- Organizational Factors Associated with Successful Campaign to Increase Influenza Vaccination among VA Healthcare Providers
VA’s Office of Public Health commissioned a study to characterize organizational factors and practices associated with vaccination campaign success among health care providers (HCPs) in the VA healthcare system. Findings showed that successful HCP flu campaigns shared several recognizable characteristics, many of which are amenable to adoption or emulation by programs hoping to improve their vaccination rates. Three factors distinguished sites with high flu vaccination rates from those with low rates: 1) High levels of executive leadership involvement that demonstrated visible support, fostered new ideas, facilitated resources, and empowered flu team members; 2) Positive flu team characteristics, including: high levels of collaboration, sense of campaign ownership, sense of empowerment to meet challenges, and adequate time and staffing dedicated to the campaign; and 3) Several concrete strong practices, such as: advance planning, easy access to the vaccine, ability to track employee vaccination status, use of innovative methods to educate staff, and use of audit and feedback to promote targeted efforts to reach unvaccinated employees.
Date: July 4, 2016
- Comparing High-Dose Influenza Vaccine to Standard-Dose Vaccine among Elderly Veterans
This study assessed the relative effectiveness of high-dose (HD) influenza vaccination compared to standard-dose (SD) vaccination among Veterans 65 years and older who received either HD or SD vaccine during the 2010-2011 flu season. Findings showed that high-dose influenza vaccine was not more effective than standard-dose vaccine in protecting against hospitalization for influenza or pneumonia in Veterans = 65 years of age; however, subgroup analysis found that it was more effective in Veterans =85 years of age. The rate of hospitalization for influenza or pneumonia was 0.3% for Veterans in both the HD and SD groups during the influenza season. There were no significant differences in all-cause hospitalization and mortality between Veterans in the HD and SD groups.
Date: March 31, 2015
- VA Communication and Information Sharing During H1N1 Influenza Pandemic
This study assessed information sources and communication provided to VA facility infection control departments, and how these departments disseminated information to facility staff during the 2009 H1N1 influenza pandemic. Communication was facilitated when information was timely, organized, disseminated through multiple channels, and included educational materials.
Barriers to effective communication included feeling overwhelmed by the amount of information received, encountering contradictory information, and restrictions on information dissemination due to uncertainty and inconsistent information. Participants offered recommendations for future pandemics, including the need for: standardized educational content, clearer guidance from national organizations, and pre-defined communication plans for hospital staff. The authors suggest that these findings can be used in planning for future pandemics and other emergent situations.
Date: June 23, 2012