Effective Healthcare Personnel (HCP) Influenza Vaccination Policies In Acute Care Hospitals Across Tennessee

Abstract Background National survey data have shown the rate of influenza vaccinations among healthcare personnel (HCP) to be 70%; the Department of Health and Human Services (HHS) 2020 goal is 90%. The National Healthcare Safety Network (NHSN) aids healthcare facilities in tracking influenza vaccin...

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Bibliographic Details
Published in:Open forum infectious diseases 2017-10, Vol.4 (suppl_1), p.S170-S170
Main Authors: Loudermilk, Elaine, Fell, Ashley, Obenauer, Julie, Zheng, Shimin, Kainer, Marion A
Format: Article
Language:English
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Summary:Abstract Background National survey data have shown the rate of influenza vaccinations among healthcare personnel (HCP) to be 70%; the Department of Health and Human Services (HHS) 2020 goal is 90%. The National Healthcare Safety Network (NHSN) aids healthcare facilities in tracking influenza vaccinations. The Tennessee Department of Health (TDH) requires healthcare facilities to report HCP vaccination data to NHSN. Objective. This study aimed to investigate which policies were effective for Acute Care Hospitals (ACHs) in Tennessee to meet the HHS 2020 goal. Methods All 110 ACHs submitted HCP seasonal influenza vaccination summary data for the 2015/2016 flu season; 103 ACHs also completed the NHSN Seasonal Survey on Influenza Vaccination for HCP. This survey captures facility level policies. Relative risks (RR) were calculated to determine the effectiveness of policies. Results Of the 103 ACHs, only 43 (42%) met the HHS 2020 goal. ACHs providing vaccination during nights, weekends and in occupational and employee health were estimated to be 5 times as likely to meet the HHS 2020 goal (RR:5.27;95% CI:0.37-75.6). ACHs promoting vaccination through reminders by mail, E-mail, and/or paper were 3 times as likely to meet the HHS 2020 goal among HCP (RR: 3.22; 95% CI: 0.88–11.86). Requiring vaccination as a condition of employment (RR:2.85; 95% CI: 1.80–4.50) and requiring vaccination as a receipt for credentialing (RR: 2.12; 95% CI: 1.40–3.22) were significantly associated with meeting the HHS 2020 goal. ACHs providing vaccination in locations, such as common areas, were found to be less likely to meet the HHS 2020 goal (RR: 0.52; 95% CI:0.33–0.82). Conclusion This analysis provides insight into achieving the HHS 2020 goal of 90%. Providing vaccinations on nights, weekends, and in occupational health in addition to requiring vaccination as a condition of employment and as a receipt for credentialing all appeared to be effective policies to meet the HHS 2020 goal. Healthcare facilities should consider implementing these policies to achieve the HHS 2020 goal. Disclosures All authors: No reported disclosures.
ISSN:2328-8957
2328-8957
DOI:10.1093/ofid/ofx163.304