Implementation of a Mandatory Employee Influenza Vaccination Program in a Rural Tribal Health Care Facility Deborah A. Farrell BSN Jane A. Oski, MD, MPH.

Slides:

Advertisements

Similar presentations

Why should we teach Critical Literacy? A Life Lesson.

Advertisements

Surveillance in a Pandemic: Situational Awareness

Maintaining patient health after a hospital stay….

Strengthening National Metrology Institutes (NMIs) in the Hemisphere, an essential element in the development of National Quality Infrastructure (NQI)

October 8, Overview Staffing Staffing Enrollment Enrollment Building Capacity Building Capacity Nurses Nurses.

Building Capacity for Integrating Climate Change and Public Health Programs at Local Health Departments June 18, 2009, 1:00-2:00 EDT.

Public Health Essential Service #2

Milwaukee LIHF Aameria Zapata November 16, 2011 Oversight and Advisory Committee.

Ron Chapman, MD, MPH Director and State Health Officer California Department of Public Health.

October 2007 Procurement Services Working to achieve Excellent Procurement Best Practice Contract Management Workshop Proactive Contract management Glenn.

State of Rhode Island Influenza Update December 2009.

INFLUENZA DIVISION U.S. Influenza Surveillance Update, Season Joseph Bresee, MD Epidemiology and Prevention Branch, Influenza Division, CDC VRBPAC.

Lori Volz Executive Director of Finance & Operations On-Site Clinic Q&A.

Pharmacy-Based Immunization Clinic LT Amit Patel Pharm.D. LT Charles Latimore Pharm.D. Gallup Indian Medical Center 516 E. Nizhoni Blvd Gallup, NM

Creating Community Partnerships for Public Health Disaster Response Cape Cod Medical Reserve Corps A Community Project of the Dennis Church of the Nazarene.

The 2013 Consolidated WHO Guidelines on ARV Use: Implementing to Achieve Maximum Impact Gottfried Hirnschall, MD, MPH Director, HIV/AIDS Department, WHO.

The Work of WHO in the South-East Asia Region Report of the Regional Director 1 July 2008–31 August 2009 Highlights of the Work of in the South-East.

Asthma in Minnesota Slide Set Asthma Program Minnesota Department of Health January 2013.

HIV Epidemiology Program: Epidemiology of HIV and AIDS in Los Angeles County Presentation to Public Health Commission October 28, 2010 Douglas M. Frye,

7/16/08 1 New Mexico’s Indicator-based Information System for Public Health Data (NM-IBIS) Community Health Assessment Training July 16, 2008.

For Official Use Only. Public Health and EMS How Long Do You Have to Live? For Official Use Only.

A model of outhospital management of H1N1v influenza epidemic by SOS Doctors in Greece. Spyridon G. Barbas, MD, Theodore Spiropoulos, MD, George Peppas,MD,

Simulation Business Models

MCH in Indian Country - Partnerships to Identify and Address Health Disparities 14 th Annual MCH Epidemiology Conference December 10, 2008 Judith Thierry,

Making the Right Decisions for the Health of Girls and Women Ruth Levine, PhD.

2 ND ARIZONA STATEWIDE TRIBAL, IHS, AZDHS, CDC RMSF MEETING HEALTH CARE COMMITTEE Glenda Davis, Chair Veterinary & Livestock Program Director Navajo Nation.

U.S. Surveillance Update Anthony Fiore, MD, MPH CAPT, USPHS Influenza Division National Center for Immunizations and Respiratory Disease Centers for Disease.

Tripartite Efforts Have Led to Better Outcomes for British Columbia’s First Nations Evan Adams, MD, MPH 2010 Joint Tribal Emergency Preparedness Conference.

American Indian and Alaska Native Programs, University of Colorado Denver Costs Associated with Diabetes Treatment and the Diabetes Prevention Demonstration.

ILOAIDS Satellite Session Implementing the ILO Code Of Practice: Role of Employer International AIDS Conference Barcelona 07 July 2002.

American Indian and Alaska Native Programs, University of Colorado Denver Costs Associated with Diabetes Treatment and the Healthy Heart Demonstration.

Influenza Vaccination in Employees, California General Acute Care Hospitals Tricia McLendon, MPH Healthcare Associated Infections Program California.

Healthy Work Environment Elizabeth Degelbeck, Justin Hacker, Kristine Lantz, and Courtney Wilson.

Healthy Lifestyles/Healthy Weight A Workplace Strategy for Reducing the Costs of Obesity.

Pandemic Influenza Preparedness All Indian Pueblo Council Pueblo Health Committee New Mexico Dept of Health Epidemiology and Response Division Office of.

New York City Health and Hospitals Corporation: Providing Health Care Quality and Value for New York City Residents Anne-Marie J. Audet, MD, MSc, FACP.

TRAUMA SYSTEM Mazen S. Zenati, M.D, MPH, Ph.D. University of Pittsburgh Department of Surgery and Epidemiology.

T-MOP Together for the Mental health of Older People A network project on the Southern Fleurieu and Kangaroo Island Region.

Ethics Conference on Asian Flu Pandemic Ethical considerations among Response to H1N1 Pandemic in China China CDC, CFETP Huilai Ma, Guang Zeng.

H1N1 and Seasonal Influenza Surveillance among American Indian Mothers using Pregnancy Risk Assessment and Monitoring System (PRAMS) data 1 Myra Tucker,

Honor Our Ancestors, Protect Our People, Take the Test! National Native HIV/AIDS Awareness Day (NNHAAD) March 20, 2013.

Pan American Health Organization.. Protecting the Health of Health Care Workers: Experience from the Americas Marie-Claude Lavoie Decision Making for Using.

H o m e T r e a t m e n t E x p e r i e n c e C h o i c e & A l t e r n a t i v e.

Immunization in the Time of H1N1 Anne Schuchat, MD Rear Admiral, US Public Health Service Director, National Center for Immunization and Respiratory Diseases.

National Indian Health Board Annual Consumers Conference September 2014 CMS Tribal Technical Advisory Group Data Project Update Mark LeBeau, PhD Executive.

NATIVE ELDER CAREGIVER CURRICULUM NECC Caring for Our Elders: Health Disparities Among Native Elders 2.2 Caring for our Elders: Health Disparities Among.

Cypress Health Region SK Falls Prevention Collaborative.

1 Influenza Vaccination of Health-care Personnel: An Initiative to Improve a Serious Public Health Problem Anand Parekh, MD, MPH Office of Public Health.

The Impact of Racial and Ethnic Disparities in Influenza Vaccination on Minority Deaths Kevin Fiscella, MD, MPH Departments of Family Medicine Community.

Comprehensive Geriatric Care of Elderly Native Americans Miriam E. Schwartz Department of Family Medicine Gallup Indian Medical Center (GIMC) Gallup, New.

Sandeep Wadhwa, MD, MBA Vice President, Care Management Services, McKesson Health Solutions Chair, Government Affairs Committee and Board Member, Disease.

SCCA BACKGROUND Recognition throughout the 90s of the need to build a partnership to develop strategies to address cancer. DHEC.

Influenza Nancy V. Rodway MD MPH MS Medical Director LakeHealth System Occupational Medicine and Urgent Care.

1 Local Jurisdiction’s Health Officer Order Mandating Influenza Vaccination of Healthcare Personnel in Los Angeles County: Preliminary Findings Jessica.

Incentive Plans Redesign-Finance Collaborative June 22, 2005.

By: Sarah Lombardi Is the Influenza Vaccination in the Geriatric Population Needed?

Vaccines and Related Biological Products Advisory Committee Meeting July 23, 2009 Novel influenza A (H1N1) Epidemiology Update Anthony Fiore, MD, MPH Influenza.

Sustaining Families Through A Pandemic Self-Sufficiency and Cooperation Through Neighborhood and Community Planning.

Jayne Schaefer, BA Workforce Programs Manager Mather LifeWays Evanston, Illinois Toward Building a Sustainable Long-Term Care Workforce: LEAP.

Influenza Vaccination of Healthcare Personnel in California, Tricia McLendon, MPH Healthcare-Associated Infections Program California Department.

Influenza Immunization for Health Care Workers Dr. Lisa Simon, Associate Medical Officer of Health Colleen Nisbet, Director, Clinical Service September.

Influenza Vaccination of Healthcare Personnel The Indian Health Service Experience Amy Groom, MPH and Cheyenne Jim, MS IHS Immunization Program Division.

Round Table August 25, :00am - 1:00pm AK

Strategies to Increase Healthcare Worker Flu Vaccination

Hepatitis C Coordinator IHS National Epidemiology Program

Health Protection Surveillance Centre (HPSC) September 2016

Amy Groom, MPH IHS Immunization Program Manager/CDC Field Assignee

Maryland HCW Influenza Vaccination Survey Highlights

Program Review Presentation March 17, 2016

Akiko C. Kimura, MD Jeffrey Higa, MPH Christine Nguyen, MPH

Presentation transcript:

Implementation of a Mandatory Employee Influenza Vaccination Program in a Rural Tribal Health Care Facility Deborah A. Farrell BSN Jane A. Oski, MD, MPH Epidemic Response Team Tuba City Regional Health Care Corporation

The Setting Tuba City Regional Health Care Corporation (TCRHCC) is a 55-bed tribal facility located on the Navajo Nation in northeastern Arizona. The facility employs an average of 1076 health care personnel (HCP) and provides approximately 180,000 outpatient visits per year. The majority of HCPs are American Indians (AI) with close ties to the community and extensive clan relationships.

Problem In the 2009 Influenza A (H1N1) Pandemic, the mortality rate for American Indians (AI) and Alaska Natives (AN) was 4 times higher compared to other racial/ethnic populations. Disproportionate number of H1N1 influenza deaths among AI/AN’s in 12 states representing 50% of the AI/AN population. Total 426 deaths with 42 (9.9%) among AI/AN’s. Majority of the AI/AN deaths: Arizona (16) & New Mexico (8). 50% of the total AI/AN population falls into one of the categories of increased risk for medical complications from influenza.

HCP Influenza Vaccination The CDC estimates HCP vaccination rates at 30% to 40%.

Mandatory Employee Vaccination Just do the right thing!

Planning/Implementation Feb 2010: Epidemiology Response Team (ERT) identifies need for change. May: Nurse Executive Council unanimously passes policy. July: Medical Executive Committee passes policy by a 20-5 vote. August: Senior Leadership passes policy. Sept: Communication to staff. Oct 7: >500 employees vaccinated. Incentive: $5 Subway cards. Oct 8 – 31: Mobile cart & flexible hours to capture remaining emp. Nov 1: 97% vaccinated. 2% declined & wearing masks. 1% unaccounted.

Sustaining Balance between forces achieved Departmental enforcement Potential hires notified Feedback and recognition to staff Monitoring

Implications for Advanced Practice Nurses The Advanced Practice Nurse is the agent of change. Respected and regarded as a leader among staff. Knows who to influence, when to influence, and how to influence. Possess education, skills and integrity to make the change happen. Sometimes you just need to lead and the others will follow.

Acknowledgements Nursing Executive Council Medical Executive Committee Human Resources TCRHCC Employees!!!!