Increasing Influenza Immunization Rates: Is Mandating Flu Right For You?

1. Increasing Influenza Immunization Rates:Is Mandating Flu Right For You? Suzy Bramwell, MN, RN, COHN-S Webinar May 17, 2011 Co-sponsors: AOHP Rocky Mountain Chapterand Rocky Mountain Center for Occupational & Environmental Health

2. Objectives Define current recommendations related to seasonal influenza immunization. Panel discussion about current best practices and strategies for planning successful influenza immunization programs. Indentify electronic resources and tools to assist in increasing health care worker immunization rates.

3. Our Role as Nursing Leaders Know where and how to find current and appropriate recommendations and literature. Be a confident, active voice in your organization. Be effective, trustworthy educators. Look for opportunities to influence health policy.

4. Current Guidelines • Current National Rates for Influenza Immunization in Health Care Workers: 53% (NHIS, 2009) • CDC/ACIP Resources • CDC. Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 2010:59 (No. RR-8) pp 1-62 • Universal Recommendations • CDC. Influenza Vaccination of Health-care Personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). MMWR 2006:55 (No.RR-2) pp 1-16 • Joint Commission Standard IC.02.04.01 (2006)

5. Position Statements • Strategies on how to use them. • Expect variability! • Locate most applicable to your setting/situation • Look for phrasing • Encourage your local leadership/stakeholders to make statements • Example: Healthy People 2020: Health Care Worker Influenza Immunization Coverage • Target Goal increased from 60% to 90% • HHS Plan http://www.hhs.gov/ash/initiatives/hai/tier2_flu.html • Example: AOHP Position Statement • Advocates for policies that mandate HCW be offered influenza vaccine • http://aohp.org/pages/tools_for_your_work/position_statements.html

6. Immunization Action Coalition Honor Rollhttp://www.immunize.org/honor-roll/ Position Statements Endorsing Strong Mandates for Healthcare Workers Federal Mandates State and Local Public Health Department Mandates Institutional Mandates Medical Practice Mandates News and Articles

7. Joint Commission Monographin collaboration with APIC, CDC, NFID & SHEAhttp://www.jointcommission.org/assets/1/18/Flu_Monograph.pdf Providing a Safer Environment for Health Care Personnel and Patients through Influenza Vaccination: Strategies from Research and Practice “Flu Vaccination Challenge” Vaccine Administration Considerations Issues Surrounding the Immunization of Health Care Personnel Against Influenza Improving Vaccination Rates Guidelines, Legislative/Regulatory Efforts, Position Papers, and Accreditation Considerations

8. Contraindications Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Recomm Rep, 59(RR-8), 1-62.

9. Panel Discussion “Flu Philosophy” Achieving buy-in from stakeholders Waivers/Exemptions/Consequences Employee Education Campaigns Advice for other OHNs

10. Panel Members Carolyn Amrich, RN, COHN Dallas, TX Implementing mandate this year Rose Rennell, RN, MSN,COHN Gillette, WY Participation Required, thinking about future mandate Manager, Occupational Health & Wellness at Children’s Medical Center Dallas – 5600 employees, 1000 medical staff and about 750 volunteers. Licensed for 559 beds, however, right now there are approximately 450 open.  More than 50 subspecialty programs and a level 1 Trauma Center for pediatrics.  Also covers a new hospital located in Plano, TX with 72 beds. **AOHP Region 2 Director Employee Health Nurse at Campbell County Memorial Hospital. A rural community hospital located in north east Wyoming, licensed for 90 beds, staff of 1050 includes an acute care hospital. Long term care facility, Rehab facility, and 7 clinics. **AOHP Rocky Mountain Chapter Board Member Terri Flint, LCSW, PhD Salt Lake City, UT Implementing mandate this year Boulder, CO Implemented mandate in 2010 Stacy Farman, RN, BSN, CIC Infection Prevention Coordinator Patti Castro, RN Employee Health Manager Director, Employee Health Services and Employee Assistance Program Intermountain Healthcare. Intermountain Healthcare operates 23 hospitals and more than 165 clinics throughout the Intermountain region. 33,000 employees and 3,500 volunteers. Boulder Community Hospital is a 219 bed Level 3 trauma center with 3 campuses, an urgent care center and 19 physician offices. We specialize in Orthopedics, Neuroscience, Cancer Care, and Cardiac Care. There are 2200 Employees, 500 physicians, and 400 Volunteers.

11. Resources National Influenza Vaccine Summit http://www.preventinfluenza.org/profs_workers.asp AOHP Rocky Mountain Chapter Wiki http://aohprocks.wikispaces.com/ For Questions or Comments: AOHP Rocky Mountain Chapter email aohprocks@gmail.com For CEU credit, please complete the following survey http://www.surveymonkey.com/s/TRKLGD6