{"id":6626,"date":"2015-06-01T00:00:00","date_gmt":"2015-06-01T00:00:00","guid":{"rendered":"http:\/\/news.christianacare.org\/?p=6626"},"modified":"2021-12-13T21:14:58","modified_gmt":"2021-12-13T21:14:58","slug":"carrots-and-sticks-achieving-high-healthcare-personnel-influenza-vaccination-rates-without-a-mandate","status":"publish","type":"post","link":"https:\/\/research.christianacare.org\/publications\/2015\/06\/01\/carrots-and-sticks-achieving-high-healthcare-personnel-influenza-vaccination-rates-without-a-mandate\/","title":{"rendered":"Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate"},"content":{"rendered":"<p>Drees M, Wroten K, Smedley M, Mase T, Schwartz JS<\/p>\n<p>Infect Control Hosp Epidemiol 2015 Jun;36(6):717-24<\/p>\n<p>PMID: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25721404\" target=\"_blank\" rel=\"noopener\">25721404<\/a><\/p>\n<h2>Abstract<\/h2>\n<p><p>OBJECTIVE Achieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve &gt;90% employee influenza vaccination without a mandate. DESIGN Prospective quality improvement initiative SETTING AND PARTICIPANTS All employees of a 2-hospital, 1,100-bed, community-based academic healthcare system. METHODS The multimodal HCP vaccination campaign consisted of a mandatory declination policy, mask-wearing for non-vaccinated HCP, highly visible &#8220;I&#8217;m vaccinated&#8221; 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 (&gt;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. RESULTS Compared 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 (P&lt;.001). The proportion of employees declaring medical\/religious exemptions or declining vaccination decreased during the 4 years of the program (respectively, 1.2% to 0.5%, P&lt;.001; 4.4% to 3.8%, P=.001). CONCLUSIONS An integrated multimodal approach incorporating peer pressure, accountability, and financial incentives was associated with increased employee vaccination rate from \u226472% to \u226592%, which has been sustained for 4 influenza seasons. Such programs may provide a model for behavioral change within healthcare organizations. Infect Control Hosp Epidemiol 2015;00(0): 1-8.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Drees M, Wroten K, Smedley M, Mase T, Schwartz JS Infect Control Hosp Epidemiol 2015 Jun;36(6):717-24 PMID: 25721404 Abstract OBJECTIVE Achieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve &gt;90% employee influenza vaccination without a mandate. DESIGN Prospective quality improvement<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/research.christianacare.org\/publications\/2015\/06\/01\/carrots-and-sticks-achieving-high-healthcare-personnel-influenza-vaccination-rates-without-a-mandate\/\">Continue reading <span class=\"screen-reader-text\">Carrots and Sticks: Achieving High Healthcare Personnel Influenza Vaccination Rates without a Mandate<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41,15,1],"tags":[20,21,22],"class_list":["post-6626","post","type-post","status-publish","format-standard","hentry","category-ireach","category-medicine","category-pubs-pres","tag-hospital-safety","tag-infection-prevention","tag-influenza"],"acf":[],"_links":{"self":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/6626","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/comments?post=6626"}],"version-history":[{"count":0,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/6626\/revisions"}],"wp:attachment":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/media?parent=6626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/categories?post=6626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/tags?post=6626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}