1. 2014-2015 Maryland HCW Influenza Vaccination Survey Highlights
Statewide Vaccination Rates
Hospital Health Care Personnel: 96.9%
Exceeds the CDC national estimated rate* for HCWs in hospital settings of 90.4%
Nursing Home Health Care Workers: 85.5%
Exceeds the CDC national estimated rate* for HCWs in long term care of 63.9%
Assisted Living Facility Staff: 57.9%
Increased staff vaccination rate by 4.7% since
MHCC conducts an annual survey that collects the number of staff working in nursing homes and assisted living residences of 10 beds or more that receive influenza vaccine
The elderly and persons with chronic medical conditions are at higher risk for influenza-related complications and death than the general population
influenza season spanned the influenza collection period covered October 1, 2014 – March 31, 2015, which is the same reporting period as the CDC National Healthcare Safety Network (NHSN) that collects the hospital healthcare worker influenza vaccination data.
100% of the 230 Nursing Homes and 376 Assisted Living Facilities with >10 beds completed the survey this year (count includes AL facilities that had combined reports)
AL facilities with 10 beds or more have been required to complete the survey since 2012
* CDC estimates reported for flu season on September 18, 2015

2. 2014-2015 Hospital HCW Influenza Vaccination Survey Highlights
Hospital Health Care Worker Survey
Data was entered in the CDC NHSN Surveillance System
NHSN Definitions applied
1) Flu season time period: October 1, 2014 – March 31, 2015
2) Employee: all persons who received a paycheck from the health facility regardless of clinical responsibility or patient contact
Includes licensed independent practitioners (physicians, advance practice nurses, and physician assistants), adult students/trainees, volunteers and other contract personnel working in the hospital inpatient and outpatient departments
3) Denominator: all employees who were physically present in the facility for at least one working day during the flu season

3. Hospital HCW Influenza Vaccination Rates
5 Season Trend
Statewide Stats
Vaccination Rate
81.4%
87.8%
96.4% 
96.5% 
96.9%
Number of Hospitals at or Above 85% 21 31
39  44
Number of Hospitals with Mandatory Vaccination Policy 15 25
37  45 46
Number of Employees Vaccinated
79,504
89,206
99,724 
149,236 
150,154
Number of Employees
97,639
101,565
103,436 
154,591
154,962
Average Declination Rate
15.2%
10.5%
4.5% 
3.5% 
3.1%

4. Comparison of 2009-2015 Hospital HCW Influenza Vaccination Rates
Statewide Stats
Vaccination Rate
78.1%
81.4%
87.8%
96.4%
96.5%
96.9%
Top 10 Average Rate
82.6%
99.40%
98.80%
100%
99.5%
99.3%
Bottom 10 Average Rate
64.4%
57.7%
63.7%
77.7%
89.0%
88.9%
Declination Rate
12.1%
15.2%
10.5%
4.5%
3.5%
3.1%

5. Nursing Home Influenza Vaccination Survey 5 Season Trend
Statewide Stats
Vaccination Rate
57.9%
65.1%
73.6%
79.3%
85.5%
Nursing Homes Submitting a Survey
235
225
230
Nursing Homes with staff vaccination rate of 95% or higher
2% (4)
8% (19)
16.4% (37)
23.5% (54)
41.3% (95)
Nursing Homes with 60% or more staff vaccinated *
42.6% (100)
60.4% (136)
70.2% (158)
78.7% (181)
84.3% (194)
Mandatory Vaccination Policy
Mandatory policy in place ND
19.1%
22.4%
31.3%
46.1%
Plan to implement mandatory policy in the upcoming influenza season
18.2%
14.8%
19.6%
11.3%
No plan for mandatory policy
62.7%
62.8%
49.1%
42.6%
95 Nursing Homes achieved a 95% or higher vaccination rate for the season – increased by 41 NH
14.5% of nursing home HCWs were not vaccinated: majority of those fall into the “other objections” category
Less than 1 % cited religious reasons
1.4% cited medical reasons
4.7% had no documentation of vaccination
8.1% cited "other objections"
* 2012 StateStat goal
ND = No Data Available

6. Assisted Living Staff Vaccination Rates 3 Season Trend
Statewide Stats
Vaccination Rate
50.2%
53.2%
57.9%
Number of Employees Vaccinated
5,853
7,039
9,483
Number of Employees
11,938
13,224
16,387
Reason for Declining Vaccination
Medical reasons
3.1%
2.7%
1.5%
Religious reasons
1.0%
1.2%
1.3%
Other
45.7%
42.9%
39.3%
Insert AL table here
376 AL facilities reporting in ; 334 reported in
Despite increase in vaccination rates among AL facilities, Maryland statewide average rate of 57.9% is lower than the CDC national estimated rate of 63.9% for HCW in long term care settings.
CDC recommendations include expanding the number of HCF that offer on-site vaccination at no or low cost; offer vaccination over multiple days and utilize the LTC web-based toolkit that provides access to free resources, promotional material, strategies and educational materials.
Declinations fall mostly into the “other” reasons (39%) or 6,430 staff