Flu Fighter Facility Recognition Program Registration 2021-2022

The Department of Health, in cooperation with the Department of Social and Health Services, the Adult Family Home Council, the Health Care Association, Leading Age Washington, and the Community Residential Services Association, is proud to announce a new immunization recognition program.

The Flu Fighter Facility Award is a program recognizing long-term care homes and facilities in Washington who obtain flu vaccination rates of at least 75% among their employees.

Please note if you are submitting for more than one facility agency, you may need to remove cookies from your internet browser.

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* 1. What is the name of your facility / agency that you are registering for the recognition program?

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* 2. What is the address and contact person for registration? Please put n/a if you do not have an email address.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

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* 3. What type of facility / agency are you registering for the recognition program?

Adult Family Homes

Assisted Living Facilities

Continuing Care Retirement Facilities

Multiple Function Facilities/ Agencies

Nursing Home

Supported Living Agencies

Immediate Care

Enhanced Services Facility

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* 4. Questions 4-8 are related to the barrier you will work to resolve during this flu season. You must select at least one barrier and method to resolve from the list. You may also select question # 8 and identify your facility / agency specific problem and barrier.

Please select one or more strategies if your facility / agency would like to overcome the barrier of lack of access to flu vaccine.

Provide free vaccine at the workplace

Offer vaccine on all shifts

Use a mobile cart to offer vaccines

Partner with larger health care organization to provide vaccinations

Work with pharmacy consultants to offer influenza vaccinations for facility staff

Work the visiting nurse association or other community immunizers to provide vaccination on-site

Offer influenza vaccine at mandatory training, departmental conferences, and other meetings.

Will not address lack of access to flu vaccine as a barrier / strategy

Facility / Agency will define own strategy to address the barrier of lack of accesses to flu vaccine

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* 5. Please select one or more strategies if your facility / agency would like to choose as a barrier of lack of enthusiasm about flu vaccine.

Publicize a "vaccine day" in combination with education to offer influenza vaccinations

Encourage employees via e-mail, posters, an employee newsletter and other communication tools to get the vaccine by reminding them their decision sets an example and protects them, their loved ones, and their patients, see Communicating the Benefits of Seasonal Influenza Vaccine, CDC's Flu Prevention Promotional Materials and Influenza Vaccination Coverage Among Health Care Personnel - United States, 2017-18 Influenza Season

Track and report vaccination rates to staff and supervisors

Remind unvaccinated employees with e-mail, letters, encouragement from supervisors, and telephone calls

Provide contests or incentives to get vaccinated (small gift cards, raffles, pizza party, etc.)

Vaccinate the medical director and all managers in front of the staff

Offer paid work time for employee to receive a flu shot

Facility / Agency will not choose lack of enthusiasm for flu vaccine as a barrier to overcome

Facility / Agency will choose to define own strategy to address the barrier of lack of enthusiasm for the barrier.

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* 6. Please select one or more strategies if your facility / agency would like to choose to address high staff turnover as a barrier.

Offer opportunities to be vaccinated at multiple times and locations convenient to all workers on all shifts during the flu season

Educate and vaccinate staff as part of new employee orientation

Establish a process to determine and track proof of influenza vaccination each year for each employee

Establish a written influenza vaccination policy for employees, see Immunization Action Coalition Influenza Vaccination Honor Roll

Facility / Agency will not choose to address high staff turnover as a barrier

Facility / Agency will define own strategy for addressing high staff turnover as a barrier

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* 7. Please select one or more strategies to address the lack of culturally appropriate vaccination services for health care workers.

Distribute / utilize materials from the HHS National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care

Facilility / Agency will not choose to address lack of culturally appropriate vaccination services for a barrier

Facility / Agency will define its own strategy to address the lack of culturally appropriate vaccination services for a barrier

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* 8. Facility / Agency will choose to define another barrier to address influenza vaccination for employee health practices.

Facility / Agency will not define another barrier that those listed previously

Facility / Agency will define a different barrier with a strategy.

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* 9. Would your facility / agency like assistance to address strategies or tracking employee flu vaccination? If yes, please address leave a comment in the feedback question below.

Yes

Flu Fighter Facility Recognition Program Registration 2021-2022

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* 1. What is the name of your facility / agency that you are registering for the recognition program?

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* 2. What is the address and contact person for registration? Please put n/a if you do not have an email address.

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* 3. What type of facility / agency are you registering for the recognition program?

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* 5. Please select one or more strategies if your facility / agency would like to choose as a barrier of lack of enthusiasm about flu vaccine.

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* 6. Please select one or more strategies if your facility / agency would like to choose to address high staff turnover as a barrier.

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* 7. Please select one or more strategies to address the lack of culturally appropriate vaccination services for health care workers.

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* 8. Facility / Agency will choose to define another barrier to address influenza vaccination for employee health practices.

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* 9. Would your facility / agency like assistance to address strategies or tracking employee flu vaccination? If yes, please address leave a comment in the feedback question below.

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* 10. Please provide any comments or feedback for the recognition program. (not required)