335. Influenza Vaccination - A Call For Arms:  Roll Up or Mask Up
Session: Poster Abstract Session: HAI: Occupational Health
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • RaimondiIDwk2015vs 2.pdf (2.4 MB)
  • Background: Annual influenza vaccination has been recommended for healthcare workers (HCWs) to reduce influenza associated morbidity in healthcare settings.   In 2013, the New York State Department of Health (NYSDOH) mandated masking of HCWs not vaccinated against influenza.  A year prior to the requirement, masking for those not vaccinated was required at some of the hospitals in our health system.  In the hospitals that masked, the vaccination rate was 59% compared to 63% in our other hospitals where masking was not required.  We learned that a comprehensive vaccination strategy must rely on more than requiring surgical masks for HCWs who decline to get vaccinated.

    Methods: Plan-Do-Study-Act methodology was used to address barriers to HCW acceptance of influenza vaccination at our seven hospitals. Strategies to improve vaccination rates included: a goal of greater than 90% was adopted as a priority by our Quality Leadership Council;  use of push and pull pods to make vaccine readily available;  visible top-level commitment, including executives and members of the governing board, to promote and provide vaccination;  partnership between labor and management to create a shared sense of purpose and commitment to the vaccination program;  weekly monitoring of HCW vaccination rates; and recognition when goals were met.  HCWs were alerted to count-down days to having to mask if not vaccinated.  Education about the benefits and safety of vaccination was provided.  To reduce anxiety, previously vaccinated HCWs served as advocates to those getting vaccinated for the first time.

    Results: The HCW vaccination rate significantly increased from 60% in the 2012-2013 influenza season to 91% in the 2014-2015 season (p < 0.00001).  This is also significantly higher than national and NYSDOH reported rates (p < 0.0001).  Increased vaccination rates in all categories of HCWs were noted, with the greatest increase seen in licensed independent practitioners.

    Conclusion: A clearly defined vaccination goal, with visible top-level commitment, was important to overcome challenges related to vaccine efficacy and achieve high influenza vaccination rates.  Sharing of vaccination data in multiple venues fostered a shared sense of purpose between labor and management and a sense of pride as vaccination rates improved.

    Alexis Raimondi, RN, BS, BSN, MS, CIC, Infection Prevention, Mount Sinai Beth Israel Brooklyn, Brooklyn, NY, Brian Koll, MD, FIDSA, FSHEA, Infection Prevention, Mount Sinai Health System, New York, NY, Meenakshi Rana, MD, Infection Control, Mount Sinai Queens, Queens, NY, Bruce Polsky, MD, FIDSA, Mount Sinai Roosevelt Hospital, New York, NY, Fran Wallach, MD, Infectious Disease, Icahn School of Medicine at Mount Sinai, New York, NY, Gopi Patel, MD, MS, Icahn School of Medicine at Mount Sinai, New York, NY, Marie Moss, RN, BSN, MPH, CIC, Infection Prevention, Mount Sinai Beth Israel, New York, NY, Barbara Winter, RN, MSA, CIC, Mount Sinai Queens, Queens, NY, Barbara Smith, RN, BSN, MPA, CIC, Infection Control, Mount Sinai St. Luke's Hospital, New York, NY, Eloisa Santos, RN, BSN, MA, MEd, CIC, Infection Control, Mount Sinai Roosevelt Hospital, New York, NY, Gregory Homan, RN, CIC, Infection Control, Mount Sinai Beth Israel, New York, NY, Marisa Robles, RN, BSN, Mount Sinai Queens, Long Island City, NY, Susan Eisenberg, RN, Employee Health Service, New York Eye and Ear of Mount Sinai, New York, NY, Gina Caliendo, PharmD, BCPS, Mount Sinai Medical Center, New York, NY, Tanielle Sterling, MSN, NP, Employee Health Services, Mount Sinai Hospital, New York, NY, David D'souza, MD, Occupational Medicine, Mount Sinai Beth Israel, New York, NY and Madelynn Azar-Cavanagh, MD, MPH, Employee Health, Safety and Wellness, Mount Sinai Health System, New York, NY

    Disclosures:

    A. Raimondi, None

    B. Koll, None

    M. Rana, None

    B. Polsky, None

    F. Wallach, None

    G. Patel, None

    M. Moss, None

    B. Winter, None

    B. Smith, None

    E. Santos, None

    G. Homan, None

    M. Robles, None

    S. Eisenberg, None

    G. Caliendo, None

    T. Sterling, None

    D. D'souza, None

    M. Azar-Cavanagh, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 7th with the exception of research findings presented at the IDWeek press conferences.