Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure Centers for Disease Control and Prevention California Department of Public Health Webinar training January 11, 2011 Please mute your phone Please sign on the chat box & provide your institution name

Project Participants (enrollments) Facility TypeAll 4 statesCalifornia Acute Care Hospitals9240 Long-term Care Facilities8852 Dialysis centers4937 ASC2921 Physician practices5417 Other5 Total317167

DATA REPORTING TIMELINE VACCINATION DATA (~03/31/2011) REPORTING 1 Nov-Dec 2010 REPORTING 2 January 2011 (1/18~2/18)* REPORTING 3 April 2011 (4/1~4/30) * Revised from the original timeline

DATA COLLECTION Web-based survey  Influenza vaccination data (Reporting 1,2,3)  Facility information (Reporting 1)  Vaccination program (Reporting 2)  Data sources for reporting (Reporting 2)  Barriers to reporting (Reporting 2,3)

VACCINATION DATA REPORTING FORM Worked at this healthcare industry at least one day Between October1, 2010 and December 31, 2010

DENOMINATOR Total number of persons who worked at the institution at least one day between  Persons who began work after October 31st should be added to the original number.  Persons who discontinued work after October 1 st should not be removed from the denominator. Reporting 1: October 1–October 31, Reporting 2: October 1–December 31, 2010 Reporting 3: October 1, 2010–March 31, 2011

DENOMINATOR: Employees All persons who receive a paycheck from the healthcare institution, whether or not they have direct patient care duties

DENOMINATOR: Non-employees Persons affiliated with the healthcare institution who do not receive a paycheck from the institution  Non-employees, credentialed  Non-employees, other

Non-employees, credentialed Licensed practitioners or technicians required to undergo periodic credentialing or re-certification to provide care or services at the institution Examples Physicians, advanced practitioners (nurse practitioners, nurse midwives, physician assistants), technicians or therapists credentialed by the institution

Non-employees, other All other non-credentialed non-employees  For licensed personnel, unless they go through an annual/periodic credentialing process to provide services at a given institution, they are considered “other non-employees”  Examples: Contract workers, registry nurses, technicians or therapists without periodic credentialing by the institution, resident physicians, fellows, students, trainees, volunteers, non-clinical agency staff

NUMERATORS Vaccination data since August Numerators

NUMERATOR #1 Total number of HCP that received an influenza vaccination offered by the healthcare institution as of the reporting date

NUMERATOR #2 Total number of HCP that received an influenza vaccination elsewhere as of the reporting date

NUMERATOR #3 Total number of HCP determined to have a medical contraindication for the influenza vaccine

NUMERATOR #4 Total number of HCP that were offered an influenza vaccination but declined for non-medical reasons - Report documented data only - If your institution does not keep track of declinations, leave this numerator blank and provide the information in the comment box.

NUMERATORS: NOTES Each numerator is mutually exclusive, so each HCP should be reported in only one reporting element Make sure that the sum of four numerators does not exceed the denominator

Flu Vaccination Campaign Activities & Reporting Burden (16 questions) First date of influenza vaccination offered to healthcare personnel at your institution Whether your institution currently continues to offer vaccination & last date of vaccination campaign How your institution collects information on medical contraindication, receipt of vaccination outside your institution, and declinations Policy on influenza vaccination of healthcare workers Burden of reporting the data (e.g., numbers of staff and hours required to collect the data, difficulties in completing the survey form)

Checklist of Vaccination Data Sources

Thank you for your participation! Questions? Please contact Erica Boston at (510)