Me moria lCa re s Influe nza Prote c tion Prog ra m Me mo ria lCa - PowerPoint PPT Presentation

Me moria lCa re ’s Influe nza Prote c tion Prog ra m Me mo ria lCa re He a lth Syste m Dia ne Wynn, R.N., MSN E xe c utive Dire c to r, Clinic a l Risk a nd Pa tie nt Sa fe ty No ve mb e r 2011

Ag e nda • Brie f o ve rvie w o f Me mo ria lCa re He a lth Syste m • Wha t le a d us to de ve lo p this pro g ra m • Pro g ra m e le me nts • Me tric s

Me mo ria lCa re He a lth Syste m Me mo ria lCa re He a lth Syste m, a no t-fo r-pro fit inte g ra te d de live ry syste m b a se d in Ca lifo rnia , re c o g nize s the risk to pa tie nts, its o wn sta ff, a nd physic ia ns fro m ina dve rte nt spre a d o f H1N1 o r se a so na l flu b y unva c c ina te d he a lthc a re wo rke rs. Me mo ria lCa re b e lie ve s it is a n e thic a l impe ra tive to pro te c t a ll tho se fo r who m the y c a re fro m the flu.

Me mo ria lCa re He a lth Syste m L ong Be a c h Me moria l Mille r Childre n’s Hospita l Community Hospita l L ong Be a c h L ong Be a c h Sa ddle ba c k Me moria l Sa ddle ba c k Me moria l Ora ng e Coa st Me moria l L a g una Hills Sa n Cle me nte

Just the F a c ts T o ta l Asse ts $2,170,152,000 T o ta l Annua l Re ve nue $1,668,628,000 Pa tie nt Disc ha rg e s 67,974 Pa tie nt Da ys 327,897 E R Visits 9,505 Surg e rie s 40,252 E mplo ye e s 10,893 Me dic a l Sta ff 2,418

I nflue nza F a c ts • I nflue nza c a use s > 200,000 ho spita liza tio ns a nnua lly • Up to 49,000 de a ths fro m influe nza • Pe o ple with c hro nic me dic a l c o nditio ns, infa nts, yo ung c hildre n, pre g na nt wo me n a nd the e lde rly a re mo st a t risk fo r se rio us illne ss a nd de a th • Up to 50 pe rc e nt o f pe o ple with influe nza ha ve no sympto ms, ye t c a n still unkno wing ly " she d “ the virus a nd b e c o nta g io us whic h c o uld the re b y tra nsmit flu to o the rs • E vide nc e sho ws tha t the be st wa y to pre ve nt flu is by a dministra tion of flu va c c ine

Ba c kg ro und • An a typic a l H1N1 pa nde mic in 2009 pro vide d a n urg e nt ne e d to a c hie ve unive rsa l va c c ina tio n b o th g lo b a lly a nd a t Me mo ria lCa re • Spring 2009: Me mo ria lCa re e sta b lishe d a multi- disc iplina ry I nflue nza T a sk F o rc e with re pre se nta tio n fro m e a c h o f its ho spita ls inc luding pa tie nt sa fe ty, nursing , infe c tio n c o ntro l, huma n re so urc e s, e mplo ye e he a lth, a nd pha rma c y a nd la b o ra to ry pe rso nne l, a s we ll a s physic ia n a nd se nio r le a de rship fro m the he a lth syste m le ve l • T he te a m c o nve ne d we e kly to de ve lo p a ne w a ppro a c h a nd c o ntinue s to me e t in re spo nse to se a so na l ne e ds

Ba c kg ro und • Va c c ina tio n ra te s o f He a lth Ca re Pe rso nne l (HCPs) e stima te d in the lite ra ture a t b e lo w 65 pe rc e nt • Ce nte r fo r Dise a se Co ntro l (CDC), So c ie ty fo r He a lthCa re E pide mio lo g y (SHE A), Ame ric a n Ac a de my o f pe dia tric s, Ame ric a n Ho spita l Asso c ia tio n (AHA), ha ve ta ke n the po sitio n tha t ma nda to ry influe nza pro g ra ms a re a c or e patie nt and HCP safe ty pra c tic e

Pro g ra m E vo lutio n Me moria l Ca re ’s Ma nda tory Prote c tion Prog ra m 2009- 10: E mpha sis o n pa tie nt c a re sta ff re c e iving va c c ina tio ns a nd “ flo a ting da te ” fo r imple me nta tio n 2011- 12: Re q uire d fo r a ll sta ff, physic ia ns, vo lunte e rs, stude nts, ve ndo rs. Ac tiva tio n da te o f No ve mb e r 30, 2011a s the imple me nta tio n da te fo r e ithe r re c e iving the va c c ine o r we a ring a ma sk while a t wo rk E mplo ye e s, physic ia ns a nd vo lunte e rs who a re unva c c ina te d will b e re q uire d to we a r a ma sk while a t wo rk be twe e n De c e mbe r c h 30, 2012 1- Mar

K e y Pro g ra m E le me nts • Una nimo us po lic y e ndo rse me nt b y syste m-wide le a de rship te a ms, up to the Go ve rning Bo a rd. Co lla b o ra tive a ppro va l fro m the Me dic a l E xe c utive Co mmitte e a t e a c h ho spita l. – Be c a use Ca lifo rnia ho spita ls c a nno t e mplo y physic ia ns, this a ppro va l e na b le d the po lic y to a pply e q ua lly to physic ia ns. – Our Syste m Bo a rd me mb e rs we re a mo ng the first to re c e ive va c c ina tio ns • E a sy a c c e ss to c urre nt a nd upda te d influe nza info rma tio n – An I nflue nza Re so urc e Ce nte r wa s c re a te d o n the Me mo ria lCa re intra ne t to disse mina te the po lic y, pub lic he a lth a nd va c c ina tio n info rma tio n a nd he lpful tips – Sta ff we re tra ine d a nd a pub lic re la tio ns c a mpa ig n wa s a lso ro lle d o ut

K e y Pro g ra m E le me nts • De ve lo pme nt o f a sha ring pro g ra m fo r va c c ine supplie s a nd tie re d a dministra tio n prio ritie s fo r po te ntia l va c c ine sho rta g e s • A visua l c ue o f va c c ina tio n sta tus to ma ke it e a sy to se e who ha s a nd who ha s no t re c e ive d va c c ina tio n: 11-12 – E mplo ye e s, vo lunte e rs, stude nts, a nd physic ia ns g o t stic ke rs o n the ir na me b a dg e s whe n the y g o t the ir va c c ine s

K e y Pro g ra m E le me nts • Guide line s fo r pa ssive to a c tive visito r sc re e ning a nd re a l-time e duc a tio n • Disa ste r pre pa re dne ss pla ns a nd drills fo r e pide mic a nd ne a r-e pide mic pa tie nt influe nza le ve ls

Me tric s Afte r the 2009-10 flu se a so n whe n the po lic y b e g a n, Me mo ria lCa re no te d a de mo nstra b le inc re a se in the numb e r o f sta ff re c e iving va c c ina tio ns L o ng Be a c h Me mo ria l Me dic a l Ce nte r a nd Mille r Childre n’ s Ho spita l L o ng Be a c h ha d the hig he st c o mmunity ra te s o f flu a nd e xpo sure risk, a nd sa w sig nific a ntly inc re a se d va c c ina tion ra te s up from 62 pe rc e nt to 90 pe rc e nt

Me tric s

Me tric s Hig he r ra te s o f va c c ina tio n re sulte d in fe we r pa tie nt c a re pro vide rs/ sta ff g e tting sic k the mse lve s, whic h the n minimize d tre a tme nt c o sts ,inc luding pha rma c e utic a l c la ims re la te d to the tre a tme nt o f vira l infe c tio ns, se c o nda ry infe c tio ns, o r c o mplic a tio ns. From the 2008-09 flu season to the 2009-10 flu season, MemorialCare realized an 18 percent reduction in influenza- related pharmaceutical costs alone.

Me tric s E ve n with ne a r- pa nde mic le ve ls o f influe nza in 2009-10 in the L o ng Be a c h c o mmunity, Me mo ria lCa re wa s a b le to susta in its missio n a nd pro vide c a re to a ll tho se who ne e de d it witho ut lo ng wa its o r o ve rc ro wding .

Me tric s • T he b e ne fits to the ho spita l inc lude a susta ine d re duc tio n in e mplo ye e a b se nte e ism due to illne ss, a nd, a s a se lf-insure d o rg a niza tio n, the a vo ida nc e o f he a lth c a re c o sts re la te d to influe nza a nd its c o mplic a tio ns.

Pro te c ting a g a inst I nflue nza • Que stio ns?