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Healthcare Personnel Influenza Vaccination Reporting in California Hospitals, 2012-2013

    Influenza is the eighth leading cause of death in the United States, according to the Centers for Disease Control and Prevention, with the majority of influenza-related illnesses and deaths occurring among vulnerable members of the population. Health care personnel (HCP) are a source of transmission of influenza to coworkers and patients in hospitals. Influenza vaccination is a simple, safe, and cost effective way to prevent transmission of influenza from HCP to patients. Vaccination of HCP has been shown to reduce worker’s illness, absenteeism, staff shortages, and healthcare costs. The low rate of influenza vaccination is a serious problem, especially because influenza infections can be subclinical but still contagious, resulting in transmission by asymptomatic or minimally ill HCP.

    Senate Bill (SB) 739 (Chapter 526, Statutes of 2006) was adopted into law to improve influenza vaccination among HCP in California acute care hospitals by requiring employees to be offered vaccine free of charge and to sign a declination form if they choose not to be vaccinated [Health and Safety Code section 1288.7 (a)]. Hospitals must report to the California Department of Public Health (CDPH) on their implementation of these requirements, including the percentage of HCP (employees and non-employee personnel) vaccinated, and CDPH is required to make this information public [Health and Safety Code section 1288.8 (b)].

    This data release, for the period of October 1, 2012 through March 31, 2013, is the fifth release on healthcare personnel influenza vaccination in California hospitals developed by CDPH and the first using data submitted by hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Hospitals were required to offer employees influenza vaccines, free of charge and collect data for HCP physically working in the acute care hospital for at least 30 working days between October 1 through March 31 of an influenza season, regardless of clinical responsibility or patient contact. Data should be reported separately for employees, licensed independent practioners, and adult students/trainees and volunteers and hospitals were required to submit vaccination data on registry and contract staff as separate HCP categories. In addition to influenza vaccination surveillance data, we used NHSN online survey to collect information on activites that hopsitals used to promote influenza vaccination among employees and non-employee HCP.

    For each hospital we calculated vaccination status percentages for each personnel category, the proportion of hospitals with an overall HCP vaccination percentage that met the Healthy People 2020 target of 90%.

    • The reduction of healthcare associated influenza that can be made by vaccinating all healthcare personnel against influenza.
    • Including an educational program to encourage vaccination at no cost on multiple days which may increase HCP vaccination coverage.
    • Requiring employees to attend formal educational programs on influenza and influenza vaccination and its importance to prevent influenza for themselves, their friends and families, and their patients.
    • Alternatives to voluntary vaccination programs, including mandatory participation and mandatory vaccination policies.

    Definitions, including methods associated with this release are summarized in Technical Notes (see link below).

    To view key findings and public health actions for this data release, see key findings

    • What’s in key findings? This document summarizes the key findings from this data release including introduction, important results, and key public health actions and messages.

    The data in this report is presented in the following five tables for the Influenza Vaccination among Healthcare Personnel in California General Acute Care Hospitals for the 2012-2013 Respiratory Season.

    Influenza Vaccination among Healthcare Personnel in California General Acute Care Hospitals for the 2012-2013 Respiratory Season

    Table 1. Influenza Vaccination Surveillance Report Status and Hospital-Specific Mean for Influenza Vaccination, Declination, and Unknown Percentages for Employees, Non-employee Licensed Independent Practitioners, Other Contract Personnel and Adult Students/Trainees, and Volunteers in General Acute Care Hospitals, California, 2012-2013

    Table 2. Survey on Influenza Vaccination of Healthcare Personnel in California General Acute Care Hospitals for 2012-2013: Questions and Results

    Table 3. Percent of Licensed General Acute Care Hospitals that met 60% Vaccination and the Healthy People 2020 Target 90% Vaccination, California 2010-2013

    Table 4. Hospital-Specific Influenza Vaccination Percentages, Over 60 and 90 Percent Vaccination of Healthcare Personnel in General Acute Care Hospitals, California 2011-2013

    Table 5. Mean Hospital-Specific Vaccination Percentage of Healthcare Personnel in California General Acute Care Hospitals for 2010-2013

    To view the Technicqal Notes for the 2012-2013 data release, see Technical Notes

    • What is in the technical notes? The Technical Notes contain information on the data sources, definitions, quality assurance and control, data presentation and statistical analyses associated with this data release. Vaccination among Healthcare Personnel in California General Acute Care Hospitals for the 2012-2013 Respiratory Season
Last modified on: 5/6/2014 3:28 PM