Ongoing COVID-19 Long-Term Care Vaccination Plan

Now that the Pharmacy Partnership for Long-Term Care (LTC) Program has ended, it is important to ensure LTC facilities have continued access to COVID-19 vaccine for  unvaccinated residents and staff.

The CDC recently issued guidance for Ensuring Access to COVID-19 Vaccine in Long-Term Care Facilities, which requests LTC facilities contact their pharmacy to see if they are enrolled to provide COVID-19 vaccinations.

With the seventh amended Public Health Order 20-20, each facility must establish and maintain a COVID-19 mitigation plan that promotes vaccine confidence and acceptance and must continue to offer vaccinations to all consenting staff and residents. Each facility shall submit to CDPHE a plan which details how the facility ensures vaccinations are offered and provided to all consenting staff and residents. A template for this plan is available here. Minimally, this information must include:

  1. How the facility assesses and addresses the vaccination status of new staff and residents;
  2. The identification of designated staff who coordinate vaccination information, administration and tracking of the vaccination status of staff and residents on an ongoing basis,
  3. Ongoing measures to promote vaccine confidence and acceptance, and; 
  4. The vaccination status of all current staff and residents.

Submission of this information may be completed utilizing this form and must be submitted via email to residentialcarestriketeam@state.co.us. Plans were due June 14, 2021. This plan must be kept current by the facility and be presented for review during health facility inspections.

Highly Recommended: Facility COVID-19 Vaccination Coordinator and Backup Coordinator complete Colorado Immunization Information System (CIIS) training and obtain access to the CIIS system by following these start to finish steps and these instructions. Additionally, see the CIIS Enrollment Requirement Presentation.

Continuing Vaccination:

The Residential Care Strike Team has outlined the following next steps for LTC facilities to continue vaccinations:

  • The facility identifies residents and/or staff requiring vaccination (we encourage you to work with other LTC facilities in geographic areas to run coordinated clinic(s), when possible, to meet vaccine minimums)
     
  • The facility contacts LTC pharmacy or retail pharmacy it typically utilizes for routine resident medications to determine vaccine availability 
     
  • If the LTC pharmacy or retail pharmacy the facility typically utilizes is unable to meet the request or the facility does not have a relationship with an LTC pharmacy or retail pharmacy, the facility contacts a LTC pharmacy from this mapped  list of LTC pharmacies willing to service facility location (geographically). Alternatively, here is a list of providers (.pdf)
     

     
  • LTC pharmacy fulfills request and schedules vaccinations with the facility contact (or in some instances LTC pharmacy provides vaccine/vital supplies and facility nurse(s) vaccinates identified residents and/or staff at facility)  
     
  • If LTC pharmacies near a facility location are unable to meet the request, the facility should utilize the following:
  • If unable to locate vaccinator through available resources provided, the facility should contact: residentialcarestriketeam@state.co.us 

Your facility may need to be put on a waiting list for those in need of the vaccine. Facilities are encouraged to contact their long-term care pharmacy as early as possible to ensure staff and residents are able to be vaccinated.

For residents and staff that are able to go to an offsite vaccine clinic, use the Where can I get vaccinated? site to locate available options.

For residents and staff that have received their first COVID-19 vaccine dose (Pfizer or Moderna), need a second dose, attempts to utilize all options previously listed have been unsuccessful, and all vaccine providers contacted are unable to provide the same vaccine as first dose, contact residentialcarestriketeam@state.co.us.

Walgreens Partners:

For those vaccinated by Walgreens, please use their appointment scheduler to find an in-store appointment for the second dose.

  • If the appointment scheduler is full or not offering appointments, the facility can reach out to their VACCINE LEAD (Walgreens point of contact) to manually schedule an appointment.
  • Appointment location and times offered will be based on limited COVID vaccine availability.
  • Appointments are scheduled in 15 minute increments and Walgreens will administer the vaccine inside retail stories or can send a team member out to the vehicle if necessary. 

NOTE: the patient will need to stay and be observed for 15 minutes after the shot is administered to ensure safety/no adverse reactions; if the patient will be staying in the vehicle we ask that a staff member or caregiver help support with the observation period in the parking lot.

Omnicare:

Omnicare will offer two unique solutions for partners to have continued access to the COVID-19 vaccine.

  • a previously announced Ambulatory Model - “preferred” access to CVS retail in-store vaccine offering at select participating locations*.

*Individual appointment availability may vary based on vaccine supply, demand, location and other factors not controlled by Omnicare.

  • a Distribution Model – vaccine delivered to facilities through Omnicare’s operational footprint.

In conjunction with the CDC, Omnicare pharmacies have been added to the Federal LTC Partnership program to enable vaccine access through Omnicare, for administration by facility staff to eligible individuals in LTC facilities at no out-of-pocket expense to the patient. See the Distribution model flyer for more information

Omnicare staff and residents can call 1-877-652-0918 to schedule in-store appointments. For all eligible* newly hired or unvaccinated staff members and newly admitted, ambulatory residents, Omnicare is now offering COVID-19 vaccinations in select CVS retail locations by appointment. See the Ambulatory Model Flyer for more information on access to CVS retail offerings.

Kaiser Permanente :

Any healthcare worker who signs up now for the Kaiser Permanente Colorado waitlist will get an automatic order making them eligible to book any open vaccine appointment they find on kp.org. They are still working through their waitlist for persons eligible in 1.B.4 phase so anyone eligible in previous phases are eligible immediately to book appointments. Instructions are available below:

  1. Click on the link and register https://healthy.kaiserpermanente.org/colorado/health-wellness/coronavirus-information/covid-vaccine/vaccination-eligibility. This could be included in information you send out to health care workers.
  2. Once the individual completes the non-member sign-up process they will receive a health record number via email.  This should arrive within minutes of completing the sign up form.
  3. The individual will then create a kp.org account. This makes the process easier when they receive an invitation to schedule a vaccine appointment.
  4. The individual then completes an e-visit on kp.org which will place them in the appropriate phase and secure a position on the waitlist.
  5. When it is their turn to receive the vaccine, they will receive an email, text or letter (based on information on file) to schedule an appointment.

Strike Team Assistance:

If your LTC pharmacy is able to vaccinate residents/staff and we do not have them listed on our contacts, please send the pharmacy name and contact information to residentialcarestriketeam@state.co.us.

If your LTC pharmacy would like to become a COVID-19 vaccine provider, please let the strike team know by emailing: residentialcarestriketeam@state.co.us and the pharmacy can contact the vaccine team for assistance by emailing cdphe_covidvax@state.co.us.