Table 3.
Major barriers to reporting HCP influenza vaccination using measure, overall and by facility type a
| All Facilities % (n) |
Acute Care Hospitals % (n) |
ASC % (n) |
Dialysis % (n) |
LTCF % (n) |
Physician Practice % (n) |
|
|---|---|---|---|---|---|---|
| Ability to determine vaccination status of other non-employees | 27.4 (64) | 29.5 (23) | 37.5 (6) | 25.6 (11) | 32.2 (19) | 13.2 (5) |
| Ability to determine vaccination status of credentialed non-employees | 23.5 (55) | 38.5 (30) | 31.3 (5) | 9.3 (4) | 25.4 (15) | 2.6 (1) |
| Determining vaccination status of HCP vaccinated outside the facility | 21.4 (50) | 29.5 (23) | 18.8 (3) | 7.0 (3) | 27.1 (16) | 13.2 (5) |
| Number of other non-employees working at facility | 20.9 (49) | 24.5 (23) | 12.5 (2) | 16.3 (7) | 23.7 (14) | 7.9 (3) |
| Time required to collect data on vaccination status of credentialed non-employees | 20.5 (48) | 37.2 (29) | 31.3 (5) | 14.0 (6) | 13.6 (8) | 0.0 |
| Time required to collect data on vaccination status of other non-employees | 20.1 (47) | 26.9 (21) | 37.5 (6) | 16.3 (7) | 18.6 (11) | 5.3 (2) |
| Number of credentialed non-employees working at facility | 13.7 (32) | 28.2 (22) | 12.5 (2) | 4.7 (2) | 10.2 (6) | 0.0 |
| Inadequate existing process or system in place to track HCP vaccination | 10.7 (25) | 9.0 (7) | 18.8 (3) | 4.7 (2) | 13.6 (8) | 13.2 (5) |
| Definitions of HCP groups did not match those used at facility | 7.7 (18) | 14.1 (11) | 6.3 (1) | 2.3 (1) | 1.7 (1) | 10.5 (4) |
| Time required to collect data on vaccination status of employees | 7.7 (18) | 10.3 (8) | 6.3 (1) | 4.7 (2) | 8.5 (5) | 5.3 (2) |
| Time required to enter data on vaccination status of HCP | 7.7 (18) | 11.5 (9) | 18.8 (3) | 2.3 (1) | 5.1 (3) | 5.3 (2) |
| Ability to determine vaccination status of employees | 7.3 (17) | 5.1 (4) | 6.3 (1) | 4.7 (2) | 11.9 (7) | 7.9 (3) |
| Distinguishing between medical & non-medical reasons for declination | 6.8 (16) | 10.3 (8) | 6.3 (1) | 4.7 (2) | 5.1 (3) | 5.3 (2) |
| Lack of time to prepare prior to reporting period | 6.8 (16) | 9.0 (7) | 6.3 (1) | 2.3 (1) | 8.5 (5) | 5.3 (2) |
| Privacy concerns reported by individual HCP | 5.1 (12) | 6.4 (5) | 6.3 (1) | 2.3 (1) | 5.1 (3) | 5.3 (2) |
ASC: Ambulatory Surgery Center; LTCF: Long-Term Care Facility; HCP: healthcare personnel. Facilities could report multiple barriers, so responses may sum to greater than 100%.
Items reported as “major barriers” (vs. “somewhat of a barrier” or “not a barrier at all”) to using the NQF measure for reporting HCP influenza vaccination by <5% of facilities overall were: lack of previous experience measuring HCP influenza vaccination, the number of employees working at the healthcare facility, lack of support from administration or leadership for using the measure, lack of support or assistance from other staff members in tracking vaccination, understanding the definitions for different types of HCP, privacy concerns reported by unions, and other.