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2011-2012 Massachusetts Acute Care Hospital Healthcare Employees Influenza Vaccination Update

2011-2012 Massachusetts Acute Care Hospital Healthcare Employees Influenza Vaccination Update. Public Health Council May 9, 2012 . Iyah Romm Director of Policy, Health Planning, and Strategic Development Bureau of Health Care Safety and Quality . Presentation Overview .

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2011-2012 Massachusetts Acute Care Hospital Healthcare Employees Influenza Vaccination Update

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  1. 2011-2012 Massachusetts Acute Care Hospital Healthcare Employees Influenza Vaccination Update Public Health Council May 9, 2012 Iyah Romm Director of Policy, Health Planning, and Strategic Development Bureau of Health Care Safety and Quality

  2. Presentation Overview • Reporting: Background and Context • Acute Care Hospital 2011-2012 Employee Vaccination • Next Steps

  3. Why Healthcare Personnel Vaccination? • Healthcare personnel (HCP) may be an important source of transmission of the influenza virus. • The most effective method of preventing influenza and its potentially serious complications is annual immunization. • As well as protecting patients, vaccination of HCP has been shown to reduce absenteeism among healthy workers, resulting in financial savings to healthcare facilities. • Despite the strong recommendation of major public health agencies, professional societies and healthcare organizations for annual, universal immunization of healthcare workers against influenza, overall rates of immunization among healthcare workers has remained low. • Identified as a measure of patient safety and is the right thing to do!

  4. Regulatory Background 2008 2009 2010 2011 2012 68.1% Hospital licensure regulations  acute care hospital reporting healthcare Results of flu vaccination reported to BLC 71% Flu vaccination a condition of licensure in all facilities 84% Public reporting a condition of licensure in all facilities MDPH sets performance goals

  5. 2011-2012 MDPH Established Acute Care Hospital Performance Goal • Overall goal is for acute care hospital healthcare employee vaccination rates to be greater than 90% • No hospital will report a rate less than 73%, which is 2 percentage points above the Massachusetts average rate in 2010-2011

  6. Influenza Reporting Requirements 2011-2012 Acute care hospitals must report: the total # of employees at the facility as of December 31, 2011. the # of employees vaccinated between 8/1/2011 and 3/31/2012. the # of employees vaccinated by the hospital between 8/1/2011 and 3/31/2012. the # of employees vaccinated outside the hospital between 8/1/2011 and 3/31/2012. the # of employees who declined influenza vaccination during the 2011-2012 flu season.

  7. Definition of an Employee Employees are defined as part and full time individuals who are on the facility payroll as of December 31, 2011. Employees with no direct patient contact need to be included in both the total number of employees and the number of employees vaccinated.

  8. Calculation of Percent of Healthcare Employees Vaccinated # employees immunized with flu vaccine from August 1, 2011 thru March 31, 2012* ______________________________________ X 100 # employees on the payroll as of December 31, 2011 *includes vaccination administered both inside and outside the health facility

  9. 2011-2012 Statewide aggregate Percentage among all acute care hospital HCWs Vaccinated and Declining Vaccination

  10. 2011-2012 Massachusetts Mean Percentage Vaccinated and Declining Vaccination at all Acute Care Hospitals

  11. 2010-2011 and 2011-2012 Comparison

  12. 2011-2012 Mean percentage Healthcare Employee Influenza Vaccination by Teaching Status and Bed Size Vaccine coverage did not differ greatly by hospital teaching status or bed size. *Teaching status was determined by hospital’s most recent National Healthcare Safety Network annual hospital survey. Major teaching status is defined as a hospital that is an important part of a medical school teaching program in which the majority of medical students rotate through multiple clinical services.

  13. 2011-2012 Mean Percentage Healthcare Employee Influenza Vaccination by Region

  14. 2011-2012 MDPH Influenza Vaccination Benchmarks Seventy-four acute care hospitals submitted healthcare worker vaccination data. Data from the 2010-2011 Influenza season was not available from one facility. Sixty-two (83.8%) facilities met the benchmark of vaccinating 73% or more of their healthcare workers. Thirty-five facilities (47.3%) had a declination rate for influenza vaccine by their healthcare workers of 20% or greater.

  15. Change in Vaccination Rates by Hospital between the 2010-2011 and 2011-2012 Influenza Seasons Sixty-four facilities had an increase in vaccination, though six of these still did not meet the 73% benchmark Ten facilities had a decrease in vaccine coverage, however five of these facilities were over the 73% benchmark.

  16. National Comparison CDC Internet Panel Survey, United States, November 2011 Authors: Megan C. Lindley, MPH; Jun Zhang, MD; Gary L. Euler, DrPH. Immunization Services Division, NCIRD

  17. Best Practices for increasing influenza vaccination rates among healthcare workers MDPH contacted hospitals that have been particularly effective in increasing influenza vaccination rates among healthcare workers Outreach to high performers reporting greater than 90% influenza vaccination coverage Effective sharing of best practices can help organizations to design and implement successful programs Key lessons from successful programs can help others replicate success

  18. Top Performers

  19. Best Practices to Promote Maximal Coverage – Common Themes Support and buy in from senior leadership Established performance goals with timely data feed back to hospital leadership Made vaccination accessible Developed communication strategies Implemented Mandatory Influenza Vaccination Program Required employees who declined vaccination or did not provide evidence of vaccination to wear a mask in public spaces within the facility Those with egg allergies or history of Guillain-Barré syndrome offered a reimbursed visit to consult an allergist or neurologist Provided resources to implement and manage program, Culture shift where influenza vaccination is valued

  20. Next Steps MDPH will contact Chief Quality Officers (or Chief Medical Officers) in underperforming hospitals to offer technical support Letters of commendation will be sent to hospitals reporting greater than 90% influenza vaccination coverage and to the top 10% of hospitals reporting the greatest improvement when compared to data collected during 2010-2011 Letters will be sent to all hospitals that failed to meet the established MDPH performance goal Complete follow-up and data analysis in additional licensed healthcare facilities (ambulatory surgical centers, clinics, dialysis long term care facilities and nonacute hospitals)

  21. Thank you Massachusetts Department of Public Health Bureau of Health Care Safety & Quality 99 Chauncy Street, 11th Floor Boston, MA 02111 617.753.8000 For Further Information, Please Contact Iyah Romm Director of Policy, Health Planning and Strategic Development (iyah.romm@state.ma.us)

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