Influenza Immunization of Health Care Workers 1 st Year Results

Influenza Immunization of Health Care Workers

1st Year Results

Joni Reynolds, RN/CNS, MSNHealth Programs Director

Colorado Department of Public Health and Environment

Summary of the Rule

• Applies to ALL healthcare facilities licensed by CDPHE• Report seasonal influenza vaccination of employees by March 31st of each year

Year Dates Target Vaccination %

Year 1 October 1, 2012 to December 1, 2012 60%

Year 2 October 1, 2013 to December 1, 2013 75%

Year 3 and after October 1, 2014 to December 1, 2014, and ever year thereafter

90%

Summary of the Rule• All facilities that meet the target rate are exempt from

many parts of the rule (10.7 – 10.12) for the following year.

• If Hospital, Hospital Unit, or ASC does not meet the target rate, then they are required to implement an influenza vaccination policy that includes medical exemptions and masking requirement.

• All other facilities that do not meet target rate required to perform an assessment and develop updated policy.

• Medically exempt employees do not count towards the target vaccination rate.

Results for Year 1 • 2,020 licensed and active facilities• 1,449 facilities or 72% reported by the extended May 17th deadline

• Out of those who responded…

• 78.4% of responding facilities were in compliance with the BOH rule in year 1• Nearly half of responding facilities met or are very close to the final target of 90%.

Target % of ALL Facilities

Year 1 (60-74%) 11%Year 2 (75-89%) 14.7 %Year 3 (>90%) 30.5%

TOTAL 56.2%

Target % of Responding Facilities

Year 1 (60-74%) 15.4%

Year 2 (75-89%) 20.5 %

Year 3 (>90%) 42.5%

TOTAL 78.4%

Healthcare Workers Employees Licensed Practitioners Students and Trainees0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

65.0%72.0%

42.0% 45.0%

23.0%16.0%

48.0%50.0%

6.0% 8.0% 2.0%

1.0%5.0% 5.0% 8.0% 5.0%

Summary Results For All Reporting Facilities**n= 1449/2020

Vaccinated "in house" Vaccinated "off site" Not VaccinatedMedical Contraindication *All < 1% Uknown Status

30.5%

14.7%

11.0%

15.5%

28.3%

% Facilities by Employee Vaccination Compliance N= 2020

≥ 90% Employee Vaccination 75-89.9% Employee Vaccination 60-74.9% Employee Vaccination<60% Employee Vaccination Non Responders

56.2% of facili-ties required to report werecompliant

ARAPAHOEDENVER

JEFFERSONEL PASO

ADAMS

BOULDERLARIM

ER

PUEBLO

MESA

WELD

DOUGLASFREM

ONTM

ONTROSEGARFIELDLOGAN

MONTEZUM

AOTERO

ALAMOSA

MORGAN

DELTA

LAS ANIMAS

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

72

62 65 55 4128

49

33 34

13

28

10 8

4

8

9

2

13

4

2

38

44 26 26 17

20

13

10

24

9

5

36

2

3

3

5

1

2

3

3

45

20

2122 14

9

17

9

9

11

4

4

3

5

1

1

5

1

33

71

30

3025

2424

14

13

8

12

6

4

6

9 2

4

3

2

1

3

5

10659

65 5231 29

16

33

21

22 1912

6

8

9

3

5

1

8

4

7

Reporting Facilities by County and Employee Vaccination

# of Reporters with >=90% Employees Vaccinated # of Reporters with 75-89.9% Employees Vaccinated # of Reporters with 60-74.9% Employees Vaccinated

# of Reporters with <60% Employees Vaccinated # Non Responders

% o

f Rep

orti

ng F

acili

ties

PROWERS

LA PLATAEAGLEKIT CARSONCHAFFEESUM

MIT

MOFFAT

ROUTTYUM

ALINCOLNRIO GRANDEBACAHUERFANOGRANDGUNNISONBENTARCHULETARIO BLANCOSEDGW

ICKELBERTPHILLIPSTELLERCONEJOSKIOW

ABROOM

FIELDCROW

LEYCUSTERPITKINCHEYENNELAKESAN M

IGUELCOSTILLASAGUACHEW

ASHINGTON

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

3

7

44

6

4

6

3 3

5

4

3

2

1

2

1

2

4

2

1

2

3

1

1 1

1

2

1

6

3

1

1

1

1

1

1

2

2

3

2

1

1

1

1 1

2

1

1

1

1

3

1

1

1

1 1

2

1

1

1

4

2

2

1

2

2

1

1

1

7

3

5

3

2

3

5

1 1

2 2

3

1

2

1

2

3

2 2 2

1 1 1

Reporting Facilities by County and Employee Vaccination



% o

f Rep

orti

ng F

acili

ties

Acute Tre

atmen

t Units

Ambulatory

Surgi

cal Cen

ters

Assiste

d Living R

esiden

ces

Birth Cen

ters

Comm. Men

tal Heal

th Center

s

Community Clin

ics

Convalesc

ent C

enter

s

Renal D

isease

Center

s

Home Hea

lth Agen

cies

Hospices

Hospitals

Intellec

tually D

isabled

Care Fa

cilities

Nursing H

omes

Residen

tial Trea

tmen

t Faci

lities

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2

3

61

5

2

1

5

82

8

4 120

29

3

18

182

9

44

4

13

171

38

23 430

32

62

155

35

3

38

84

24

60

15

109

58

24

76

1

2

4

8

67

14

21 56

24

6

97

23

7

160 2

1

1

34

Employee Vaccination by Facility Type

# Reporters with >=90% Employees Vaccinated # Reporters with 75-89.9% Employees Vaccinated # Reporters with 60-74.9% Employees Vaccinated

# Reporters with <60% Employees Vaccinated # Non Responders

Tri-County

Denve

r

Jeffers

onEl P

aso

Boulder

Larim

er

Pueblo

Mesa Weld

Northea

st Colorad

o

Fremont

Montrose

Garfield

Las Anim

as-Huerf

ano

Montezuma

Otero

San Ju

an Basi

n

Alamosa

Northwest

Colorado

Delta

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

141 62 65 5528

49

33 34

13

2010 8

4 3

9

2

8

13

10

2

60

44 26 2620

13

10

24

9

7

36

2

4

3

5

4

1

2

3

63

20

2122

9

17

9

9

11

5

4

3

5

1

5

2

1

4

3

100

3031

25 24

14

13

8

12 4 4

6

9

7

4

3

4

2

3

157 5964 52 29

16

33

21

2222 12

68

8

3

5

1 1

4

Facilities Reporting by Local Public Health Agency and Employee Vaccination



Prowers Eag

le

Kit Cars

on

Chaffee

Summit

Lincoln

Baca Bent

Grand

Gunnison

Rio Grande

Rio Blanco

Elbert

Teller

Broomfield

Conejos

Crowley

Custer

Kiowa

Cheyenne

Lake

Pitkin

San M

iguel

Costilla

Saguach

e0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

3

44

6

3

4

2 2

1

5

2

2

1

1

2

3

1 12

6

3

1

2

2

1

2

1

1

1 1

2

1

1

1

1 1

2

1

11

2

2

1

2

1

1

7

3

5

32

5

1

3

2 22

1

3

2 2 2

1 1 1

Facilities Reporting by Local Public Health Agency and Employee Vaccination

# of Reporters with >=90% Employees Vaccinated # of Reporters with 75-89.9% Employees Vaccinated # of Reporters with 60-74.9% Employees Vaccinated# of Reporters with <60% Employees Vaccinated # Non Responders

ARAPAHOE

JEFFER

SON

DENVER

EL PASO

PUEBLO

ADAMS

BOULDER

WELDMESA

DOUGLAS

LARIM

ER

FREM

ONT

LOGAN

GARFIELD

MORGAN

LAS A

NIMAS

PROWERS

MONTROSE

OTERO

KIT CARSO

N

LINCOLN

DELTA

MONTEZU

MAEA

GLE

CHAFFEEBEN

TYU

MATEL

LER

PHILLIPS

SUMMIT

GRAND

GUNNISON

RIO BLA

NCO

BROOMFIELD

CROWLEY

CUSTER

ALAMOSA

HUERFA

NOBACA

LAKE

ARCHULETAELB

ERT

CHEYENNE

SAN M

IGUEL

LA PLA

TA

SAGUACHE

0

20

40

60

80

100

120

140

160

180

200

# of Non Compliant Facilities by County

Non Responders # of Reporters with <60% Employees Vaccinated

Results for Year 1 • 2,020 licensed and active facilities • 1,449 facilities or 72% reported by the extended May 17th deadline

• Out of those who responded…

• 78.4% of responding facilities were in compliance with the BOH rule in year 1• Nearly half of responding facilities met or are very close to the final target of 90%.

Target % of ALL Facilities

Year 1 (60-74%) 11%Year 2 (75-89%) 14.7 %Year 3 (>90%) 30.5%

TOTAL 56.2%

Target % of Responding Facilities

Year 1 (60-74%) 15.4%

Year 2 (75-89%) 20.5 %

Year 3 (>90%) 42.5%

TOTAL 78.4%

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Influenza Immunization of Health Care Workers 1 st Year Results

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