Healthcare Partner/EMS Provider Coordination Conference CallCOVID-19 October 7, 2021 8:30 – 10:00 am Update for all facilities 1

Purpose of Partner Conference Call• Assure and coordinate situational awareness between partners

and PHD/EMSA • Share best practices to prevent spread of COVID-19• Discuss and confirm guidance to assure health care worker

and patient safety• Identify resource shortages and determine solutions• Promote coordinated and efficient response to protect the

community

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Agenda8:30- 9:30 am: I. Situation UpdateII. Updates & RemindersIII. Testing IV. COVID Vaccination

I. Vaccination for 5-11 years old II. Boosters- Moderna & Janssen

V. Resources, Supply Chain & Request ProcessVI. So many conference callsVII. Questions? Additional Issues?

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Communication with PHD DOC WHO? WHEN? HOW?

Santa Barbara County Disease Control

Used to contact and report positive cases, and suspect cases in SNF/LTC and HCW

805-681-5280 – 24/7 number- during business hours select 2 to report a caseOnline Outbreak Reporting Formdc@sbcphd.org – hospitals report discharges via email, submit line lists (Mon – Fri 8am-5pm)Fax: 805-681-4069

Santa Barbra Isolation & Quarantine

Discharge from hospital or ED of confirmed COVID-19 patient unable to isolate at home. Individuals unable to isolate within their home.

805-681-5165

EMS Duty Officer/MHOAC

After hours requests for PPE and assistance

805-694-8301Operations.medicalbranch@sbcphd.org

PHD Department Operations Center (DOC)

Operations Section: M-F 8 am- 5pm

Operations.medicalbranch@sbcphd.orgStacey Rosenberger- 805-681-4912Erika Efada- 805-568-4929Logs.ResourceBranch@sbcphd.org

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5https://experience.arcgis.com/experience/030e625c69a04378b2756de161f82ef6

https://experience.arcgis.com/experience/030e625c69a04378b2756de161f82ef66

9/28 – HOO: Adult Care Facilities and Direct Care Worker Vaccine Requirement

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Order-of-the-State-Public-Health-Officer-Adult-Care-Facilities-and-Direct-Care-Worker-Vaccine-Requirement.aspx

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PIN 21-44-ASC – Vaccination Requirement

https://cdss.ca.gov/Portals/9/CCLD/PINs/2021/ASC/PIN%2021-44-ASC.pdf

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Medical Exemption COVID-19 Vaccination Sample Form

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Religious Exemption COVID-19 Vaccination Sample Form

Influenza• Expecting severe flu season this year• Recommendations for the Prevention and Control of Influenza

in California Skilled Nursing Facilities (SNF) during the COVID-19 Pandemic

• https://www.cdph.ca.gov/Programs/CHCQ/HAI/CDPH%20Document%20Library/RecsForPreventionControl_Flu_inCA_SNFsDuringCOVID_FINAL_100120.pdf

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https://publichealthsbc.org/testing/Community Testing Locations Location Hours

Santa Maria Fairpark Sunday – Thursday7 am – 7pm

Lompoc Health Care Center Testing Trailer Monday – Friday9 am – noon & 1 pm – 4 pm

AMR Central Training Center Monday – Saturday10 am – 6pm

Santa Barbara Testing Trailer Monday – Friday9 am – noon & 1 pm – 4 pm

Goleta Valley Community Center Thursday – Tuesday 7 am – 7 pm

Mobile Testing Bus at Direct Relief starting 9/27

Monday – Friday 9 am – 5 pm

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Appointments are encouraged. These sites only offer PCR test.

BinaxNOW Abundance• 20,000 available – Expire 10/29/21• Resource Request:

http://www.countyofsb.org/phd/epp/forms.sbc• Complete a situation report whenever you submit a resource

request (Different situation reports based on your facility or agency type)• Outpatient Provider Situation Report Forms• Inpatient Provider Situation Report Forms• Non-Medical Situation Report Form

• Access resource request form is in situation report13

Process to start testing with Carestart• Use the current resource request process to request Carestart

test kits from PHD • If a facility already has a CLIA certificate of wavier and wants to

start using this test they must notify CMS and LFS of the new test by completing the following: • CMS 116 to LFSCLIA@cdph.ca.gov• Report new testing information through COVID-19 Testing

Notification form• Temporary Allowance for Waived SARS-CoV-2 Antigen Testing

letter allows the facility to begin using this new test as soon as it has submitted the two forms above 14

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https://experience.arcgis.com/experience/030e625c69a04378b2756de161f82ef6

• FDA will meet on October 26th to consider it, ruling expected between Halloween and Thanksgiving

• Pfizer has proposed giving children 1/3 of the adult dosage • This may require adding more diluent to each injection or using a

different vial or syringe

16https://www.nytimes.com/2021/10/07/us/politics/pfizer-fda-authorization-children-5-11.html

J&J applies to FDA for booster dose • J&J applies to FDA to approve a booster dose in recipients age

18 and older • One dose of the J&J vaccine, the only adenovirus-based COVID-19

vaccine used in the United States, is currently 71% protective, according to the CDC.

• J&J is submitting to the FDA data showing that when a booster of the Johnson & Johnson COVID-19 vaccine was given 6 months after the single shot, antibody levels increased 9-fold 1 week after the booster, and continued to climb to 12-fold higher 4 weeks after the booster.

• The FDA previously announce they will consider J&J booster doses during a meeting slated for next week. 17

https://www.cidrap.umn.edu/news-perspective/2021/10/covid-19-cases-drop-across-us-jj-touts-boosters

FDA upcoming meetings • On Oct. 14, the committee will discuss an amendment to the

emergency use authorization of the Moderna COVID-19 Vaccine for the administration of a booster dose, in individuals 18 years of age and older.

• On Oct. 15, the VRBPAC will discuss amending the emergency use authorization of Johnson and Johnson’s Janssen COVID-19 Vaccine for the administration of a booster dose, in individuals 18 years of age and older.

• On Oct. 16, the committee will discuss Pfizer data on COVID-19 vaccine for children 5-11

18https://www.fda.gov/news-events/press-announcements/fda-hold-advisory-committee-meetings-discuss-emergency-use-authorization-booster-doses-and-covid-19

COVID Boosters – Pfizer • Only Pfizer boosters are approved and available at this time.

• The FDA is expected to meet Oct 14-15 to review the data for both J&J and Moderna and recommendations are expected to follow

• The CDC recommends the following populations should receive a booster shot 6 months following their second dose of their Pfizer-BioNTech COVID-19 vaccine:• People 65 years and older;• Residents in long-term care settings; and• People aged 50–64 years with underlying medical conditions

• The CDC recommends the following populations may receive a booster shot 6 months following their second dose of their Pfizer-BioNTech COVID-19 vaccine:• People aged 18-49 years with underlying medical conditions; and• People aged 18-64 years who are at increased risk for COVID-19 exposure and

transmission because of occupational or institutional exposure19

Boosters • Continue to provide first and second doses• Provide boosters to prioritized populations first

Who will provide booster doses? Where will public be directed?• Providers• Pharmacies• PHD will focus on outreach to populations with low access,

care homes, congregate, low income senior housing

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Provider NameMax Capacity/week

Mid County Santa Ynez Valley - Total 4 locations

570

Mid County Pharmacy only 410Provider only 160Mid County Lompoc - Total 7 locations 2765Pharmacy capacity only 1365LVMC-large single provider 1250Provider only 150North County SM - Total 31 locations 5179Pharmacy capacity only 4329Optum Serve Large Single Provider 550Provider only 400South County - 31 locations 5160Pharmacy capacity only 4390Large POD or Single Provider only 0Other Providers 770

Pharmacies: 65-70% of current capacity

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Boosters and LTC Facilities • CVS has cancelled booster clinics with at least two of the SNFs

and RCFEs in our county so far and have stated they are at capacity and no longer scheduling any booster clinics for facilities.

• Most pharmacies will not accommodate sites under 30 people • PHD will have a mobile vaccine team that will work with the

smaller facilities that do not meet the 30 dose requirement for boosters• This will start Oct 7th and we plan to do 4 days a week and go to

facilities • If you are a small facility or large facility as a last resort please use

the link to sign up for the PHD local mobile booster program 22

LTC COVID-19 Vaccine Toolkit• Developed as a resource to ensure

that LTC residents and staff have continued access to primary series or booster doses of COVID-19 vaccine.

• Contains: vaccine access options & resources.

• https://eziz.org/assets/docs/COVID19/LTCF_Toolkit_10.01.21.pdf

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Vaccination Supply & Enrollment • Pfizer and Moderna continue to have good supply• Janssen expiration dates have been extended into September

• Check online for the extended dates for your stock• Small orders by approved providers is possible• Transfer of small amounts from PHD is possible• To become a provider contact Kathleen.Clerkin@sbcphd.org

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Vaccination Opportunities• PHD walk-up clinics (updated at least weekly)

• https://publichealthsbc.org/vaccine/• My Turn

• https://myturn.ca.gov/• *Search for a specific product (Janssen, Moderna, Pfizer)

• https://www.vaccines.gov/• Homebound/Bedbound + Healthcare Residents & Staff

• https://app.smartsheet.com/b/form/992baf323597443f94c3df059169251e

• Request Electronic Vaccination Record• https://publichealthsbc.org/request-vaccine-record-here/

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Resource Requests- PPE and Staffing Current Shortages: • Abbott BinaxNOW Antigen test kits

Reminders: • Requesting supplies from PHD is a last resort please try your

regular and alternate vendors before requesting from PHD• PPE will not be delivered to facilities

• PPE pick-ups will occur at 300 N San Antonio Rd or warehouse Tuesday-Friday

• Try and request for multiple weeks • Urgent needs please call 805-681-5253 or email

Logs.ResourceBranch@sbcphd.org 26

PHD PPE Resources

To request resources: http://www.countyofsb.org/phd/epp/forms.sbc

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AFL 21-37 – BYD N95 Recall

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The List of affected units can be found in the BYD Field Action Notification (PDF).

Options if you have recalled BYDs• Save them and label them to be used by visitors as a facemask

or place in disaster cache and save them for use during a fire/poor air quality

• If you need additional that haven’t been recalled please complete a resource request and in the comments write “Replacement for BYD Recall”

• Contact Logs.ResourceBranch@sbcphd.org if you have any questions

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Resource Request Process • Complete situation report

weekly and whenever you do a resource request

• Access resource request form is in sit rep

• Different situation reports based on your facility or agency type

• If you have questions about which one to fill out let us know!

http://www.countyofsb.org/phd/epp/forms.sbc

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Staffing Resource Request Process• Complete and submit the following forms

to operations.medicalbranch@sbcphd.org.• Hospitals and Long Term Care Facilities need to complete the

supplemental staffing request and the Hospital or Long Term Care Facility specific form. Other facilities only need to submit the supplemental staffing request form.

• Supplemental Staffing Request (Word, PDF)• Hospitals• Long Term Care Facilities

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https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-46.aspx

So Many Conference Calls… SNF Infection Prevention WebinarWednesdays 3- 4 pm

Register: https://www.hsag.com/cdph-ip-webinars

SNF Infection Prevention CallThursdays 12- 1 pm Toll-free: 877-226-8163Access Code: 513711

CDPH Weekly Healthcare Facility Call: • Tuesdays 8 am • Toll-free: 844-721-

7239Access Code: 7993227

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NHSN Worksheets• Weekly COVID-19 Vaccination Reporting for Residents

• Data collection form: https://www.cdc.gov/nhsn/forms/57.218-p.pdf• Table of instructions: https://www.cdc.gov/nhsn/forms/instr/57.218-toi-

508.pdf• Weekly COVID-19 Vaccination Reporting for HCP

• Data collection form: https://www.cdc.gov/nhsn/forms/57.219-p.pdf• Table of instructions: https://www.cdc.gov/nhsn/forms/instr/57.219-toi-

508.pdf• Weekly Vaccination Data Tracking Worksheet:

• Residents: https://www.cdc.gov/nhsn/pdfs/ltc/covidvax/track-res-covidvax.xlsx

• HCP: https://www.cdc.gov/nhsn/pdfs/ltc/covidvax/track-hcp-covidvax.xlsx

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MDRO Prevention Workgroup for SNF• The CDPH HAI Program is launching a statewide project with ventilator-equipped skilled nursing facilities (vSNF)

focusing on MDRO prevention. • The vSNF Workgroup is an opportunity to receive one-on-one infection prevention support from CDPH HAI

Program Infection Preventionists, and participate in educational workshops (BRN CE will be offered). The vSNFproject will also interface with the CDPH HAI Program LTACH Collaborative to discuss interfacility communication and antimicrobial resistance-related topics.

• Participation in the project will provide your facility with: • Periodic onsite infection prevention assessments with an HAI Program Infection Preventionist• Assistance with developing a quality improvement project specific to your facility needs • Web-based workshops with opportunities for train-the-trainer education • Continuing education credits for participating staff members

• As a member of the vSNF Workgroup, vSNF staff will commit to: • Obtaining appropriate leadership approvals • Participating in onsite assessments • Implementing a quality improvement project including adherence monitoring to track hand hygiene and environmental

cleaning and disinfection practices • Actively engaging in workshop activities

• Kick-off Workshop on Wednesday, October 13, 2021• Point of Contact: Erin P. Garcia. Mobile: (626) 524-2842 (vmail and text ok) Erin.Garcia@cdph.ca.gov• (information packet will be emailed out with the situation report)

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Questions?

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