orange county covid-19 vaccine taskforce · lisa armony senior director, community relations oc...

Orange County COVID-19 Vaccine Taskforce

Thursday, December 17th, 2020

Introductions&

Reflections

Dr. Clayton ChauHCA, Director

Task Force Group – Welcome New Members

Ellen Ahn, JD, MSWExecutive Director, KCSOC Asian Pacific Islander COVID 19 Task Force

Oliver ChiCity ManagerCity of Huntington Beach

Stu GreenbergTustin Police Chief

Representing Orange County Chiefs of Police and

Sheriff’s Assoc.

Jeff Pagano

UCI, OC Veterans & Military Families Collaborative

Gloria Alvarado

Executive Director for the Orange County Labor

Federation

Dan Cooper, MDAssociate Vice Chancellor for Clinical and Translational

Research

University of California, Irvine

Candi Kern

President

Fourth District PTA

Karen Pavic-Zabinski, PhD RN, MSN, MBA, MA, MS Regional Director Of Ethics

Providence St. Joseph Health Southern California

Lisa Armony

Senior Director, Community Relations OC interfaith

Network

Director Community Relations Jewish Federation OC

Jason Cord, M.D.President, Board of Directors, Orange County Medical

Association

Chief of Radiology, Kaiser Permanente Orange County

SCPMG Government Relations Lead, Orange County

Aaron Kheriaty, MDUCI School of Medicine

Philip Robinson, MD, FIDSAMedical Director of Infection Prevention and Hospital

Epidemiology

Hoag Hospital

Whitney Ayers

OC Regional Vice President

Hospital Association of Southern California

Lucy Dunn President and CEOOrange County Business Council

Cevadne Lee, MPH

Director, Community Outreach & EngagementUCI Cancer Center

Jasjit Singh, MD

CHOC Children’s Hospital

Isabel Becerra

Chief Executive Officer

OC Coalition of Community Clinics

Emily Fonda, M.D.

Interim Chief Medical Officer

CalOptima

Anne Light, MD

Medical Director

OC Social Services Agency

Michelle Steel

Chairwoman

OC Board of Supervisors

Bernadette Boden-Albala M.P.H., Dr.PhDirector and Founding Dean of the Program in Public Health

University of California, Irvine

Megan FrancisExecutive Director, Orange County Dental Society

Adam Loeser

Fire Chief

City of Brea

Lisa Wright Jenkins

President & CEO

Council on Aging – Southern California

Donna Boston, MPA, CEMDirectorOrange County Sheriff's Department, Emergency Management Division Orange County Operational Area

The Most Rev. Timothy Freyer

Auxiliary Bishop

The Roman Catholic Diocese of Orange

Helen Macfie, Pharm.D., FABC Chief Transformation Officer

Executive Administrator, Clinically Integrated Network

MemorialCare

Rebecca Yee

Ensign Services

America Bracho, MPH, CDE

Executive Director

Latino Health Access

Joy Anne Fumera, RN, MSNRegistered Nurse

Lieutenant Dave MainOrange County Sheriff’s Department Security Bureau

Matt Zahn, MDMedical Director of the Division of Communicable Disease

Control

OC Health Care Agency

Margaret Bredehoft, Dr. PH

Deputy Agency Director, Public Health Services


Jeff Goad, Pharm.D., MPH, FAPhA, FISTM, FCPhA, FCSHPProfessor & Chair Department of Pharmacy Practice, School of Pharmacy, Chapman University

Al Mijares, Ph.D.

County Superintendent of Schools

Clayton Chau, M.D., Ph.D

Director


Laura Gomez

Teacher

Santa Ana Unified School District

Mario A. OrtegaPresident and CEOAbrazar, Inc

Agenda

1. Introductions• Welcome & Reflection

• Session Agenda & Objectives

2. Updates• Vaccine Status

• Communication Activities

3. Vaccine Hesitancy Survey – Report & Actionable Findings• Report Actionable Findings

4. Othena• Introducing’s HCA’s Technology Partner – CompositeApps

• Demonstration of Othena

• Brainstorm Approaches to Dissemination and Adoption

5. Next Steps & Wrap-Up

Updates & Communication

What is OCA’s plan for delivering vaccine to Orange County?

Allocation Algorithm

Data driven decision making tool • to meet goals of fair distribution of limited supply

of vaccine

To hospitals with capacity

Prioritizing

Highest Risk Staff

Areas with higher COVID burden

Census data• 184,053 Hospital workers

General Acute Care Hospital: 44%

Skilled Nursing/Elderly Facility: 16%

Acute Psychiatric hospital: 5%

Other: 35%

Doses to be distributed with first vaccine shipment

• 25,350 doses

Data Driven Decision Making for First Allocation

Total highest/high risk staff and

hospital readiness/capacit

y

COVID Burden in surrounding area

of hospital

Calculation

Allocation distributed by

box of 975 doses

Total Highest/High Risk staff and Hospital Readiness & Capacity• Hospital Self Reported Survey Oct 2020 with re-

verification of information by HCA closer to allocation decision

• Readiness/capacity to deliver ultralow temp freezer requiring storage of initial COVID vaccine

COVID Burden in Surrounding Community of each Hospital

Calculation- Approximate # needed to vaccinate similar % of highest/high risk staff- Rounding up or down to meet allocation of 1 box (975 doses) per hospital-

(Round up if high COVID burden, round down if low COVID burden)- Further HCA staff review and adjustments when data did not reflect

experience of burden

Final Allocation Recommendation- Distribution recommendation in boxes of 975 doses- HCA to assist with storing for smaller hospital facilities/groups

Pfizer first

shipment

Allocations

Health System Allocation Boxes

Vaccination Doses

AHMC Healthcare Inc. 24 23,400

CHOC Children’s

Hoag

Kaiser Permanente

KPC Health

MemorialCare Health System

Prime Healthcare Services

Providence

Tenet Healthcare Corp

UC Health

*Encompass Health-working with one of the one of the hospitals listed above to vaccinate highest risk staff

HCA

Stored for distribution College Hospital Costa Mesa, Kindred, HCA corrections, EMS

1 975

Reserved for other high risk Phase 1a, Tier 1 not in hospital settings

1 975

Total 26 25,350

Pfizer vaccines makes it’s way to the OCDecember 16th, 2020

Data-driven Option for Continued Phased Distribution

Continue to offer Vaccinations to highest risk of Phase 1a Tier 1

Progressively move to Tier 2 and 3 of phase 1a as more vaccine becomes available

Utilize technology to assist with • Personal calculation which phase/tier might belong in – dependent on work

environment/role, living environment, exposure, personal attributes that might

increase risk

• Virtual Queue and notification once vaccination becomes available

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/CDPH-Allocation-Guidelines-for-COVID-19-Vaccine-During-Phase-1A-Recommendations.aspx

HCA- 1st Pfizer shipment received Dec 16 and redistributed • Hospitals- approx. 24K doses distributed to

hospitals (60% of total identified highest risk staff of hospitals)

• HCA- Approx 1K doses reserved for other high risk Tier 1 candidates (EMT/Paramedics, other)

CDC pharmacy partnership

Hospitals currently administering vaccines to their highest risk staff this

week

CVS/Walgreens Anticipated to start delivering vaccine to LTCF week of Dec

21-25

Guidance – We are in Phase 1a, Tier 1 Activity/EntityWhere is vaccine being

administered?

Dialysis centers being contacted at this time

Anticipate more clinics will be approved over next few

weeks to administer vaccine, however clinics outside of

hospitals who can administer vaccine will be asked to

administer to set populations within highest risk Phase 1a, Tier 1 first. As more vaccines become available, vaccines can be offered to Phase 1a

Tier 2/Tier 3 candidates

Smaller clinic sites being determine to assist with administering vaccines to

highest risk

Tier 1

Acute care, psychiatric and correctional facility

hospitals

Skilled nursing facilities, assisted living facilities, and

similar settings for older or medically vulnerable

individuals

Also, in concordance with ACIP, residents in these

settings

Paramedics, EMTs and others providing emergency

medical services

Dialysis centers

Tier 2

Intermediate care facilities for persons who need non-

continuous nursing supervision and supportive care

Home health care and in-home supportive services

Community health workers, including promotoras

Public health field staff

Primary Care clinics, including Federally Qualified

Health Centers, Rural Health Centers, correctional

facility clinics, and urgent care clinics

Tier 3

Other settings and health care workers, including

Specialty clinics

Laboratory workers

Dental and other oral health clinics

Pharmacy staff not working in settings at higher tiers


Week 1Dec 16

Week 2Dec 20-26

Week 3Dec 27-Jan 2

Week 4Jan 3-9

Week 5Jan 10-16

Pfizer #1 (dose 1) 25,350

Pfizer #2(dose 1)

Pfizer #1 (dose 2)

Pfizer #3 Pfizer #2(dose 2)

Moderna #1(dose 1)

Moderna #1(dose 2)

Moderna #2 (dose 1)

Phase 1a Tier 3Specialty clinics, laboratory workers, dental and other oral health clinics, pharmacy staff not working in settings at higher tiers

LTCF + SNF (CDC & Pharmacy Partnership)

Phase 1a Tier 2Intermediate care, home health, in-home support service, community health, workers, public health field staff, primary care clinics, FQHC, correctional facility clinic, urgent care clinic

Phase 1a - Tier 1: Hospital/EMT/Paramedic/LTCF/Dialysis

Week 6Jan 17-23

Week 7Jan 24-31

Week 8-10Feb 1-28

Week 12-16March 1-30

Phase 1bUnderlying medical conditions placing at high risk for severe CovidOlder adults in congregate/overcrowded settings

Estimated timeline for vaccine availability for Phase 1

OC Census data 2020:184,000 Healthcare workers in OC

Phased Distribution Plans for OC – Phase 1 (Dec 2020-Mar 2021) Note: These estimates are subject to changes; they are dependent on vaccine availability, local capacity, re-classification of a group in relation to COVID prevalence and risk- Table reflects CDPH current guidance as of 12.5.2020

CDPH Phase 1a Link


Phased Distribution Plans for OCPhased Distribution non-HealthCare population 2021

Update on Communication Strategies

1. Communication with Providers

• Weekly updates

• Targeted FAQs

• Resources / links

• Forums / webinars

2. Communication with General Public

• CDPH Toolkit (released 12/15) -

https://www.cdph.ca.gov/Programs/OPA/Pages/Communications-

Toolkits/Communications-Toolkit.aspx

• CDC Toolkit - COVID-19 Vaccination Communication Toolkit for Health Systems

and Clinics | CDC

• Website with FAQs, announcements, links and newsfeeds (Spanish &

Vietnamese sites coming)

• Town Halls

3. Targeted Communications

• Address issues identified in the survey, including understanding the cause of the

hesitancy

• Developed with each strategic partners

• Adapting materials and activities for specific community groups

https://www.cdph.ca.gov/Programs/OPA/Pages/Communications-Toolkits/Communications-Toolkit.aspxhttps://www.cdc.gov/vaccines/covid-19/health-systems-communication-toolkit.html

The OCHCA Vaccine Hesitancy Survey Results

Casey Dorman, Ph.D.Orange County Healthcare Agency

Composition of Sample (n = 26,324)

• Convenience sample send by email to 25,000 by Taskforce members and

1300 responses collected face-to-face or telephone from central OC

community clinics

• Gender: 73% female

• Age: 51% 35-54

2.9% 75+

• Ethnicity: 51.6% are Non-Hispanic White

25.3% are Hispanic

1.0% are Non-Hispanic Black

• Education: 70% had 4- year college degree or higher

• Language: 87% English was primary language

Occupations of Respondents

Group Number %

Healthcare worker 2,902 11.1

First responder 810 3.1

Retail/Food Services 894 3.4

Education 6,350 24.3

Student 1,474 5.6

Construction/Maintenance/Landscape 358 1.4

Office/Professional/Technical 6,897 26.4

Housekeeping/Cleaning/Janitorial 145 0.6

All Responders Agreement with Positive Vaccination Questions (margin of error

Willingness to be Vaccinated by Personal Attributes

0%

10%

20%

30%

40%

50%

60%

70%

80%

% Willing to be Vaccinated

Vaccine - Yes

Who was Most Willing to be Vaccinated?

Willingness to be vaccinated for COVID-19 varied by city, age, gender, race/ethnicity, level of education, and occupation.

With some exceptions, willingness to be vaccinated increased with • Age

• Education level

• Males were more willing than females,

• Asian and non-Hispanic Whites race/ethnicity

• Primary language other than English or Spanish

• Residence in Anaheim, Brea, La Habra, Santa Ana, or San Clemente

Which Occupations were Most and Least Willing to be Vaccinated

Among occupations, those most willing to be vaccinated included: • Retirees

• Students

• Disabled/unemployed

Those least willing to be vaccinated included • First responder

• Construction/maintenance/landscaping workers

• Homemakers

Willingness to be Vaccinated by Occupation

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

% Willling to be Vaccinated

How Well do the Five Concerns Predict Willingness to be Vaccinated?

Overall Sample: • A combination of five concerns predicts Willingness, accounting for 58% of the variability in

Willingness scores. • All concerns made a significant contribution to Willingness.

In order of strength of prediction when all the concerns were taken into account, the strongest predictors of willingness to vaccinate were:

Consistent across all groups1. Confidence in vaccine safety2. Valuing protecting others through vaccination3. Viewing COVID-19 as serious enough to warrant vaccination

Inconsistent but a significant concern in some groups4. Whether everyday stresses interfered with getting vaccinated5. Whether one weighed the benefits and risks before making a decision (negatively related to

willingness)

Who Needs to be Focus of Vaccine Acceptance Messaging?

All groups need to be encouraged to get vaccinated

Special Focus on:• Gender: Women

• Age: 35-54 year olds

• Race/Ethnicity: Hispanics and non-Hispanic Blacks

• Education: Those with a high school diploma and some college

• Occupation:

First responders

Construction/maintenance/landscaping workers

Homemakers

• Residents of Anaheim, Brea, La Habra, Santa Ana, and San Clemente

What Concerns need to be Addressed and For Whom?

1. Vaccine Safety needs to be addressed with everyone.

2. Protecting others and understanding the seriousness COVID-19 also needs to be addressed with everyone.

3. Understanding the seriousness of COVID-19 needs to be a target for messaging with non-Hispanic Whites, those with a 4-year college degree, first responders, and construction/maintenance/landscaping workers.

4. Reducing the difficulty of getting vaccinated is particularly important for non-Hispanic Whites, those with college degrees, students and retired people.

Final Results will be presented in a report to be made available to the public.

We will use these findings to shape our targeted communications – working with task force members!

Feedback & Questions

Thoughts on Opportunities for Your Constituencies?

Thank you!

Standing Schedule: 1st and 3rd Thursdays, 4:00-5:30Next meeting: Thursday, January 7th

orange county covid-19 vaccine taskforce · lisa armony senior director, community relations oc...

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