scholarly journals Evaluation of the First Year of National Reporting on a New Healthcare Personnel Influenza Vaccination Performance Measure by US Hospitals

2015 ◽  
Vol 37 (2) ◽  
pp. 222-225 ◽  
Author(s):  
Samantha B. Dolan ◽  
Elizabeth J. Kalayil ◽  
Megan C. Lindley ◽  
Faruque Ahmed
Keyword(s):  
Influenza Vaccination ◽  
Influenza Season ◽  
Performance Measure ◽  
Infect Control Hosp ◽  
Healthcare Personnel ◽  
First Year ◽  
Over Time

One thousand hospitals were surveyed on a new measure of healthcare personnel influenza vaccination for the 2012–2013 influenza season. Facilities found it easier to collect data on employees than nonemployees; larger facilities reported more challenges than smaller facilities. Barriers may decrease over time as facilities become accustomed to the measure.Infect. Control Hosp. Epidemiol. 2016;37(2):222–225

Assessment of a Mandatory Tetanus, Diphtheria, and Pertussis Vaccination Requirement on Vaccine Uptake over Time

2012 ◽  
Vol 33 (1) ◽  
pp. 81-83 ◽  
Author(s):  
David J. Weber ◽  
Stephanie A. Consoli ◽  
Emily Sickbert-Bennett ◽  
William A. Rutala
Keyword(s):  
Patient Care ◽  
Infect Control Hosp ◽  
Vaccine Uptake ◽  
University Hospital ◽  
Healthcare Personnel ◽  
Direct Patient Care ◽  
Tdap Vaccine ◽  
Newly Hired ◽  
Termination Date ◽  
Over Time

Tetanus, diphtheria, and pertussis (Tdap) vaccine is recommended for all healthcare personnel who provide direct patient care unless medically contraindicated. Our university hospital made employment conditional upon receipt of Tdap vaccine. Implementation for newly hired employees quickly resulted in complete compliance, but achieving adherence among current workers required setting a termination date for noncompliance.Infect Control Hosp Epidemiol 2012;33(1):81-83

A Qualitative Assessment of a Performance Measure for Reporting Influenza Vaccination Rates among Healthcare Personnel

2012 ◽  
Vol 33 (9) ◽  
pp. 945-948 ◽  
Author(s):  
Taranisia MacCannell ◽  
Alicia Shugart ◽  
Amy K. Schneider ◽  
Megan C. Lindley ◽  
Suchita A. Lorick ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Performance Measure ◽  
Qualitative Assessment ◽  
Healthcare Personnel ◽  
Healthcare Facilities ◽  
Key Informants ◽  
Vaccination Rates ◽  
Semistructured Interviews ◽  
A Performance

To understand the feasibility of implementing a standardized performance measure for collecting and reporting influenza vaccination rates among healthcare personnel, qualitative, semistructured interviews were conducted with key informants in 32 healthcare facilities. Despite practical and logistical challenges to implementing the measure, respondents perceived clear benefits to its use.

Championing Patient Safety through Mandatory Influenza Vaccination for All Healthcare Personnel and Affiliated Physicians

2011 ◽  
Vol 32 (4) ◽  
pp. 375-379 ◽  
Author(s):  
Lynne V. Karanfil ◽  
Jan Bahner ◽  
Joan Hovatter ◽  
William L. Thomas
Keyword(s):  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Influenza Season ◽  
Vaccination Rate ◽  
Vaccination Program ◽  
Healthcare Personnel ◽  
Full Time ◽  
Seasonal Influenza Vaccination ◽  
Vaccination Rates ◽  
For Profit

Objective.To determine whether a mandatory seasonal influenza vaccination program will increase vaccination rates among healthcare personnel (HCP) and affiliated physicians.Setting.MedStar Health is a not-for-profit regional healthcare organization that includes 9 hospitals with approximately 25,000 HCP and approximately 4,000 affiliated physicians. HCP describes any person employed by MedStar Health.Methods.With previous vaccination rates parallel to reported national rates of 54% among HCP, MedStar Health introduced a mandatory seasonal influenza vaccination program promulgated during the 2009–2010 influenza season. HCP and affiliated physicians were given an opportunity to apply for medical or religious exemptions. Noncompliant HCP were terminated. Noncompliant physicians had their privileges administratively suspended for the influenza season.Results.HCP compliance (vaccinated and exempt) was 99.9%. The influenza vaccination rate among HCP was 98.5%. There were 338 approved medical exemptions and 18 approved religious exemptions. Only 0.01% of HCP (9 full-time, 2 part-time, and 17 per diem employees) were terminated. Overall, 93% of the affiliated physicians were vaccinated; 7 religious and 99 medical exemptions were granted. In total, 149 physicians (4%) had their admitting privileges suspended during the influenza season.Conclusion.A mandatory influenza vaccination program achieves high rates of vaccination among HCP and affiliated physicians.

Barriers and Facilitators of Implementation of a Mandate for Influenza Vaccination among Healthcare Personnel

2014 ◽  
Vol 35 (6) ◽  
pp. 724-727 ◽  
Author(s):  
Lauren Block ◽  
Samantha Pitts ◽  
Trish M. Perl
Keyword(s):  
Influenza Vaccination ◽  
National Sample ◽  
Infect Control Hosp ◽  
Barriers And Facilitators ◽  
Healthcare Personnel ◽  
Institutional Barriers ◽  
Hospital Administrators ◽  
Vaccination Rates ◽  
Barriers To Implementation ◽  
Mandatory Vaccination

Mandatory influenza vaccination is associated with improved healthcare personnel vaccination rates, but institutional barriers to implementation and enforcement are reported. We explored barriers and facilitators to mandatory vaccination among a national sample of hospital administrators. Support from employees and administration were cited as key to the success of a mandate.Infect Control Hosp Epidemiol 2014;35(6):724-727

Mandatory Influenza Vaccination of Healthcare Workers: A 5-Year Study

2010 ◽  
Vol 31 (9) ◽  
pp. 881-888 ◽  
Author(s):  
Robert M. Rakita ◽  
Beverly A. Hagar ◽  
Patricia Crome ◽  
Joyce K. Lammert
Keyword(s):  
Influenza Vaccination ◽  
Healthcare Workers ◽  
Influenza Season ◽  
Medical Center ◽  
Tertiary Care ◽  
Vaccination Program ◽  
First Year ◽  
Vaccination Rates ◽  
Religious Reasons ◽  
To Receive

Background.The rate of influenza vaccination among healthcare workers (HCWs) is low, despite a good rationale and strong recommendations for vaccination from many health organizations.Objective.To increase influenza vaccination rates by instituting the first mandatory influenza vaccination program for HCWs.Design and Setting.A 5-year study (from 2005 to 2010) at Virginia Mason Medical Center, a tertiary care, multispecialty medical center in Seattle, Washington, with approximately 5,000 employees.Methods.All HCWs of the medical center were required to receive influenza vaccination. HCWs who were granted an accommodation for medical or religious reasons were required to wear a mask at work during influenza season. The main outcome measure was rate of influenza vaccination among HCWs.Results.In the first year of the program, there were a total of 4,703 HCWs, of whom 4,588 (97.6%) were vaccinated, and influenza vaccination rates of more than 98% were sustained over the subsequent 4 years of our study. Less than 0.7% of HCWs were granted an accommodation for medical or religious reasons and were required to wear a mask at work during influenza season, and less than 0.2% of HCWs refused vaccination and left Virginia Mason Medical Center.Conclusion.A mandatory influenza vaccination program for HCWs is feasible, results in extremely high vaccination rates, and can be sustained over the course of several years.

scholarly journals 22. Description of Hospitalized Patients with Influenza Vaccine Failure

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S35-S35
Author(s):  
Joanna Kimball ◽  
Yuwei Zhu ◽  
Dayna Wyatt ◽  
Helen Talbot
Keyword(s):  
Logistic Regression ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Older Patients ◽  
Influenza A ◽  
Influenza Season ◽  
Hospitalized Patients ◽  
Vaccine Failure ◽  
Increased Risk ◽  
Immunosuppressed Patients

Abstract Background Despite influenza vaccination, some patients develop illness and require hospitalization. Many factors contribute to vaccine failure, including mismatch of the vaccine and circulating strains, waning immunity, timing of influenza season, age and patient comorbidities such as immune function. This study compared vaccinated, hospitalized patients with and without influenza. Methods This study used 2015–2019 Tennessee data from the US Hospitalized Adult Influenza Vaccine Effectiveness Network database. Enrolled patients were ≥ 18 years vaccinated for the current influenza season and admitted with an acute respiratory illness. Patient or surrogate interviews and medical chart abstractions were performed, and influenza vaccinations were confirmed by vaccine providers. Influenza PCR testing was performed in a research lab. Statistical analyses were performed with STATA and R using Pearson’s chi-squared, Kruskal-Wallis and Wilcoxon rank-sum tests and multivariate logistic regression. Results 1236 patients met study criteria, and 235 (19%) tested positive for influenza. Demographics, vaccines and comorbidities were similar between the two groups (Table 1) except for morbid obesity, which was more common in influenza negative patients (13% vs 8%, p = 0.04), and immunosuppression, which was more common in the influenza positive (63% vs 54%, p = 0.01). Logistic regression analysis demonstrated older patients (OR 1.47, 95% CI 1.03–2.10) and immunosuppressed patients (OR 1.56, 1.15–2.12) were at increased risk for influenza (Table 2 and Figure 1). Immunosuppression also increased the risk for influenza A/H3N2 (OR 1.86, 95% CI 1.25–2.75). A sensitivity analysis was performed on patients who self-reported influenza vaccination for the current season without vaccine verification and demonstrated increased risk of influenza in older adults (OR 1.66, 95% CI 1.16–2.39). Table 1: Demographics of influenza positive versus influenza negative patients in influenza vaccinated, hospitalized patients. Table 2: Logistic regression analyses of vaccinated, hospitalized influenza positive patients; vaccinated, hospitalized patients with influenza A subtypes and self-reported vaccinated, hospitalized influenza positive patients. Figure 1: Predicted Probability of Hospitalization with Influenza, Influenza A/H1N1 and Influenza A/H3N2 in Vaccinated Patients by Age. Conclusion Our study demonstrated an increased risk of influenza vaccine failure in older patients and immunosuppressed patients. These groups are also at increased risk for influenza complications. To improve protection of these patients against future influenza illnesses, more effective vaccines are needed, and more research on ring vaccination should be pursued. Disclosures All Authors: No reported disclosures

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