A Successful Mandatory Influenza Vaccination Campaign Using an Innovative Electronic Tracking System

Tara N. Palmore · Joel Vandersluis · Joan Morris · Angela V. Michelin · Lisa M. Ruprecht · James M. Schmitt +1 more

51 citations0/0 files storedInfection Control and Hospital Epidemiology

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Infection Control in Healthcare

Abstract

BACKGROUND: Although influenza vaccination of healthcare workers reduces influenza-like illness and overall mortality among patients, national rates of vaccination for healthcare providers are unacceptably low. We report the implementation of a new mandatory vaccination policy by means of a streamlined electronic enrollment and vaccination tracking system at the National Institutes of Health (NIH) Clinical Center. OBJECTIVE: To evaluate the outcome of a new mandatory staff influenza vaccination program. METHODS: A new hospital policy endorsed by all the component NIH institutes and the Clinical Center departments mandated that employees who have patient contact either be vaccinated annually against influenza or sign a declination specifying the reason(s) for refusal. Those who fail to comply would be required to appear before the Medical Executive Committee to explain their rationale. We collected in a database the names of all physician and nonphysician staff who had patient contact. When a staff member either was vaccinated or declined vaccination, a simple system of badge scanning and bar-coded data entry captured essential data. The database was continuously updated, and it provided a list of noncompliant employees with whom to follow up. RESULTS: By February 12, 2009, all 2,754 identified patient-care employees either were vaccinated or formally declined vaccination. Among those, 2,424 (88%) were vaccinated either at the NIH or elsewhere, 36 (1.3%) reported medical contraindications, and 294 (10.7%) declined vaccination for other reasons. Among the 294 employees without medical contraindications who declined, the most frequent reason given for declination was concern about side effects. CONCLUSIONS: Implementation of a novel vaccination tracking process and a hospital policy requiring influenza vaccination or declination yielded dramatic improvement in healthcare worker vaccination rates and likely will result in increased patient safety in our hospital.

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References

2006Influenza Vaccination of Health-Care Personnel: Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP)2007Influenza Vaccination Among Registered Nurses: Information Receipt, Knowledge, and Decision-Making at an Institution With a Multifaceted Educational Program 2008Relationship of Influenza Vaccination Declination Statements and Influenza Vaccination Rates for Healthcare Workers in 22 US Hospitals 2007Novel use of the intranet to document health care personnel participation in a mandatory influenza vaccination reporting program 2004APIC position paper: improving health care worker influenza immunization rates

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2011Increases in vaccination coverage of healthcare personnel following institutional requirements for influenza vaccination: A national survey of US hospitals 2011Implementation of mandatory immunisation of healthcare workers: Observations from New South Wales, Australia 2015Influenza Immunization for All Health Care Personnel: Keep It Mandatory 2011Workplace efforts to promote influenza vaccination among healthcare personnel and their association with uptake during the 2009 pandemic influenza A (H1N1)2010Mandate to Protect Patients from Health Care–Associated Influenza 2013A Successful Strategy for Increasing the Influenza Vaccination Rate of Healthcare Workers without a Mandatory Policy Outside of the United States: A Multifaceted Intervention in a Japanese Tertiary Care Center

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