Office Hours COVID-19 Adult Immunization Contract
This document outlines the COVID-19 protocols and guidelines for adult immunization contracts. It covers key provisions, requirements, and responsibilities related to office hours during the ongoing pandemic. The contract aims to ensure a safe and efficient process for administering adult vaccinations while adhering to COVID-19 protocols set forth by health authorities.
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Office Hours COVID-19 and Adult Immunization Contract 2-17-2022
Agenda Clinical Vaccine Updates COVID-19 Vaccine for 6 mo- 4 years of age update Develop and implement Community Engagement activities Invoice review Discussion
Clinical Guidance Updates Booster doses for moderate to severely immune compromised individuals Myocarditis and Pericarditis updates Janssen vaccine updates EUI updates
Booster doses for moderate to severely immune compromised individuals CDC approved the following clinical guidance changes: Booster dose for moderate to severely immune compromised individuals changed to 3 months for both mRNA vaccines These individuals will get a total of 4 doses for the mRNA vaccines
Myocarditis and Pericarditis updates People who develop myocarditis or pericarditis after a dose of an mRNA COVID-19 vaccine generally should not receive a subsequent dose of any COVID-1 vaccine unless The myocarditis or pericarditis was considered unrelated to mRNA COVID-19 vaccination (e.g., due to SARS-CoV-2 or other viruses), especially if the myocarditis or pericarditis diagnosis occurred more than 3 weeks after the most recent dose of COVID-19 vaccine Determined to be at an increased risk of severe acute COVID-19 disease Level of COVID-19 community transmission and personal risk of infection
Myocarditis and Pericarditis updates If the person needs additional dose of COVID-19 vaccine then Wait until their episode of myocarditis or pericarditis has resolved For men ages 18 years and older who choose to receive a subsequent COVID-19 vaccine, some experts advise the use of Janssen COVID-19 Vaccine be considered instead of mRNA COVID-19 vaccines You must inform them of the risk of TTS
Myocarditis and Pericarditis updates People who have a history of myocarditis or pericarditis unrelated to mRNA COVID-19 vaccination (e.g., due to SARS- CoV-2 or other viruses) may receive any currently FDA- approved or FDA-authorized COVID-19 vaccine after the episode of myocarditis or pericarditis has completely resolved. This includes resolution of symptoms attributed to myocarditis or pericarditis, as well as no evidence of ongoing heart inflammation or sequelae as determined by the person s clinical team
Janssen Updates Moderately to Severely immune compromised individuals Additional dose 28 days from initial dose Booster dose 8 weeks from the additional dose
UPDATES ON MODERNA LICENSED BY FDA Immune compromised individuals now receive the booster dose 3 months after the 3rdprimary dose Note: immune compromised individuals will get a total of 4 doses NEW EUA dated 1/31/2022 Can give a digital version or print off as needed BRAND NAME IS SPIKEVAX No VIS at this time STILL MUST GIVE THE CURRENT EUA TO VACCINE RECIEPENTS
PfizerBioNTech update Immune compromised individuals now receive their booster dose 3 months after the 3rdprimary dose Immune compromised individuals will get 4 doses of an mRNA vaccine Expiration date update The expiration date for Pfizer orange and gray cap vaccine has now been extended to 9 months (while held at ULT frozen Dose quantities for ordering Pfizer orange cap (5-11yrs of age) minimum order is 100 doses Pfizer gray cap (12+ years) minimum order is 300 doses
PfizerBioNTech update Clinical updates Individuals 12 years and older are now eligible for a booster dose 5 months after the 2ndprimary dose Children 5-11years of age Moderately or severely immune compromised children should receive a third primary dose 28 days after the 2nd dose
By the Spring there could be multiple formulations in circulation Make sure Staff identify which product they are using Staff are trained on each product they are using Training is documented
6 MONTHS-4 YEARS OF AGE PFIZERBIONTECH COVID-19 VACCINE Dose is 3mcg or 0.2mL 3 Doses spaced at least 10 dose vial Dilute with 2.2mL Can be stored in an Ultra low freezer for up to 9 months Refrigerator 10 weeks Once thawed and reconstituted 12 hours
Other reminders Update your hours in SMV when you are going to be closed- we cannot update for you VFC has over 650 providers COVID-19 over 600 Make sure that if you do not need the ancillary kit you indicate this Pfizer pediatric 5-11 comes with the diluent (do not cancel this one)
Emergency Use Instructions (EUI) PfizerBioNTech https://www.cdc.gov/vaccines/covid- 19/eui/downloads/pfizer-HCP.pdf Moderna https://www.cdc.gov/vaccines/covid- 19/eui/downloads/Moderna-HCP.pdf WHO approved COVID-19 vaccines may be boosted now with Moderna On a case-by-case basis, providers of moderately or severely immunocompromised patients may administer the COVID-19 vaccine by Moderna or PfizerBioNTech outside of the FDA-authorized or FDA-approved labeling and CDC recommended dosing intervals based on clinical judgment when the benefits of vaccination are deemed to outweigh the potential and unknown risks for the recipient.
Vaccination changes Individuals who were treated with antibodies are no longer recommended to wait 90 days for receiving vaccination This has been updated in the standing orders Vaccine providers should start the mRNA COVID-19 vaccine series even if there is uncertainty about how the patient will receive their second dose; setting alone should not be a reason to offer the Janssen COVID-19 Vaccine This is outlined in the Janssen Standing order
Frequently Asked Questions What does Fully vaccinated mean? Completed the primary series of COVID-19 vaccine Up to date indicates the person has received the booster dose and primary doses What should I do if the 2nd dose was given earlier than recommended? Repeat dose after the dose given in error by at least the minimum interval. A second dose given earlier than the minimum interval allowed (i.e., sooner than the 4-day grace period) is considered invalid and should be repeated no sooner than either 21 days (Pfizer-BioNTech COVID-19 Vaccine formulation) or 28 days (Moderna COVID-19 Vaccine) following the invalid second dose in order to complete the primary series.
Frequently Asked Questions Is there a maximum interval No there is no maximum interval just pick up where the person left off- do not report to VAERS I have Janssen (J&J) should I not use it? When there is a contraindication to mRNA COVID-19 vaccines (e.g., severe allergic reaction after a previous dose or to a component of an mRNA COVID-19 vaccine) When a person would otherwise remain unvaccinated for COVID-19 due to limited access to mRNA COVID-19 vaccines When a person wants to receive the Janssen COVID-19 Vaccine despite the safety concerns identified
Frequently asked questions Does Missouri have a QR code for proof of Vaccination No we do not, however some providers are offering a SMART health card MU Health BJC Mercy OCHIN Phelps Health Quad Med SSM Health St Francis Health System St Luke s Health System Unity Point Health The University of Kansas Health System
Invoicing All participating counties in the contract will be receiving or have received a new invoice template You may run over in any category as long as you do not run over the total amount Once you spend the $12,370 on Flu stop billing flu Once you reach your 100% on underserved stop reporting on the template
Helpful tips on Invoicing Due the 5th through the 15th each month along with Monthly report Personnel Cost Staff time spent on COVID-19 vaccination efforts Contract can pay for overtime for COVID-19 vaccination efforts- only Not contract tracing or case investigation bill ELC Any single item of $1000.00 needs prior approval except for EMR/ EHR Software
LPHA Covid and Adult Vaccination vs ELC COVID Covid Vaccine administration Entering Doses into SMV Contract deliverables Supplies or equipment to support COVID-19 vaccine administration ELC All other work not related to COVID-19 vaccines
Invoicing Questions I depleted my flu funds do I still need to offer vaccine? Yes, flu season is from Oct- until the expiration date of the vaccine. However you do not have to limit to the deliverables of the contract. I do not know what to spend these funds on? Staff, any overtime, vaccinating staff, Covid vaccine data entering staff, staff that monitor patients following vaccination Can I buy promotional items? No
