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A Statewide System for Improving Influenza Vaccination Rates in Hospital Employees

Published online by Cambridge University Press:  02 January 2015

Philip M. Polgreen ,
Linnea A. Polgreen ,
Thomas Evans  and
Charles Helms
Philip M. Polgreen
Affiliation:
Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City Department of Epidemiology, College of Public Health, University of Iowa, Iowa City
Linnea A. Polgreen
Affiliation:
College of Pharmacy, University of Iowa, Iowa City
Thomas Evans
Affiliation:
Iowa Healthcare Collaborative, Des Moines, Iowa
Charles Helms*
Affiliation:
Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City
*
Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242) charles-helms@uiowa.edu)
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Abstract

Objective.

To describe and report the progress of a provider-initiated approach to increase influenza immunization rates for healthcare workers.

Design.

Observational study.

Setting.

The State of Iowa.

Subjects.

Acute care hospitals in Iowa.

Methods.

Hospitals reported rates of employee influenza vaccination to a provider-based collaborative during 2 influenza seasons (2006-2007 and 2007-2008). Hospital characteristics related to higher vaccination rates were examined.

Results.

One hundred (87.0%) of 115 Iowa hospitals and/or health systems participated in season 1; individual hospital vaccination rates ranged from 43.5% to 99.2% (mean, 72.4%; median, 73.1%). In season 2, 115 (100%) of 115 Iowa hospitals and/or health systems participated. Individual hospital vaccination rates ranged from 53.6% to 100% (mean, 79.5%; median, 82.0%). In both seasons, urban and large hospitals had vaccination rates that were 6.3% to 7.6% lower than those of hospitals in other locations. Hospitals that used declination statements had influenza vaccination rates 12.6% higher than hospitals that did not use declination statements in season 2.

Conclusion.

The initial vaccination rates were high for healthcare workers in Iowa, especially in smaller rural hospitals, and rates increased during season 2. The successful voluntary approach for reporting influenza vaccination rates that we describe provides an efficient platform for collecting and disseminating other statewide measures of healthcare quality.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 5 , May 2009 , pp. 474 - 478
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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References

1.Dash, GP, Fauerbach, L, Pfeiffer, J, et al. APIC position paper: improving healthcare worker influenza immunization rates. Am J Infect Control 2004;32:123–125.Google ScholarPubMed
2.Fiore, AE, Shay, DK, Broder, K, et al. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2008;57:1–60.Google ScholarPubMed
3.Ofstead, CL, Tucker, SJ, Beebe, TJ, Poland, GA. Influenza vaccination among registered nurses: information receipt, knowledge, and decisionmaking at an institution with a multifaceted educational program. Infect Control Hosp Epidemiol 2008;29:99–106.CrossRefGoogle ScholarPubMed
4.Salgado, CD, Giannetta, ET, Hayden, FG, Farr, BM. Preventing nosocomial influenza by improving the vaccine acceptance rate of clinicians. Infect Control Hosp Epidemiol 2004;25:923–928.CrossRefGoogle ScholarPubMed
5.Sartor, C, Tissot-Dupont, H, Zandotti, C, Martin, F, Roques, P, Drancourt, M. Use of a mobile cart influenza program for vaccination of hospital employees. Infect Control Hosp Epidemiol 2004;25:918–922.CrossRefGoogle ScholarPubMed
6.Kuntz, JL, Holley, S, Helms, CM, et al. Use of a pandemic preparedness drill to increase rates of influenza vaccination among healthcare workers. Infect Control Hosp Epidemiol 2008;29:111–115.CrossRefGoogle ScholarPubMed
7.Pearson, ML, Bridges, CB, Harper, SA. Influenza vaccination of healthcare personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP) (published correction appears in MMWR Recomm Rep 2006;55:252). MMWR Recomm Rep 2006;55(RR-2):1–16.Google Scholar
8.Advisory Committee on Immunization Practices, Smith, NM, Bresee, JS, Shay, DK, et al. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP) (published correction appears in MMWR Morb Mortal Wkly Rep 2006;55:800). MMWR Recomm Rep 2006;55(RR-10):1–42.Google Scholar
9.Bertin, M, Scarpelli, M, Proctor, AW, et al. Novel use of the intranet to document healthcare personnel participation in a mandatory influenza vaccination reporting program. Am J Infect Control 2007;35:33–37.CrossRefGoogle Scholar
10.Ribner, BS, Hall, C, Steinberg, JP, et al. Use of a mandatory declination form in a program for influenza vaccination of healthcare workers. Infect Control Hosp Epidemiol 2008;29:302–308.CrossRefGoogle Scholar
11.Polgreen, PM, Septimus, EJ, Parry, MF, et al. Relationship of influenza vaccination declination statements and influenza vaccination rates for healthcare workers in 22 US hospitals. Infect Control Hosp Epidemiol 2008;29:675–677.CrossRefGoogle ScholarPubMed
12.Iowa Healthcare Collaborative. Iowa Healthcare Collaborative-Home. Available at: http://www.ihconline.org/. Accessed March 9, 2009.Google Scholar
13.Polgreen, PM, Chen, Y, Beekmann, S, et al. Elements of influenza vaccination programs that predict higher vaccination rates: results of an emerging infections network survey. Clin Infect Dis 2008;46:14–19.CrossRefGoogle ScholarPubMed
14.Harrison, J, Abbott, P. Vaccination against influenza: UK healthcare workers not on-message. Occup Med (Lond) 2002;52:277–279.CrossRefGoogle Scholar
15.Horcajada, JP, Pumarola, T, Martinez, JA, et al. A nosocomial outbreak of influenza during a period without influenza epidemic activity. Eur Respir J 2003;21:303–307.CrossRefGoogle ScholarPubMed
16.Salgado, CD, Farr, BM, Hall, KK, Hayden, FG. Influenza in the acute hospital setting. Lancet Infect Dis 2002;2:145–155.CrossRefGoogle ScholarPubMed
17.Talbot, TR, Bradley, SE, Cosgrove, SE, Ruef, C, Siegel, JD, Weber, DJ. Influenza vaccination of healthcare workers and vaccine allocation for healthcare workers during vaccine shortages. Infect Control Hosp Epidemiol 2005;26:882–890.CrossRefGoogle ScholarPubMed
18.National Foundation for Infectious Diseases. Influenza immunization among healthcare personnel: call to action. Available at: http://www.nfid.org/pdf/publications/fluhealthcarecta08.pdf. Accessed August 19, 2008.Google Scholar
19.Infectious Diseases Society of America. Pandemic and seasonal influenza. Available at: http://www.idsociety.org/influenza.htm. Accessed January 18, 2008.Google Scholar
20.Poland, GA, Tosh, P, Jacobson, RM. Requiring influenza vaccination for healthcare workers: seven truths we must accept. Vaccine 2005;23:2251–2255.CrossRefGoogle ScholarPubMed
21.Polgreen, PM, Pottinger, J, Polgreen, L, Diekema, DJ, Herwaldt, LA. Influenza vaccination rates, feedback and the Hawthorne effect. Infect Control Hosp Epidemiol 2006;27:98–99.CrossRefGoogle ScholarPubMed
22.Fedson, DS. Influenza vaccination of medical residents at the University of Virginia:1986 to 1994. Infect Control Hosp Epidemiol 1996;17:431–433.CrossRefGoogle ScholarPubMed