Thread by @amychomd

We need split flow for vaccination.

In the ER, we run to those with greatest need and triage by acuity. We also “split” off patients with low resource needs into a “fast track.”

It speeds things up for everyone.

https://twitter.com/jennifernuzzo/status/1355923832213803011

We should invest more to vaccinate those at greatest risk due to medical vulnerability + social vulnerability.

Those with social vulnerability that puts them at ⬆️ risk for infection often have barriers to vaccination.

We should identify the barriers and invest in overcoming these barriers quickly. Some include:
👩‍💻MyChart account & tech savvy
⏱Time to search for appointment
🚨Timely alerts about open spots
⏲Time off during business hours to get vaccinated
🚙Transportation
❓Questions answered

There is a lot of focus on efficiency of mass vaccination sites. This is great for speeding up vaccination to those who are not facing these barriers. That is like our “fast track” in the ER.

But we should not focus on efficiency or cost effectiveness of vaccination for the socially vulnerable. We should invest in getting vaccines to the vulnerable quickly, even if it is more costly or “inefficient.”

It is worth making a huge investment to reach these patients.

https://twitter.com/steventdennis/status/1350426959172562944

The good news is that there is an army of clinicians who are eager to volunteer to vaccinate or do whatever we can to reach the vulnerable. We will be on call. We will work nights and weekends.

We know that we need to drop everything and run to help those at the greatest risk.