HHS COMMITTEE #2 January 14, 2021
M E M O R A N D U M
January 12, 2021
TO: Health and Human Services Committee
FROM: Linda McMillan, Senior Legislative Analyst
SUBJECT: Vaccination Plan and Distribution
PURPOSE: Discussion
Expected to Attend: Dr. Raymond Crowel, Director, Department of Health and Human Services (DHHS) Dr. James Bridgers, Deputy Health Officer, DHHS Beatrice Miller, Co-Chair, African American Health Program (AAHP) Executive Committee Jacqueline Williams, Co-Chair, AAHP Executive Committee Pat Grant, AAHP Executive Committee Monica Escalante, Co-Chair, Latino Health Steering Committee Michelle LaRue, Co-Chair, Latino Health Steering Committee Nguyen Nguyen, Chair, Asian American Health Initiative (AAHI) Steering Committee Hina Mehta, Vice-Chair, AAHI Steering Committee Sonia Mora, Senior Manager, Latino Health Initiative (LHI) Dourakine Rosarion, Special Assistant to the DHHS Director Jasmine Vinh, Acting Program Manager & Outreach Coordinator, AAHI (DHHS)
At this session the HHS Committee will have an opportunity to continue to discuss the ongoing distribution of the COVID vaccine and the ongoing planning for increasing outreach, education, and the amount of vaccine being administered.
The Council was provided with an update on the vaccine plan and administration at its January 12 session and the presentation slides are attached to this memo.
There are two areas of focus for this discussion. The first is how AAHP, LHI, and AAHI can collaborate with the County and support vaccination efforts, leveraging the work of the AAHP Executive Committee COVID Response Program, Por Nuestra Salud y Bienestar, and the AAHI COVID-19 needs assessment. At the Council session, Dr. Crowel and Dr. Bridgers shared that they have begun to meet with the minority health initiatives/program regarding these issues. At the Tuesday Council session, Councilmember Navarro highlighted that the health promoters can be an important part of outreach and assistance with appointment registration, especially for those who may be challenged with access to or use of technology. In addition, Dr. Crowel discussed the need for the State to allow private providers and community clinics that are part of the regular non-COVID vaccination system to provide COVID vaccines. This will both to increase the capacity, but it also supports persons who may be more comfortable going to their healthcare provider rather than to a government run clinic.
The second discussion point is to work to clarify issues regarding the vaccination of residents of DDA Group Homes (group homes funded by the Developmental Disabilities Administration) and the organizational staff that support these homes, including Direct Service Professionals (DSPs). DDA Group Homes have been designated as part of Phase 1A Tier 1 vaccinations but it is to be administered through a State contract with CVS and Walgreens. This is leading to confusion and anxiety about when vaccines will begin and whether DSPs or other staff in these organizations are eligible to be vaccinated by the County as health care providers.
Attached: Circle #
Presentation slides 1-13
2
COVID-19 VACCINES UPDATE @ JAN 12 MONTGOMERY COUNTY DHHS
(1) Note: Estimates based on best available data from 01.11.2021. For the most current, up-to-date information, please see: www.montgomerycountymd.gov/covid19/vaccine/ COUNTY-WIDE VACCINATIONS PRIORITY GROUPS: STATUS 100% For full and current descriptions of the priority groups, please see montgomerycountymd.gov/covid19/vaccine/priority.html
MC POPULATION: 1,050,688 (100%) ACTIVE INITIATING PLANNING Priority 1A TO BE VACCINATED: 1,031,018 (98%) Tier 1: Hospitals / Assisted living Tier 2: Urgent care workers Tier 3: Public safety / other healthcare /shelter staff 1ST SHOT: 19,670 (1.9%) STATE-WIDE: 2.2% NEW: This week adding Public Safety Agencies Priority 1B nd 2 SHOT: 846 (0.08%) Tier 1: Adults 75+ STATE-WIDE: 0.10% Tier 2: Essential frontline / homeless / detainees State-wide, Hospitals account for 59% of administered vaccines, Local Health Departments account for 22%, and CVS/Walgreens/Fed and “Other” account for the remaining 19%. Tier 3: Essential manufacturing workers
VACCINE TYPE Priority 1C Tier 1: Adults 65-74 MODERNA: 100% Tier 2: High risk medical conditions Tier 3: Other high risk
(2) Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 01.11.2021 | INTERNAL DHHS AND OEMHS REPORTING for Priority Group Statuses. # OF VACCINES ADMINISTERED % OF POPULATION VACCINATED 0 5,000 10,000 15,000 20,000 25,000 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% Baltimore Garrett 4.3% Montgomery Caroline 4.1% Baltimore City Talbot 3.9% Anne Arundel Kent 3.6% Howard Wicomico 3.5% Harford Dorchester 3.5% Prince Georges Queen Annes 3.3% Frederick Worcester 3.2% Carroll Howard 3.1% Wicomico Harford 3.0% Washington Carroll 3.0% St. Marys Calvert 2.8% Calvert Baltimore 2.8% Worcester Washington 2.6% Cecil Baltimore City 2.5% Queen Annes Somerset 2.4% Allegany St. Marys 2.3% Talbot Allegany 2.3% Charles Frederick 2.3% Caroline MD-Wide 2.2% Garrett Anne Arundel 1.9% Dorchester Montgomery 1.9% Kent 1st Dose 2nd Dose Cecil 1.7% Somerset Charles 0.9% Prince Georges 0.8% (3) Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 01.11.2021 UPDATE: Administered 6,485 doses of the Moderna vaccine last week. Anticipate receiving 6,700 ADMINISTERED (ALL TIME) doses on Tue 1.12, which will enable County to expand vaccinations to include public safety agencies. RUNNING TOTAL OF RECEIVED AND ADMINISTERED VACCINES (UP TO 01.11) 10,317 RANK: 1/24 MD COUNTIES Delivered Total Administered Total More than double #2 14,000 Received: 12,900 APPOINTMENTS 01.12 12,000 +2,192 Administered: 10,317 10,000 RECEIVED (ALL TIME) 8,000 12,900 RANK: 1/24 MD COUNTIES 6,000 % ADMINISTERED 4,000 80% 2,000 EXPECTED DELIVERY 01.12 0 12/29 12/30 12/31 1/1 1/2 1/3 1/4 1/5 1/6 1/7 1/8 1/9 1/10 1/11 +6,700 (4) Source: INTERNAL DHHS VACCINE REPORTING for dates up to 01.12. UPDATE: Administered 6,485 doses of the Moderna vaccine last week. Anticipate receiving 6,700 ADMINISTERED (ALL TIME) doses on Tue 1.12, which will enable County to expand vaccinations to include public safety agencies. RUNNING TOTAL OF RECEIVED AND ADMINISTERED VACCINES (UP TO 01.10) 8,803 RANK: 1/24 MD COUNTIES Delivered Total Administered Total More than double #2 (Howard) 14,000 Received: 13,100 RECEIVED (ALL TIME) 12,000 13,100 10,000 Administered: 8,803 RANK: 1/24 MD COUNTIES 8,000 % ADMINISTERED
6,000 67% RANK: 6/24 MD COUNTIES 4,000 VS. 41% STATE-WIDE TOTAL 2,000 EXPECTED 01.12.21
0 12/29 12/30 12/31 1/1 1/2 1/3 1/4 1/5 1/6 1/7 1/8 1/9 1/10 +6,700
(5) Source: MD DEP OF HEALTH COVID VACCINE SUMMARIES for dates after 01.09 | INTERNAL DHHS VACCINE REPORTING for dates up to 01.12. JANUARY 5
•White Oak Recreation Center
JANUARY 6-8
•White Oak Recreation Center •Upper County Recreation Center 2x 1x JANUARY 11 1x •White Oak Recreation Center •Germantown Recreation Center 2x JANUARY 12
•White Oak Recreation Center •Public Safety Training Academy (FRS)
JANUARY 13-14 6x •White Oak Recreation Center •Quince Orchard High School •Public Safety Training Academy
JANUARY 15 CURRENT DAILY CAPACITY •White Oak Recreation Center •Quince Orchard High School 2,500-3,500 (6) # OF VACCINES RECEIVED AND ADMINISTERED BY MD COUNTY HEALTH DEPARTMENTS (UP TO 01.10.2021) Received Administered % Administered
14,000 67% RANKINGS 12,000 Administered: #1 (out of 24) 20% Received: #1 (out of 24) 10,000 % Administered: #6 (out of 24) 14% 8,000 33% Administered: 67%(MC) vs. 42% (MD)
6,000 92% 18% 47% 33% 4,000 40% 46% 18% 0% 91% 39% 27% 2,000 74% 38% 32% 99% 69% 67% 40% 46% 19% 8,803 4,153 2,557 2,071 1,871 1,636 1,489 1,252 1,250 1,105 1,090 962 0 Kent Cecil Talbot Carroll Calvert Harford Howard Charles Caroline Allegany Frederick St. Marys Somerset Wicomico Worcester Dorchester Washington Queen Annes Anne Arundel Baltimore City GarrettCounty PrinceGeorges Baltimore County Montgomery DHHS (7) Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 01.11.2021 # OF VACCINES ADMINISTERED % OF RECEIVED VACCINES ADMINISTERED
UNIVERSITY OF MARYLAND SYSTEM 20,024 CHRISTIANACARE UNION HOSPITAL 104% JOHNS HOPKINS SYSTEM 15,755 GARRETT REGIONAL MEDICAL CENTER 72% MEDSTAR SYSTEM TOTAL 9,661 ATLANTIC GENERAL HOSPITAL (AGHS) 72% ADVENTIST HEALTHCARE SYSTEM 5,230 MDH FACILITIES - HOSPITALS/RICA 70% LIFEBRIDGE SYSTEM 4,975 MERCY MEDICAL CENTER 66% TIDALHEALTH PENINSULA REGIONAL 4,291 MERITUS MEDICAL CENTER 58% MERITUS MEDICAL CENTER 4,133 TIDALHEALTH PENINSULA REGIONAL 57% LUMINIS HEALTH SYSTEM 4,097 JOHNS HOPKINS SYSTEM 57% UPMC WESTERN MARYLAND MERCY MEDICAL CENTER 3,360 53% ASCENSION SAINT AGNES HOSPITAL 47% ASCENSION SAINT AGNES HOSPITAL 2,973 HOLY CROSS HOSPITAL - SILVER SPRING 46% HOLY CROSS HOSPITAL - SILVER … 2,905 CALVERTHEALTH MEDICAL CENTER 45% FREDERICK HEALTH HOSPITAL 2,644 ENCOMPASS HEALTH REHAB 45% GREATER BALTIMORE MEDICAL … 2,248 GREATER BALTIMORE MEDICAL CENTER 45% MDH FACILITIES - HOSPITALS/RICA 2,032 MD-WIDE 45% SHEPPARD PRATT HOSPITAL 1,640 UNIVERSITY OF MARYLAND SYSTEM 43% CHRISTIANACARE UNION HOSPITAL 1,247 FREDERICK HEALTH HOSPITAL 43% UPMC WESTERN MARYLAND 1,171 MOUNT WASHINGTON PEDIATRIC … 42% ATLANTIC GENERAL HOSPITAL (AGHS) 717 MEDSTAR SYSTEM TOTAL 38% CALVERTHEALTH MEDICAL CENTER 680 LUMINIS HEALTH SYSTEM 37% GARRETT REGIONAL MEDICAL CENTER 360 ADVENTIST HEALTHCARE SYSTEM 35% MOUNT WASHINGTON PEDIATRIC … 338 SHEPPARD PRATT HOSPITAL 33% SYSTEMS WITH SYSTEMS WITH ENCOMPASS HEALTH REHAB 135 LIFEBRIDGE SYSTEM 30% COUNTY PRESENCE COUNTY PRESENCE(8) Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 01.11.2021 Currently vaccinating Priority Group 1A (Tier 1) which includes:
--hospital personnel --staff and residents at long term care facilities (via pharmacy partnership) --Development Disability Agency group homes (via pharmacy partnership) --Assisted Living Facilities (via pharmacy partnership) --Rehabilitation Facilities (via pharmacy partnership)
(9) County is also responsible for vaccinating priority group 1A (Tier 3)
Populations with risk of exposure to individuals with suspected COVID-19 and/or providing services essential to public health.
--Dental practices --Pharmacists --Other health care professionals (ex. outpatient specialties, optometrists, physical therapists, podiatrists, community health workers, in-home nursing staff) --Detention centers staff --Homeless shelters staff --Law enforcement (patrol/public facing) --Fire rescue --911 dispatchers --behavioral health providers --school nurses --lab workers --funeral home staff --surgical centers (10) Priority Group 1B includes adults 75 and older.
Priority Group 1B (Tier 2)
--Public transit workers including transport for seniors and persons with disabilities --Teachers and support staff --Child care workers --Food and agricultural workers --postal service workers --grocery store workers
(11) Priority Group 1C
Tier 1 Individuals over the age of 65 and younger than 75 Tier 2 Adults 16-64 years of age with medical conditions that put them at risk of severe COVID-19 Tier 3 essential employees not covered in other tiers.
(12) Week Dose 1 Dose 2 Total Doses
Dec 23 100 100
Dec 29 4200 4200
Jan 5 8600 8600
Jan 12 6700 100 6800
Jan 27 TBD 4200 TBD
Feb 3 TBD 8600 TBD
Feb 10 TBD 6700 TBD
(13) Source: MD DEP OF HEALTH COVID VACCINE SUMMARY OF 01.11.2021