We are interested in opinions on how we might shift the focus of the 2016/2017 influenza vaccination campaign, placing greater emphasis on this being a patient safety initiative with a direct link to community health. While the 2015/2016 campaign had great success, with the overall vaccination rate among BWH/BWPO employees reaching 89%, there were still 10% of BWH/BWPO employees who declined a vaccine.

For each strategy below, please rank on a scale of 1 (least likely) to 5 (most likely) the likely impact that the strategy would have on changing employee vaccination habits related to the 2016/2017 influenza vaccine:
 

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* 1. Strategy #1- Focus on patients (similar to the “My Health is in Your Hands” hand hygiene campaign):

This strategy would involve the distribution of posters and videos with people who are at highest risk from influenza acquired while hospitalized (e.g., heart failure patient, transplant patient, patient with a rheumatologic disease requiring immunosuppressive medication, oncology patient requiring chemotherapy or bone marrow transplant).

a.      Video would focus on a family member testimonial for a patient who acquired influenza while hospitalized, possibly with complications such as a transfer to the ICU.

b.       Posters could also focus on the number of community infections prevented through employee vaccination:

         i.      Based on 13,852 BWH/BWPO employees who received their influenza vaccination during the 2015/2016 season, it is estimated that 923 infections were prevented in the community.

         ii.     If the BWH/BWPO employees who declined influenza vaccination during the 2015/2016 season were to be vaccinated next year, it is estimated that we could prevent >100 additional infections in the community.

  1-Least Likely 2-Unlikely 3-Neutral 4-Likely 5-Most Likely
Rank on a scale of 1 (least likely) to 5 (most likely) the likely impact that the strategy would have on changing employee vaccination habits related to the 2016/2017 influenza vaccine

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* 2. Strategy #2- Focus on employee family health issues:

This strategy would involve a larger emphasis linking influenza vaccination with fewer sick days, and thus a reduction in transmission of influenza to family and friends outside of the hospital.This places emphasis on the impact to the health of the employee’s personal community.

  1-Least Likely 2-Unlikely 3-Neutral 4-Likely 5-Most Likely
Rank on a scale of 1 (least likely) to 5 (most likely) the likely impact that the strategy would have on changing employee vaccination habits related to the 2016/2017 influenza vaccine

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* 3. Strategy #3- Engage the communities surrounding BWH in influenza vaccine efforts:

This would involve community volunteers raising awareness of this issue in the community and bringing the message to the hospital.

a.      One example might be to have community volunteers engage with staff in the hospitals:

         i. Handing out fliers -- “Remember to get your flu vaccine.”
 
         ii. “I see you don’t have a sticker.”

  1-Least Likely 2-Unlikely 3-Neutral 4-Likely 5-Most Likely
Rank on a scale of 1 (least likely) to 5 (most likely) the likely impact that the strategy would have on changing employee vaccination habits related to the 2016/2017 influenza vaccine

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* 4. Strategy #4- Empower patients to speak up (similar to the “Did You Wash Your Hands?” hand hygiene campaign):

Patients and their families would be encouraged to ask providers whether they had received an influenza vaccine and to request that a mask be worn in cases where the provider had not yet received vaccination.

a.      This could include buttons -- “Ask me if I got my flu shot.”

  1-Least Likely 2-Unlikely 3-Neutral 4-Likely 5-Most Likely
Rank on a scale of 1 (least likely) to 5 (most likely) the likely impact that the strategy would have on changing employee vaccination habits related to the 2016/2017 influenza vaccine

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* 5. Of the four strategies, please rank from 1 (least likely) to 4 (most likely) the strategy that will most influence the employee who declined to be vaccinated in the 2015/2016 influenza season to be vaccinated in the 2016/2017 influenza season:

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* 6. Did you receive an influenza vaccine during the 2015/2016 season?

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* 7. If YES, was the 2015/2016 season the FIRST year that you received an influenza vaccine?

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* 8. If YES, and 2015/2016 was the first season you received an influenza vaccine, what influenced your decision? (please choose the best option available)

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