Influenza and Pneumococcal Vaccination Coverage Levels Among Hawaii Statewide Long-Term-Care Facilities

2001 ◽  
Vol 22 (08) ◽  
pp. 519-521 ◽  
Author(s):  
Xiao Wei Cui ◽  
Marcia M. Nagao ◽  
Paul V. Effler
Keyword(s):  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Term Care ◽  
Vaccination Rates ◽  
Time Period ◽  
Care Facilities

Abstract Influenza and pneumococcal vaccination rates among Hawaii long-term-care facilities (LTCFs) statewide during the 1996/97 through the 1998/99 influenza seasons revealed that resident influenza vaccination rates remained over 89%, but pneumococcal vaccination was underutilized. LTCF staff influenza vaccination rates over the same time period were low.

Increasing Pneumococcal Vaccination Rates Among Residents of Long-Term–Care Facilities: Provider-Based Improvement Strategies Implemented by Peer-Review Organizations in Four Western States

2000 ◽  
Vol 21 (11) ◽  
pp. 705-710 ◽  
Author(s):  
Kurt B. Stevenson ◽  
John W. McMahon ◽  
Jan Harris ◽  
J. Richard Hillman ◽  
Steven D. Helgerson
Keyword(s):  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Vaccination Rate ◽  
Term Care ◽  
Improvement Project ◽  
Vaccination Rates ◽  
Standing Order ◽  
Care Facilities ◽  
Collaborative Efforts

AbstractObjective:To evaluate collaborative efforts and intervention strategies by peer-review organizations (PROs) and long-term-care facilities (LTCFs) for improving pneumococcal vaccination rates among residents of LTCFs.Design:Prospective, before-after quality improvement project.Setting:133 LTCFs in Alaska, Idaho, Montana, and Wyoming.Patients:All residents of participating LTCFs.Methods:Baseline pneumococcal vaccination rates were determined by medical-record review, self-reporting by patient or family members, and review of Medicare claims information. Remeasurement of vaccination rates was accomplished from documentation of vaccination of eligible residents by each LTCF.Results:133 LTCFs with 7,623 residents from Alaska, Idaho, Montana, and Wyoming participated in this quality-improvement project. This accounted for 41% (133/321) of the potential nursing homes and resident population in the participating states. Baseline overall vaccination rates were 40% (3,050/7,589). The overall vaccination rate improved to 75% (5,720/7,623, P<.001). The number of facilities meeting the Healthy People 2000 vaccination goal of 80% improved from 18% (24/133) to 62% (83/133, P<.001). Initial use of chart stickers and implementation of standing orders led to similar increases in vaccination rates, but the standing-order strategy required commitment of fewer PRO resources at a statewide level. Remeasurement of vaccination rates in a subset of participating Idaho LTCFs 1 year after initial vaccination efforts demonstrated a sustained vaccination rate of 70% in facilities enforcing a standing-order policy.Conclusions:Simple and straightforward vaccination strategies implemented in LTCFs over a short period of time can have a significant impact on vaccination rates. Collaborative efforts between state PROs and LTCFs enhance implementation of these strategies and can result in the achievement of national vaccination objectives. Standing orders appear to be one intervention effective in sustaining successful vaccination efforts. Regardless of the specific interventions employed, PROs played a significant role in facilitating vaccination program development and intervention implementation.

scholarly journals Influenza and Pneumococcal Vaccination in Long Term Care Facilities in Two Regions of Quebec

1996 ◽  
Vol 7 (5) ◽  
pp. 296-300 ◽  
Author(s):  
Philippe De Wals ◽  
Michel Carbonneau ◽  
Hélène Payette ◽  
Théophile Niyonsenga
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Random Sample ◽  
Pneumococcal Vaccine ◽  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Vaccination Rate ◽  
Term Care ◽  
Care Facilities

OBJECTIVES: To evaluate the use of influenza and pneumococcal vaccines in long term care facilities.DESIGN: Cross-sectional survey in a random sample of 30 facilities in two regions of Quebec. Information was collected from the general manager or the chief of nursing, all consultant physicians and a random sample of 20 residents in each facility.RESULTS: Twenty-nine centres agreed to participate. The mean influenza vaccination rate was 70%, and was not influenced by differences in the types of facilities or the organization of the programs for immunization. The main obstacle to influenza vaccination reported by physicians was nonacceptance by a significant proportion of residents. Of the residents who did not initially request influenza vaccine, only 64% accepted vaccination when it was offered. The vast majority of residents were satisfied with the information they had received and the respect shown for their freedom of choice. Forty per cent of residents were unfit to provide a valid consent and the vaccination rate was 76% in this group. Only one-third of the physicians regularly obtained authorization from a relative or the legal guardian before prescribing vaccination for incompetent residents. None of the facilities studied had an effective program for pneumococcal vaccination, only 43% of the physicians reported any use of pneumococcal vaccine and 98% of residents had never heard of the vaccine.CONCLUSIONS: The national objective of 95% coverage with influenza vaccine will be difficult to achieve in long term care facilities, mainly because a minority of residents are not likely to be convinced of the benefit of immunization. Much remains to be done to promote and administer pneumococcal vaccine in this setting.

Influenza Vaccination in Long-Term–Care Facilities: Structuring Programs for Success

1999 ◽  
Vol 20 (7) ◽  
pp. 499-503 ◽  
Author(s):  
Margaret A. McArthur ◽  
Andrew E. Simor ◽  
Beverly Campbell ◽  
Allison McGeer
Keyword(s):  
Influenza Vaccination ◽  
Long Term Care ◽  
The Elderly ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Vaccination Programs ◽  
Vaccination Rates ◽  
Care Facilities

Objectives:To determine which influenza vaccination program characteristics were associated with high resident vaccination rates in Canadian long-term–care facilities (LTCFs).Design:A cross-sectional survey consisting of a mailed questionnaire conducted in spring 1991.Participants:All 1,520 Canadian LTCFs for the elderly with at least 25 beds.Results:The mean overall influenza vaccination rate in the 1,270 (84%) responding facilities was 79%. In multivariate analysis, the variables significantly associated with increased vaccination rates were: a single nonphysician staff person organizing the program, having more program aspects covered by written policies, the offering of vaccine to all residents, a policy of obtaining consent on admission that was durable for future years rather than repeating consent annually, and automatically administering vaccine to residents whose guardians could not be contacted for consent. Any encouragement to staff to be vaccinated had a significant impact on staff vaccination rates.Conclusion:Well-organized influenza vaccination programs increase the influenza vaccination rates of residents in Canadian LTCFs. Facilities need to develop resident vaccination programs further and to focus on vaccinating staff.

scholarly journals First-Dose Coronavirus 2019 Vaccination Coverage among the Residents of Long-Term Care Facilities in France

Gerontology ◽  
2021 ◽  
pp. 1-5
Author(s):  
Joël Belmin ◽  
Pierre Lutzler ◽  
Patrick Hidoux ◽  
Olivier Drunat ◽  
Carmelo Lafuente-Lafuente ◽  
...  
Keyword(s):  
End Of Life ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Vaccination Campaign ◽  
Coverage Rate ◽  
Life Situation ◽  
Term Care ◽  
Care Facilities ◽  
History Of

<b><i>Background:</i></b> Long-term care facilities (LTCFs) experienced severe burden from the Coronavirus 2019 (COVID-19), and vaccination against SARS-CoV-2 is a major issue for their residents. <b><i>Objective:</i></b> The objective of this study was to estimate the vaccination coverage rate among the residents of French LTCFs. <b><i>Method:</i></b> Participants and settings: 53 medical coordinators surveyed 73 LTCFs during the first-dose vaccination campaign using the BNT162b2 vaccine, conducted by health authorities in January and early February 2021. Measurements: in all the residents being in the LTCF at the beginning of the campaign, investigators recorded age, sex, history of clinical or asymptomatic COVID-19, serology for SARS-CoV-2 or severe allergy, current end-of-life situation, infectious or acute disease, refusal of vaccination by the resident or by the representative person of vaccine, and the final status, vaccinated or not. <b><i>Results:</i></b> Among the 4,808 residents, the average coverage rate for COVID-19 vaccination was 69%, and 46% of the LTCFs had a coverage rate &#x3c;70%. Among unvaccinated residents, we observed more frequently a history of COVID-19 or a positive serology for SARS-CoV-2 (44.6 vs. 11.2% among vaccinated residents, <i>p</i> &#x3c; 0.001), a history of severe allergy (3.7 vs. 0.1%, <i>p</i> &#x3c; 0.001), end-of-life situation (4.9 vs. 0.3%, <i>p</i> &#x3c; 0.001), current infectious or acute illness (19.6 vs. 0.3%, <i>p</i> &#x3c; 0.001), and refusal of vaccination by residents or representative persons (38.9 vs. 0.4%, <i>p</i> &#x3c; 0.001). <b><i>Conclusions:</i></b> About 3 out of 10 residents remained unvaccinated, and half of the LTCFs had a coverage rate &#x3c;70%. This suggests that COVID-19 will remain a threat to many LTCFs after the vaccination campaigns.

The STOP (Staff Taking Ownership for Prevention) FLU Initiative: Improving Influenza Vaccination Rates Among Staff in a Long-Term Care Facility

2012 ◽  
Vol 40 (5) ◽  
pp. e95-e96
Author(s):  
Marguerite O'Donnell ◽  
Kelli Bachman ◽  
Chasity Daugherty ◽  
Holly Hovan ◽  
Michelle Stewart ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Long Term Care ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Vaccination Rates

Characteristics of Long-Term–Care Facility Residents Associated With Receipt of Influenza and Pneumococcal Vaccinations

2004 ◽  
Vol 25 (11) ◽  
pp. 946-954 ◽  
Author(s):  
Barbara Bardenheier ◽  
Abigail Shefer ◽  
Linda McKibben ◽  
Henry Roberts ◽  
Dale Bratzler
Keyword(s):  
Multilevel Analysis ◽  
Vaccination Coverage ◽  
Long Term Care ◽  
Pneumococcal Vaccination ◽  
Vaccination Status ◽  
Term Care ◽  
Data Set ◽  
Level Data ◽  
Facility Level

AbstractBackground:Studies have found residency in long-term–care facilities (LTCFs) a risk factor for influenza and pneumonia and have demonstrated that vaccinations against these diseases reduce the risk of disease. However, rates are below Healthy People 2010 goals of 90% for LTCFs. During 1999–2002, a multi-state demonstration project was conducted in LTCFs to implement standing orders programs for immunizations.Objective:Identify nursing home resident–specific characteristics associated with vaccination coverage at baseline.Methods:Facility-level data were collected from self-reported surveys of selected nursing homes in 14 states and from the On-line Survey and Certification Reporting System. Resident-level data, including demographics and physical functioning, were obtained from the Centers for Medicare & Medicaid Services' Minimum Data Set; 2000–2001 vaccination status was obtained by chart review. Influenza vaccination status reflected a single season, whereas pneumococcal vaccination status reflected vaccination in the past. Multilevel analysis was used to control for facility-level variation.Results:Of 22,188 residents sampled in 249 LTCFs, complete data were obtained for 20,516 (92%). The average coverage for immunizations was 58.5% ± 0.7% for influenza and 34.6% ± 0.3% for pneumococcal. On bivariate analyses, residents with cognitive, psychiatric, or neurologic problems were more likely to be vaccinated; those with accidental injuries, unstable conditions, or cancer were less likely to receive either vaccine. On multilevel analysis, the strongest resident characteristics associated with receipt of immunizations, controlling facility variation, were cognitive deficits and psychiatric illness.Conclusion:The variation in baseline vaccination coverage associated with LTCF resident characteristics supports the need for strategies to increase vaccination coverage in LTCFs.

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