Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure

1. 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 November 2010

2. BACKGROUND • Importance of influenza vaccination among healthcare personnel (HCP) • Time-limited endorsement of a reporting measure for HCP flu vaccination by the National Quality Forum (NQF) • Potential for future nationwide mandatory reporting using the NQF measure

3. PURPOSES • Evaluate the feasibility of the NQF measure for HCP influenza vaccination coverage in various healthcare settings • Identify barriers to implementing the NQF measure

4. Acute care hospitals Long term care facilities Ambulatory surgery centers Dialysis centers Physician practices (community health centers, private offices) PARTICIPATING INSTITUTIONS

5. DATA COLLECTION • Web-based survey  HCP Vaccination data  Facility information  Vaccination program information  Data sources for reporting  Barriers to reporting

6. DATA REPORTING TIMELINE 2010-2011 VACCINATION DATA (~03/31/2011) REPORTING 1 Nov-Dec 2010 (by 12/15/10) REPORTING 2 January 2011 (by 2/15/11) REPORTING 3 April 2011 (by 4/30/11)

7. REPORTING FORM

8. DENOMINATOR # of persons who worked at the institution during the designated time period • Type of HCP  Employees  Non-employees, credentialed  Non-employees, other

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

10. Non-employees, credentialed Licensed practitioners affiliated with the healthcare institution who do not receive a paycheck from the institution

11. Non-employees, credentialed Examples - Physicians or other midlevel providers with clinical or admitting privileges at the healthcare institution - Advanced practice (nurse practitioners, nurse midwives, physician assistants), technicians or therapists with professional credentialing by the institution

12. Non-employees, other • Non-credentialed persons affiliated with the healthcare institution who do not receive a paycheck from the institution • Example: Registry nurses, students, trainees, volunteers, resident physicians, fellows, non-clinical agency staff, contract laborers, technicians or therapists without periodic credentialing by the institution

13. DENOMINATOR: Reporting period • Reporting 1: October 1–October 31, 2010. • Reporting 2: October 1–December 31, 2010 • Reporting 3: October 1, 2010–March 31, 2011  Denominators in Reporting 2 & 3 should be greater than or equal to the denominator in Reporting 1.  Persons who began work after October 31st should be added to the original number.  Persons who discontinued work after October 1st should not be removed from the denominator.

14. FOUR NUMERATORS • Received an influenza vaccination offered by the healthcare institution • Received an influenza vaccination elsewhere • Have a medical contraindication for the influenza vaccine • Declined to receive an influenza vaccine for non-medical reasons

15. Declination Data • 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.

16. NUMERATORS: NOTES • Include all personnel who have received an influenza vaccine since August 2010 • 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

17. Questions? Please contact Erica Boston at erica.boston@cdph.ca.gov(510) 620-5865 Thank you for your participation!