345. Creating A Successful Healthcare Worker Influenza Vaccination Program
Session: Poster Abstract Session: Influenza Vaccine in Children and Adults
Thursday, October 3, 2013
Room: The Moscone Center: Poster Hall C
  • Flu_IDSA_POSTER_CHLA_USC_96x48_DR MASON.pdf (499.2 kB)
  • Background:

    Seasonal vaccination rates of health care workers (HCW) remains low in spite of vigorous efforts to encourage immunization. Nosocomial outbreaks of influenza have occurred through introduction of the infection from HCW. Influenza vaccination rates of HCW during the H1N1 pandemic of 2009 and 2010 were as low as 34%. Our hospital experienced several cases of nosocomial influenza attributable to HCW during the H1N1 pandemic. Based on this experience we created a program for influenza immunization of HCW for the next influenza season and have enhanced it in succeeding years.  


    We initially reached out to children’s hospitals nationally to assess their approach to vaccine coverage for HCW. We evaluated the recommendations for influenza vaccination from the CDC and AAP for each season. We determined vaccination rates of HCW for prior influenza seasons and Executive Leadership support for our plan was sought and given. Universal vaccination of HCW was identified as the strategy where protected zones were created around patients, families, visitors and HCW to prevent nosocomial transmission. Goals were to protect patients from nosocomial influenza and protect our co-workers and families from influenza. All messaging reflected these goals. An implementation task force was established and policies were revised. Marketing and Communications was mobliized in the effort. HCWs were rebadged indicating vaccine status. Unvaccinated HCW wore masks when in patient care areas. Management and Human Resources enforced the policy. 


    The primary outcome of no nosocomial cases of influenza attributable to HCWs was achieved in the 2010-2011 season. We registered 100% of employees fulfilling state reporting requirements. In 2009-2010, 53% of HCWs received the influenza vaccine. In 2010-2011, 97% of HCWs were vaccinated.  In the subsequent seasons we have maintained rates > 90%.


    High rates of vaccination against influenza are possible in hospitals where the culture of safety is appropriate and with the proper motivation and messaging. Data management is critical and improvement in our processes allowed the effort to be maintained. Executive leadership is crucial for success.

    Wilbert Mason, MD, MPH, Childrens Hospital Los Angeles, Los Angeles, CA; University of Southern California, Los Angeles, CA; Pediatrics, Children's Hospital LA/USC, Los Angeles, CA; Keck School of Medicine, University of Southern California, Los Angeles, CA and Mary Virgallito, MSN, cPNP, Quality, Safety and Service, Children's Hospital Los Angeles, Los Angeles, CA


    W. Mason, None

    M. Virgallito, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.