Highlights
- •Older adults are at high risk for influenza and are more likely to develop serious complications.
- •Influenza vaccination of healthcare workers can help protect older patients from acute respiratory disease.
- •Influenza vaccination among home health care workers are suboptimal.
- •Home health care agencies with influenza vaccination requirements had higher influenza vaccination rates.
- •Home health care agency's influenza vaccination policies are associated with reduced respiratory infection-related hospitalization among older patients.
Abstract
Background
Methods
Results
Discussion
Conclusions
Key Words
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Centers for Disease Control and Prevention (CDC). Estimated Influenza Illnesses, Medical visits, Hospitalizations, and Deaths in the United States — 2018–2019 influenza season. Available at: https://www.cdc.gov/flu/about/burden/2018-2019.html. Updated September 29, 2021. Accessed October 20, 2021.
- Age-related differences in hospitalization rates, clinical presentation, and outcomes among older adults hospitalized with influenza-U.S. influenza hospitalization surveillance network (FluSurv-NET).Open Forum Infect Dis. 2019; 6: ofz225
Medicare Payment Advisory Commission (MedPAC). Report to the Congress: Medicare Payment Policy. Available at: https://www.medpac.gov/document/march-2019-report-to-the-congress-medicare-payment-policy/. Updated March 15, 2019. Accessed October 20, 2021.
Avalere Health. Home Health Chartbook 2019: Prepared for the Alliance for Home Health Quality and Innovation. Available at: http://ahhqi.org/images/uploads/AHHQI_2019_Home_Health_Chartbook_Final_Updated_10.3.2019.pdf. Updated October 3, 2019. Accessed October 10, 2019.
- Infection in home health care: Results from national Outcome and Assessment Information Set data.Am J Infect Contr. 2015; 43: 454-459
- Effectiveness of MF59-adjuvanted seasonal influenza vaccine in the elderly: A systematic review and meta-analysis.Vaccine. 2017; 35: 513-520
- Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial.BMJ. 2006; 333: 1241
- Routes of transmission during a nosocomial influenza A(H3N2) outbreak among geriatric patients and health care workers.J Hosp Infect. 2014; 86: 188-193
- Prevention and control of seasonal influenza with vaccines: recommendations of the advisory committee on immunization practices-United States, 2018-19 influenza season.MMWR Recomm Rep. 2018; 67: 1-20
Infections Disease Society of America. IDSA Policy on Mandatory Immunization of Health Care Workers Against Seasonal and Pandemic Influenza. Available at: https://www.idsociety.org/globalassets/idsa/policy--advocacy/current_topics_and_issues/immunizations_and_vaccines/health_care_worker_immunization/statements/idsa-policy-on-mandatory-influenza-immunization-of-health-care-workers-pdf. Published August 31, 2010. Accessed October 20, 2021.
American College of Physicians. ACP Policy on Patient Safety and Health Care Provider Immunization. Available at: https://www.acponline.org/acp_policy/policies/healthcare_provider_immunization_2013.pdf. Published December 2013. Accessed October 20, 2021.
Acero C, Razzaghi H, Black C, et al. Influenza vaccination coverage among health care personnel — United States, 2019–2020 influenza season [updated October 1, 2020]. Accessed October 20, 2021. https://www.cdc.gov/flu/fluvaxview/hcp-coverage_1920estimates.htm
- For-profit medicare home health agencies' costs appear higher and quality appears lower compared to nonprofit agencies.Health Aff (Millwood). 2014; 33: 1460-1465
- Measuring quality in home health care.J Am Geriatr Soc. 2019; 67: 1859-1865
- The state of infection prevention and control at home health agencies in the United States prior to COVID-19: A cross-sectional study.Int J Nurs Stud. 2021; 115103841
- Infection trends in home health care, 2013-2018.Infect Control Hosp Epidemiol. 2021; 42: 1388-1390
- A rapid evidence appraisal of influenza vaccination in health workers: An important policy in an area of imperfect evidence.Vaccine X. 2019; 2100036
- Influenza vaccination coverage among health care personnel - United States, 2017-18 influenza season.MMWR Morb Mortal Wkly Rep. 2018; 67: 1050-1054
- The benefits and challenges of the influenza vaccination among home health care workers.Home Health Care Manage Pract. 2016; 28: 178-183
- Influenza vaccination in health care workers: A comprehensive critical appraisal of the literature.Hum Vaccin Immunother. 2018; 14: 772-789
- Barriers and facilitators to provision of influenza and pneumococcal vaccines in home health care agencies.Home Health Care Manag Pract. 2015; 27: 13-17
- A systematic review of mandatory influenza vaccination in health care personnel.Am J Prev Med. 2014; 47: 330-340
- Population mortality and laws encouraging influenza vaccination for hospital workers.Ann Intern Med. 2021; 174: 444-452
Centers for Disease Control and Prevention (CDC). Nursing Home COVID-19 Vaccination Data Dashboard. CDC/National Health Care Safety Network (NHSN). Available at:https://www.cdc.gov/nhsn/covid19/ltc-vaccination-dashboard.html#anchor_1594393306. Accessed December 13, 2021.
Centers for Medicare & Medicaid Services (CMS). Biden-Harris Administration Issues Emergency Regulation Requiring COVID-19 Vaccination for Health Care Workers. Available at: https://www.cms.gov/newsroom/press-releases/biden-harris-administration-issues-emergency-regulation-requiring-covid-19-vaccination-health-care. Updated November 4, 2021. Accessed November 5, 2021.
- Interrater reliability of the outcomes and assessment information set: Results from the field.Gerontologist. 2004; 44: 689-692
Article info
Footnotes
Conflicts of interest: None to report.
Funding: This research was funded by the National Institutes of Health: National Institute of Nursing Research and the Office of the Director (R01NR016865) and the Alliance for Home Health Quality and Innovation (AHHQI).