Newly approved priority guidelines lack many details. All eyes were on a Centers for Disease Control and Prevention committee deciding on the first federal guidelines regarding vaccine distribution Dec. 1. Good news: The CDC Advisory Committee on Immunization Practices (ACIP) recommended that “when a COVID-19 vaccine is authorized by [the Food and Drug Administration] and recommended by ACIP, vaccination in the initial phase of the COVID-19 vaccination program (Phase 1a) should be offered to both 1) health care personnel and 2) residents of long-term care facilities.” Not as good news: Home care aides may get left out of that “health care personnel” definition, industry members worry. Under ACIP standards, “it is obvious that nurses and therapists are health care workers and should be priority recipients of the vaccine,” says a joint letter from seven home care organizations including the National Association for Home Care & Hospice, the National Hospice & Palliative Care Organization, and the private duty-focused Home Care Association of America to the ACIP.
“Those health care workers generally classified as home health aides, home care aides, hospice aides, personal care attendants, and direct support professionals are equally essential health care workers,” the letter emphasizes. “This workforce is at higher risk of contracting and/or transmitting the virus because of the nature of the services they provide that are focused on assisting with Activities of Daily Living that put them in close contact with their patients for extended periods of time. It is therefore crucial that specific inclusion of this segment of the health care workforce be included as a first-line priority class of health care workers eligible for the vaccine,” the groups urged ACIP ahead of its Dec. 1 vote. Nevertheless, ACIP used this definition of health care personnel: “paid and unpaid persons serving in health care settings who have the potential for direct or indirect exposure to patients or infectious materials.” CDC Director Robert Redfield has adopted the recommendations, ACIP says on its website. Take It To The States “The recommendations to prioritize health-care workers and residents of long-term-care facilities in phase one of immunization leaves states and local jurisdictions with substantial leeway to define that category and prioritize within it,” NAHC cautions in its member newsletter. Industry members should put forth “efforts in the states to ensure that home health and hospice workers receive prioritization for the vaccine once one is approved.” Note: The ACIP recommendations are at www.cdc.gov/vaccines/acip/recommendations.html.