title: Evaluating a standardized measure of healthcare personnel influenza vaccination.
abstract: BACKGROUND
  Methods of measuring influenza vaccination of healthcare personnel (HCP) vary substantially, as do the groups of HCP that are included in any given set of measurements. Thus, comparison of vaccination rates across healthcare facilities is difficult.
  
  
  OBJECTIVE
  The goal of the study was to determine the feasibility of implementing a standardized measure for reporting HCP influenza vaccination data in various types of healthcare facilities.
  
  
  METHODS
  A total of 318 facilities recruited in four U.S. jurisdictions agreed to participate in the evaluation, including hospitals, long-term care facilities, dialysis clinics, ambulatory surgery centers, and physician practices. HCP in participating facilities were categorized as employees, credentialed non-employees, or other non-employees using standard definitions. Data were gathered using cross-sectional web-based surveys completed at three intervals between October 2010 and May 2011; data were analyzed in February 2012.
  
  
  RESULTS
  234 facilities (74%) completed all three surveys. Most facilities could report on-site employee vaccination; almost one third could not provide complete data on HCP vaccinated outside the facility, contraindications, or declinations, primarily due to missing non-employee data. Inability to determine vaccination status of credentialed and other non-employees was cited as a major barrier to measure implementation by 24% and 27% of respondents, respectively.
  
  
  CONCLUSIONS
  Using the measure to report employee vaccination status was feasible for most facilities; tracking non-employee HCP was more challenging. Based on evaluation findings, the measure was revised to limit the types of non-employees included. Although the revised measure is less comprehensive, it is more likely to produce valid vaccination coverage estimates. Use of this standardized measure can inform quality improvement efforts and facilitate comparison of HCP influenza vaccination among facilities.
authors: National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia 30333, USA. MLindley@cdc.gov
authors: Megan C
authors: MC
authors: Lindley
authors: Suchita A
authors: SA
authors: Lorick
authors: Anita
authors: A
authors: Geevarughese
authors: Soo-Jeong
authors: SJ
authors: Lee
authors: Monear
authors: M
authors: Makvandi
authors: Brady L
authors: BL
authors: Miller
authors: David A
authors: DA
authors: Nace
authors: Carmela
authors: C
authors: Smith
authors: Faruque
authors: F
authors: Ahmed
mesh_terms: D003430:Cross-Sectional Studies; D003625:Data Collection / Q000379:methods; D005240:Feasibility Studies; D006268:Health Facilities / Q000706:statistics & numerical data; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D020407:Internet; D010865:Pilot Projects; D014481:United States; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
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