Providing a Safer Environment for Health Care Personnel & Patients ...
Providing a Safer Environment for Health Care Personnel & Patients ...
Providing a Safer Environment for Health Care Personnel & Patients ...
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CHAPTER 3: Improving Vaccination Rates<br />
Table 3-1. Continued<br />
Improvement Strategies or Requirements—<br />
The Joint Commission and the Project’s Collaborating Organizations*<br />
Strategy<br />
The Joint<br />
CDC<br />
APIC ‡ NFID // SHEA #<br />
Commission † (HICPAC/ACIP) §<br />
Role models Implement 2006<br />
Vaccination of sen-<br />
See “Commitment<br />
See “Campaigns/<br />
HICPAC and ACIP<br />
ior medical staff or<br />
from leadership,”<br />
marketing,” page<br />
recommendations.<br />
opinion leaders<br />
page 33.<br />
30.<br />
can improve vaccination<br />
rates in<br />
members under<br />
their leadership.<br />
Improved access<br />
Provide influenza<br />
Implement 2006<br />
Provide the vac-<br />
Make influenza<br />
Improve access to<br />
to vaccination<br />
vaccination at sites<br />
HICPAC and ACIP<br />
cine at convenient<br />
vaccine easily<br />
vaccine (e.g.,<br />
accessible to HCP.<br />
recommendations.<br />
times and places<br />
accessible by<br />
mobile carts, off-<br />
where HCP con-<br />
using methods<br />
hours clinics).<br />
gregate using<br />
such as rolling<br />
mobile carts, such<br />
carts, providing<br />
as during confer-<br />
vaccinations<br />
ences; offer<br />
around department<br />
incentives.<br />
meetings and in<br />
vaccine clinics, or<br />
by using “flu<br />
deputies.”<br />
Provide vaccine<br />
Implement 2006<br />
Removing cost<br />
<strong>Providing</strong> vaccine<br />
Provide vaccine at<br />
at no cost<br />
HICPAC and ACIP<br />
barriers can<br />
to HCP at no cost<br />
no cost to HCP.<br />
recommendations.<br />
improve vaccina-<br />
shows commitment<br />
tion rates.<br />
to this patient<br />
safety program.<br />
Measurement/<br />
improvement<br />
■<br />
■<br />
Annually evaluate<br />
vaccination<br />
rates and the<br />
reasons given<br />
<strong>for</strong> declining<br />
influenza vaccination.<br />
Take steps to<br />
increase<br />
influenza vaccination<br />
rates.<br />
Implement 2006<br />
HICPAC and ACIP<br />
recommendations.<br />
■<br />
■<br />
HCP influenza<br />
vaccination coverage<br />
should be<br />
regularly measured,<br />
by facility<br />
area or by occupational<br />
group.<br />
HCP vaccination<br />
rates should be<br />
used as an<br />
organizational<br />
quality measure<br />
in states mandating<br />
public<br />
reporting of<br />
HAIs.**<br />
One way to measure<br />
is to track<br />
doses and calculate<br />
the percentage<br />
of HCP who have<br />
been immunized.<br />
Tracking by location<br />
can also be<br />
useful.<br />
Accurately track<br />
and record HCP<br />
vaccination rates at<br />
the individual and<br />
unit levels, including<br />
those obtained<br />
outside the organization’s<br />
program.<br />
Continued<br />
31
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