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  • Health Care Worker Vaccination and Patient Safety

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      Texas Law

      TMA worked closely with the Texas Pediatric Society, and the Texas Nurses Association and the Texas Hospital Association to support the legislation which goes into effect on Sept. 1, 2012.The legislation requires each health care facility that is licensed by the Texas Department of State Health Services, to have a policy that identifies the requirements for vaccination for each employee or anyone that comes into contact with patients in their facility. This includes physicians, volunteers, or others that are not directly employed by a facility. This requirement comes from Senate Bill 7, passed by the Texas Legislature in 2011.
  • TMA Recommends ...

    • TMA Policy
      TMA supports 100-percent influenza vaccination among health care workers and those who decline should be required to sign a declination waiver. TMA supports the recommendation that all health care workers who have direct patient contact get a dose of Tdap.
    • TMA Testimony on SB 1177: Health Care Worker Vaccinations (May 18, 2011)
      Numerous published medical studies show that when health care workers are immunized, patient mortality is reduced almost by half. Additionally, evidence shows that preventing influenza reduces patient hospitalizations and death from heart, chronic lung and kidney disease, and diabetes.
  • The Case for Vaccination as a Patient Safety Measure

    • Health care workers, especially, who are not immunized against influenza and other diseases may unknowingly spread vaccine-preventable diseases to the patients in their care.
    • Studies show that when health care workers are immunized, they are not only protecting themselves, but preventing morbidity and mortality from influenza among their patients. Additionally, there is evidence that preventing influenza reduces patient hospitalizations and death from heart, chronic lung and kidney disease, as well as from diabetes.
    • Healthy People 2020 objectives include a 90 percent coverage rate for health care worker influenza vaccination by 2020. A successful vaccination campaign can increase employee vaccination uptake, but facilities implementing mandatory programs often see significantly improved rates among employees, even as high as 99 percent coverage.
  • Tools

    Sample policy—Texas Hospital Association  

    Sample Vaccine Preventable Diseases Policy 

    Sample Vaccination Acknowledgement and Exemption Form Request 

    Sample Request for Medical Exemption from Vaccine Preventable Disease Policy 

    Sample Request for Religious Exemption from Vaccine Preventable Disease Policy 

    Sample Request for Conscientious Objection from Vaccine Preventable Diseases Policy 

    Developing Mandatory Influenza Vaccination Program Toolkit — The Colorado Hospital Association’s toolkit includes sample declination forms and education materials, and tools for tracking compliance.

    Providing a Safer Environment for Health Care Personnel and Patients through Influenza Vaccination: Strategies from Research and Practice. The monograph by the Joint Commission, along with other national groups, includes information on successful strategies for immunization programs, and examples of successful initiatives.

    Register your practice to become an authorized ImmTrac provider. 

  • Policy Statements from Other Groups

    • Advisory Committee on Immunization Practices makes recommendations specific to immunization of health-care personnel.
    • American Academy of Pediatrics recommends mandatory influenza vaccination policies.
    • American Academy of Family Physicians supports mandatory influenza immunization for health care personnel.
    • Infectious Diseases Society of America supports universal immunization of health care workers against influenza.

     

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