1. Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-Environmental Health & Safety Michael Koller, MD-Internal Medicine, Primary Care Improvement in Healthcare Worker Vaccination Rate Vaccination Rate Multidisciplinary Team

2. Administration Ambulatory Care Health Sciences Infection Control Marketing & Media Materials Nursing Occupational Medicine A Mostofi; S Flores C White; C Lenz Judith Blacklidge J Parada; A Tomich Anne Dillon Brian Hardy Carol Schlefendorf Tina Sisko

3.  Vaccination of healthcare workers (HCWs) has been shown to be a safety factor by reducing influenza infection in patients. MMWR, 1992, (18) 129-31  The CDC recommends HCWs be vaccinated for influenza annually; however, the national average for FY 2006 was only 42 percent. MMWR August 8, 2008, Vol 57, No. RR-7  The vaccination rate at LUHS reached 61% in FY 2008. The Joint Commission Accreditation Program: Hospital Emergency Management, 2008, p 17 Background

4. Goals To conduct a system-wide emergency response exercise with activation of the Hospital Dispensing and Vaccination Response Team (HDVRT) to:  increase the HCW influenza vaccination rate  test and improve the plan  attain a participation rate of 95% for all HCWs and students over the 24 hour period

5. Compliance Objectives of the HDVRT Exercise  To fulfill Joint Commission accreditation requirement for emergency response exercise in hospital, ambulatory buildings and satellite facilities.  Thus, the entire main campus and 15 off-site locations were included in the drill.  To fulfill the Department of Homeland Security grant deliverable to test HDVRT annually.

6. Other Emergency Response Plans Implemented  Emergency Mass Notification & Communication Plan  Code Triage, Internal: Hospital Incident Command System (HICS)  Code Grey – Lockdown Active Shooter: in partnership with the Cook County Sheriff SWAT Team

7. Results  Exercise conducted for 24 hours  Participation exceeded 95% threshold of estimated 5000 total  5,126 staff members participated  2,420 vaccinations administered  869 were previously vaccinated  1,837 declined vaccination (Staff were permitted to return to work if time to participate exceeded 15 minutes.)

8. Source of Vaccination: 2,241 HDVRT exercise 2,496 Clinical Units 935 Occupational Health 168 Outside LUHS Percentage of LUHS Employees, Medical Students and Volunteers Receiving an Influenza Vaccination

9. Lessons Learned  Bridge communication gaps and develop a staff education program emphasizing emergency communication processes:  Simplex overhead of emergency code  Computer pop up messages  Text messaging  Groupwise email  Loyola.wired website  Loyola Link flatscreens  Patient information posters

10. Lessons Learned  Need to coordinate establishment of vaccination stations with delivery of supplies.  Establish labor pools in Code Triage incidents:  Physicians  Nurses  Ancillary staff  Nonmedical staff  Volunteers  Command Center operational capacity needs development

11. Analysis: SUCCESSFUL DEMONSTRATION OF 1. Emergency preparedness as a priority at LUHS. 2. Cooperative multidisciplinary approach to planning. 3. Staff enthusiasm in participation system-wide. 4. Administrative excellence applying principles of HICS. 5. Community cooperation And….. 6. Influenza vaccination rate significantly increased!