Selected slides used with permission

3. Selected slides used with permission

9. Employee Vaccination and Patient Safety Training James Davis, BSN RN CCRN CIC

10. Situation • Health care worker (HCW) Influenza vaccination is sub-optimal. • Less than 65% of HCWs get vaccinated annually.1 • HCWs who are clinically or sub-clinically infected can transmit Influenza virus to other persons.2 • Low rates of HCW vaccination have been linked to hospital Influenza outbreaks.2

11. Background CDC Annual Estimates of Influenza-associated Deaths & Mortality 1976-20073

12. Background

13. Assessment • The highest percentage of people utilizing healthcare services are 65-84 years old. • That is; the highest percentage of people coming in contact with HCWs, are 65-84 years old. • HCWs are at risk for contracting Influenza from, and spreading Influenza to this vulnerable population. • The highest distribution of mortality from Influenza-associated illness is in people ≥ 65 years old. • Un-vaccinated HCWs can spread Influenza to patients and contribute to increased mortality.

14. Assessment • High levels of HCW vaccination could have an impact on cost savings related to reduction of Medicare spending on respiratory conditions.

15. PA-PSRS 2010 Annual Survey Data5 Of the 221 Pa. nursing homes (NH) that responded to the survey: • 18 Pa. NHs have mandatory annual HCW vaccination programs in place. Does a high level of HCW vaccination make a tangible difference in the reduction of respiratory tract infection and Influenza related illness (RTI/ILI) in Pa. nursing homes?

16. PA-PSRS 2010 Annual Survey Data • There is a statistically significant decrease in combined seasonal RTI/ILI rates in Pa. NHs that mandate HCW vaccination.5 • A review of the NH Influenza data derived from the PA-PSRS annual survey will be available in an upcoming issue of The Pennsylvania Patient Safety Advisory.

17. Should healthcare workers be vaccinated? • Mandatory HCW vaccination programs in Pa. NHs have shown a 21.1% decrease in combined seasonal RTI/ILI infection rates.5 • Crude patient mortality rates were 42% lower in facilities with higher staff vaccination rates.2 • Reducing transmission of Influenza from HCW to patients may reduce Influenza related patient deaths.2 • Protection of patients and HCWs through vaccination for Influenza may decrease Medicare spending on respiratory illness.

18. References • Center for Disease Control and Prevention (CDC). Influenza vaccination coverage estimates and selected related results from a national internet panel survey of health care personnel, United States, November 2010 [cited 2011 May 13]. Available from Internet: http://www.cdc.gov/flu/pdf/vaccination/BlackNovemberHCPsurveyResults.pdf • Pearson ML, Bridges CB, Harper SA. MMWR. Influenza vaccination of health-care personnel. Recommendations of the healthcare infection control advisory committee (HICPAC) and the advisory committee on immunization practices (ACIP). 2006 Feb. 24 [cited 2011 May 13]. Available from Internet: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5502a1.htm • Center for Disease Control and Prevention (CDC). Estimates of deaths associated with seasonal influenza-United States 1976-2007. MMWR 2010;59:1057-1062. • Agency for Healthcare Research and Quality (AHRQ). The national inpatient sample (NIS). 2008 [cited 2011 May 13]. Available from Internet: http://www.hcup-us.ahrq.gov/reports/factsandfigures/2008/TOC_2008.jsp • The Pennsylvania Patient Safety Authority. PA-PSRS 2010 annual survey. 2010. [unpublished results].