More on Gen Perna and Vaccine

 In addition to points in my previous post, a couple of other things occurred to me:

• doing a checklist, or rather a series of checklists, would have been good.  Even though the decision had been made to allow state and local governments to design the system to do the jabs and report the status, my guess is it would have been possible to specify different parts of the operation in detail.  For example, actually giving the vaccination could start with removing the vial from the deep freeze, warming it, etc. etc.  At some point a recording and reporting process would take place.
• one problem with using past processes for vaccinations is that this one has different parameters.  The flu vaccine is requested by the public so you have a sales effort. For covid the attempt is to ration the jabs.  For me, I'm about to hit my 80th birthday, but I've no underlying health condition.  When and how do I learn VA has reached me in the queue? Or do I just call around to pharmacies or Kaiser until someone tells me to come in.  I don't know. 
• I see a report that WV is doing well, perhaps because they gave the job to the National Guard.  I can see how that could fix the notification problem, and perhaps even the checklist point.