Carrots and sticks: achieving high healthcare personnel influenza vaccination rates without a mandate
| Autor: | Tabe Mase, Kathleen Wroten, Mary Smedley, Marci Drees, J. Sanford Schwartz |
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| Rok vydání: | 2015 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Quality management Epidemiology Attitude of Health Personnel Health Personnel Financial incentives Health care Influenza Human medicine Humans Peer pressure Vaccination rate Academic Medical Centers business.industry Immunization Programs Vaccination Quality Improvement Organizational Policy United States Infectious Diseases Family medicine Models Organizational Mandate Guideline Adherence business Delivery of Health Care Healthcare system |
| Zdroj: | Infection control and hospital epidemiology. 36(6) |
| ISSN: | 1559-6834 0899-823X |
| Popis: | OBJECTIVEAchieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve >90% employee influenza vaccination without a mandate.DESIGNProspective quality improvement initiativeSETTING AND PARTICIPANTSAll employees of a 2-hospital, 1,100-bed, community-based academic healthcare system.METHODSThe multimodal HCP vaccination campaign consisted of a mandatory declination policy, mask-wearing for non-vaccinated HCP, highly visible “I’m vaccinated” hanging badges, improved vaccination tracking, weekly compliance reports to managers and vice presidents, disciplinary measures for noncompliant HCP, vaccination stations at facility entrances, and inclusion of a target employee vaccination rate (>75%) metric in the annual employee bonus program. The campaign was implemented in the 2011–2012 influenza season and continued throughout the 2012–2013 through 2014–2015 influenza seasons. Employee compliance, vaccination, exemption and declination rates were calculated and compared with those of the seasons prior to the intervention.RESULTSCompared with vaccination rates of 57%–72% in the 3 years preceding the intervention, employee influenza vaccination increased to 92% in year 1 and 93% in years 2–4 (PPP=.001).CONCLUSIONSAn integrated multimodal approach incorporating peer pressure, accountability, and financial incentives was associated with increased employee vaccination rate from ≤72% to ≥92%, which has been sustained for 4 influenza seasons. Such programs may provide a model for behavioral change within healthcare organizations.Infect Control Hosp Epidemiol2015;00(0): 1–8 |
| Databáze: | OpenAIRE |
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