Table 2.

Perceptions of interventions success and barriers to HCW influenza vaccination program identified from structured interviews.

Successful interventions	Less successful interventions	Barriers
Free vaccine Professional marketing Roving vaccine carts Multiple dates and times for vaccination (vaccine readily available and easy to access at worksite) Including influenza vaccination in the Best in Class Scorecard* Competition between BJC facilities to achieve higher vaccination rates Any support by leadership Senior leadership support Declination statements	Incentives, including prizes and cash Inconsistent follow up of non-compliant HCWs System level tokens and incentives Education	HCW fears HCW misconceptions about influenza vaccine efficacy, benefits and toxicity Lack of knowledge regarding influenza consequences Variety of shifts, part- time personnel Tracking compliance data Time required Convenience of vaccine administration site Lack of leadership support

Bold text shows perceptions mentioned by more than one interviewed participant.

^*Best in Class Scorecard is a BJC Healthcare quality scorecard that includes incentives for facilities that reach pre-established targets.