COVID-19 Vaccination Program Nevada’s Playbook for Statewide Operations V3 NEVADA STATE IMMUNIZATION PROGRAM; DIVISION OF PUBLIC & BEHAVIORAL HEALTH; DEPARTMENT OF HEALTH AND HUMAN SERVICES Table of Contents Executive Summary ....................................................................................................................................... 1 Acronyms ...................................................................................................................................................... 4 Section 1: Public Health Preparedness Planning .......................................................................................... 6 Improvement Planning ............................................................................................................................. 6 COVID-19 Vaccination Program Planning ................................................................................................. 6 Section 2: COVID-19 Organizational Structure and Partner Involvement .................................................... 9 Nevada Planning and Coordination Team (Internal) ................................................................................ 9 Roles and Responsibilities ................................................................................................................... 10 State-Local Coordination .................................................................................................................... 10 Tribal Communities ................................................................................................................................. 11 COVID-19 Vaccination Program Implementation Committee (Internal and External) ........................... 12 Related Guidance and Reference Materials ........................................................................................... 14 Section 3: Phased Approach to COVID-19 Vaccination ............................................................................... 15 Phase 1: Potentially Limited COVID-19 Vaccine Doses Available ........................................................... 17 Point-of-Dispensing (POD) Sites .......................................................................................................... 18 Emergency POD Sites .......................................................................................................................... 18 Healthcare Strike Teams ..................................................................................................................... 19 Reaching Homebound Nevadans ........................................................................................................ 19 Nursing Homes, Behavioral Health Centers, and Assisted Living Facilities ........................................ 20 Nevada Department of Corrections (NDOC) ....................................................................................... 20 Phase 2: Large Number of Doses Available; Supply Likely to Meet Demand ......................................... 20 Phase 3: Likely Sufficient Supply ............................................................................................................. 21 Section 4: Critical Populations .................................................................................................................... 22 Identifying and Estimating Critical Populations in Nevada ..................................................................... 22 Prioritization and Eligibility for COVID-19 Vaccination ........................................................................... 23 Frontline/Essential Workforce Lane ................................................................................................... 23 Vaccination Priority Group Descriptions ............................................................................................. 27 Describing and Locating Critical Populations in Nevada ......................................................................... 32 People with Underlying Health Conditions ......................................................................................... 33 Vulnerable and Marginalized Populations .......................................................................................... 35 Frequently Asked Questions from Nevadans ......................................................................................... 37 Related Guidance and Reference Materials ........................................................................................... 38 Section 5: COVID-19 Vaccination Provider Recruitment and Enrollment .................................................. 40 Vaccination Provider Recruitment .......................................................................................................... 40 Vaccination Provider Enrollment ............................................................................................................ 42 COVID-19 Vaccination Provider Training ................................................................................................ 45 Vaccine Administration Fee Reimbursement ......................................................................................... 46 COVID-19 Vaccine is No-Cost to Nevadans ......................................................................................... 48 Role of Commercial and Federal Partners .............................................................................................. 49 Federal Direct Allocation to Federal Entities ...................................................................................... 49 Federal Pharmacy Partnership for COVID-19 Vaccination in Long-Term Care Facilities .................... 50 Federal Direct Allocation to Pharmacy Partners (Phase 2) ................................................................. 50 Related Guidance and Reference Materials ........................................................................................... 51 Section 6: Understanding Nevada’s COVID-19 Vaccine Administration Capacity ...................................... 52 Vaccinators in Nevada............................................................................................................................. 54 Related Guidance and Reference Materials ........................................................................................... 54 Section 7: COVID-19 Vaccine Allocation, Ordering, Distribution, and Inventory Management ................. 55 Vaccine Allocation ................................................................................................................................... 55 Nevada Expects Limited Doses of COVID-19 Vaccine ............................................................................. 56 Allocation Plan Using County-Level Criteria........................................................................................ 57 Next steps moving forward: ................................................................................................................ 58 Vaccine Ordering ..................................................................................................................................... 58 Direct-Ship Vaccine (Pfizer Product): .................................................................................................. 59 Cancelling Orders ................................................................................................................................ 59 Ancillary Supplies ................................................................................................................................ 59 Contents and Quantities for Mega Kits to Support Pfizer Vaccine ..................................................... 60 Vaccine Distribution ................................................................................................................................ 61 Local Health Authorities and Community PODs ................................................................................. 62 Redistribution and Transportation of COVID-19 Vaccines .................................................................. 62 Pfizer Vaccine Redistribution Guidance .............................................................................................. 63 Moderna Vaccine Redistribution Guidance ........................................................................................ 64 Vaccine Inventory Management ............................................................................................................. 65 VaccineFinder ...................................................................................................................................... 67 COVID-19 Vaccine Recovery ................................................................................................................... 68 Related Guidance and Reference Materials ........................................................................................... 68 Section 8: COVID-19 Vaccine Storage and Handling ................................................................................... 69 Vaccine Storage ....................................................................................................................................... 70 Receipt, Storage, and Handling of Ultracold Vaccine ............................................................................. 70 Pfizer COVID-19 Vaccine Receipt, Storage, and Handling ..................................................................