Expanding mandatory healthcare personnel immunization beyond influenza: Impact of a broad immunization program with enhanced accountability.

Autor:	Talbot TR; Departments of Medicine, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Quality, Safety, and Risk Prevention, Vanderbilt University Medical Center, Nashville, Tennessee., Schimmel R; Quality, Safety, and Risk Prevention, Vanderbilt University Medical Center, Nashville, Tennessee., Swift MD; Departments of Medicine, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Occupational Health Clinic, Vanderbilt University Medical Center, Nashville, Tennessee., Rolando LA; Departments of Medicine, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Occupational Health Clinic, Vanderbilt University Medical Center, Nashville, Tennessee., Johnson RT; Human Resources, Vanderbilt University Medical Center, Nashville, Tennessee., Muscato J; Human Resources, Vanderbilt University Medical Center, Nashville, Tennessee., Sternberg P; Department of Ophthalmology, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Hospital Administration, Vanderbilt University Medical Center, Nashville, Tennessee., Dubree M; Hospital Administration, Vanderbilt University Medical Center, Nashville, Tennessee., McGown PW; Occupational Health Clinic, Vanderbilt University Medical Center, Nashville, Tennessee.; Faculty/Staff Health and Wellness, Vanderbilt University Medical Center, Nashville, Tennessee., Yarbrough MI; Departments of Medicine, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Occupational Health Clinic, Vanderbilt University Medical Center, Nashville, Tennessee.; Faculty/Staff Health and Wellness, Vanderbilt University Medical Center, Nashville, Tennessee., Hickson GB; Department of Pediatrics, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Quality, Safety, and Risk Prevention, Vanderbilt University Medical Center, Nashville, Tennessee.; The Center for Patient and Professional Advocacy, Vanderbilt University Medical Center, Nashville, Tennessee (Present affiliation: Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, Minnesota [M.S.]).
Jazyk:	angličtina
Zdroj:	Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2021 May; Vol. 42 (5), pp. 513-518. Date of Electronic Publication: 2020 Nov 10.
DOI:	10.1017/ice.2020.1266
Abstrakt:	Objective: Evaluation of a mandatory immunization program to increase and sustain high immunization coverage for healthcare personnel (HCP). Design: Descriptive study with before-and-after analysis. Setting: Tertiary-care academic medical center. Participants: Medical center HCP. Methods: A comprehensive mandatory immunization initiative was implemented in 2 phases, starting in July 2014. Key facets of the initiative included a formalized exemption review process, incorporation into institutional quality goals, data feedback, and accountability to support compliance. Results: Both immunization and overall compliance rates with targeted immunizations increased significantly in the years after the implementation period. The influenza immunization rate increased from 80% the year prior to the initiative to >97% for the 3 subsequent influenza seasons (P < .0001). Mumps, measles and varicella vaccination compliance increased from 94% in January 2014 to >99% by January 2017, rubella vaccination compliance increased from 93% to 99.5%, and hepatitis B vaccination compliance from 95% to 99% (P < .0001 for all comparisons). An associated positive effect on TB testing compliance, which was not included in the mandatory program, was also noted; it increased from 76% to 92% over the same period (P < .0001). Conclusions: Thoughtful, step-wise implementation of a mandatory immunization program linked to professional accountability can be successful in increasing immunization rates as well as overall compliance with policy requirements to cover all recommended HCP immunizations.
Databáze:	MEDLINE
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