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Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure. Centers for Disease Control and Prevention California Department of Public Health . Webinar training November 2010. BACKGROUND .

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healthcare personnel influenza vaccination reporting pilot test of national quality forum measure

Healthcare Personnel Influenza Vaccination Reporting: Pilot Test of National Quality Forum Measure

Centers for Disease

Control and Prevention

California Department

of Public Health

Webinar training

November 2010

background
BACKGROUND
  • Importance of influenza vaccination among healthcare personnel (HCP)
  • Time-limited endorsement of a reporting measure for HCP flu vaccination by the National Quality Forum (NQF)
  • Potential for future nationwide mandatory reporting using the NQF measure
purposes
PURPOSES
  • Evaluate the feasibility of the NQF measure for HCP influenza vaccination coverage in various healthcare settings
  • Identify barriers to implementing the NQF measure
participating institutions
Acute care hospitals

Long term care facilities

Ambulatory surgery centers

Dialysis centers

Physician practices (community health

centers, private offices)

PARTICIPATING INSTITUTIONS
data collection
DATA COLLECTION
  • Web-based survey

 HCP Vaccination data

 Facility information

 Vaccination program information

 Data sources for reporting

 Barriers to reporting

data reporting timeline
DATA REPORTING TIMELINE

2010-2011 VACCINATION DATA (~03/31/2011)

REPORTING 1

Nov-Dec 2010

(by 12/15/10)

REPORTING 2

January 2011

(by 2/15/11)

REPORTING 3

April 2011

(by 4/30/11)

denominator
DENOMINATOR

# of persons who worked at the institution

during the designated time period

  • Type of HCP

 Employees

 Non-employees, credentialed

 Non-employees, other

employees
Employees

All persons who receive a paycheck

from the healthcare institution,

whether or not they have direct patient care duties

non employees credentialed
Non-employees, credentialed

Licensed practitioners affiliated with the healthcare institution who do not receive a paycheck from the institution

non employees credentialed1
Non-employees, credentialed

Examples

- Physicians or other midlevel providers with clinical or admitting privileges at the healthcare institution

- Advanced practice (nurse practitioners, nurse midwives, physician assistants), technicians or therapists with professional credentialing by the institution

non employees other
Non-employees, other
  • Non-credentialed persons affiliated with the healthcare institution who do not receive a paycheck from the institution
  • Example:

Registry nurses, students, trainees, volunteers, resident physicians, fellows, non-clinical agency staff, contract laborers, technicians or therapists without periodic credentialing by the institution

denominator reporting period
DENOMINATOR: Reporting period
  • Reporting 1: October 1–October 31, 2010.
  • Reporting 2: October 1–December 31, 2010
  • Reporting 3: October 1, 2010–March 31, 2011

 Denominators in Reporting 2 & 3 should be greater than or equal to the denominator in Reporting 1.

 Persons who began work after October 31st should be added to the original number.

 Persons who discontinued work after October 1st should not be removed from the denominator.

four numerators
FOUR NUMERATORS
  • Received an influenza vaccination offered by the healthcare institution
  • Received an influenza vaccination elsewhere
  • Have a medical contraindication for the influenza vaccine
  • Declined to receive an influenza vaccine for non-medical reasons
declination data
Declination Data
  • Report documented data only.
  • If your institution does not keep track of declinations, leave this numerator blank and provide the information in the comment box.
numerators notes
NUMERATORS: NOTES
  • Include all personnel who have received an influenza vaccine since August 2010
  • Each numerator is mutually exclusive, so each HCP should be reported in only one reporting element
  • Make sure that the sum of four numerators does not exceed the denominator
questions please contact erica boston at erica boston@cdph ca gov 510 620 5865
Questions? Please contact Erica Boston at [email protected](510) 620-5865

Thank you

for your participation!

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