COVID-19 Long-Term Care Facilities
Booster Dose Planning
The Centers for Disease Control and Prevention (CDC) endorsed the CDC Advisory Committee on Immunization Practices' (ACIP) recommendation for a booster shot of COVID-19 vaccine in certain populations on Thursday, October 21, 2021. The Louisiana Department of Health (LDH) is committed to ensuring all licensed LTCFs in the state have access to vaccines and have a firm plan for timely on-site vaccination services to administer the third dose. All LTCFs are required to have a plan in place to administer on-site third dose COVID-19 booster vaccines.
Licensed LTCFs are ensuring on-site booster vaccinations in the following ways:
- Partnering directly with a pharmacy that is enrolled in a federal or state COVID-19 Vaccination Program. You must confirm with them that they are available and willing to provide onsite booster doses.
- Requesting that the Louisiana Independent Pharmacies Association (LIPA) coordinate with a local vaccine provider or vaccination team to provide on-site vaccination clinics.
- Enrolling directly as a COVID-19 vaccine provider with the Louisiana COVID-19 Vaccination Program to order and administer the booster doses accordingly.
Who is Eligible to Receive a COVID-19 Booster Dose?
For individuals who received a Pfizer-BioNTech or Moderna COVID-19 vaccine, the following groups are eligible for a booster shot at 6 months or more after their initial series:
- 65 years and older
- Age 18+ who live in long-term care settings
- Age 18+ who have underlying medical conditions
- Age 18+ who work or live in high-risk settings
For the nearly 15 million people who got the Johnson & Johnson COVID-19 vaccine, booster shots are also recommended for those who are 18 and older and who were vaccinated two or more months ago.
There are now booster recommendations for all three available COVID-19 vaccines in the United States. Eligible individuals may choose which vaccine they receive as a booster dose. Some people may have a preference for the vaccine type that they originally received, and others may prefer to get a different booster. CDC’s recommendations now allow for this type of mix and match dosing for booster shots.
Millions of people are newly eligible to receive a booster shot and will benefit from additional protection. However, today’s action should not distract from the critical work of ensuring that unvaccinated people take the first step and get an initial COVID-19 vaccine. More than 65 million Americans remain unvaccinated, leaving themselves – and their children, families, loved ones, and communities– vulnerable.
Available data right now shows that all three of the COVID-19 vaccines approved or authorized in the United States continue to be highly effective in reducing the risk of severe disease, hospitalization, and death, even against the widely circulating Delta variant. Vaccination remains the best way to protect yourself and reduce the spread of the virus and help prevent new variants from emerging.
LTCF On-site Vaccine SupportQuestions regarding on-site vaccinations at LTCFs can be directed to the Louisiana LTCF COVID-19 Vaccination Partnership Call Center:
- Call: (Toll Free) 1-866-266-1334 | Monday - Friday 8 a.m. to 5 p.m.
- Call: 225-241-1437
- Email: firstname.lastname@example.org
Developed by LIPA, this sample agreement established the service relationship between the vaccine provider and LTCF, defining the roles and responsibilities of each entity.
COVID-19 Vaccine Registration Template Developed by LIPA, this template is to be completed by the LTCF that lists staff and residents scheduled to be vaccinated. This template is to be sent to the vaccination provider in advance of on-site clinic dates.
Additional resources to help your site prepare for your third dose COVID-19 booster vaccines vaccination clinics will be made available in subsequent communications. For now, the primary focus is that all licensed LTCFs notify LDH of their plan for executing on-site third dose COVID-19 booster vaccines.
Responsibilities of Vaccination Providers
- Schedule and coordinate on-site clinic date(s) directly with the site at a time mutually agreed on with both parties.
- Order and provide vaccines and ancillary supplies (e.g., syringes, needles, personal protective equipment).
- Adhere to all applicable CMS COVID-19 requirements for individuals entering the facility site.
- Administer COVID-19 vaccine in accordance with all requirements and recommendations of the Center for Disease Control (CDC) and CDC’s Advisory Committee on Immunization Practices (“ACIP”).
- Provide on-site administration of the vaccine to residents and staff for whom the request is submitted in compliance with Safe Vaccine Administration standards during COVID-19.
- Ensure cold chain management for vaccines is maintained at all times.
- Provide COVID-19 Vaccine Information/ Screening Form for the facility to duplicate and have completed for each resident and/or employee for whom services are requested.
- Obtain and review COVID-19 Vaccine Information/Screening Form for each person scheduled to receive the vaccine prior to vaccine administration and attach CDC Vaccine Record if available.
- Ensure participants receiving the vaccine are provided with information contained in the appropriate EUA (Emergency Use Authorization) Fact Sheet for Recipients and Caregivers until full FDA authorization has been approved.
- Confirm COVID vaccination status by reviewing LINKS (Louisiana’s Immunization Information System) and that a booster vaccine is appropriate, prior to vaccine administration.
- Provide post-vaccination monitoring for all patients in the administration area not being directly monitored by facility members (e.g. patient rooms).
- Issue and/or update CDC Vaccine Record cards to patients verifying they have been immunized or have received booster vaccine.
- Report required vaccination data to LINKS within 24 hours of administering each dose.
- Bill any insurance for reimbursement of the COVID vaccine administration fee or HRSA for persons who are uninsured.
- Provide reporting on COVID-19 vaccine administration onsite at the facility location that may be requested by the Louisiana Department of Health (LDH), including but not limited to Daily COVID Vaccine Report.
Responsibilities of LTCFs
- Provide a direct point of contact for COVID-19 vaccination event coordination (name, e-mail, phone number).
- Schedule and coordinate on-site clinic date(s) directly with Provider.
- Complete an Excel spreadsheet with demographic information for all persons scheduled to receive a COVID vaccine on the date of a site visit for purposes of verifying COVID vaccine status in LINKS, and transmit via e-mail to Provider.
- Coordinate patient/staff availability for the date of the event and schedule vaccines at intervals mutually agreed on with the provider.
- Provide a common area or location for vaccinations and monitoring to occur. The common area for vaccines should be able to accommodate safe social distancing practices and be a minimum of 10 x 10 feet with a table, two chairs, and an electrical outlet.
- If a resident is unable to receive a vaccination in a common area and the Provider must administer in another location such as a resident’s room, the facility will be responsible for providing an observer for the recommended 15-30 minutes of monitoring after vaccination.
- Provide any reporting on COVID-19 vaccine administration onsite at facility location that may be requested by the Louisiana Department of Health (LDH).