Katherine Martens, MD-Emergency ManagementChristine Stake-Emergency Medicine

Renee Petzel, PharmD-PharmacyJen Carlson-Environmental Health & Safety

Michael Koller, MD-Internal Medicine, Primary Care

Improvement in Healthcare WorkerImprovement in Healthcare Worker

Vaccination RateVaccination Rate

Multidisciplinary TeamMultidisciplinary Team

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

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

Background

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

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.

Other Emergency Response Plans Implemented

Emergency Mass Notification & Communication Plan

Code Triage, Internal:Hospital Incident Command System (HICS)

Code Grey – LockdownActive Shooter: in partnershipwith the Cook County Sheriff SWAT Team

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.)

2001-2002 2002-2003 2003-2004 2005-2006 2006-2007 2007-2008 2008-2009

% vaccinated 35% 37% 42% 51% 61% 61% 73%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Per

cen

tag

e

Influenza vaccination rate for FY 2009 increased to 73%,

an increase of 12%!

CDC goal > 60%

4,070shots

4,737shots

4,686shots

National averageHCW 42%

5,840 shots

Source of Vaccination: 2,241 HDVRT exercise2,496 Clinical Units 935 Occupational Health 168 Outside LUHS

Percentage of LUHS Employees, Medical Students and Volunteers Receiving an Influenza Vaccination

Lessons Learned

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

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

Analysis: SUCCESSFUL DEMONSTRATION OF

1. Emergency preparedness as a priority at LUHS.2. Cooperative multidisciplinary approach to

planning.3. Staff enthusiasm in participation system-wide.4. Administrative excellence applying principles of

HICS.5. Community cooperation

And…..6. Influenza vaccination rate

significantly increased!