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COVID-19 Vaccine

Checklist & Guidance for Vaccination Partners


Introduction and contact information

Dear Colleagues,

The Los Angeles County Department of Public Health (LAC DPH) can assist your practice to enroll in the State’s COVID-19 vaccine program. We can provide support to ensure you are prepared to receive, store, administer, and report the administration of COVID-19 vaccines. We can also provide ongoing support as your practice begins its COVID-19 vaccination program.

Once enrolled LAC DPH will support you to ensure you're ready to administer vaccine. 

Please contact: COVAXonboard@ph.lacounty.gov for more information or join one of the Office Hours sponsored by LAC DPH or the California Department of Public Health (CDPH).

It is now easier to enroll and provide COVID-19 vaccinations – view the Become a Vaccine Provider flyer to learn more.

 

  • LAC DPH Office Hours: Wednesdays 9 am to 10 am Join via Microsoft Teams or call +1 323-776-6996, 350 547 595#, phone conference ID: 350 547 595#.
  • CPDH Office Hours: Fridays 9-10 am. Join via Zoom WebEx or call Toll: +1 669 900 6833 Access code: 975 2903 8095 Passcode: 400363547.

Sincerely,

COVID-19 Vaccine Provider Outreach Team
Los Angeles County Department of Public Health

Steps to Enroll in the COVID-19 Vaccination Program

Please make sure to review the program requirements prior to enrolling in the program. Currently program enrollment is open to providers who routinely vaccinate their patients. Providers who do not provide routine vaccinations should contact the COVID Call Center regarding eligibility. To enroll, all providers must have an active license to practice in California.

Follow the steps below:

Step 1: Review Program Requirements

Please review the requirements prior to beginning the enrollment process to determine if your organization or site meets the requirements to enroll.

Step 2: Enroll in CAIR

Enrollment in myCAvax and the State Immunization Information System (IIS) or California Immunization Registry (CAIR) is a condition of participation in the state’s COVID-19 vaccine programs. In addition, Vaccination Partners administering COVID-19 vaccine will be required to document COVID-19 vaccines directly into CAIR and MyTurn, or use an EHR interface with CAIR.

If you need to enroll in CAIR, visit: http://cairweb.org/enroll-now/.

  • Some Vaccination Partners may already be enrolled in CAIR; organizations that are uncertain of their enrollment status should contact their Local CAIR Representative or the CAIR Help Desk, both of which are noted on the CAIR enrollment webpage.
  • Provider sites that are interested in submitting immunization data to CAIR from their EHR systems should first review the CAIR2 DX Support page for details regarding the process.
  • CAIR Frequently Asked Questions
Step 3: Enroll in MyCAvax

Before enrolling in myCAvax, complete the Provider Enrollment Worksheet. Upon completion of the form, your organization will receive an invitation code. This code can be shared with multiple locations within the organization. Once submitted through myCAvax, your organization and corresponding sites registered will receive an email confirming request to enroll. If you do not receive an email, contact the COVID Call Center at covidcallcenter@cdph.ca.gov or call (833) 502-1245 Monday through Friday from 9 AM to 5 PM. Further instructions can be accessed at the links directly below:

Additional Program Requirements

Vaccine Finder

All providers are required to report their vaccine inventory in the CDC’s Vaccine Finder platform. Review the forms below to help you create an account and begin the process of reporting your vaccine inventory.

MyTurn

  • My Turn allows providers the opportunity to have an all-in-one-application from clinic management, dose accountability and reporting, scheduling and walk-in registration for vaccine clinics. Reference materials are available on the EZIZ MyTurn Website.
Quick Reference Guide for Healthcare Professionals

The quick reference guide on the CDC website provides basic information on the proper storage, preparation, and administration of all three vaccines. It includes everything you need to know about proper storage and handling and compares the requirements for all three vaccines in an easy to read, side-by-side format. COVID-19 Vaccine: Quick Reference Guide for Healthcare Professionals (cdc.gov).

Centers for Disease Control and Prevention (CDC)

General Information:

Vaccine Manufacturers

Vaccine Training Modules with CE:

FAQs and Answering patients’ questions about COVID-19 vaccine:

  • Engaging in Effective Vaccine Conversations webpage
  • Tips and sample scripts of how to answer likely questions webpage
  • Common Questions People May Ask Healthcare Professionals 2 page handout
  • Patient FAQs: CDC; LAC DPH - English Spanish
California Department of Public Health (CDPH)
California Medical Association (CMA)
Los Angeles County Department of Public Health (LAC DPH)
  • DPH Vaccine Call Center 833-540-0473 open daily 8am to 8:30pm. Answers questions and helps callers find a vaccination site, make an appointment, arrange transportation or in-home vaccination.
  • Provider COVID-19 Vaccine Eligibility Table summarizes vaccine eligibility based on the primary series received and the patient age and/or risk factors.
  • Patient COVID-19 Vaccine Summary table (including information on booster doses and schedules for people who are immunocompromised) English | Spanish
  • How to get vaccinated webpage for the public to search for a vaccine by zip code, and get information on in-home vaccination, vaccine schedules by age and immune status, vaccine side effects, vaccine records, and more. English | Spanish
  • VaccinateLACounty.com (Spanish - vacunatelosangeles.com) Vaccination resources for the public
  • Promoting Vaccine Confidence checklist to help vaccine providers increase the probability of vaccine acceptance. Provides best practices and sample scripts.
Receiving & Transporting Vaccine

Identify a designated vaccine storage site and appropriate temperature monitoring unit.

Create protocol to monitor storage unit temperatures twice a day and create a log to document AM and PM temperatures.

Steps for Receiving Vaccine

Other key resources/information:

Vaccine Preparation

Planning Guidances

Expiration Dates and COVID-19 vaccines

The expiration date should be checked prior to preparing or administering vaccine. Expired vaccine or diluent should NEVER be used. As additional stability data become available, the expiration dates for some products may change. Follow the instructions below to determine the expiration date.

Develop standing orders/standardized procedures for vaccine administration.

Develop or use internal procedures to obtain assent or consent

Every recipient must receive an EUA fact sheet of the vaccine being administered (Fact sheets are available in 20 languages at these links: Pfizer, Moderna, and Janssen). Persons 18 and older receiving any of the three vaccines must assent to vaccination. Youth ages 5 through 17 receiving Pfizer vaccine must have consent from their parent or guardian.

Create procedure to document declinations

Separate and store PPE and vaccine administration supplies
Ensure additional vaccine administration supplies are available: PPE, sharps containers, alcohol wipes, cotton balls, and additional safety syringes.

Plan for adverse reactions

Ensure emergency cart supplies are sufficient for treating adverse reactions. (i.e. Benadryl, Epinephrine)

Familiarize staff with the Vaccine Adverse Event Reporting System  (VAERS) reporting system and reportable events.

Identify fixed site(s) within your facility to administer vaccine.

Review best practices for immunizations with staff and train staff in advance or use just in time training.

Review skills Checklist for Vaccine Administration

Ensure staff are appropriately trained to identify age – appropriate anatomical sites for intramuscular (IM) injections.

Ensure staff is using proper hand hygiene - e.g. wash hands for 20 seconds before administering vaccines, change gloves between patients, and anytime they become soiled. (See CDC hand hygiene recommendations)

Begin engaging and provide COVID-19 vaccine resources for staff and residents

  • Frequently Asked Questions LAC DPH
  • Talking to Patients About COVID – 19 Vaccines CDC
  • Encourage patients to register for the CDC’s V-Safe (see below)

Develop system to generate reminders to administer second dose at the designated interval.

Create a process to reconcile vaccination with your facility’s MAR.

Vaccine Administration

Who can give the vaccine?

  • See list of qualified persons covered to administer COVID-19 vaccines under the PREP Act Declaration and its amendments
  • Licensees Authorized to Administer Vaccines in California

Confirm recipient eligibility

Confirm registration

Verify contraindications and precautions to vaccination.

Ensure staff administering vaccine are following the Seven (7) Rights of vaccine administration:

  • Right patient
  • Right time
  • Right medication
  • Right dose
  • Right route and technique
  • Right site
  • Right documentation

See RTI VanishPoint videos for 1mL low deadspace safety syringe and 3mL syringe

Dispose of used needles and syringes in sharps containers immediately after vaccination
  • See Liaison Information Report Improperly Discarded COVID-19 Vaccines Could Be Exploited to Commit Fraud

Document vaccine administered in your EHR, CAIR, or MyTurn.

Reporting Adverse Reactions and Vaccine Errors

  • Review the CDC’s guide to preventing and reporting COVID-19 vaccine administration errors, as well as actions to take after an error has occurred.
  • Report all administration errors per facility protocol and take corrective action immediately. Report all vaccine errors to VAERS and the Vaccine Error Reporting Program (VERP)
  • Report any adverse reactions to VAERS and document per your facility's protocol.
  • Report any needlestick injuries per facility protocol and refer for medical treatment and evaluation if needed.
  • Encourage patients to enroll in v-safe, which provides personalized health check–ins for side effects in patients who’ve been vaccinated. The program is available in English, Korean, Simplified Chinese, Spanish and Vietnamese.  Key Messages for V-Safe.

Update your vaccine inventory in Vaccine Finder.

Post-Vaccination

Provide Patient with Documentation of Vaccination

Monitor vaccine recipients for the recommended duration after vaccination for adverse reactions

Reconcile vaccination records with your facility’s MAR and begin 2nd dose and/or booster planning

Billing and Reimbursement

Providers cannot charge any out-of-pocket cost for COVID-19 vaccine. The vaccine must be made available at no cost to all individuals to ensure equitable access. Denying anyone vaccination or reducing appointments based on the person’s insurance status, charging for an office visit or other fee (if COVID-19 vaccination is the sole medical service provided), requiring additional medical services to receive COVID-19 vaccination, or seeking any additional reimbursement, including through balance billing from the vaccine recipient, is prohibited.

The loss of the HRSA COVID-19 Uninsured Program funding may prove a challenge to serving your neediest community members. Public Health is working hard to advocate with the federal and state government on your behalf. In the meantime, here are some considerations and resources to assist providers:

  • Providers may be able to bill Medicare, Medi-Cal or private insurance to obtain reimbursement for administering vaccines, and through other available mechanisms for the uninsured, where appropriate
  • California’s Department of Health Care Services will accept claims for individuals enrolled in the COVID-19 Uninsured Group Program. Individuals must apply for the COVID-19 Uninsured Group Program through a Medi-Cal Qualified Provider in the following programs: Presumptive Eligibility for Pregnant Women, Breast and Cervical Cancer Treatment Program, Hospital Presumptive Eligibility, and Child Health and Disability Prevention. Providers must submit applications via the COVID-19 Uninsured Group Application Portal.
  • Providers may refer any patient to a walk-in community vaccination site – they can visit the How to Get a Vaccine webpage or call the DPH Call Center at 833-540-0473 which is open 7 days a week from 8:00am-8:30pm for appointment or referral assistance
  • Providers may wish to hold onto records for possible future claim submission should the HRSA Uninsured Program receive funding and begin accepting claims, or another source of funding is established.
  • Billing and reimbursement webinar (4-29-22) from the California Department of Public Health and California Medical Association Slides and recording.











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