Strategies to Increase Healthcare Worker Flu Vaccination Ashley

Strategies to Increase Healthcare Worker Flu Vaccination Ashley Fell | Epidemiologist, HAI Program | Feb 25 th, 2016

Vaccination Rates for Acute Care Hospitals Healthcare Personnel Flu Vaccination Rates (2014/2015) State Employees Licensed Independent Practitioners (LIPs) Students/Trainees Overall /Volunteers AL 80. 5% 51. 2% 89. 1% 77. 6% IN 89. 3% 76. 6% 88. 8% 87. 4% KY 87. 2% 35. 4% 74. 2% 78. 9% MS 84. 4% 61. 3% 80. 9% 82. 2% TN 88. 3% 63. 6% 87. 6% 84. 8% US 88. 6% 65. 1% 83. 8% 84. 5% Source: http: //www. cdc. gov/nhsn/pdfs/datastat/statehcp-influenzavaxdatatable_hospitals-2015. pdf

Vaccination Rates for Ambulatory Surgery Centers Healthcare Personnel Flu Vaccination Rates (2014/2015) State Overall AL 69. 6% IN 86. 7% KY 75. 1% MS 79. 3% TN 83. 1% US Average 80%

Tennessee Hospitals 2014/2015 Flu Season • HHS 2020 Goal for Healthcare Worker Vaccination: 90% – 36 TN hospitals (32%) met this goal for the 2014/2015 flu season Which strategies helped these facilities meet this goal? ?

Strategies to Increase Immunization • • Leadership support* Mandatory immunization policies* Staff immunization strategies Mobile vaccination cart Key messages Immunization communication Immunization campaign ideas Staff ‘flu champions’

Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel

Leadership Support • Visible vaccination of key personnel and/or leadership – Hospitals that utilized visible vaccination of key personnel and/or leadership were over twice as likely to meet the HHS 2020 goal of 90% vaccination (RR=2. 3)

Mandatory Vaccination Policies • Require vaccination for credentialing – Hospitals that required vaccination for credentialing were twice as likely to meet the HHS 2020 goal of 90% vaccination (RR=2. 1) • Require vaccination as a condition of employment – Hospitals that required vaccination as a condition of employment were over 2. 5 times more likely to meet the HHS 2020 goal of 90% vaccination (RR=2. 7)

Impact of Implementing Mandatory Vaccination • On average, TN hospitals that implemented new mandatory vaccination policies experienced a 21. 5% increase in their vaccination rates for the flu season the policy was implemented. Average Increase in Healthcare Worker Vaccination Rate between 2012/2013 and 2014/2015 Flu Seasons No new mandatory policy (N=91) 5. 5% New mandatory policy (N=15) 21. 5% 0% 5% 10% 15% 20% Increase in Vaccination Rate 25%

What else are successful facilities doing? • Require healthcare workers who do not receive vaccination to wear a mask in patient care areas during the flu season • Provide free vaccinations onsite at convenient times, locations for all shifts

What else are successful facilities doing? • Communication with Staff: – Immunization kiosks – Links to external website for more info – Q & A sessions – Internal newsletters – Emails – Info at departmental meetings Free materials available here: http: //www. cdc. gov/flu/freeresources/print-healthcare. htm

CDC’s #Vax. With. Me Campaign • CDC Social Media Campaign to Promote Flu Vaccination http: //www. cdc. gov/flu/partners/timeline/partners. htm

NHSN Reporting Reminders • Healthcare worker flu vaccination summary data is due in NHSN by May 15 th, 2016 • Ambulatory Surgery Centers and Inpatient Psychiatric Facilities, please make sure you’ve joined the TDH Group in NHSN – Email us at HAI. health@tn. gov with any questions!

Resources • Tennessee Department of Health – Healthcare-Associated Infections Program, HAI. Health@tn. gov • National Healthcare Safety Network (NHSN) – NHSN Website: http: //www. cdc. gov/nhsn – NHSN helpdesk email: NHSN@cdc. gov (Tip: include “healthcare worker flu vaccination” in the subject line) – FAQs about Healthcare Personnel Flu Vaccination Reporting: http: //www. cdc. gov/nhsn/faqs/vaccination/faq-influenzavaccination-summary-reporting. html

Questions?