Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: HUP Version.

Slides:

Advertisements

Similar presentations

OUR CONTINUOUS JOURNEY TO EXCEPTIONAL. Mission Accomplished through CQIplus CQIplus helps us fulfill our mission, Through our Exceptional health care.

Advertisements

Title Patient Patient Advisory CouncilAdvisory Council Patient Advisory Council.

Rural Primary Care Practice and Research Program FAPR 905 Department of Family Medicine Course Director: Michael Kennedy, MD Course Administrator: Debra.

Confronting the Ethics of Pandemic Planning Indianapolis, Indiana July 14, 2008 Janelle A. Rhyne, MD, FACP Physician Epidemiologist Public Health Regional.

Using CAHPS Surveys to Improve the Patient ’ s Experience of Care Susan Edgman-Levitan, PA Executive Director John D. Stoeckle Center for Primary Care.

Go Blue, Fight Flu! The UMHS Influenza Vaccination Program.

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

Minnesota Healthcare Setting Employee Influenza Vaccination Program Survey Denise Dunn, RN, MPH Adult/Adolescent Immunization Coordinator Minnesota Department.

Treuman Katz Center for Pediatric Bioethics Seventh Annual Pediatric Bioethics Conference July 22-23, 2011 The Obligation of HCWs to Get Flu Shots The.

Influenza Vaccination Coverage Among Healthcare Workers – Maine, 2012 Susan E. Manning, MD, MPH, Sara Robinson, MPH, Stephen D. Sears, MD, MPH Maine Center.

The Employee Influenza Vaccine Program at The Children’s Hospital of Philadelphia Mary G. Cooney, RN, BSN, COHN-S Keith H. St. John, MT(ASCP), MS, CIC.

Slide 1 1 Eliminating Harm Across the Board Mary M. Pizzino, Executive Director, Informatics/Quality Data Management.

William Berry, MD Principle Research Scientist, Harvard T.H. Chan School of Public Health Deputy Director Ariadne Labs Exploring the Relationship Between.

Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.

Creating Sustainable Organizations The Baldrige Performance Excellence Program Sherry Martin HIV Quality of Care Advisory Committee September 13, 2012.

Safety & Health Programs.

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

"Weathering the Storm" 10th Annual HomeTown Health Spring Meeting Paul Moore, DPh Senior Health Policy Advisor Department of Health and Human Services.

HOW TO DEVELOP QUALITY ASSURANCE PROGRAM IN HEALTH CARE INSTITUTION Ahmad Fuady.

POINT OF SERVICE COLLECTIONS OUR JOURNEY Scripps Memorial Hospital Encinitas May 4, 2015 Bessie Bennett, Access Manager - SMHE.

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

Improving Employee Safety at Spartanburg Regional Denise Hollis, RN, COHPM Mike Arntz, CHSP.

Influenza Vaccination Campaign 2003 Dr. Michael Koller QI Director for Primary Care.

Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-Environmental Health & Safety Michael.

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: Main Line.

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: Geisinger.

RECORDS MANAGEMENT HCS449. Records Management  Urgent Care Clinic Merger  Problem: records management systems differ  Challenges  Implementation &

CPSW 2008 Leaders Guide. About these slides This presentation was created to guide you through the basics on what you can do to encourage participation.

Baptist Easley Hospital SCHA Michael L. Batchelor Chief Executive Officer July, 2014.

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

Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure Centers for Disease Control and Prevention California.

Honoring Choices HealthEast Update July 19, 2012.

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: Abington.

Guidance Training CFR §483.75(i) F501 Medical Director.

Chronic Care in the 21 st Century Building an Infrastructure for Quality and Efficiency March 2, 2009 Philadelphia, PA John Tooker MD,MBA,FACP Chief Executive.

1 The Effect of Primary Health Care Orientation on Chronic Illness Care Management Julie Schmittdiel, Ph.D., Stephen M. Shortell, Ph.D., Thomas Rundall,

Te4Q Educational Project Review Project Title: Engaging contemplative faculty in continuous process improvement Participant Names: Sumant Ranji, MD; Jeffrey.

1 Quality Initiatives in the Convenient Care Setting Sandra F. Ryan, MSN, CPNP Co-Chair, Convenient Care Association Clinical Advisory Board Chief Nurse.

EMS Technical Assessments for Critical Access Hospital Communities Mary Sheridan ORHP Grantee Partnership Meeting September 1, 2009 …improving access to.

VPP WISHA’S VOLUNTARY PROTECTION PROGRAM John Geppert Division of Occupational Safety and Health Consultation Program Cooperative Programs Supervisor.

Policy and Perceptions of Healthcare Worker Flu Vaccination Programs Matthew M. Davis, MD, MAPP Professor of Pediatrics, Internal Medicine, Public Policy,

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Introduction/Overview Module.

Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure Centers for Disease Control and Prevention California.

The Federal Telework Program U.S. Office of Personnel Management.

1 Incorporating a Legal Services Program into A Hospital Setting By LegalHealth©

The Flu…it’s Not Just About You Supported by CDC Grant #1 U01 IP Contents are solely the responsibility of the authors and do not necessarily.

Six Years Later: Tiffany A. Tate, MHS Maryland Partnership for Prevention, Inc. National Immunization Conference March 30, 2011 Lessons Learned from a.

Implementing the National Standard for Psychological Health & Safety in the Workplace From research findings to taking action Sandra Koppert, Program Manager,

South Huron Hospital Association Presentation – Intended Solely for Council Presented by: John McNeilly – SHHA Board Chair Todd Stepanuik – SHHA President.

©2012 THE ADVISORY BOARD COMPANY ADVISORY.COM Gaining Provider Feedback In February – March 2014, we administered a medical staff survey to employed &

2004 Influenza: The Best of Times, the Worst of Times Kristen Ehresmann, R.N., M.P.H. Minnesota Department of Health March 2005.

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

Flor M. Munoz 1, MD, Melanie E. Mouzoon 2, MD, Frances A. Smith 2, MD, Anthony J. Greisinger 3, PhD, Oscar A. Wehmanen 3, MS, Nancy Petersen 1,4, PhD,

Declination Forms – Do They Work? Southern California Marlene M. Lugg, Dr. P.H. Immunization Coordinator / Project Manager.

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

( most of ) The 2004 Vaccinate Your Staff Contest

Strategies to Increase Healthcare Worker Flu Vaccination

Clinical Learning Environment Review GMEC January 8, 2013

ICD-10 General Awareness

The Essentia Institute of Rural Health (EIRH) is

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: CHOP Version.

Community Facilitator Introduction to FORGE AHEAD

Leigh E. Tenkku, PhD, MPH Department of Family and Community Medicine

Health Protection Surveillance Centre (HPSC) September 2016

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Ethics Module Version 1.4.

Coordinated by Michael Koller, M.D.

The Ontario Experience National Immunization Conference

Quality Management System

Maryland HCW Influenza Vaccination Survey Highlights

ON TRACK KEEPING YOUR BUDGETS

Presentation transcript:

Pennsylvania Health Care Worker Flu Immunization Campaign A Patient Safety & Employee Health Initiative Training Resources: Cast Study Module: HUP Version 1.1 June 2011

Case Study Modules  Based on interviews with leaders at institutions representing best and promising practices  Focus on common elements of strategy, decision to implement programs, internal support and barriers  Focus on mandatory programs given policy and ethics foundations  Recognition that each institution is unique, but overall goal (90%+ uptake) is patient safety/ employee safety imperative is same everywhere!

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) The Hospital of the University of Pennsylvania (HUP) is world-renowned for its clinical and research excellence, forging the way for newer and better ways to diagnose and treat illnesses and disorders. Its long and rich history of top-notch patient care began more than two centuries ago with the founding of the nation’s first medical school, the University of Pennsylvania. Since 1765 when it first opened its doors, Penn has been dedicated to the training of physicians and the discovery and implementation of new medical knowledge...The supportive and collaborative environment encourages physicians and staff to keep reaching ahead to find new ways to improve the quality and length of life for everyone. first medical school Contacts: Amy Behrman, MD Director, Occupational Medicine 427 Penn Tower Hospital of the University of Pennsylvania Philadelphia, PA

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Overview After robust seasonal vaccine campaigns for its HCWs over several years, HUP decided to adopt a mandated program after extensive consultation across medical, nursing and administrative leadership. Seasonal Influenza Vaccine Uptake Pre-mandate Post-Mandate ≈ 54%* 99.3% (60% of clinical staff) plus 0.6% exemptions for HUP

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Program Justification Positioned as a patient safety/staff safety initiative Program Details - establishes annual seasonal flu vaccination as a condition of employment - includes all employees, volunteers, students, vendors - includes faculty, physicians and clinical staff from UPenn - integrates exemptions based on standard form: medical – reviewed by the OH Director with backup from Infection Control Director; religious – reviewed by HR officer: 1-2% incidence rate Key Champion(s) - PJ Brennan, CMO - Infection Control and Occupation Health - Nursing/CNO - HR/Legal

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Timeline Influenza vaccination as a quality focus begins Spring 2009: - HUP IM/EM physician survey spring 2009 supported a mandatory vaccine policy (DeSante et al 2010) - Review of program outcomes for th consecutive year of increased vaccination rates but only modest gains with great efforts at outreach - Infection Control and Occupational Medicine consensus on need for requiring vaccination. Nursing leadership support for mandate. Physician leadership support for mandate. HR leadership support for mandate. OGC (Office of General Counsel/Law) support for mandate

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Timeline cont. Fall 2009/Winter 2010: - Required influenza vaccination for all HCWs supported by. Educational programs, website. Interactive live and electronic Q&A. Exemption reviews, medical and religious. Continued multi-faceted outreach to all all locations Fall 2010/Winter Second cycle with stable performance at 99%+ uptake with stable exemptions

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Key Strategies/Success Factors - Define target population early, announce clearly - Assure robust tracking system, and ability internal reports for local manager action/follow-up - Have plan for interrupted vaccine supply/triage plan - Develop detailed exemption review process - Develop policies around verifying outside vaccination/documentation levels - “Stickers” verifying vaccination status a matter of pride (red dot/blue dot)

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Best sound bite(s) PJ Brennan, CMO, went around table at Medical Board meeting: Q: Will you withdraw privileges to docs who are non-compliant with the influenza vaccination mandate? A. Unanimous “yes” Leadership Team (functions that made it happen) Occupational Medicine Infection Control HR, Law Nursing Administration

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) Program Overview: Free vaccine available to all HCWs T/O Flu season - Vaccination on-site in all inpatient units, clinics and non-clinical sites, offered all shifts - Vaccine given to employees at cafeteria - Vaccine in public hospital areas via “Flu fairs” with educational materials, games, and incentives - Vaccine available on a walk-in basis in the OM clinic 8-12 hours/day. - Needle-free FluMist provided for medically eligible staff who preferred it. - Declination forms analyzed to define HCW concerns - Influenza vaccine education via hospital newsletter, , intranet, KL, and managers’ meetings. - Flu shot music video using hospital staff to address concerns about vaccine safety and efficacy based on previous declination forms:

Case Study Snapshot Hospital of the University of Pennsylvania (HUP) HUP IM/EM Physician survey spring 2009 supported a mandatory vaccine policy (DeSante et al 2010) - 90% believed HCWs have an obligation to their patients to be vaccinated - 85% believed HCW vaccination should be mandatory - Those with more patient contact were more likely to be vaccinated, more likely to support mandates, and more likely to vaccinate their patients

MANDATORY VACCINATIONS FOR HEALTHCARE WORKERS - THE VIEW FROM OCCUPATIONAL MEDICINE Amy J. Behrman, MD, Division of Occupational Medicine. Department of Emergency Medicine, University of Pennsylvania

MANDATORY VACCINATIONS FOR HEALTHCARE WORKERS - THE VIEW FROM OCCUPATIONAL MEDICINE Amy J. Behrman, MD, Division of Occupational Medicine. Department of Emergency Medicine, University of Pennsylvania

Group Exercise  What strategies from the HUP case study might work well in your institution? Why?  What parts of the HUP experience would NOT work for your institution? Why?  What barriers do you see within your institution moving towards a mandatory program?  Which barriers are not addressed in the HUP experience? We will use observations and answers to build a collection of “frequently-asked-questions” (FAQs) for the website