CDPH recommends that GACHs and APHs offer COVID-19 vaccine to eligible individuals prior to discharge from hospital admission, 24-hour observation, or emergency department, including those at highest risk of morbidity and mortality from COVID-19 such as:
- Patient age 65 years or older
- Patient being discharged to congregate care or residential settings, including: post-acute medical facilities, skilled nursing facilities, residential care facilities for the elderly, correctional facilities, behavioral health facilities, and homeless shelters
- Psychiatric patient being discharged
The Centers for Disease Control and Prevention Advisory Committee on Immunization Practices has no product preference among the COVID-19 vaccines, and CDPH recommends that providers offer any available COVID-19 vaccine at hospital discharge. Vaccination should not be delayed to offer a specific product. A single-dose vaccine could be preferable, if available, for patients whose second dose will occur following discharge from the hospital. However, if a two-dose vaccine is administered, hospitals are recommended to provide the first dose in a two-dose series and direct patients to MyTurn website where the site will guide them through searching for a second dose after they select that they have already received a first dose.
Additionally, for hospitals not in the state vaccination network administered by Third-Party Administrator (TPA) Blue Shield, hospitals will need to take these steps:
- Hospitals enrolled in myCAvax (e.g. GACHs that were vaccinating prior to the creation of the TPA network), may need to set up a closed clinic in MyTurn to administer vaccine to patients. Visit the Quick Sheet for Types of Clinics in My Turn (PDF) and reference instructions for "Walk-In Only" clinics. These hospitals will still need to report vaccinations to CAIR2 and will likely need a CAIR2 interface or will need to input vaccinations manually.
- Hospitals not in myCAVax (e.g., APHs, GACHs that have not administered COVID-19 vaccinations to date) need to enroll in myCAVax. Visit Steps to Participation For Providers Who Are New to the COVID-19 Vaccination Program and Network to learn how to enroll.
- All hospitals not in the TPA network, would request doses from the local health jurisdictions.
Hospitals in the TPA network will need to take these steps:
- Place a vaccine order request within the myCAvax system.
- Hospitals in the TPA network may need to set up a closed clinic in MyTurn to administer vaccine to patients. Visit the Quick Sheet for Types of Clinics in My Turn (PDF) and reference instructions for "Walk-In Only" clinics.
If you have any questions about this AFL, please contact the Healthcare-Associated Infections Program at HAIProgram@cdph.ca.gov or firstname.lastname@example.org.
Original Signed by Cassie Dunham
Acting Deputy Director