1. The Flu…it’s Not Just About You Supported by CDC Grant #1 U01 IP000063-01. Contents are solely the responsibility of the authors and do not necessarily represent the official view of the Centers for Disease Control and Prevention

2. SDHIIP Project Background Two-year grant funded by the CDC (9/05-9/07) Two-year grant funded by the CDC (9/05-9/07) Principal Investigator - Dr. Mark Sawyer Principal Investigator - Dr. Mark Sawyer Partnership involves 15 major San Diego County Hospitals, County HHSA, I-3, CHIP, and the Hospital Association Partnership involves 15 major San Diego County Hospitals, County HHSA, I-3, CHIP, and the Hospital Association Data obtained through weekly activity report forms, Healthcare worker (HCW) surveys, Key Informant Interviews, and the Random Digit Dialing survey Data obtained through weekly activity report forms, Healthcare worker (HCW) surveys, Key Informant Interviews, and the Random Digit Dialing survey

3. Vaccination Methods – Year I

4. Source – 2005/2006 SDHIIP Survey Data

5. Objectives Based on the results of the 2005-2006 study surveys, the objectives for the SDHIIP Influenza Vaccination Planning Kit for HCWs are : Based on the results of the 2005-2006 study surveys, the objectives for the SDHIIP Influenza Vaccination Planning Kit for HCWs are : Understand and address influenza immunization issues for hospital-based HCWs Understand and address influenza immunization issues for hospital-based HCWs Develop targeted and appealing promotional materials that address HCW concerns Develop targeted and appealing promotional materials that address HCW concerns Share ‘best practices’ from partner hospitals Share ‘best practices’ from partner hospitals Create materials that are adaptable to the needs of each hospital Create materials that are adaptable to the needs of each hospital

6. SDHIIP Influenza Vaccination Planning Kit for Healthcare Workers SDHIIP Influenza Vaccination Planning Kit for Healthcare Workers

7. SDHIIP Vaccine Consent and Tracking Log Template SDHIIP Vaccine Consent and Tracking Log Template Examples of Declination Statements from partner hospitals Examples of Declination Statements from partner hospitals

8. Declination Statements Comply with new JCAHO standard (effective January 2007) and new California Senate Bill #739 Comply with new JCAHO standard (effective January 2007) and new California Senate Bill #739 Supported by CDC, the Society for Healthcare Epidemiology of America (SHEA), the Leapfrog Hospital Quality and Safety Survey Supported by CDC, the Society for Healthcare Epidemiology of America (SHEA), the Leapfrog Hospital Quality and Safety Survey Require active discussion with stakeholders Require active discussion with stakeholders SDHIIP recommends implementation through use of its new tracking form SDHIIP recommends implementation through use of its new tracking form Developed in collaboration with sub-group Developed in collaboration with sub-group

10. Each intervention is followed by tips or suggestions to assist with implementation Each intervention is followed by tips or suggestions to assist with implementation

11. LAIV (FluMist) Section contains information and educational materials for healthcare workers LAIV (FluMist) Section contains information and educational materials for healthcare workers

12. Entire section devoted to ideas/strategies to enhance staff flu programs Entire section devoted to ideas/strategies to enhance staff flu programs

13. Tips for Getting Started – Examples from the kit Identify nurse or key individual to act as “Flu Champion” Identify nurse or key individual to act as “Flu Champion” Coordinate with pharmacy to assemble supplies for either buckets or mobile carts Coordinate with pharmacy to assemble supplies for either buckets or mobile carts Schedule multiple Flu Vaccination Days including LAIV Schedule multiple Flu Vaccination Days including LAIV Do these on off-shifts as well as busy times such as lunch to increase accessibility Do these on off-shifts as well as busy times such as lunch to increase accessibility

14. Tips for Getting Started – Examples from the kit Promote new flu vaccination programs frequently Promote new flu vaccination programs frequently e.g. mass e-mail, posters (see planning kit), newsletter articles, etc. e.g. mass e-mail, posters (see planning kit), newsletter articles, etc. Use incentives Use incentives Coupons to in-house coffee cart, cafeteria, candy, etc. Coupons to in-house coffee cart, cafeteria, candy, etc. Develop good tracking system Develop good tracking system Use SDHIIP Influenza Vaccine Consent and Tracking Log Use SDHIIP Influenza Vaccine Consent and Tracking Log Implement Declination Statement/policy Implement Declination Statement/policy

15.  Promotion Section offers posters, templates, and ideas for improving promotion

16. poster 3 different posters 3 different posters 25 ‘8x 10’ posters of each version distributed to partners 25 ‘8x 10’ posters of each version distributed to partners

17. poster

19. Resource section lists helpful Web sites and contact information Resource section lists helpful Web sites and contact information CD-ROM with all SDHIIP materials/forms CD-ROM with all SDHIIP materials/forms All available for download on our Web site All available for download on our Web site

20. Influenza Vaccination Planning Kit Evaluation Results 42 kits were distributed to all 15 SDHIIP hospitals as well as a number of community agencies 42 kits were distributed to all 15 SDHIIP hospitals as well as a number of community agencies 15 out of 27 recipients returned survey 15 out of 27 recipients returned survey (56% response rate) After reviewing the planning kit: After reviewing the planning kit: 80% found the kit very useful 80% found the kit very useful 47% felt it provided them with helpful information for use when answering questions regarding the vaccine 47% felt it provided them with helpful information for use when answering questions regarding the vaccine

21. Influenza Vaccination Planning Kit Evaluation Results When asked about the SDHIIP Vaccine Consent & Tracking Log: 53% responded that the log was helpful 53% responded that the log was helpful 40% respondents stated they used the log 40% respondents stated they used the log

22. Influenza Vaccination Planning Kit Evaluation Results Changes made to the flu program because of the Vaccination Planning Kit ideas: Changes made to the flu program because of the Vaccination Planning Kit ideas: 60% of respondents put up more posters 60% of respondents put up more posters 47% promoted vaccine more 47% promoted vaccine more 20% held more clinics/vaccine days 20% held more clinics/vaccine days 20% implemented or expanded mobile cart services 20% implemented or expanded mobile cart services 73% used the posters that were included in the kit 73% used the posters that were included in the kit

23. Conclusions San Diego Hospitals need to continue to step up their efforts to immunize their staff through: San Diego Hospitals need to continue to step up their efforts to immunize their staff through: Improved promotion Improved promotion Better tracking Better tracking Offering options (LAIV/TIV) Offering options (LAIV/TIV) Implementing Declination Statements Implementing Declination Statements JCAHO is watching! JCAHO is watching!

24. Contact Information Project Contact Information: Project Contact Information: SDHIIP Project Coordinator: Michelle Dzulynsky SDHIIP Project Coordinator: Michelle Dzulynsky michelle.dzulynsky@sdcounty.ca.gov michelle.dzulynsky@sdcounty.ca.gov michelle.dzulynsky@sdcounty.ca.gov SDHIIP Principal Investigator: Mark Sawyer, MD SDHIIP Principal Investigator: Mark Sawyer, MD mark.sawyer@sdcounty.ca.gov mark.sawyer@sdcounty.ca.govmark.sawyer@sdcounty.ca.gov SDHIIP Web site: SDHIIP Web site: http://www.immunization-sd.org/eng/sdhiip/sdhiip-home.html