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Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-

Improvement in Healthcare Worker Vaccination Rate Multidisciplinary Team. Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-Environmental Health & Safety Michael Koller, MD-Internal Medicine, Primary Care.

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Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-

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  1. Improvement in Healthcare Worker Vaccination Rate Multidisciplinary Team Katherine Martens, MD-Emergency Management Christine Stake-Emergency Medicine Renee Petzel, PharmD-Pharmacy Jen Carlson-Environmental Health & Safety Michael Koller, MD-Internal Medicine, Primary Care

  2. Multidisciplinary Team Administration Ambulatory Care Health Sciences Infection Control Marketing & Media Materials Nursing Occupational Medicine A Mostofi; S Flores C White; C Lenz Judith Blacklidge J Parada; A Tomich Anne Dillon Brian Hardy Carol Schlefendorf Tina Sisko

  3. Background • Vaccination of healthcare workers (HCWs) has been shown to be a safety factor by reducing influenza infection in patients. MMWR, 1992, (18) 129-31 • The CDC recommends HCWs be vaccinated for influenza annually; however, the national average for FY 2006 was only 42 percent. MMWR August 8, 2008, Vol 57, No. RR-7 • The vaccination rate at LUHS reached 61% in FY 2008. The Joint Commission Accreditation Program: Hospital Emergency Management, 2008, p 17

  4. Goals To conduct a system-wide emergency response exercise with activation of the Hospital Dispensing and Vaccination Response Team (HDVRT) to: • increase the HCW influenza vaccination rate • test and improve the plan • attain a participation rate of 95% for all HCWs and students over the 24 hour period

  5. Compliance Objectivesof the HDVRT Exercise • To fulfill Joint Commission accreditation requirement for emergency response exercise in hospital, ambulatory buildings and satellite facilities. • Thus, the entire main campus and 15 off-site locations were included in the drill. • To fulfill the Department of Homeland Security grant deliverable to test HDVRT annually.

  6. Other Emergency Response Plans Implemented • Emergency Mass Notification & Communication Plan • Code Triage, Internal: Hospital Incident Command System (HICS) • Code Grey – Lockdown Active Shooter: in partnership with the Cook County Sheriff SWAT Team

  7. Results • Exercise conducted for 24 hours • Participation exceeded 95% threshold of estimated 5000 total • 5,126 staff members participated • 2,420 vaccinations administered • 869 were previously vaccinated • 1,837 declined vaccination (Staff were permitted to return to work if time to participate exceeded 15 minutes.)

  8. Source of Vaccination: 2,241 HDVRT exercise 2,496 Clinical Units 935 Occupational Health 168 Outside LUHS Percentage of LUHS Employees, Medical Students and Volunteers Receiving an Influenza Vaccination

  9. Lessons Learned • Bridge communication gaps and develop a staff education program emphasizing emergency communication processes: • Simplex overhead of emergency code • Computer pop up messages • Text messaging • Groupwise email • Loyola.wired website • Loyola Link flatscreens • Patient information posters

  10. Lessons Learned • Need to coordinate establishment of vaccination stations with delivery of supplies. • Establish labor pools in Code Triage incidents: • Physicians • Nurses • Ancillary staff • Nonmedical staff • Volunteers • Command Center operational capacity needs development

  11. Emergency preparedness as a priority at LUHS. Cooperative multidisciplinary approach to planning. Staff enthusiasm in participation system-wide. Administrative excellence applying principles of HICS. Community cooperation And….. 6. Influenza vaccination rate significantly increased! Analysis:SUCCESSFUL DEMONSTRATION OF

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