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Infect Control Hosp Epidemiol . Expanding mandatory healthcare personnel immunization beyond influenza: Impact of a broad immunization program with enhanced accountability

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  • Infect Control Hosp Epidemiol . Expanding mandatory healthcare personnel immunization beyond influenza: Impact of a broad immunization program with enhanced accountability


    Infect Control Hosp Epidemiol


    . 2020 Nov 10;1-6.
    doi: 10.1017/ice.2020.1266. Online ahead of print.
    Expanding mandatory healthcare personnel immunization beyond influenza: Impact of a broad immunization program with enhanced accountability


    Thomas R Talbot 1 2 , Ruth Schimmel 2 , Melanie D Swift 1 3 , Lori A Rolando 1 3 , Rochelle T Johnson 4 , Jannis Muscato 4 , Paul Sternberg 5 6 , Marilyn Dubree 6 , Paula W McGown 3 7 , Mary I Yarbrough 1 3 7 , Gerald B Hickson 8 2 9



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    Abstract

    Objective: Evaluation of a mandatory immunization program to increase and sustain high immunization coverage for healthcare personnel (HCP).
    Design: Descriptive study with before-and-after analysis.
    Setting: Tertiary-care academic medical center.
    Participants: Medical center HCP.
    Methods: A comprehensive mandatory immunization initiative was implemented in 2 phases, starting in July 2014. Key facets of the initiative included a formalized exemption review process, incorporation into institutional quality goals, data feedback, and accountability to support compliance.
    Results: Both immunization and overall compliance rates with targeted immunizations increased significantly in the years after the implementation period. The influenza immunization rate increased from 80% the year prior to the initiative to >97% for the 3 subsequent influenza seasons (P < .0001). Mumps, measles and varicella vaccination compliance increased from 94% in January 2014 to >99% by January 2017, rubella vaccination compliance increased from 93% to 99.5%, and hepatitis B vaccination compliance from 95% to 99% (P < .0001 for all comparisons). An associated positive effect on TB testing compliance, which was not included in the mandatory program, was also noted; it increased from 76% to 92% over the same period (P < .0001).
    Conclusions: Thoughtful, step-wise implementation of a mandatory immunization program linked to professional accountability can be successful in increasing immunization rates as well as overall compliance with policy requirements to cover all recommended HCP immunizations.


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