title: Design and implementation of a combined influenza immunization and tuberculosis screening campaign with simulation modelling.
abstract: OBJECTIVE
  Design and implement a concurrent campaign of influenza immunization and tuberculosis (TB) screening for health care workers (HCWs) that can reduce the number of clinic visits for each HCW.
  
  
  METHODS
  A discrete-event simulation model was developed to support issues of resource allocation decisions in planning and operations phases.
  
  
  RESULTS
  The campaign was compressed to100 days in 2010 and further compressed to 75 days in 2012 and 2013. With more than 5000 HCW arrivals in 2011, 2012 and 2013, the 14-day goal of TB results was achieved for each year and reduced to about 4 days in 2012 and 2013.
  
  
  CONCLUSIONS
  Implementing a concurrent campaign allows less number of visiting clinics and the compressing of campaign length allows earlier immunization. The support of simulation modelling can provide useful evaluations of different configurations.
authors.affiliation: Department of Industrial and Systems Engineering, University of Washington, Seattle, WA, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Heim
authors.affiliation: Department of Industrial and Systems Engineering, University of Washington, Seattle, WA, USA.
authors.forename: Hao
authors.initials: H
authors.lastname: Huang
authors.affiliation: Department of Industrial and Systems Engineering, University of Washington, Seattle, WA, USA.
authors.forename: Zelda B
authors.initials: ZB
authors.lastname: Zabinsky
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.|Department of Lab Medicine, University of Washington, Seattle, WA, USA.
authors.forename: Jane
authors.initials: J
authors.lastname: Dickerson
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Wellner
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.|Department of Lab Medicine, University of Washington, Seattle, WA, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Astion
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Doris
authors.initials: D
authors.lastname: Cruz
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Vincent
authors.affiliation: Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Rhona
authors.initials: R
authors.lastname: Jack
mesh_terms: D003198:Computer Simulation; D003657:Decision Making; D006302:Health Services Research; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008403:Mass Screening / Q000379:methods*; D016730:Program Development; D058996:Quality Improvement; D014376:Tuberculosis / Q000517:prevention & control*; D014861:Washington
chemical_list: D007252:Influenza Vaccines
keywords: clinical guidelines; health care; health services research