Los Angeles Vaccine Recipients Can Put the Proof in Apple Wallet

By Emma Court December 29, 2020, 12:00 AM GMT+11 
https://www.bloomberg.com/news/articles/2020-12-28/los-angeles-vaccine-recipients-can-put-the-proof-in-apple-wallet

  + Key is getting people their second dose, official says
  + Longer-term, the software will be a way to verify vaccinations

Covid-19 vaccine recipients in Los Angeles County, a major virus hot spot, will 
be offered a digital record that will help ensure they get a second shot and 
could, eventually, be used to gain access to concert venues or airline flights.

The offering is being provided starting this week through a partnership with 
the startup Healthvana. It’s initially geared toward ensuring people receive 
both doses of the two-shot regimens that have been authorized in the U.S., 
including through follow-up notifications before a second appointment.

It will also give recipients a way to verify they have been vaccinated, which 
they can put into an Apple Wallet or competing Google platform “to prove to 
airlines, to prove to schools, to prove to whoever needs it,” said Healthvana 
Chief Executive Officer Ramin Bastani.

Los Angeles-based Healthvana, founded in late 2014, runs a software platform 
that delivers test results to patients for HIV and other sexually transmitted 
infections. It began working with the county earlier this year to provide 
Covid-19 test results to patients.

Those prior relationships with area residents made the startup a good fit for 
the digital vaccine record, said Claire Jarashow, director of vaccine 
preventable disease control at the county’s Department of Public Health.

Los Angeles County last week broke its record of new Covid-19 deaths and 
hospitalizations. It has been racing to distribute vaccines “as quickly as 
humanly possible,” Jarashow said.

While the immunizations are being tracked in registries, public health 
officials there also saw a need to give patients ownership of their own 
records, Jarashow said.

They will receive a paper card tracking which vaccine they received and when, 
but that could be easily lost.

“We’re really concerned. We really want people to come back for that second 
dose,” Jarashow said. And “we just don’t have the capacity to be doing hundreds 
of medical record requests to find people’s first doses and when they need to 
get their second.”

Tracking Covid-19 vaccine recipients and authenticating immunization status are 
poised to become increasingly important in the U.S. and globally as vaccines 
are rolled out.

That’s sparked a race among players like International Business Machines Corp. 
to provide technological solutions, envisioning a world in which vaccination 
records can be used to grant access to places where people may gather, or be in 
close proximity. With private health records involved, these efforts have also 
raised questions about ethical and privacy concerns.

Software Platform

Healthvana also offered more capabilities than a platform being used to run 
Covid-19 vaccination clinics called PrepMod. Still, at least initially, the 
county will be integrating, cleaning and processing data from PrepMod and other 
registries each night to Healthvana.

Jarashow acknowledged issues around granting a company access to residents’ 
protected health information, but said that they had worked through them. 
Healthvana stores the data on Amazon Web Services’ HIPAA-compliant servers, 
according to Bastani.

“It’s as safe as we can make it,” Jarashow said. “Personally I would feel 
comfortable using it, so I hope that’s reassuring.”

General Population

The county had administered at least 38,850 doses of the Pfizer Inc. vaccine, 
just under half of its allotment, to health-care providers, residents of 
long-term care facilities and paramedics as of Dec. 22. The digital vaccine 
record will grow increasingly important as the immunization push broadens to a 
more general population, Jarashow said.

With about 10 million residents, Los Angeles County is the most populous county 
in the U.S.

Healthvana is also in discussions with concert venues, employers, universities 
and schools about applying this technology, “anyone who has a large number of 
people interacting with them,” Bastani said. But he believes it’s unlikely any 
one such service will become the standard.

“It’s not going to be like one credit card you can use across the U.S.,” he 
said. “Sometimes you can pay cash, sometimes you can use your Apple Wallet.”
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