Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure

Centers for Disease Control and Prevention California Department of Public Health

Webinar trainingJanuary 11, 2011

• Please mute your phone• Please sign on the chat box & provide your institution name

Project Participants (enrollments)

Facility Type All 4 states California

Acute Care Hospitals 92 40

Long-term Care Facilities 88 52

Dialysis centers 49 37

ASC 29 21

Physician practices 54 17

Other 5

Total 317 167

DATA REPORTING TIMELINE

2010-2011 VACCINATION DATA (~03/31/2011)

REPORTING 1Nov-Dec 2010

REPORTING 2January 2011(1/18~2/18)*

REPORTING 3April 2011(4/1~4/30)

* Revised from the original timeline

DATA COLLECTION

Web-based survey Influenza vaccination data (Reporting 1,2,3) Facility information (Reporting 1) Vaccination program (Reporting 2) Data sources for reporting (Reporting 2) Barriers to reporting (Reporting 2,3)

VACCINATION DATA REPORTING FORM

Worked at this healthcare industryat least one day Between October1, 2010 and December 31,2010

DENOMINATOR

Total number of persons who worked at the institution at least one day between

Persons who began work after October 31st should be added to the original number.

Persons who discontinued work after October 1st should not be removed from the denominator.

Reporting 1: October 1–October 31, 2010. Reporting 2: October 1–December 31, 2010 Reporting 3: October 1, 2010–March 31, 2011

DENOMINATOR: Employees

All persons who receive a paycheck from the healthcare institution,

whether or not they have direct patient care duties

DENOMINATOR: Non-employees

Persons affiliated with the healthcare institution who do not receive a paycheck from the institution Non-employees, credentialed

Non-employees, other

Non-employees, credentialed

Licensed practitioners or technicians required to undergo periodic credentialing or re-certification to provide care or services at the institution

Examples Physicians, advanced practitioners (nurse practitioners, nurse midwives, physician assistants), technicians or therapists credentialed by the institution

Non-employees, other

All other non-credentialed non-employees For licensed personnel, unless they go through

an annual/periodic credentialing process to provide services at a given institution, they are considered “other non-employees”

Examples: Contract workers, registry nurses, technicians or therapists without periodic credentialing by the institution, resident physicians, fellows, students, trainees, volunteers, non-clinical agency staff

NUMERATORS

Vaccination data since August 2010 4 Numerators

NUMERATOR #1

Total number of HCP that received an influenza vaccination offered by the healthcare institution as of the reporting date

NUMERATOR #2

Total number of HCP that received an influenza vaccination elsewhere as of the reporting date

NUMERATOR #3

Total number of HCP determined to have a medical contraindication for the influenza vaccine

NUMERATOR #4

Total number of HCP that were offered an influenza vaccination but declined for non-medical reasons

- Report documented data only - If your institution does not keep track of declinations, leave this numerator blank and provide the information in the comment box.

NUMERATORS: NOTES

Each numerator is mutually exclusive, so each HCP should be reported in only one reporting element

Make sure that the sum of four numerators does not exceed the denominator

Flu Vaccination Campaign Activities& Reporting Burden (16 questions)

First date of influenza vaccination offered to healthcare personnel at your institution

Whether your institution currently continues to offer vaccination & last date of vaccination campaign

How your institution collects information on medical contraindication, receipt of vaccination outside your institution, and declinations

Policy on influenza vaccination of healthcare workers Burden of reporting the data (e.g., numbers of staff and

hours required to collect the data, difficulties in completing the survey form)

Checklist of Vaccination Data Sources

Thank you

for your participation!

Questions? Please contact Erica Boston at

erica.boston@cdph.ca.gov (510) 620-5865