title: Influenza vaccination as a condition of employment for a large regional health care system.
abstract: Aurora Health Care (Aurora) is a large integrated delivery system in eastern Wisconsin/northern Illinois that serves over 1.2 million patients per year and has over 30,000 employees. Aurora adopted a policy of annual influenza vaccination as a condition of employment for all employees during May 2011, to commence with the 2011-2012 influenza season. The percentage of employees vaccinated against influenza had been below 100%-the rate recommended by the Centers for Disease Control and Prevention. The intervention increased the percentage of employees vaccinated to 97.7% in the first year of implementation, compared to 71% in 2010 (P < 0.00001). No medical or economic reactions to this intervention were determined to be unmanageable. Aurora recommends that health systems that currently fail to achieve 90% employee influenza vaccination rates adopt a similar process.
authors.affiliation: Office of Patient Experience and Care Management, Aurora Health Care, Elm Grove, WI 53122, USA. david.r.smith.md@aurora.org
authors.forename: David R
authors.initials: DR
authors.lastname: Smith
authors.forename: Bruce
authors.initials: B
authors.lastname: Van Cleave
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D017589:Immunization Programs; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D016134:Organizational Policy; D014922:Wisconsin / Q000453:epidemiology
chemical_list: D007252:Influenza Vaccines