336. Healthcare Personnel Vaccination in Oregon:  Differences in Impact of Vaccine Promotion Strategies by Healthcare Facility Type
Session: Poster Abstract Session: HAI: Occupational Health
Thursday, October 8, 2015
Room: Poster Hall
Posters
  • Influenza-vaccination-poster.png (294.8 kB)
  • Background: Oregon requires annual reporting of influenza vaccination for hospital, ambulatory surgical center (ASC), and long-term care facility (LTCF) employees. For the 2012-13 and 2013-14 influenza seasons, facilities were also required to report vaccine promotion strategies. Our objectives were to: 1) examine differences in the use of vaccine promotion strategies by facility type; and 2) assess the impact of vaccine promotion strategies on employee vaccination rates in hospitals, ASCs and LTCFs.

    Methods: Influenza vaccination data was collected from 61 hospitals, 88 ASCs, and 139 LTCFs using the National Healthcare Safety Network, SurveyMonkey, or fax for two influenza seasons. The impact of each vaccine promotion strategy on employee vaccination rates was modeled with GEE logistic regression, controlling for repeated observations at the facility level and influenza season.

    Results: For the 2012-13 and 2013-14 influenza seasons, average employee vaccination rates were 80%, 68%, and 61% for hospitals, ASCs, and LTCFs, respectively.  No-cost vaccination was the most common strategy used (88%), and credentialing conditional on vaccination was the least (5%). Use of specific vaccine promotion strategies varied by facility type, as did the impact of promotion strategy on employee vaccination rates (Table).

     

     

    Percentage of Facilities Using Strategy by Facility Type
    (2012-13 &  2013-14)

    Significant Association between Strategy and Vaccination Rates (2012-13 &  2013-14)?

    Vaccine Promotion Strategy

    Hospitals

    ASCs

    LTCFs

    Hospitals

    ASCs

    LTCFs

    No-Cost Vaccine

    95

    79

    91

     

    X

     

    Mobile Carts

    84

    16

    16

     

    X

    X

    Centralized Fairs

    81

    12

    34

    X

     

     

    Peer Vaccinators

    80

    46

    56

     

    X

     

    Provided in Congregate Areas

    86

    29

    57

    X

     

     

    Provided in Occ. Health Clinic

    70

    9

    5

    X

     

     

    Incentives

    46

    6

    18

    X

     

     

    Reminders

    97

    50

    39

     

    X

     

    Coordination with other Programs

    39

    9

    19

     

    X

     

    Required for Credentialing

    12

    4

    3

     

     

     

    Campaigns

    87

    36

    65

     

     

     

    Mask Required if not Vaccinated

    26

    6

    9

    X

    X

     

    Declination Form Required

    86

    61

    57

     

     

    X

    Conclusion: ASCs and LTCFs had lower employee influenza vaccination rates and utilized vaccine promotion strategies less frequently than hospitals. Our findings suggest that vaccination campaigns should be tailored to facility type for maximum effectiveness.

    Monika Samper, RN, Public Health Division, Oregon Health Authority, Portland, OR, Zintars G. Beldavs, MS, Acute & Communicable Disease Prevention, Oregon Health Authority, Portland, OR and Katherine Ellingson, PhD, Oregon Health Authority, Portland, OR

    Disclosures:

    M. Samper, None

    Z. G. Beldavs, None

    K. Ellingson, 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.