399. Electronic Solutions to Enhance Tracking and Feedback of Compliance with Mandatory Influenza Vaccination for All Hospital Staff
Session: Poster Abstract Session: Occupational Health
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
  • 399 Quan K Flu poster FINAL SH.pdf (676.0 kB)
  • Background:   A mandatory influenza vaccination (MIV) policy was instituted in 2009 at our academic hospital for all hospital clinical and non-clinical staff, students, and volunteers.  Monitoring and compliance is essential to a mandatory program and required electronic solutions for compliance tracking and feedback.

    Methods:    We built an electronic MIV database in 2009 to track and facilitate compliance of all staff covered by the policy. Human resources (HR) databases were linked to the MIV database to allow access to real-time employee status and their current authority structure (Division/Dept/Manager). Vaccination status (vaccinated, declination signed/will mask, non-participant) was recorded into the database. To improve participation and accountability, we created an internal portal which allowed access to vaccine status for individual staff as well as supervisors or Division/Dept administrators, who could view or download reports for their respective areas. Beginning in 2011, an integrated alert system provided periodic auto-generated emails to individuals who had yet to participate.  Supervisors received automated alerts line-listing non-participants and providing instructions for exclusion from duty if staff failed to participate by the deadline.


    Results:   Vaccination increased from 58% to 85% in the first season of the mandatory policy and to 96% within three years. While helpful, the internal portal initially relied upon Occupational Health (OH) to track, page, and email non-participants. In the first year of this policy, OH hosted 30 poorly- attended vaccine events and spent nearly a full FTE of effort to urge non-participants to comply.  After the implementation of the integrated alert system, responsibility of compliance was transferred to supervisors and individuals. Since then, OH resources have been re-directed to support unlimited walk-in vaccinations for staff, and only three well-attended vaccine events were needed to ensure high compliance.

    Conclusion:   A real-time MIV database and automated alert system required fewer OH resources to ensure high compliance.  This electronic system shifted accountability to individual staff and their direct supervisors, increasing both vaccination and participation.


    Kathleen A. Quan, RN, MSN, CIC1, Sarah M. Cousins, BS2, Denise Hizon3, Kristie Heck4, Pam Samuelson, RN5 and Susan S. Huang, MD, MPH, FIDSA2, (1)Epidemiology and Infection Prevention Program, University of California Irvine Health, Orange, CA, (2)Division of Infectious Diseases and Health Policy Research Institute, University of California Irvine School of Medicine, Irvine, CA, (3)Information Services, UC Irvine Health, Orange, CA, (4)School of Medicine Human Resources, UC Irvine Health, Orange, CA, (5)Occupational Health, UC Irvine Health, Orange, CA


    K. A. Quan, None

    S. M. Cousins, None

    D. Hizon, None

    K. Heck, None

    P. Samuelson, None

    S. S. Huang, None

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