COVID-19 Vaccination Program
The Missouri National Guard is currently coordinating with a number of healthcare organizations to create and implement Missouri’s COVID-19 vaccine response plan and they have asked for the assistance of MSMA members. Please review the letter below and the attached items from Missouri’s coordination team. They want all providers who may be interested in administering the COVID vaccine at any time during any phase to complete the survey. This includes, but is not limited to, hospitals, clinics, FQHCs, LPHAs, RHC, CHC, mobile clinics, urgent care, any type of medical practice, long term care facility, pharmacies, etc. Thank you for your assistance with this essential effort.
Request from the Missouri Department of Health and Senior Services:
On behalf of the Missouri Department of Health and Senior Services we are reaching out to you for assistance in planning for the administration of a future COVID-19 vaccine to Missouri residents. A COVID-19 vaccine may become available in limited amounts as early as November 2020, and larger numbers of doses may be expected in early 2021. The success of the COVID-19 vaccination program will depend on the strong partnership between the Centers for Disease Control and Prevention (CDC), Missouri Department of Health and Senior Services, healthcare organizations and other vaccination providers in the community. To assist in developing these partnerships, ensuring processes and training to effectively and safely deliver vaccine, and collecting reliable vaccination data, CDC is providing a CDC COVID-19 Vaccination Program Provider Agreement and a COVID-19 Vaccination Program Provider Profile Form. These forms do not be need to be completed at this time, fillable PDF versions are being created and will be shared as soon as available. Also attached is a playbook and an overview document to review prior to completing the site survey.
The CDC COVID-19 Vaccination Program Provider Agreement (section A) specifies the conditions of participation for vaccination provider organizations and their constituent facilities in the US COVID-19 vaccination program. COVID-19 vaccine products will be available only to organizations that sign and agree to the conditions of this agreement. The agreement is between CDC and the organization and must be used by the state to enroll COVID-19 vaccination provider organizations in the program. A signed CDC COVID-19 vaccination program provider agreement is required for any organization to receive delivery of any COVID-19 vaccine from CDC's distributor or a COVID-19 vaccine manufacturer. The chief medical officer (or equivalent role) and chief executive officer (or chief fiduciary) signing this agreement must be the individuals who will be held accountable for and responsible for compliance with the conditions outlined in the agreement. For smaller practices the CMO and CEO/CFO may be the same person signing both for both roles.
The CDC COVID-19 Vaccination Program Provider Profile Form (section B of form) outlines key minimum data elements required by CDC to be collected from every vaccination provider location receiving COVID-19 vaccine and constituent products, such as receiving site address information, practice type, and patient population size and volume. These data elements must be collected, compiled, and reported to CDC by awardees for every location where patients will be vaccinated, whether the location receives directly shipped or redistributed COVID-19 vaccine. The vaccine coordinator listed on this form is the individual who will be responsible for receiving vaccine shipments, monitoring storage unit temperatures, managing inventory, etc. This form must be fully completed, and the medical/pharmacy director or vaccine coordinator must provide signature attesting to the ability of any listed COVID-19 vaccine storage units to maintain required temperature ranges.
In an effort to identify potential vaccination sites and plan for any shortfall areas across the state a site survey has been developed to provide timely actionable data through survey monkey at the following address. We ask that a separate survey be completed for each site you have within your system to ensure we are able to evaluate for adequate vaccinator coverage. The survey can be completed at the following link:
We thank you in advance for your assistance in obtaining this information and ask that the survey be completed no later than close of business on September 30, 2020..
Josh Moore, PharmD
Director of Pharmacy
MO HealthNet Division
Department of Social Services
Office (573) 751-6961