Page 29 - Care Delivery System Colition
P. 29

EQUITABLE COVID-19 VACCINE DISTRIBUTION STRATEGIES | 29
          COMMUNITY TRACK 1
Public Health Partnerships
COMMUNITY TRACK 2
M Health Fairview Community Advancement Minnesota Immunization Networking Initiative (MINI)
• MHFV organized event with MINI network of community partner organizations.
• Vaccine clinics are held in trusted community spaces. Vaccines are free, registration process low barrier, culturally appropriate outreach and registration assistance provided.
• MHFV/Community Advancement provides clinical staffing, vaccine and associated supplies, PPE, IT, registration and documentation.
• Materials are provided in client’s preferred language, with interpreters on-site.
• Community partner provides space, site support and outreach to community members.
M Health Fairview
COMMUNITY TRACK 3
M Health Fairview Community Clinics
COMMUNITY TRACK 4
Internal Community Strategies M Health Fairview Staff
                 Concept
• Support local public health to conduct mobile vaccination clinics.
• Local public health community partner organized event.
• MHFV provides clinical staffing and training to ready more vaccinators.
• Public Health partner provides space, site support, and outreach to
community members.
• We are currently in partnership with Ramsey County, providing staffing and training. Could expand this to other local public health departments to broaden their reach into the community.
• MHFV primary care clinics serving diverse populations host vaccination events during additional coverage hours (weekends, evenings)
• Partner with communities where the clinics are located and established MINI partners to do focused outreach (model similar to testing outreach) to ensure access
• Reserve appointments for focus populations
• Focused outreach with departments that demonstrate hesitancy as defined by not
yet formally declined or vaccinated
• Sessions set up to provide information, learn about concerns that can inform ongoing patient and community work
                Specific Examples and Focused Populations Served
(not all- inclusive)
• Ramsey County partnership
(Phase 1a and sheltered communities)
• Two virtual Q&A sessions weekly with culturally congruent providers (BIPOC, LGBTQI)
   Vaccine Source/ Management
Local public health dept/direct from MDH
Work with established MINI partners to host clinics in community: • St. Mary’s Health Clinics (Hispanic/Latinx American)
• Stairstep Foundation (African American)
• Portico Healthnet (Vietnamese American)
• Karen Organization of Minnesota (Karen American)
• Hmong Healthcare Professionals Coalition (Hmong American) • Liberian Nurses Association of Minnesota (Liberian American)
• Many more sites serving BIPOC communities and communities experiencing health disparities
• Roselawn Clinic (Hmong,Karen)
• Bethesda (Hmong, Karen)
• Rice Street Clinic (Hmong, Karen)
• Broadway (Black, African American)
• Phalen (Hmong, Karen)
• Smiley’s (gender diverse, East African)
 M Health Fairview
M Health Fairview (ongoing supply reserved for HCWs)
        Locations
Community-based settings: • Schools
• Public high rises
• Community Centers
• Greater metro
Trusted metro community sites with high community need index (CNI)
• Places of worship
(mosque, temple, etc.)
• Community Centers
• Shelters, addiction centers
Clinics located in:
• East Side of St. Paul
• North Side of St. Paul
• Seward neighborhood, Minneapolis • North Minneapolis
• Midway
• Mobile to sites
    Scale
100-800 shots per event
50-400 shots per event
50-100 doses/day
20-30/week or as scheduled
        Populations/ Groups Served
Broad populations/priority groups in need of vaccination, areas of high need
• BIPOC communities
• Non-English speaking clients • Chronic addiction facilities
• Residential facilities for those with disabilities
• High Community Need Index neighborhoods
• BIPOC
• LGBTQI
  • Three to five events per week, cycle rotation to serve sites several times for first and second dose capture
• Refer to graph on previous page
• Established patients with limited English proficiency
• Technology barriers
• 75+
• Disabilities
        Goal Participation
MDH/local public health targeted goal
Weekly and reassess as prioritization rules are expanded and needs change
• Weekly, alternative hours as need dictates
• Goal to get to 100% compliance with documented decision
          Resources Needed
• MHFV provides clinical staffing, clinical lead, participates in outreach, leverages community partnerships to support community voice and outreach.
• MDH/public health provides vaccine, supplies, logistics, IT, documentation.
• Cost of above to be paid by MDH/state/ county public health.
• Vaccine and vaccine management supplies
• Funding to pay community partners supporting outreach and logistics
• Request approval to NOT
bill clients for service. This reduces barriers experienced by communities we are trying to reach and fosters trust built over 14 years of partnership in community
• Clinical staffing
• PPE
• IT (for documenting
and scheduling)
• Volunteer/site support • Crowd control
• Interpreters
• Cost of above to be supported by MDH/state
• Community partners to help ID patients
• IT support for partners to register patients
• Scheduling and interpreter support limited if
working with community partners
• Payment for community partners’ time
• Volunteer/site support
• Clinical staffing (depending on volumes)
• Reduce excessive requirements to access funds
for uninsured like SSN’s, driver’s licenses, and self-pay by request waivers
• Network of provider/nursing champions to educate and staff Q&A sessions
• EOHS
• No new IT needs
       
   27   28   29   30   31