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HomeMy WebLinkAbout12.29.20 FW_ Governor Newsom Announces Partnership with CVS and Walgreens to Provide Pfizer Vaccines to Residents and Staff in Long-Term Care Facilities From:Ring, Brian To:Alpert, Bruce;Bennett, Robin;Clerk of the Board;Connelly, Bill;Cook, Holly;Kimmelshue, Tod;Lambert, Steve;Lucero, Debra;McCracken, Shari;Paulsen, Shaina;Pickett, Andy;Ring, Brian;Ritter, Tami;Rodas, Amalia;Sweeney, Kathleen; Teeter, Doug Cc:Pickett, Andy;Snyder, Ashley Subject:FW: Governor Newsom Announces Partnership with CVS and Walgreens to Provide Pfizer Vaccines to Residents and Staff in Long-Term Care Facilities Date:Tuesday, December 29, 2020 8:59:50 AM Attachments:GGN Update 12.28.20.pdf GGN Slide Presentation 12.28.20.docx Good morning Board – Attached is summary information from the Governor’s press conference yesterday. Brian Ring Assistant Chief Administrative Officer Administration 25 County Center Drive, Oroville, CA 95965 T: From: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Sent: Monday, December 28, 2020 3:08 PM To: SYASL County Info <SYASLCountyInfo@SYASLpartners.com> Subject: Governor Newsom Announces Partnership with CVS and Walgreens to Provide Pfizer Vaccines to Residents and Staff in Long-Term Care Facilities ATTENTION: This message originated from outside Butte County. Please exercise judgment before opening .. attachments, clicking on links, or replying. To: County Administrative Officers and Interested Parties From: Paul J. Yoder and Karen Lange Date: December 28, 2020 RE: Governor Newsom Announces Partnership with CVS and Walgreens to Provide Pfizer Vaccines to Residents and Staff in Long-Term Care Facilities Today, Governor Newsome announced that California has opted into the federal COVID-19 Pharmacy Partnership. At no cost to the State or local government, CVS and Walgreens will administer the Pfizer vaccine to residents and staff in long-term care facilities. CVS and Walgreens will start with nursing homes, which will take an estimated 3-4 weeks, and then vaccinate staff and residents in assisted living, residential care, and other long-term care facilities. Please see the press release below for details. We have attached slides from today’s press briefing, along with SYASL staff notes for your review. -Paul and Karen Viewthisemailinawebbrowser|Forwardtoafriend Office of the Governor FOR IMMEDIATE RELEASE:Contact: Governor's Press Office (916) 445-4571 Monday, December 28, 2020 Governor NewsomAnnouncesPartnershipwithCVSand WalgreenstoProvidePfizerVaccinestoResidentsandStaff inLong-TermCareFacilities Federal partnership will provideno-costPfizer vaccines to residents and staff inlong- termcare facilities SACRAMENTO – Governor Gavin Newsom today announced that California has opted in to the federal COVID-19 Pharmacy Partnership.At no cost to the state or local government, CVS and Walgreens will administer the Pfizer vaccineto residents and staff in long-term care facilities. Starting today, CVS and Walgreenswill start with nursing homes,which will take an estimated 3-4 weeks,and thenvaccinate staff and residents in assisted living, residential care and other long-term care facilities. “Vaccinating those most vulnerable among us is critical to fighting this virus,” said Governor Newsom. “By leveraging CVS and Walgreens resources, we can effectively deploy vaccines to residents and staff at our long-term care facilities, which are at higher risk of Covid transmission – and do it at no cost to the state or local government.” The program will enable counties to leverage CVS and Walgreens pharmacy staff to administer the vaccine more broadly with pharmacy staff going directly to care facilities.Skilled Nursing Facilities will receive vaccine from staff from CVS and Walgreens. Approximately 499 nursing homes will be provided vaccine by CVS and 357 by Walgreens.The vaccines will be administered by pharmacists, pharmacy technicians and nurses. Pharmacy technicians are participating under a recent waiver by the Board of Pharmacy that requires appropriate supervision underCalifornialaw and specialized training. “This partnership is an opportunity to augment other vaccination efforts at the local level to prioritize our most vulnerable Californians where we are seeing the most outbreaks, hospitalizations, and deaths,” said Dr. Erica Pan, Interim State Public Health Officer. “The partnership also allows us to continue to vaccinate other high priority individuals such as our front-line health care workers who are critical to our ongoing response to a surge of cases.” Specifically, the program: Schedules and coordinates on-site vaccine clinic dates directly with each facility.Pharmacy staffwill visit each facility several times to ensure that all residents and employeeswho wish to be vaccinated get the vaccine. Orders vaccines and associated supplies (e.g. syringes, needles, personal protective equipment). Ensurescold storagefor the vaccine. Provides on-site administration of the vaccine to all residents and staff. ### Governor Gavin Newsom StateCapitolBuilding Sacramento,CA95814 ForwardView in Browser Statewide Update on COVID-19 Response, December 28, 2020 DDb Now as we move into this new Phase Prepare ourselves for what is inevitable now Surge on top of a surge I would begin with case rates Dec 27th, 33,170 case 7-day average o 37,661 o Nov Testing: 5,248,812 Total Daily Average: 179,991 o Dec Testing: 7,527,570 so far Daily Avg: 301,453 o 67% increase in daily test average This Dec test is an entire month testing data More testing, more surveillance, more accuracy and understanding More honest assessment of where we are COVID-19 Hospitalizations o 38% increase in COVID-19+ hospitalizations over 14-days o The majority of the state is seeing a plateauing in new hospital admissions o However, Southern CA continues to see higher case rates o LA, San Bernardino, and Riverside remain the most impacted large counties COVID-19 ICU Admissions o 37% increase in admissions over 14-days o Regions Southern CA ICU Capacity 0% San Joaquin Valley 0% Bay Area 9.5% Greater Sac 16.6% Northern CA 29.3% Regional Stay At Home o Initial Regional Stay-At-Home Orders were set for at least 3 weeks so regions could recover ICU capacity o ay but they are still struggling with ICU capacity Extension o San Joaquin4-week ICU projections to be announced 12/29 (likely to be extended) o Southern CA4-week ICU projections to be announced 12/29 (likely to be extended) o Greater SacJanuary 1, 2021 o Bay AreaJanuary 8, 2021 Southern CA Hospitals o Los Angeles County had 12,000-15,000 cases per day in the last few weeks. This is now its toll on hospitals o 96% of LA County hospitals were on diversion of some point on Saturday vs. 33% pre-surge Diversion means ambulances are not going to hospitals proper, not going to ER, but going to an alternate facility A lot of pressure here Direct and indirect impacts of COVID, whether you have it or not o On average, an LA County hospital spent 2/3 of the day, or 16 hours, on diversion o Routine ER care is being slowed CA Continues to Respond o State sending team to LA to embed with county Some hospitals at 130%, some at 70% Different mix Load leveling in more coordinated manner Based on same strategies Team consists of representatives from EMSA, CDPH, OES o Taking info and sending new team as referenced above o 1,028 staff in 116 facilities statewide CA National Guard o Staffing waivers: 86 approved Flexibility, stretching resources Admiration for our nurses who are asked to do more Heroic Intense pressure on that workforce, on those individuals and I want to express our appreciation working through the holidays o Federal Resource Update: Extension of US HHS DMAT approved Arriving Dec 28 o 10 teams of 20 DOD staff (200 personnel) 75 personnel are currently being coordinated for deployment: arriving Dec 29 o 67 patients currently in state alternate care sites decompressing hospitals statewide o Open State alternate care sites: Imperial Valley College: 31 patients Sacramento Sleep Train Arena: 11 patients Porterville Developmental Center: 9 patients Fairview Developmental Center: 16 patients Palomar Alternate Care Site o As we stand these up, our capacity is substantially greater, modest right now o Sleep Train can potentially get up to 250 o Key is staffing and that remains with all the issues COVID-19 Deaths o Dec 27th 64 o 7-Day Average 230 o 14-Day Change 3,238 Since October 1, 65% of ICU admissions and 80% of deaths are in 61+ age group o More contemporary data Pharmacy Partnership o New Federal Pharmacy Partnership with CVS and Walgreens will provide vaccinations to residents and staff in long-term care settings The Partnership has two phases: o Part A: Skilled Nursing Facilities ent directly by Feds to pharmacies o Part B: Assisted Living Facilities, Residential Care, & other Long-Term Care o About 1200 SNFs for first phase Starting Today: o CVS: 499 Facilities o Walgreens: 357 facilities o For every part of the state except LA County, they are committed to their own strategy Direct allocation, staffing Exception in Long Beach and Pasadena Services Offered: o Administration of vaccine by pharmacy staff o Scheduling & coordinating on-site clinic dates with each facility o Ordering vaccines & associated supplies o Ensuring cold chain management for the vaccines o Reporting required vaccination data within 72 hours of administration why this partnership is so important This begins today, doing all reporting, cold chain management, the whole thing o Happening in many other parts of country Last week, the Community Vaccine Advisory Committee met to discuss and make recommendations on Phase 1B and Phase 1C o Plan 1B and 1C are hotly anticipated Everyone is wondering how they stack Guidelines workgroup as well Public dialogue Vaccinate all 58 o Phase 1B Under Consideration: High-risk individuals unable to work from home, live or work in a high-impact geographic area, or who are most likely to spread to co-workers or to the public o Phase 1B Tier One 75+ Workers in education and childcare, emergency services, food & ag o Phase 1B Tier Two 65+ with an underlying health condition and/or a disability: Workers in transportation and logistics: industrial, residential and commercial sectors: critical manufacturing: incarcerated individuals; & the homeless/unhoused o Implemented as early as Wednesday o Populations and sub-populations Prioritization and sub-prioritization o Phase 1C Under Consideration: High risk individuals unable to work from home, live or work in high-impact geographic areas, or who are most likely to spread to co-workers or to the public o Phase 1C: 16-64 with underlying medical conditions and/or disability Workers in water & waste management: defense: energy: chemical & hazardous: communication & IT; financial services; & government ops/community service Plan 1B locked down on Wednesday, Plan 1C will be discussed with adjustments and accommodations o Eye on equity, racial and economic as well as regional Upcoming Meetings: o 12/30: Drafting Guidelines Workgroup to finalize Phase 1B and continue discussions on 1C 904,900 Moderna doses for CA o 672,600: First allocation o 232,300: second allocation Coming this week 858,000 Pfizer doses for CA o 327,600: First allocation o 233,025: Second allocation o 297,375: Third allocation Comin this week 1.76M doses anticipated by end of this week o In early assessments looking for end of the year, anticipated shorter than what we thought 261,672 total COVID-19 vaccines (Moderna and Pfizer) administered, as of 12/26 o Certainly, more than 300,000 by now Federal COVID-19 Relief o As we likely extend Regional Stay At Home Orders, help is available for Californians through the new Federal COVID-19 Relief Package $400 to qualifying individuals $600 per child for eligible families $300 additional weekly unemployment enhancement Increases SNAP benefits by 15% for 6 months $25B rental assistance package Expands Pandemic- EBT program Extends PUA program to March 14 Reopens Paycheck Protection Program for small businesses Extends refundable payroll tax credits for paid sick & family leave through March 2021 o Look forward to advancing support in partnership with the Legislature in next number of weeks, particularly in support of small businesses Protect your loved ones o Minimize mixing and travel o Anxious period fo seen a plateau and some good news, likely will experience in 2 weeks, 10-14-18 days from now a surge on top of a surge o Doing everything to prepare staffing and alternate care sites Culturally competent messaging Questions -at-home orders, can you shed light about what state is doing to counter that activity and if state is planning to take actions against Orange and Riverside Counties where Sheriffs have said not enforce them o One thing to have Sheriffs say that and another thing to have county policies o Have a relationship with those counties who have agreements about enforcement o As it relates to enforcement, new operational guidelines through OSHA and new updates o I will provide you data offline to back up enforcement o Updated last week the Alcohol Beverage Control Tens of thousands of visits o Overwhelming the enforcement, we have experienced o People have been in compliance overwhelmingly o Vast majority of visits, no compliance needed because people were in compliance, but there are notable people that are not o Lot of local enforcement up and down state o Efforts at state level that are doing the same o Vast majority are doing right thing In regard to getting those COVID dollars to compliant counties, what are you doing in budget to incentivize? o Self-evident o o Work with CSAC to develop a framework, guideline o Long period to work out nuances o ing to advance those o Formal notification requirements and we will update those as we move into new year and be as aggressive or more aggressive into the future o Not everyone like that, good people disagree and some want to be disagreeable o behavior will save lives Looking at Riverside County o have been and be proactive into future Any indication of whether people largely heeded orders to stay home during holiday, are they heeding or are they being ignored? Second, looking at the impact of local govs and immense responsibility, will you do anything more in Jan budget for local health departments, includes no new money for local gov in fed o New resources that will drive directly to local and county govs in COVID relief o Substantially will draw down efforts in terms of logistics in terms of administering doses o Supports are not insignificant and will be spelled out in budget, as they are in COVID relief package o Education support and other relief that will directly impact childcare relief and other that otherwise would have fallen locally o Rent relief as well o Something we celebrate and should be acknowledge with fed support o Disappointed no discretionary funds, certainly is a lot of state and local support that is provided o As it relates to data on movement, the travel advisory comes from health agencies, CDC on down o Will get you updates that we provided 10 or so days ago o Cell phone open-source data that gives sense of movement o You need nothing more than total number of passengers on airplanes that suggests an increase in cases as it relates to travel advisories Wanted to check on your status, have you been tested since your exposure? Any more specifics as to people? How are you going to handle hospitalizations? o o Get you more granular response as to everything that tells a story o As it relates to planning, you see going back into pandemic, saw plans as it relates to capacity o Looking at existing footprints, surge capacity, getting tents and providing opportunities to repurpose rooms o Also have been updating you consistently on alternate care site facilities 5 have been stood up 7 specific others that are in warm status that could be turned on quickly Will update you and my team will send that to you on total capacity We think well north of 2,000 beds for alternate sites, also existing surge plans for hospitals Staffing is bigger issue o Each hospital tells different story o Physical space is less of an issue than staffing o We have plans, we are engaged with hospitals directly on those efforts, by system and provider not just hospital association o Let me have Dr. Ghaly also answer that question o Opportunity for us to update those older plans Dr Ghaly As it regards to travel and impact of regional stay at home Knew going into tough time with holidays Talked about fatigue with need to mix and travel Most of state seeing subtle but important trend, slope of our increase has come down a bit As Governor has clearly stated, worried not just about past couple weeks, but as we see more cases coming in, not too late to make a change of plans A month ago, only 30% of Californians will make change of plans, more recent surveys show that number is now 50-60% of Californians Hoping for New people make decision to stay at home Things that were a month or two months ago that were low risk, today are high risk We are less worried about the space in facilities, though some hospitals are using every inch to take care of patients, commend important use of spaces, but bigger worry is staffing A lot of folks look to alt care sites, but more important is staff to make sure staff is there through nurses and physicians, respiratory therapists, outpatient staff Ramp up ability to take care of patients Those collective efforts working directly with counties, efforts focused on Southern CA and LA County with staff Making sure everything is well coordinated as possible Working with nursing and staffing partners Typical partners coming together to put CA best foot forward, bringing together regions and efforts with big systems High quality care efforts throughout state so we can save as many lives as possible GGN perhaps on the natural Socialize some of that in terms of accessing more staff Ghaly Working with our own efforts for staff, but also various hospitals that expect travelling nurses and health professionals We have not been able to get that reliable number until now health professionals will be arriving in state That will absolutely help us, not just make sure we can staff beds available today, but open up additional beds Questions COVID outbreaks at prisons with 7500 cases in last two weeks, are you satisfied with steps being taken to reduce and what is your response to call for prison pops to be reduced? o We have 9,421 cases total among inmates right now o COVID-19 at CDCR Facilities 9,421 current cases amongst inmates 99 inmates receiving medical care at outside hospitals 2 cases at Division of Juvenile Justice 3,836 current cases CDCR/CCHCS employees o San Quentin Active (in Custody) cases: 4 o Total Active (in Custody) Cases in O Stockton: 258 Vacaville: 268 Old Folsom: 3 Chowchilla Women: 155 Donovan: 510 Chino: 25 CA Institute for Women (CIW): 41 o Reducing capacity to ensure safety: Suspension of intake from county jails effective Nov 26 Rolling releases continue for inmates with 6 months left on their sentence not serving for violent, domestic violence, or sex offense and who are not high risk for violence Since March, the prison population has decreased by more than 21,000 individuals as a result of state action o o Lot of pressure on counties and sheriffs with suspension of intake o Protecting Health & Safety at CDCR Health Protocols for Inmates: Weekly testing of all staff and inmates at institutions with 10+ active cases Mask mandate If an outbreak (3+ cases) in a yard, all inmates and staff requited to wear N-95 Medically high-risk individuals being moved Isolations and quarantine spaces identified at all institutions Staggered dining and recreation schedules to allow for physical distancing and disinfecting Video visits o I spend hours every week looking individual by individual and assess and process o I will absolutely not mass release individuals without looking at each case o Have been deliberative and have protocols in terms of capacity building within the system with isolation and quarantine that have come from the experience with San Quentin o Pre-planned high-risk facilities o Very vigilant in terms of what is occurring and as you may have noted in plan 1B, Tier Two recommendations, some consideration for high-risk inmates o Very pleased with new CDCR Director, partnership with Clark Kelso the Health Administrator and being monitored by fed gov and continuing to build stronger partnership in terms of our efforts to advance safety protocols ow can we be sure this is proceeding in a safe way? o highlighted this concern o Working with CMA and others looking at protocols and processes to enforce and holding people accountable for skipping line Sanctioned and losing license Highlight reputational impacts o Aggressive here, but as you move into subsequent phases and dealing with millions of doses and hundreds of points of contact, not everyone will have the higher ethical standards o Mindful that there will be issues, will have to work with county partners to monitor at a local level o o We are looking forward to putting out details as to what that enforcement package looks like o Working aggressively with partners behind the scenes, including CMA o Look forward to talking more about that when we finalize details o Let me ask Dr. Ghaly as well to amplify Dr. Ghaly You hit the major points Included in some of state opportunities is through our ability to look at professional licenses CDPH has responsibility of enrolling every provider into federal system, have ability to dis-enroll as well We have those steps, putting that together in a pa local partners already Need to be very serious about this They want to know when they are going to get vaccine CA across govs take seriously GGN high-profile individual, I want to make sure this frame on equity is foundational Put together three committees that were advanced to put forth firm commitment to safety, transparency, and equity o Equity must include distribution and we all need to be held to higher level of accountability o Make point well, one thing when you have few hundred thousand doses, changes when work with limited supply o Registry is big part Partnerships are critical Hold to higher level of ethical conduct Questions When you look at this plateauing of numbers, is that encouraging sign that stay-at-home orders are working? As we move past holidays and vaccine becomes widely available, how bad are things going to get before they get better? o When Joe Biden last week assessed things, I think he was correct o Worse before better o As we work through next 60-90 days as we get surge on top of surge and travel across country o Gearing for that, preparing, not wasting a min, hour, day, weekend o No time off, no New Years celebration o Being proactive in building partnerships and leveraging resources o Looking at load capacity in a different way to become more prescriptive o I will have Dr. Ghaly answer first part, but my sense is yes people have taken seriously this order o Dr. Ghaly sure we were going to see it Pleased to see a bit of a plateau, if we continued to see rate of rise over past couple weeks, the impact we anticipated from holidays would be even worse Learned so much about taking care of patients in hospitals, but when People need to make decisions to celebrate virtually and not travel, that will keep us get this slight flattening that help us anticipate slight impact reduction on hospitals Anticipate middle of Jan to be difficult time for hospitals o o Hospitals worried about second part of Jan. o Know number of Californians are worried Hospitals not just with 60, 70, 80-year olds on ventilators but also 20, 30, 40-year olds on ventilators Take this as seriously as possible to get through Jan. and we can get vaccines distributed Right now, time to stay focused Have critical decisions to make GGN Appreciate the response and the questions Look forward to making updates tomorrow and the rest of the week and work our way through next challenging month Hope everyone stays safe and does what they can to mitigate Sober reality, especially in Southern CA