2011-2012 Healthcare Worker Influenza Vaccination Survey

Healthcare facilities are required to report influenza vaccination, documented contraindication, and informed declination rates for staff in accordance with ORS 442.851, Notes Following, and OARs 409-023-0000 through 409-023-035. The Oregon Health Authority, Office for Oregon Health Policy and Research, notified facilities of this reporting requirement in September 2011.

This required survey for the 2012-2013 flu season is due May 20, 2013.

This brief questionnaire is a supplement to the Annual Flu Summary module in the National Healthcare Safety Network (NHSN) Healthcare Personnel Safety Component, which your facility may be required by the Centers for Medicare and Medicaid Services (CMS) to submit this season.

If your facility is NOT an acute care hospital, or if your facility is a hospital that is NOT submitting vaccine receipt and declination rates through NHSN, please do not complete this supplementary questionnaire; instead, use https://www.surveymonkey.com/s/OR_HCWFluVax_LONG, which will allow you to input the required vaccination rate information along with these supplementary questions about vaccine delivery and promotion methods.

If you have any questions regarding this survey, contact Zintars Beldavs at zintars.g.beldavs@state.or.us or 971-673-1111.

Zintars Beldavs
Manager, Healthcare-Associated Infections Program
Center for Public Health Practice
Public Health Division, Oregon Health Authority