will adhere to the procedures recommended by the CDC’s Advisory Committee on Immunization Practices on which population groups to prioritize for vaccination.
  • The Department of Health Services in the state will develop a tool to consider the main principles and other relevant data “(e.g., county population, percentage of a particular subgroup, vaccinator ability to store that particular vaccine)”
  • To assess the cold chain capabilities of individual providers, the vaccinators will complete a survey during registration to assess their cold chain management procedures and vaccine storage specifications and capacity. The Wisconsin Department of Health Services will provide a checklist and training materials for the vaccinators during registration.
  • In Wisconsin, the COVID-19 vaccine ordering will be conducted in the following three steps:
    • Step 1: During the first phase, approved vaccine providers will use a survey to request the amount of vaccine they require to vaccinate a chosen priority group. During the second and third phases, approved vaccine providers will put a request for the vaccine type, the number of doses required, and their current inventory into the ordering module within WIR.
    • Step 2: State staff review the vaccine order and approve, deny, or adjust it based on the available allocation from the CDC.
    • Step 3: During the first and second phases, the state will allocate the approved vaccine provider a vaccine amount based on the amount of vaccine provided to the state. The vaccine order is then directly entered into the WIR Registry, and the information is uploaded into VTrckS for processing. During the third phase, approved vaccine providers can now enter their requests directly into WIR to be approved by the State staff will approve those “depending on the allocated needs and the projected needs of the provider.”
  • The vaccine unit of Wisconsin’s Immunization Section will monitor the administration of the vaccine and check the inventory levels of all the approved vaccine providers in the state to ensure wastage is minimized.

Storage

  • The state of Wisconsin requires all vaccinators to have a cold-chain standard operating procedure specifically tailored for COVID-19 before receiving any vaccine.
  • The Department of Health Services will provide a template cold-change standard operating procedure. If the COVID-19 vaccine needs ultra-cold storage, the vaccinator has to provide their plan for ultra-cold storage to the DPH.
  • The Wisconsin DHS will also “provide a transport container and a digital data logger to each LHD or tribal clinic.”
  • Satellite, temporary, or off-site settings are required to have constant temperature monitoring using data loggers or temperature monitors that set off an alarm if the temperature goes beyond the vaccine storage limits.
  • Vaccinators that will be redistributing ultracold vaccines should have the DHS approve their standard operating procedure before the vaccine is shipped to them.

Prioritization /Hierarchy of Who Receives Vaccine

  • To identify, locate, and estimate the number of critical populations, the state of Wisconsin has a spreadsheet that has been created using data provided by the CDC, state sources, and local public health jurisdictions.

Data and Reporting

  • Wisconsin is planning to use the WIR tool, which has been in use since 1999 to “record the number of administered vaccine doses, guide clinical decision-making, run reports regarding vaccine coverage for a given practice or jurisdiction, and run reports for clients who are due or overdue for immunizations.”
  • Wisconsin is still considering using another tool to supplement what WIR does and the data it collects. One of the products being considered is the CDC Vaccine Administration Management System (VAMS).
  • The state is still considering how it will submit COVID-19 vaccine administration data through the Immunization (IZ) Gateway, and Connect is the most popular method by now.
  • As per the requirements of the federal government, Wisconsin will “require entry of COVID-19 vaccine into the WIR within a 24-hour period.”
  • The vaccination data will be extracted from WIR’s Datamart into Excel spreadsheets connected to Tableau for automatic updates.

Governance

  • The Wisconsin DHS is within the Executive Branch of the Governor’s Office and has nine Divisions and Offices, including the Office of the Secretary, which has the COVID-19 Response Team (CRT.)
  • The CRT has teams in the following areas: testing, contact tracing, surveillance, vaccination, and harm reduction.
  • In September 2020, the CRT integrated the COVID-19 Vaccination Program planning to provide “visibility for the effort, ensured coordination across the statewide response, and allowed access to an array of expertise within the department and across government agencies.”
  • Staff from the Immunization section and OPEHC have been meeting every week in preparation for the arrival of the COVID-19 vaccine.

Technology Infrastructure

  • Most of the technology mentioned in Wisconsin’s COVID-19 Vaccination Plans is the WIR tool used for data collection and reporting.

Wyoming COVID-19 Vaccination Plan

Distribution

  • The Wyoming immunization unit will use a variety of tools to determine “allocation amounts and locations in early and limited supply scenarios.” The tools will include “Tiberius and data collected through the Provider Profiles for enrolled providers.”
  • In Wyoming, the Immunization Unit will use VTrckS reports to establish allocations and presentations of vaccine doses.
  • The WyIR will be used to process the transfers of the COVID-19 vaccine.
  • The WyIR also generates inventory and waste reports, which may be used to show “when vaccine doses are dropped/spilled broken, lost and unaccounted for, and expired.”

Prioritization / Hierarchy of Who Receives Vaccine

  • In Wyoming, vaccine allocations will be prioritized for hospitals, PHNOs, CHDs, and Eastern Shoshone Tribal Health in order to ensure “access for critical populations, including healthcare workers and others identified by CDC, ACIP and in consideration of recommendations from the Wyoming Medical Ethics Committee.”
  • The WDH has already identified COVID-19 vaccine critical population groups and is “estimating numbers of vaccine recipients in collaboration with various internal and external stakeholders.”
  • The Wyoming Medical Ethics Committee is compiling recommendations on how to prioritize subgroups within each critical population.
  • The state has categorized critical categories as follows: Critical Infrastructure Workforce, People at increased risk for severe COVID-19 illness, People at increased risk of acquiring or transmitting COVID-19, and People with limited access to routine vaccination services.

Storage

  • The Wyoming Immunization Unit will review the vaccine Provider Profile for each provider to assess provider cold chain capabilities. The staff from the unit will then “work with providers to verify cold storage equipment and stability through the submission of temperature data from data logger thermometers as well as through pictures of the designated storage units.”
  • The Immunization Unit will assess and verify the storage capacity for each individual provider locations during the provider enrollment process. Each individual provider will be required to log and report the temperature of their vaccine storage units twice every day.

Data and Reporting

  • Wyoming has a mandatory reporting rule, and it requires all vaccine providers to report the vaccine administration data for all ages of patients using the WyIR.
  • All providers who wish to administer COVID-19 vaccines in Wyoming must be enrolled with WyIR for reporting before getting authorization for vaccine ordering.
  • The WyIR has connections to the IZ Gateway to report administered doses to the CDC.

Governance

  • The Public Health Division (PHD) of the Wyoming Department of Health is responsible for coordinating the development of the state’s COVID-19 Vaccination Plan.
  • Within the PHD is an Immunization Unit responsible for the “routine distribution of all publicly-purchased vaccines in Wyoming to providers enrolled in the Public Vaccine Programs.”
  • The WDH COVID-19 Vaccination Plan assembled an internal COVID-19 Vaccination Team in partnership with a number of planning workgroups throughout the state.

Technology Infrastructure

  • Most of the technology mentioned in Wyoming’s COVID-19 Vaccination Plans is the WyIR tool used for vaccine administration data collection and reporting and the Tiberius (HHS COVID-19 planning dashboard) used in “identifying and ensuring that critical populations have access to vaccination services.”

Security

  • To secure the vaccine administration data, the WyIR tool uses Amazon servers for storage and security.
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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