Improving Influenza Vaccination Rates in Critical Access Hospitals 10/26/2016

Transcription

1 Improving Influenza Vaccination Rates in Critical Access Hospitals 10/26/2016

2 Objectives Provide an overview of OP 27 Influenza Vaccination Among Healthcare Personnel (HCP) and IMM 2 Immunization for influenza for CAH inpatient stays Review and describe reporting requirements on both measures 2

3 OP 27 Influenza Vaccination Among Healthcare Personnel MBQIP Domain Description Reporting Process Data Sources Importance Patient Safety Percentage of healthcare workers given influenza vaccination NHSN website Hospital Compare, MBQIP Data Reports, FMT Reports 1 in 5 people in the US get influenza each season. Combined with pneumonia, influenza is the 8 th leading cause of death, with two-thirds of those attributable to patients hospitalized during the flu season 3

4 National Healthcare Safety Network (NHSN) Located on the CDC site Download the Healthcare Personnel Safety Component Manual There are two modules Healthcare Personnel Exposure Module Healthcare Personnel Vaccination Module 4

5 HCP Influenza Vaccination Summary Monthly Reporting Plan - required Influenza Vaccination Summary - required Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel - optional 5

6 6

7 7

8 IMM 2 Immunization for Influenza MBQIP Domain Description Reporting Process Data Sources Importance Patient Safety Percentage of inpatients assessed and given the influenza vaccination QualityNet via Inpatient CART or vendor Hospital Compare, MBQIP Data Reports, FMT Reports 1 in 5 people in the US get influenza each season. Combined with pneumonia, influenza is the 8 th leading cause of death, with two-thirds of those attributable to patients hospitalized during the flu season. Hospitalization is an underutilized opportunity to vaccinate 8

9 CART Fields to be answered for Flu Immunization 1. Would you like the questions to be enabled or disabled appropriately? Enable/Disable appropriately 2. Principal Diagnosis Enter principal diagnosis 3. Other Diagnosis Enter only one or two other or secondary diagnosis codes Skip Principal and other Procedure codes 6. Source of Payment If you say Medicare you will need to answer # 7 7. Medicare # 9

10 Cart Fields (cont d) 8. Patient s zip code 9. Does this case represent a sample Enter yes 10. Discharge Disposition 11. Influenza Vaccination Status See next page 10

11 Influenza Vaccination Status What is the patient s influenza vaccination status? (FLUVACSTATUS) Influenza vaccine was given during this hospitalization. Influenza vaccine was received prior to admission during the current flu season, not during this hospitalization. Documentation of patient s or caregiver s refusal of influenza vaccine. There was documentation of an allergy/sensitivity to influenza vaccine, anaphylactic latex allergy, or anaphylactic allergy to eggs OR is not likely to be effective because of bone marrow transplant within the past 6 months OR history of Guillan-Barré syndrome within 6 weeks after a previous influenza vaccination. None of the above/not documented/unable to determine from medical record documentation. Only select this allowable value if there is documentation the vaccine has been ordered but has not yet been received by the hospital due to problems with vaccine production or distribution AND allowable values 1-5 are not selected 11

12 Critical Access Hospital Submission Deadlines Discharge Quarter Quality Data Reporting Deadlines Outpatient Submission Deadline Inpatient Data Submission Deadline Q Jan-March Aug 1, 2016 Aug 15, 2016 Q April-June Nov 1, 2016 Nov 15, 2016 Q July Sept Feb 1, 2017 Feb 15, 2017 Q Oct - Dec May 1, 2017 May 15,

13 Technical Assistance Services by OFMQ Ongoing s and phone communication with CAHs on quality measures and reporting TA with Quality Net and CART Limited TA with Secure QualityNet Portal and NHSN (CDC) Webinars Quality Improvement 13

14 Please call will any questions or if assistance is needed. Donna Piatt, RN Hospital and Nursing Home Quality Improvement Coordinator office phone cell phone