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The Impact of the COVID-19
Vaccine on Your Strategy
Chris Howard Donna Medeiros Brian Lee

Distinguished VP Analyst Sr Director Analyst Managing Vice President
Covering Today
The challenges of vaccine distribution and management
How the vaccination roll out will impact organizations

returning to the workplace
What organizations should consider in response to the

vaccination roll out
4 © 2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates.
Uncertainty Abounds
Here are some of the questions coming in from clients
• How far into the future will the vaccine impact • What are the costs, opportunities, risks, what does it
businesses? mean for my company?
• When will the vaccine be available for us? • What will be expected from health insurers?
• What is my organization’s role? • Where will employees be vaccinated?
• Should we require the vaccine? • Where, what and how do data and events need to be
• Should businesses encourage employees to captured?
be vaccinated?
• What digital response plan do we need?
• How should we track employees health and
safety? What data to collect and maintain? • What return to work solutions do we need? What is
available on the market?
• What rules and regulations apply?
• Will a vaccine certificate become reality?
• What should we be doing now to prepare?
• Do we need to collaborate with industry, • Who provides solutions and services?
government and peers to expand options for • What are other organizations doing?
procuring and administering?
Polling Question 1 of 4
How to participate in our polling
When do you think your If you are in full screen mode – click Esc
organization will return to normal The poll question is on the “Vote” tab.
business operations? Please click the box to make your selection.
Upon voting you will see the results.
Thank you!
A. We are back to normal now
B. Q1 – Q2 2021
Q. Polling Question
C. Q3 – Q4 2021 (please choose 1 answer)
D. Sometime in 2022 A. Answer
B. Answer
E. Years from now (if ever)
C. Answer
D. Answer
E. Answer
Disruption Caused by the COVID-19 Pandemic
Continues as Vaccine Rolls Out
Massive scale of operations mobilization.
There is building pressure to support both public health and
economic activity using all available people, processes and
technology assets.
Organizations continue to address COVID-19 as well as ensure
it is focused on the long term implications by building
comprehensive capabilities and ensuring the health and safety
of their employees and organization.
The world will be responding to this crisis and risk for years to come.
Early determination of your ongoing role, responsibilities and investments is essential.
COVID-19’s Impact Underscores the Urgency of
Vaccine Development and Distribution Efforts
United States Daily COVID-19 Cases and Deaths ▪ The number of daily new cases is setting new records.
140,000 3,000
▪ The US daily death rate has reached past 3,600 and is still
120,000 rising.
2,500
100,000
▪ The effectiveness of additional lockdown measures may be
2,000 hampered by “lockdown fatigue;” control measures may also be
80,000 tempered as people spend more time indoors.
1,500
60,000 ▪ Even in US states where social distancing and mask wearing
have been effective, vaccines remain critical to resuming daily
1,000
40,000 life.
20,000
500 ▪ Vaccine hesitancy and polarization is real.
0 0 ▪ Employers have a critical role to play in the health and safety of

Mar Apr May Jun Jul Aug Sep Oct Nov their employees and the population.
Cases Deaths
Source: The COVID Tracking Project (https://covidtracking.com/)
All levels of society are responsible for ensuring a rapid, safe and effective national vaccine administration
Who Will Get the Vaccine and When?
US Illustrative Roll Out Scenario
Dec 2020 Q1 2021 Q2 2021 Q3 2021 Q4 2021
20 mil people
Emergency Authorization Use — Broadly Available — Public Health led increasingly local with involvement by others
U.S. Federal Government Controlled (Employers, Payers, CMS, Providers)
Groups 1A, 1B, 1C

Limited doses – public health gov decides Goal: Herd Immunity
(target ~70-80%
population
vaccinated)
• Frontline • First • Additional • States • Vulnerable • General Population

health responders Essential continue to communities
Vaccine workers • Federal and critical decide and • Prioritized
Roll Out • Highly (limited) workers with orgs locations and
vulnerable/n • High risk, 65+-Community • Essential groups such as
ursing settings • Customer students
homes facing
• High risk
Digital tracking of supply and demand; individuals, groups, population inoculated

9
Phased Approach to COVID-19 Vaccination
© 2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates.
Phase 1 Phase 2 Phase 3 Phase 4

The Largest Technology Opportunity/Challenge of
the 21st Century
Vaccines don’t save lives, immunization save lives

What is Vaccine Management?
Data Driven Insights

and Decision Making
Distribution Administration
+
Delivering the Vaccine Immunizing People
Operations and Functions Operations and Functions

• Pharmaceutical supply • Outreach and Engagement
• Supply chain and transport • Education
• Track and trace systems • Consumer Registration and Scheduling
• Storage and Cold chain • Systems of record: Immunization registries,
• Distribution models and patient records
forecasting, economics • Tracking shots and adherence
• Command and control • Adverse events
• Receipt and tracking of dosages, adherence
Actors • Command Centers
• Pharmaceutical Actors
• Federal, State and local governments
• Providers
• Transport and Supply chain
• Payers
• Public health departments: 3,000+ in US
• Employers
• Charities
• Retail
• NGOs
• NGOs
11 © 2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. and its affiliates. • Community groups
Systems and real time data are key for COVID-19
Vaccination Distribution and Administration
▪ Real-time visibility into vaccine delivery milestones by aggregating tracking data.

Intelligent
▪ Vaccine traceability of demand, cold chain status, storage, inventory and distribution.
Supply
▪ Integrates and/or captures information from supply chain stakeholders.
Chain (ISC)
▪ Tracks immunization information at the population and individual patient levels.

▪ Can capture immunization data from EHR/EMR systems.
Immunization
▪ Adverse events reporting that supplements and/or complements existing processes/systems.
Information
▪ Detects patterns to more effectively target interventions, address issues.
System (IIS)
Vaccine ▪ Manages the workflows and dataflows required for end-to-end administration of vaccines.
Program ▪ Capabilities in management and administration functions.
Management ▪ Reporting
(VPM) ▪ Command and Control Center.
▪ Coverage data.
Systems are being Implemented, for instance
US CDC Online Vaccine Management
India
1 Billion people:
Like many countries, immunizing
adults for the first time is going to be a
daunting and unprecedented challenge.
Vaccinations may start soon. So far, 3 vaccine makers

have applied for an emergency use authorization: Pfizer,
Serum Institute of India, which is manufacturing the
Oxford-AstraZeneca vaccine, and Bharat Biotech for its
Covaxin.
Questions Remain for State and Local Governments
In Centers for Disease Control’s (CDC’s) “Interim Playbook,” state, local governments and employers
have responsibilities encompass a wide range of capabilities.
Program Planning and Supply Chain Development and
Intergovernmental Liaison Readiness Evaluation
Coordination Risk Management
Critical Population Capacity Planning and Partner Selection and

Standards Development
Management Management Management
Provider Assessment
Technology Integration Inventory Management Vaccine Administration
and Enrollment
Security and Privacy

Adoption Promotion Communications Management Vaccine Distribution
Management
Data Management and

Staff Recruitment Documentation Management Budget Management
Reporting
Many questions remain; the Governor’s Association submitted to CDC questions related to funding,
allocation, and communications.
Even as requirements become clearer, many jurisdictions will be challenged to meet program expectations
Source: “COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations,” U.S. Centers for Disease Control, September 16, 2020
Does your organization intend to If you are in full screen mode – click Esc
include vaccine planning in their The poll question is on the “Vote” tab.
Strategy? Please click the box to make your selection.
A. Yes, definitely Thank you!
B. Likely
Q. Polling Question
C. No, definitely not
(please choose 1 answer)
D. Likely not A. Answer
B. Answer
E. Undecided / Don’t Know C. Answer
D. Answer
E. Answer
How Should
Organizations
Respond?
Vaccines Don’t Mean a Normal Office Return
Vaccines Don’t Mean a Return to Business as Usual
Remote Work Will Continue
Navigating the Issue of Mandatory Vaccines
Question 1: Could I mandate vaccinations for my employees? Three levels to consider:
• National, state and local laws and regulations
• Collective bargaining agreements, works councils
• Personal exceptions for sincerely held religious beliefs, and for health/disability reasons
Question 2: Should I mandate vaccinations for my employees? Factors to consider include:

• Health and safety of your employees
• Importance to the business
• Industry and geographical location(s)
• Administrative burden of exceptions and/or waivers
• Ability to confirm vaccination status and type of vaccine
• Employee receptivity to the idea of mandatory vaccines
A Wide Variety of Responses
Least
Invasive No Response – company does not require vaccinations for their employees, and does
not provide guidance on how employees should act
Education – company provides guidance in the form of articles, summaries, research or

other materials that help employees make an informed decision about whether to receive
the vaccine
Encouragement – company openly encourages employees to get vaccinated, but does

not require it
Facilitation – company provides opportunities for employees to get vaccinated, including

subsidizing costs, providing vaccinations at company locations, etc.
Most
Requirement – company requires that all employees get vaccinated
Invasive
How do you plan to handle the issue of If you are in full screen mode – click Esc
vaccination among your employee base? The poll question is on the “Vote” tab.
Please click the box to make your selection.
A. We do not plan to give guidance Upon voting you will see the results.
B. We plan to educate employees on vaccinations Thank you!
(e.g., links to scientific data sources, relevant
government agency guidance)
C. We plan to encourage employees to be
vaccinated Q. Polling Question
D. We plan to facilitate employee vaccinations
(e.g., offering vaccinations at the workplace, A. Answer
subsidizing costs) B. Answer
E. We will require vaccinations for some/all C. Answer

employees (subject to applicable laws,
regulations and collective bargaining D. Answer
agreements) E. Answer
CEOs Are Open to Mandatory Vaccinations
When it comes to vaccinating employees for Covid, should companies make it

mandatory? That’s shaping up to be one of the most pressing, most
controversial questions facing business leaders in 2021. At a gathering of big-
company CEOs held virtually Tuesday, the answer was “yes”—with caveats.
https://chiefexecutive.net/at-yale-summit-big-company-ceos-back-covid-vaccination-mandates-with-caveats/
Employee Sentiment is Split on Vaccines
Plans to Encourage, Not Require, Vaccinations
Five Lenses to Frame Vaccination Response
1. Health and Safety – what is the impact that our vaccination response will have on the
health and safety (both physical and emotional) on our employees?
2. Social and Ethical – what social and ethical obligations do we owe to our employees?
Are our actions consistent with our corporate values?
3. Legal – what liability and risk do we open ourselves up to by requiring (or by not requiring)
vaccinations?
4. Financial and Operational – what business consequences (both positive and negative)
could occur with our vaccination response?
5. Employee Experience – how will employees react to mandatory vaccinations? How do

we educate employees on the importance of vaccinations?
Does your organization intend to If you are in full screen mode – click Esc
implement a digital health pass for The poll question is on the “Vote” tab.
employee health screening? Please click the box to make your selection.
A. Yes, we already do Thank you!
B. Likely
Q. Polling Question
C. No
D. Likely not A. Answer
B. Answer
E. Undecided / Don’t Know C. Answer
D. Answer
E. Answer
Build an
Agile and
Adaptive
Strategic
Plan for 2021
Considerations in Planning
• Keep track of the legal and regulatory landscape regarding mandatory vaccinations, as it can
change from week-to-week. Assume that some portion of your employee population may be required
to get vaccinated.
• Agree upon the triggers that will prompt changes to policies and procedures.
• Create clear communications and policies that outline what actions the organization plans to take,
with an emphasis on why. In addition, communicate employee expectations for behavior, including
treatment of other employees, and the use of PPE.
• Monitor divisive rhetoric amongst your employees surrounding not only vaccinations, but masks and
other PPE.
• Develop risk profiles to prioritize health and safety measures for employees.
• Use technology and data to communicate and drive decision making.
• Be agile and prepare for delay, acceleration, contingencies – understand that the science is still
not fully known, especially as it relates to immunity, side effects, different vaccines to keep track of,
timing of immunity.
Establish a High-Level Strategic Approach
Establish a Health and Safety playbook that includes vaccine

planning. Review current capabilities across operations.
Discuss with local partners (health dept, others) and map out role
and responsibilities moving forward.
Identify areas of priority, regulations and/or policy keeping in

mind changes may occur.
Prioritization of capabilities, investments in COVID initiatives. Look

to fill gaps with partnerships, solution providers.
Be employee-centric.
Thank You
Ask your questions
Type your question here…
Send Question
7 Myths Standing
Between You and
the Hybrid Future
of Work
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© 2020 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner is a registered trademark of Gartner, Inc. or its affiliates. This presentation, including all supporting materials,
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Appendix
Protective Measures Are As Important As Ever Continuing
Well Into 2021
/
https://www.pslhub.org/learn/coronavirus-covid19/tips/the-swiss-cheese-respiratory-virus-pandemic-defence-r3379
Most Not Planning to Track or Mandate
Vaccines
Focusing on Planning during Recovery and
Renewal is Critical
2021/2022 Planning
Focused cycles are needed to advance operational planning
▪ Comprehensive Planning and Preparation
initiatives
▪ Governance and Continuity
▪ Risk and Threat Assessment and Identification COVID-19 has identified areas that require investment and
▪ Process Strengthening & Enhancement development and these must be prioritized
Enhance planning and preparation Ensure that there is strong Conduct comprehensive and Strengthen and enhance vital
with cross-government contingency continuity of government with exhaustive threat assessments to processes to ensure that services
plans and ensure agreement and clear plans on succession, understand all risks posed by public are maintained and developed to
support. Specify future response alternative locations and health and other emergencies. Ensure support advanced digital
actions and create necessary establishment of new that business impacts are fully technologies to support
agreements. management structures as understand and specified. readiness for sever threats and
needed disruption
Post COVID Planning Cycles

People, Process and Technology to Position for Post COVID Success
People Financial
Continuity and Flexibility Cost Optimization
What do I need to do right now to continue to enable How will my funding streams change?
secure and effective remote delivery of services? How can I make sure that the rapid acquisition of
How do I ensure effective internal and external products and services I need right now also serve
collaboration and establish the right partnerships moving my organization’s long-term interests?
forward? How can I ensure I am getting the most value out of
How do I train and prepare my staff to meet new my current contracts/vendors?
demands? How do I compare to other jurisdictions?
Are there options to rapidly shift staffing
strategies when new crises arise?
Technology
Process Automation & Optimization
Can the current infrastructure support a post COVID-19
Adjusting Response and Service Delivery strategy (e.g., long-term, remote work strategy)?
Are models and flexible enough? How do we prioritize digital transformation investments
Will there be lasting impacts to how we conduct and maximize the recovery value?
operations in light of public health measures? How do we integrate various channels to meld the
Which sourcing decisions made during the pandemic physical and the digital worlds?
need to be revisited/revised? How should improvements be structured to gain
Which COVID process changes should we continue? transparency and improve management of costs,
Modify? Does this require new policies or procedures? delivery models and suppliers?
Legal implications?
1. Solution Design
and Enablement
‘End-to-end’ approach delivers a comprehensive vaccine management

solution strategy supported by the right vendors
1.
1. Develop
Develop Vaccine
Vaccine 2.
2. Evaluate
Evaluate and
and 3. Assist with 4. Manage Vendors
Management
Management Solution
Solution Select
Select the
the Right
Right All Vendor for Successful
Strategy
Strategy Vendors
Vendors && Solutions
Solutions Negotiations Execution
Establish
Establish Strategic
Strategic Context
Context Develop
Develop && Release
Release RFP(s)/RFQ
RFP(s)/RFQ Prepare for Contract Negotiation Establish Performance Baseline
Evaluate
EvaluateProposals
Proposals&
& Identify
Identify Conduct Commercial
Define
Define Business
Business Capabilities
Capabilities Assess & Measure Performance
Vendors
Vendorsfor
forDemos/Orals
Demos/Orals Due Diligence
Conduct
Conduct&& Evaluate
EvaluateVendor
Vendor
Develop
Develop Target
Target State
State Active Negotiation Develop Action — Remedial Plans
Demos/Orals
Demos/Orals
Develop
Develop Transformation
Transformation Roadmap
Roadmap Down
Down Select
Select&& Recommendations
Recommendations Complete Contracting
Articulate
ArticulateInvestment
InvestmentCase
Case Revise
ReviseInvestment
InvestmentCase
Case
Right Vendor(s) Optimal Contract

Application Strategy Successful Execution
Selected Outcomes

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Chris Howard Donna Medeiros Brian Lee

The challenges of vaccine distribution and management

How the vaccination roll out will impact organizations

What organizations should consider in response to the

D. Sometime in 2022 A. Answer

Early determination of your ongoing role, responsibilities and investments is essential.

0 0 ▪ Employers have a critical role to play in the health and safety of

Source: The COVID Tracking Project (https://covidtracking.com/)

Groups 1A, 1B, 1C

• Frontline • First • Additional • States • Vulnerable • General Population

Digital tracking of supply and demand; individuals, groups, population inoculated

Phase 1 Phase 2 Phase 3 Phase 4

Vaccines don’t save lives, immunization save lives

Data Driven Insights

Operations and Functions Operations and Functions

▪ Real-time visibility into vaccine delivery milestones by aggregating tracking data.

▪ Tracks immunization information at the population and individual patient levels.

Vaccinations may start soon. So far, 3 vaccine makers

Critical Population Capacity Planning and Partner Selection and

Security and Privacy

Data Management and

A. Yes, definitely Thank you!

Question 2: Should I mandate vaccinations for my employees? Factors to consider include:

Education – company provides guidance in the form of articles, summaries, research or

Encouragement – company openly encourages employees to get vaccinated, but does

Facilitation – company provides opportunities for employees to get vaccinated, including

E. We will require vaccinations for some/all C. Answer

When it comes to vaccinating employees for Covid, should companies make it

5. Employee Experience – how will employees react to mandatory vaccinations? How do

A. Yes, we already do Thank you!

Establish a Health and Safety playbook that includes vaccine

Identify areas of priority, regulations and/or policy keeping in

Prioritization of capabilities, investments in COVID initiatives. Look

Type your question here…

U.S.: 1 800 213 4848

Download the research slides

View upcoming and on-demand Gartner webinars

Rate this webinar

Post COVID Planning Cycles

‘End-to-end’ approach delivers a comprehensive vaccine management

Right Vendor(s) Optimal Contract

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