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Oregon Health Care Worker Influenza Vaccination Annual Report 2017–2018 Season PUBLIC HEALTH DIVISION

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Page 1: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

Oregon Health Care Worker Influenza VaccinationAnnual Report

2017–2018 Season

PUBLIC HEALTH DIVISION

Page 2: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

2 Acknowledgments | Oregon Health Care Worker Influenza Vaccination

Acknowledgments

This publication was prepared by the Oregon Health Authority Healthcare-Associated Infections (HAI) Program, including:

Monika E. Samper, RN

Dat J. Tran, MD, MS

Oversight provided by:

Zintars Beldavs, MS Acute and Communicable Disease Prevention Section Manager

This report would not have been possible without the efforts of Oregon’s HAI prevention partners, including the Healthcare-Associated Infections Advisory Committee and the health care facilities included in this report.

For more information contact:

Monika E. Samper, RN [email protected]

Dat J. Tran, MD, MS [email protected]

April 2019

Please cite this publication as follows:

Oregon Public Health Division. Oregon health care worker influenza vaccination annual report: 2017–2018. Oregon Health Authority. Portland, OR. 2019 April.

Page 3: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

3Oregon Health Care Worker Influenza Vaccination | Contents

Contents

» Acknowledgments ................................................................................................2

» Contents ................................................................................................................3

» Executive summary ...............................................................................................5 » Figure 1. Influenza vaccination rates for all HCWs by health care facility type and season ....6

» Figure 2. Mean HCW influenza vaccination rates for all facility types....................................6

» What can facilities do to increase rates of HCW influenza vaccination? ................................7

» Health care worker vaccination data ....................................................................8 » Table 1. Aggregate HCW influenza vaccination rate data for the 2017–2018

influenza season by facility type and HCW classification ......................................................8

» Facility-specific data ...........................................................................................................9

» Facility-specific table elements .........................................................................................10

» Table 2. Rates of health care worker influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: hospitals (n=63) ..........................11

» Figure 3. Oregon hospitals sorted by HCW influenza vaccination rates for the 2017–2018 influenza season (n=63) .................................................................................14

» Table 3. Rates of health care worker (HCW) influenza vaccination, declination and rates of unknown vaccination status for the 2017–2018 influenza season: Oregon ambulatory surgery centers (n=86) .......................................................................16

» Figure 4. Oregon ambulatory surgery centers, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=86) ......................................................................20

» Table 4. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: Skilled nursing facilities (n=136) ..................................................................................................22

» Figure 5. Oregon skilled nursing facilities, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=136) ..........................................................................28

» Table 5. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: Dialysis facilities (n=71) ....................................................................................................32

» Figure 6. Oregon dialysis facilities, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=71) ................................................................................35

» Improving Oregon health care worker vaccination rates .....................................................37

» References ..........................................................................................................38

Page 4: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause
Page 5: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

5Oregon Health Care Worker Influenza Vaccination | Executive summary

Executive summary

The influenza virus can cause mild to severe respiratory illness, commonly called “the flu.” According to the Centers for Disease Control and Prevention (CDC), the 2017–2018 flu season was particularly severe. In the United States, an estimated 48.8 million people were sick with the flu; 22.7 million individuals sought health care providers; 959,000 ill people were hospitalized; and 79,400 died from the flu. (1) The Portland area alone reported 1,537 flu-related hospitalizations in 2017–2018. Flu has also been responsible for eight Oregon children’s deaths over the past six years. Serious complications are more likely for people with certain health conditions, the elderly and the young.

In health care facilities, the best way to avoid the spread of influenza is to immunize health care workers (HCWs). Patients, coworkers and family members may become infected with the influenza virus from affected HCWs. Facilities and staff need to take extra care to prevent the spread of the flu among HCWs and patients.

Widespread government and local facility educational campaigns focus on the importance of HCW immunization. The Oregon Health Authority (OHA) has required Oregon hospitals to report their HCW influenza vaccination rates since 2009. OHA added skilled nursing facilities in 2010 and ambulatory surgery centers in 2011. As of the 2015–2016 influenza season, OHA required dialysis facilities to report.

The U.S. Department of Health and Human Services developed the Healthy People program, which provided 10-year national objectives for improving the health of all Americans. For influenza vaccination in health care facilities, the Healthy People goals were immunization rates of 75% by 2015 and 90% by 2020. Oregon hospitals and dialysis facilities have met the 2015 Healthy People target rate of 75% for the 2017–2018 influenza season. While ambulatory surgery centers were very close, neither they nor the skilled nursing facilities met the 2015 Healthy People target. (Figure 1).

Page 6: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

6 Executive summary | Oregon Health Care Worker Influenza Vaccination

Figure 2. Mean HCW influenza vaccination rates for all facility types, by influenza season

Vaccination rates vary by year and facility type. Fortunately, overall vaccination rates among Oregon HCWs have been increasing since reporting began.

Figure 2 shows the mean vaccination rates for all facility types that reported data for the last seven influenza seasons. 2017–2018 is the first season that met the 2015 Healthy People mean rate goal.

N/A0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Hospitals Ambulatory surgery centers Skilled nursing facilities Dialysis facilities

Healthy People 2020 goal (90%)

Healthy People 2015 goal (75%)

2011– 2012 2012–2013 2013–2014 2014–2015 2015– 2016 2016– 2017 2017– 2018

5957

63

575654

47

737268

706767

50

82797879

77

71

60

9085

88

N/A N/A N/A

Figure 1. Influenza vaccination rates for all health care workers (HCWs) by health care facility type and influenza season

Health care facility type

Vacc

inat

ion

rate

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%Healthy People 2020 goal (90%)

Healthy People 2015 goal (75%)

52

2011–2012 2012–2013 2013–2014 2014–2015 2015–2016 2017–20182016–2017

64

6769 70 73 76

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7Oregon Health Care Worker Influenza Vaccination | Executive summary

What can facilities do to increase rates of HCW influenza vaccination?

Encourage their employees to be vaccinated at the beginning of every influenza season.

Participate in and encourage promotional strategies such as:

• Mass vaccination fairs

• Peer vaccination

• No-cost vaccines

• Incentive programs

• Documentation of all HCWs’ vaccination status and required declination forms.

Oregon Health Authority has released a Healthcare Provider Influenza Vaccination Tool Kit to support facility vaccination programs: Go to https://go.usa.gov/xETst.

CDC information and guidance: http://www.cdc.gov/flu/health careworkers.htm

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8 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

HCW influenza vaccination data for the 2017–2018 influenza season is reflected in Table 1. It shows the proportion of vaccinated HCWs among HCWs without medical contraindication to vaccination. The table also includes the declination and unknown status rates among eligible HCWs for each facility type. The change in vaccination rate since the 2016–2017 season is the final calculation. HCW rates are in aggregate and are stratified by HCW classifications. These classifications include all employees, facility-licensed independent practitioners, students, volunteers and other contractors.

Vaccination rates for health care workers varied by worker type during the 2017–2018 influenza season.

• The “other contractor” category of HCW had the highest vaccination rate in hospitals.

• Ambulatory surgery centers had the highest vaccination rates among their independent practitioners.

• HCWs classified as employees had the highest vaccination rates in skilled nursing facilities.

• All provider types in dialysis facilities had a vaccination rate of 85% or higher.

• Students and volunteers had the lowest vaccination rates in all facility types except in dialysis facilities.

It is important to note that the high proportion of workers with unknown vaccination status may drive low vaccination rates. This highlights the need to improve vaccination status documentation.

Table 1. Aggregate HCW influenza vaccination rate data for the 2017–2018 influenza season, by facility type and HCW classification

Health care worker classification

HCWs eligible for vaccination*

Rate of influenza

vaccination among eligible

HCWs

Rate of influenza vaccine

declination by eligible HCWs

Rate of unknown

vaccination status among eligible HCWs

Percent change in

HCW influenza vaccination rate

since 2016Hospitals

All HCWs 106,057 83% 8% 9% 1%

Employees 82,174 85% 9% 6% 1%

Independent practitioners 8,957 78% 4% 19% 5%

Students and volunteers 12,845 76% 4% 20% 4%

Other contractors 2,081 82% 10% 8% -7%

Health care worker vaccination data

Page 9: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

9Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Health care worker classification

HCWs eligible for vaccination*

Rate of influenza

vaccination among eligible

HCWs

Rate of influenza vaccine

declination by eligible HCWs

Rate of unknown

vaccination status among eligible HCWs

Percent change in

HCW influenza vaccination rate

since 2016Ambulatory surgery centers

All HCWs 5,089 76% 14% 10% 1%

Employees 2,667 76% 20% 4% 4%

Independent practitioners 1,979 78% 8% 15% 0%

Students and volunteers 178 70% 0% 30% -9%

Other contractors 265 71% 16% 13% -4%

Skilled nursing facilitiesAll HCWs 17,202 56% 15% 29% 2%

Employees 14,517 59% 17% 24% 3%

Independent practitioners 437 47% 2% 51% 10%

Students and volunteers 1,682 39% 3% 58% -13%

Other contractors 566 48% 11% 41% -9%

Dialysis facilitiesAll HCWs 3,195 86% 5% 8% 9%

Employees 1,966 87% 7% 5% 2%

Independent practitioners 1,200 85% 1% 14% 29%

Students and volunteers 8 88% 13% 0% 25%

Other contractors 21 86% 10% 5% 3%

*This is the total number of health care workers (HCWs), including employees, licensed independent practitioners, students, volunteers and other contractors without documented medical contraindication for influenza vaccination.

Facility-specific dataTables 2 through 5 show facility-specific vaccination, declination and unknown status rates for all HCWs combined for each facility type. Two additional columns designate whether facilities met or did not meet the HCW influenza vaccination Healthy People 2015 (HP2015) and 2020 (HP2020) goals of 75% and 90%, respectively. The last column specifies the number of additional HCWs needed to vaccinate to reach the HP2020 target of 90%.

Figures 2 through 5 display facility-specific vaccination rates for hospitals, ambulatory surgery centers, skilled nursing facilities and dialysis facilities, respectively.

Data.oregon.gov also has maps displaying HCW influenza vaccination rates. For facility-specific maps, see https://data.oregon.gov/.

Page 10: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

10 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility-specific table elementsFacility name: Includes list of facilities that reported HCW influenza vaccination data for the 2017–2018 season.

Number of HCWs eligible for influenza vaccination: Includes the total number of HCWs. This includes employees, licensed independent practitioners, other contractors, students and volunteers. None had documented medical contraindications for influenza vaccinations.

Rate of influenza vaccination for eligible HCWs: Calculated as (total number of HCWs vaccinated at the facility + total number of HCWs vaccinated elsewhere)/ (total number of HCWs eligible for influenza vaccination).

Rate of vaccine declination by eligible HCWs: Calculated as (total number of HCWs who declined to receive the influenza vaccine)/(total number of HCWs eligible for influenza vaccination).

Rate of unknown vaccination status by eligible HCWs: Calculated as (total number of HCWs with unknown vaccination status)/(total number of HCWs eligible for influenza vaccination).

Percent change in vaccination rate since last season: Calculated as (2017–2018 vaccination rate minus 2016–2017 vaccination rate)/(2016–2017 vaccination rate).

Benchmarks: The following symbols indicate a facility’s performance in relation to the Healthy People goals:

Vaccination rates met the HP2015 or HP2020 goal

Vaccination rates did not meet the HP2015 or HP2020 goal

Additional HCWs needed to vaccinate to reach HP2020: Calculated as (total HCWs eligible for vaccination * 0.9) – (total number of HCWs vaccinated at the facility + total number of HCWs vaccinated elsewhere).

Page 11: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

11Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Table 2. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: hospitals (n=63)

Each hospital’s vaccination rate is included. Forty-nine (78%) of the 63 hospitals met the HP2015 goal. Twelve (19%) met the HP2020 goal. Compared to last season, 37 (58%) reported increases in their vaccination rates.

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Adventist Medical Center 2,349 82% 13% 5% 6% 195

Asante Ashland Community Hospital

567 70% 15% 15% -6% 113

Asante Rogue Regional Medical Center

4,644 74% 20% 6% 4% 722

Asante Three Rivers Medical Center

1,561 79% 19% 1% 6% 167

Bay Area Hospital 1,546 76% 18% 6% 1% 223

Blue Mountain Hospital 206 94% 2% 3% 28%

Cedar Hills Hospital 329 57% 22% 21% -5% 108

Columbia Memorial Hospital

682 82% 16% 2% -6% 58

Coquille Valley Hospital 255 74% 18% 8% 32% 42

Cottage Grove Community Hospital

251 87% 2% 11% -1% 8

Curry General Hospital 421 91% 9% 0% 20%

Good Samaritan Regional Medical Center

2,892 81% 8% 11% 3% 258

Good Shepherd Medical Center

962 83% 4% 13% -4% 64

Grande Ronde Hospital 1,001 88% 11% 1% 4% 18

Harney District Hospital 217 69% 16% 15% 3% 45

Kaiser Permanente Sunnyside Medical Center

2,838 83% 10% 7% 7% 194

Kaiser Permanente Westside Medical Center

1,198 84% 4% 12% 4% 71

Lake District Hospital 356 93% 7% 0% 81%

Legacy Emanuel Medical Center and Randall Children’s Hospital

5,660 88% 11% 1% -1% 112

Legacy Good Samaritan Medical Center

3,198 88% 10% 2% 1% 65

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12 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Legacy Meridian Park Medical Center

1,998 89% 10% 1% -1% 18

Legacy Mt. Hood Medical Center

1,561 87% 13% 1% 2% 53

Legacy Silverton 985 88% 11% 1% 1% 20

Lower Umpqua Hospital 283 49% 12% 39% -2% 116

McKenzie-Willamette Medical Center

1,060 82% 13% 5% 8% 84

Mercy Medical Center 1,827 63% 7% 30% -23% 497

Mid-Columbia Medical Center

1,196 89% 5% 6% 14% 7

Oregon Health & Science University

17,788 90% 5% 5% 5% 26

Oregon State Hospitals 2,732 65% 12% 23% 0% 677

PeaceHealth Peace Harbor Medical Center

382 90% 5% 5% -3%

Pioneer Memorial Hospital — Heppner

67 87% 0% 13% -8% 2

Providence Hood River Memorial Hospital

619 81% 7% 12% 11% 56

Providence Medford Medical Center

1,755 68% 11% 21% -1% 387

Providence Milwaukie Hospital

788 78% 5% 18% 1% 95

Providence Newberg Medical Center

728 79% 4% 17% 1% 77

Providence Portland Medical Center

4,667 78% 7% 15% 3% 561

Providence Seaside Hospital

595 81% 4% 15% -9% 55

Providence St. Vincent Medical Center

5,621 78% 4% 17% -6% 652

Providence Willamette Falls Medical Center

1,119 72% 9% 19% 4% 205

Sacred Heart Medical Center at RiverBend

4,389 83% 4% 13% 3% 307

Sacred Heart Medical Center University District

785 80% 3% 17% 14% 78

Salem Hospital 6,619 86% 8% 7% 1% 294

Page 13: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

13Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Samaritan Albany General Hospital

1,287 82% 8% 10% 5% 106

Samaritan Lebanon Community Hospital

943 85% 8% 8% 5% 52

Samaritan North Lincoln Hospital

486 84% 8% 8% 4% 28

Samaritan Pacific Health Systems

596 81% 7% 12% -2% 51

Santiam Memorial Hospital

480 87% 9% 4% -6% 13

Shriners Hospitals for Children — Portland

506 92% 2% 5% 3%

Sky Lakes Medical Center 1,710 74% 10% 16% 9% 273

Southern Coos Hospital and Health Center

173 74% 15% 11% 16% 2

St. Alphonsus Medical Center — Baker City

214 81% 16% 3% -6% 20

St. Alphonsus Medical Center — Ontario

674 96% 4% 0% 21%

St. Anthony Hospital 585 94% 6% 1% 0%

St. Charles Medical Center — Bend

4,580 92% 4% 5% -2%

St. Charles Medical Center — Madras

179 88% 8% 4% -5% 4

St. Charles Medical Center — Prineville

225 93% 2% 5% 0%

St. Charles Medical Center — Redmond

642 91% 3% 6% -1%

Tillamook Regional Medical Center

713 73% 21% 6% -2% 118

Tuality Healthcare 1,954 85% 4% 10% -3% 89

Vibra Specialty Hospital 333 71% 7% 22% 8% 64

Wallowa Memorial Hospital

190 88% 9% 3% 0% 4

West Valley Hospital 238 84% 7% 8% 3% 13

Willamette Valley Medical Center

652 95% 5% 0% 1%

Page 14: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

14 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Figure 3. Oregon hospitals sorted by HCW influenza vaccination rates for the 2017–2018 influenza season (n=63)

83.4%84.1%84.2%84.5%84.5%85.5%85.6%86.6%86.6%86.9%87.3%87.7%87.9%88.0%88.0%88.0%88.2%89.1%89.4%89.8%89.9%90.8%91.2%91.7%92.3%93.0%93.3%93.7%94.2%94.9%96.3%

Good Shepherd Medical CenterKaiser Permanente Westside Medical Center

Samaritan North Lincoln HospitalWest Valley Hospital

Samaritan Lebanon Community HospitalTuality Healthcare

Salem HospitalPioneer Memorial Hospital — Heppner

Legacy Mt. Hood Medical CenterCo�age Grove Community Hospital

San�am Memorial HospitalSt. Charles Medical Center — Madras

Wallowa Memorial HospitalLegacy Good Samaritan Medical Center

Legacy Silverton

Legacy Emanuel Medical Center andRandall Children's Hospital

Grande Ronde HospitalLegacy Meridian Park Medical Center

Mid-Columbia Medical CenterPeaceHealth Peace Harbor Medical Center

Oregon Health & Science UniversitySt. Charles Medical Center — Redmond

Curry General HospitalSt. Charles Medical Center — Bend

Shriners Hospitals for Children — PortlandLake District Hospital

St. Charles Medical Center — PrinevilleSt. Anthony Hospital

Blue Mountain HospitalWillame�e Valley Medical Center

St. Alphonsus Medical Center — Ontario

10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Page 15: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

15Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

49.1%57.1%

62.8%65.2%

68.0%69.1%70.0%70.9%71.7%73.5%73.7%74.0%74.0%74.5%75.5%

77.9%78.0%78.4%79.3%79.4%80.1%80.8%80.8%80.9%81.1%81.4%81.5%81.7%81.7%82.1%83.0%83.2%

Lower Umpqua HospitalCedar Hills Hospital

Mercy Medical CenterOregon State Hospitals

Providence Medford Medical CenterHarney District Hospital

Asante Ashland Community HospitalVibra Specialty Hospital

Providence Willame�e Falls Medical CenterTillamook Regional Medical Center

Coquille Valley HospitalSouthern Coos Hospital and Health Center

Sky Lakes Medical CenterAsante Rogue Regional Medical Center

Bay Area HospitalProvidence Milwaukie Hospital

Providence Portland Medical CenterProvidence St. Vincent Medical Center

Asante Three Rivers Medical CenterProvidence Newberg Medical Center

Sacred Heart Medical Center University DistrictProvidence Seaside Hospital

St. Alphonsus Medical Center — Baker CityProvidence Hood River Memorial HospitalGood Samaritan Regional Medical Center

Samaritan Pacific Health SystemsColumbia Memorial Hospital

Adven�st Medical CenterSamaritan Albany General Hospital

McKenzie-Willame�e Medical CenterSacred Heart Medical Center at RiverBend

Kaiser Permanente Sunnyside Medical Center

0 10% 20% 30% 40% 50% 60% 70% 80% 90%

Facility with percentage of HCW vaccinated ≥90% Facility with percentage of HCW vaccinated 60%–74%

Facility with percentage of HCW vaccinated 75%–90% Facility with percentage of HCW vaccinated ≤59%

For facility-specific maps, see http://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/HAI/Pages/Reports-and-Data.aspx.

Figure 3. continued

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16 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Table 3. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: Oregon ambulatory surgery centers (n=86)

Each ambulatory surgery center’s vaccination rate is included. Fifty-one (59%) of the 86 ambulatory surgery centers met the HP2015 goal. Twenty (23%) met the HP2020 goal. Compared to last season, 47 (55%) reported increases in their vaccination rates.

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Aesthetic Breast and Cosmetic Surgery Center

12 100% 0% 0% 0%

Aesthetic Surgery Center of Eugene

23 91% 9% 0% -9%

Alberty Surgery Center 88 60% 13% 27% -25% 26

Ambulatory Surgery Center at Tanasbourne

132 85% 11% 4% 7% 7

Ashland Surgery Center 37 41% 24% 35% -19% 18

Athenix Body Sculpting Institute

16 13% 88% 0% N/A 12

Beaver Sports Medicine ASC

28 71% 29% 0% 49% 5

Bend Surgery Center 227 91% 9% 0% -3%

Cascade Endoscopy Center

27 89% 11% 0% -2% 1

Cascade Spine Center 26 65% 35% 0% 31% 6

Cascade Surgery Center LLC

20 65% 35% 0% 37% 5

Cascade Surgicenter, LLC 163 87% 13% 0% 1% 5

Cataract and Laser Institute of Southern Oregon

54 69% 31% 0% 26% 12

Cedar Hills Ambulatory Surgery Center

5 80% 20% 0% 40% 1

Center for Cosmetic & Plastic Surgery

12 92% 8% 0% -2%

Center for Specialty Surgery

114 89% 11% 0% 1% 1

Central Oregon Surgery Center

14 7% 14% 79% N/A 12

Columbia Gorge Surgery Center

16 63% 38% 0% -32% 4

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17Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Columbia River Surgery Center

84 92% 8% 0% 15%

Cornell Surgery Center 60 77% 13% 10% 7% 8

Deschutes Surgery Center 11 64% 36% 0% N/A 3

Doctors Park Surgery Center

45 89% 7% 4% -3% 1

East Oregon Surgery Center

20 10% 20% 70% 0% 16

East Portland Surgery Center 81 25% 12% 63% -49% 53

Eastern Oregon Regional Surgery Center

3 33% 67% 0% 0% 2

Eye Health Eastside Surgery Center

63 68% 27% 5% -8% 14

Eye Surgery Center — Albany

22 86% 9% 5% 27% 1

Eye Surgery Institute 38 55% 8% 37% 5% 13

Gateway Pediatric Surgery Center

14 100% 0% 0% N/A

Grants Pass Surgery Center, LLC

80 58% 41% 1% -14% 26

Kaiser Permanente Skyline 39 77% 13% 10% 3% 5

Kaiser Permanente South Interstate

84 86% 7% 7% 4% 4

Kaiser Permanente Sunnybrook

94 85% 13% 2% 1% 5

Klamath Surgery Center 38 37% 8% 55% -40% 20

Lane Surgery Center 32 75% 9% 16% 25% 5

Laser and Surgical Eye Center, LLC

51 33% 55% 12% -30% 29

Lovejoy Surgicenter 53 49% 9% 42% 11% 22

McKenzie Surgery Center 165 47% 16% 38% -18% 72

Meridian Center for Surgical Excellence

13 100% 0% 0% 0%

Mt. Scott Surgery Center 88 73% 20% 7% 68% 15

North Bend Medical Center

80 84% 10% 6% 10% 5

Northbank Surgical Center 121 43% 13% 44% -38% 57

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18 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Northwest Ambulatory Surgery Center

94 91% 3% 5% 3%

Northwest Center for Plastic Surgery, LLC

9 100% 0% 0% 0%

Northwest Gastroenterology Clinic

55 95% 5% 0% -4%

Northwest Spine and Laser Surgery Center

85 86% 14% 0% -4% 4

Ontario Surgery Center 12 75% 25% 0% 18% 2

Oregon Ear, Nose, and Throat Surgery Center, LLC

38 84% 16% 0% 12% 2

Oregon Endoscopy Center, LLC

50 88% 12% 0% -5% 1

Oregon Eye Surgery Center, Inc.

50 68% 30% 2% -2% 11

Oregon Outpatient Surgery Center

123 56% 20% 24% 36% 42

Oregon Specialists Surgery Center, LLC

142 55% 24% 21% -20% 50

Oregon Surgicenter 49 86% 14% 0% 4% 2

Pacific Cataract and Laser Institute — Portland

16 44% 31% 25% -5% 7

Pacific Cataract and Laser Institute — Tualtin

16 69% 25% 6% 15% 3

Pacific Digestive Endoscopy Center

11 73% 27% 0% 94% 2

Pacific Surgery Center 62 97% 3% 0% 32%

Pearl SurgiCenter 29 79% 21% 0% 7% 3

Petroff Center 14 93% 7% 0% 8%

Plaza Ambulatory Surgery Center, LLC

139 86% 9% 4% 2% 5

RiverBend Ambulatory Surgery Center

154 95% 4% 1% 6%

River Road Surgery Center 42 86% 14% 0% 3% 2

Rogue Valley Surgery Center, LLC

11 55% 45% 0% -9% 4

Salem Endoscopy Center 68 90% 1% 9% -10%

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19Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Salem Laser and Surgery Center

49 71% 12% 16% -10% 9

Samaritan Endoscopy Center

26 77% 23% 0% 18% 3

Slocum Surgery Center 104 88% 3% 9% 3% 2

South Coast Surgery 44 73% 27% 0% -13% 8

South Portland Surgical Center, LLC

69 84% 14% 1% 5% 4

Spine Surgery Center of Eugene

46 87% 13% 0% 14% 1

Sunset Surgical Centre 11 91% 0% 9% 1%

Surgery Center of Southern Oregon

228 75% 24% 2% 6% 35

The Corvallis Clinic Surgery Center

100 83% 17% 0% 2% 7

The Oregon Clinic Gastroenterology East

101 98% 2% 0% 25%

The Oregon Clinic Gastroenterology — Oregon City

92 96% 4% 0% 34%

The Oregon Clinic Gastroenterology — Tualatin

92 96% 4% 0% 35%

The Oregon Clinic Gastroenterology West

88 92% 6% 2% 11%

The Portland Clinic Surgery Centers

53 79% 15% 6% 1% 6

Two Rivers Surgical Center

59 51% 14% 36% -31% 23

Valley Plastic Surgery 9 44% 56% 0% 0% 4

Vision Surgery and Laser Center

35 80% 20% 0% 115% 4

Waverly Lake Surgery Center

44 61% 23% 16% N/A 13

Westside Surgery Center 40 73% 20% 8% 9% 7

Willamette Surgery Center 80 94% 6% 0% -2%

Wilshire Surgery Center 49 76% 14% 10% -4% 7

Yamhill Valley Surgical Center

8 88% 13% 0% 5% 1

N/A: Percentage change could not be calculated if no vaccination data reported in the previous season.

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20 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Figure 4. Oregon ambulatory surgery centers, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=86)

86.4%87.0%87.1%87.5%88.0%88.5%88.9%88.9%89.5%

90.7%90.9%91.3%91.5%91.7%91.7%92.0%

92.9%93.8%

94.5%95.5%95.7%95.7%

96.8%98.0%98.4%

100.0%100.0%100.0%100.0%

Eye Surgery Center — AlbanySpine Surgery Center of Eugene

Cascade Surgicenter, LLCYamhill Valley Surgical Center

Oregon Endoscopy Center, LLCSlocum Surgery Center

Cascade Endoscopy CenterDoctors Park Surgery CenterCenter for Specialty Surgery

Bend Surgery CenterSunset Surgical Centre

Aesthe�c Surgery Center of EugeneNorthwest Ambulatory Surgery Center

Center for Cosme�c & Plas�c SurgeryColumbia River Surgery Center

The Oregon Clinic Gastroenterology WestPetroff Center

Willame�e Surgery CenterNorthwest Gastroenterology Clinic

RiverBend Ambulatory Surgery CenterThe Oregon Clinic Gastroenterology — Oregon City

The Oregon Clinic Gastroenterology — Tuala�nPacific Surgery Center

The Oregon Clinic Gastroenterology EastSalem Endoscopy Center

Aesthe�c Breast and Cosme�c Surgery CenterGateway Pediatric Surgery Center

Meridian Center for Surgical ExcellenceNorthwest Center for Plas�c Surgery, LLC

70% 80% 90% 100%

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21Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Figure 4. continued

Facility with percentage of HCW vaccinated ≥90% Facility with percentage of HCW vaccinated 60%–74%

Facility with percentage of HCW vaccinated 75%–90% Facility with percentage of HCW vaccinated ≤59%

For facility-specific maps, see http://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/HAI/Pages/Reports-and-Data.aspx.

68.8%71.4%71.4%72.5%72.7%72.7%72.7%74.6%75.0%75.0%75.5%76.7%76.9%76.9%

79.2%79.3%80.0%80.0%

83.0%83.8%84.1%84.2%84.8%85.1%85.7%85.7%85.7%85.9%

Pacific Cataract and Laser Ins�tute — Tuala�nBeaver Sports Medicine ASC

Salem Laser and Surgery CenterWestside Surgery CenterMt. Sco� Surgery Center

Pacific Diges�ve AssociatesSouth Coast Surgery

Surgery Center of Southern OregonLane Surgery Center

Ontario Surgery CenterWilshire Surgery CenterCornell Surgery Center

Kaiser Permanente SkylineSamaritan Endoscopy Center

The Portland Clinic Surgery CentersPearl SurgiCenter

Cedar Hills Ambulatory Surgery CenterVision Surgery and Laser Center

The Corvallis Clinic Surgery CenterNorth Bend Medical Center

South Portland Surgical Center, LLCOregon Ear, Nose, and Throat Surgery Center, LLC

Ambulatory Surgery Center at TanasbourneKaiser Permanente Sunnybrook

Kaiser Permanente South InterstateOregon Surgicenter

River Road Surgery CenterNorthwest Spine and Laser Surgery Center

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

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22 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Table 4. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: Skilled nursing facilities (n=136)

Each skilled nursing facility’s vaccination rate is included. Forty-one (30%) of the 136 skilled nursing facilities met the HP2015 goal. Nineteen (14%) met the HP2020 goal. Compared to last season, 79 (58%) reported increases in their vaccination rates.

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Aidan Senior Living at Reedsport

37 95% 5% 0% 5%

Avamere Court at Keizer 427 31% 11% 58% 60% 252

Avamere Crestview of Portland

155 20% 16% 64% -46% 109

Avamere Health Services of Rogue Valley

98 39% 18% 43% 55% 50

Avamere Medford at Three Fountains

260 18% 3% 78% -68% 187

Avamere of Junction City 75 92% 8% 0% 7%

Avamere of Newport Rehabilitation and Specialty Care

68 71% 29% 0% 97% 13

Avamere Rehabilitation of Beaverton

172 63% 13% 24% -24% 47

Avamere Rehabilitation of Clackamas

71 92% 8% 0% 699%

Avamere Rehabilitation of Coos Bay

81 11% 38% 51% -84% 64

Avamere Rehabilitation of Eugene

109 66% 28% 6% 8% 26

Avamere Rehabilitation of Hillsboro

202 30% 10% 60% 17% 121

Avamere Rehabilitation of King City

90 23% 6% 71% -27% 60

Avamere Rehabilitation of Lebanon

87 29% 9% 62% -30% 53

Avamere Rehabilitation of Oregon City

190 0% 0% 100% -100% 171

Avamere Riverpark of Eugene

263 35% 19% 47% 144% 146

Avamere Transitional Care at Sunnyside

97 49% 1% 49% 86% 39

Avamere Twin Oaks of Sweet Home

36 67% 33% 0% 69% 8

Baycrest Village 90 57% 43% 0% 102% 30

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23Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Bend Transitional Care 106 72% 4% 25% 27% 19

Blue Mountain Care Center

40 85% 13% 3% 36% 2

Care Center East 123 36% 12% 52% -44% 67

Cascade Manor 131 40% 0% 60% -35% 66

Cascade Terrace 107 50% 43% 7% 10% 42

Chehalem Health and Rehabilitation

51 61% 33% 6% 34% 15

Clatsop Care Center 75 57% 12% 31% -41% 25

Coast Fork Nursing Center 78 53% 6% 41% -33% 29

Columbia Basin Care Facility

118 72% 13% 15% 63% 21

Columbia Care Center 62 50% 32% 18% 20% 25

Cornerstone Care Option 69 71% 28% 1% 16% 13

Corvallis Manor Nursing and Rehabilitation Center

123 72% 4% 24% 26% 23

Creekside Rehab and Nursing

59 46% 25% 29% -8% 26

Creswell Health and Rehabilitation Center

77 56% 44% 0% 27% 26

Dallas Retirement Village 262 50% 0% 50% 6% 106

East Cascade Retirement Community

28 36% 61% 4% -61% 15

EmpRes Hillsboro 77 91% 1% 8% 4%

Fernhill Estates 71 25% 21% 54% 28% 46

Forest Grove Rehabilitation and Care Center

77 62% 13% 25% -6% 21

French Prairie Nursing and Rehab Center

110 99% 1% 0% 4%

Friendship Health Center 351 37% 14% 49% 11% 186

Gateway Care & Retirement

87 60% 17% 23% -33% 26

Glisan Care Center 103 46% 44% 11% -50% 46

Good Samaritan — Curry Village

124 27% 8% 65% -31% 79

Good Samaritan Society — Eugene Village

77 90% 10% 0% 83%

Good Samaritan Society — Fairlawn Village

119 78% 18% 3% 8% 14

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24 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Gracelen Terrace 132 100% 0% 0% 13%

Green Valley Nursing and Rehabilitation Center

152 97% 3% 0% 18%

Healthcare at Foster Creek 227 40% 35% 26% 20% 114

Hearthstone Nursing & Rehabilitation Center

115 99% 1% 0% 84%

Highland House Nursing and Rehabilitation Center

154 94% 6% 0% 43%

Hillside Brookdale 266 20% 23% 57% 61% 187

Hillside Heights 81 93% 7% 0% 16%

Holladay Park Plaza 134 56% 22% 22% 35% 46

Hood River Care Center 88 55% 2% 43% -30% 31

Independence Health and Rehab

65 98% 2% 0% 0%

La Grande Post Acute Rehab

49 88% 12% 0% 31% 1

Lakeview Gardens 46 80% 20% 0% -16% 4

Laurel Hill Nursing and Rehab Center

61 36% 44% 20% -45% 33

Laurelhurst Village 57 32% 47% 21% 22% 33

Life Care Center of Coos Bay

126 71% 24% 5% 17% 23

Lifecare Center McMinnville

142 28% 41% 31% -11% 88

Linda Vista Nursing & Rehabilitation

106 46% 23% 31% 3% 46

Marian Estates 143 52% 43% 5% 175% 55

Marquis Autumn Hills 87 47% 20% 33% 55% 37

Marquis Centennial 147 89% 11% 0% 8% 1

Marquis Forest Grove 87 78% 13% 9% 33% 10

Marquis Mt. Tabor 223 29% 29% 42% 52% 136

Marquis Newberg 82 76% 24% 0% -19% 12

Marquis Oregon City Post Acute Rehab

100 41% 5% 54% -55% 49

Marquis Piedmont 137 67% 18% 15% 29% 31

Marquis Plum Ridge 153 42% 22% 36% 18% 74

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25Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Marquis Post Acute Rehabilitation at Hope Village

133 80% 19% 1% 43% 13

Marquis Post Acute Rehab at Mill Park

124 48% 1% 52% -37% 53

Marquis Silver Gardens 42 90% 2% 7% 34%

Marquis Springfield 201 46% 54% 0% -7% 88

Marquis Tualatin Post Acute Rehab

226 29% 1% 69% 8% 137

Marquis Vermont Hills 100 61% 3% 36% -23% 29

Marquis Wilsonville 210 35% 9% 56% 6% 116

Mary's Woods at Marylhurst

462 51% 15% 34% -17% 180

Maryville Nursing Home 323 80% 19% 1% 19% 33

Meadow Park 102 39% 18% 43% -42% 52

Mennonite Home 276 31% 4% 65% -45% 162

Milton Freewater Health and Rehabilitation Center

59 97% 3% 0% 0%

Mirabella Portland 226 41% 26% 33% -5% 110

Molalla Manor Care Center 81 54% 11% 35% -16% 29

Myrtle Point Care Center 47 51% 15% 34% 33% 18

Nehalem Valley Care Center

44 66% 34% 0% 98% 11

Oregon City Health Care Center

66 41% 33% 26% -16% 32

Oregon Veterans' Home, Lebanon

274 40% 3% 57% -26% 137

Oregon Veterans' Home, The Dalles

239 74% 26% 0% 9% 38

Pacific Health & Rehabilitation

109 25% 4% 72% 115% 71

Park Forest Care Center 55 60% 40% 0% 53% 17

Pilot Butte Rehab 52 62% 38% 0% -13% 15

Pioneer Nursing Home 128 58% 19% 23% -14% 41

Porthaven Care Center 98 62% 33% 5% 4% 27

Portland Health and Rehab 87 87% 2% 10% -12% 2

Prestige Care & Rehab of Menlo Park

86 58% 35% 7% -11% 27

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26 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Prestige Care and Rehab of Reedwood

73 64% 36% 0% -27% 19

Prestige Post-Acute Care & Rehabilitation Center — Gresham

123 45% 11% 45% -29% 56

Prestige Post-Acute and Rehabilitation Center — McMinnville

46 30% 30% 39% -58% 27

Prestige Post-Acute and Rehabilitation Center — Milwaukie

56 86% 14% 0% 15% 2

Providence Benedictine 395 80% 8% 12% 4% 40

Providence Child Center 323 84% 6% 10% -6% 20

Regency Albany 69 78% 22% 0% 146% 8

Regency Care of Central Oregon

73 58% 34% 8% 8% 24

Regency Care of Rogue Valley

104 48% 27% 25% -14% 44

Regency Florence 78 76% 24% 0% -15% 11

Regency Gresham Nursing and Rehabilitation Center

121 80% 13% 7% 8% 12

Regency Hermiston Nursing and Rehabilitation Center

122 94% 6% 0% 5%

Regency Prineville Rehabilitation and Nursing Center (FKA: Ochoco Care Center)

65 48% 15% 37% -27% 28

Regency Redmond Rehabilitation and Nursing Center (FKA: Redmond Health Care Center)

128 41% 6% 52% -35% 62

Robison Jewish Health Center

184 63% 9% 28% 38% 50

Rogue Valley Manor 170 46% 20% 34% -8% 74

Rose City Nursing Home 30 87% 13% 0% 492% 1

Rose Haven Nursing Center

123 96% 4% 0% 40%

Rose Linn Care Center 152 33% 7% 60% 12% 87

Rose Villa Senior Living 211 83% 17% 0% 15% 15

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27Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Royale Gardens Health and Rehabilitation Center

175 88% 12% 0% 2% 4

Salem Transitional Care 172 77% 23% 0% 101% 23

Secora Rehabilitation of Cascadia

63 27% 6% 67% 56% 40

Sheridan Care Center 119 31% 11% 58% -36% 70

Sherwood Park Nursing & Rehab Center

62 56% 44% 0% -2% 21

South Hills Rehabilitation Center

102 98% 2% 0% 3%

The Dalles Health and Rehabilitation

74 54% 0% 46% -46% 27

The Pearl at Kruse Way 187 12% 0% 88% -59% 145

Tierra Rose Care Center 160 55% 11% 34% -1% 56

Timberview Care Center 88 57% 5% 39% -22% 29

Town Center Village Rehab 210 73% 0% 27% 115% 36

Umpqua Valley Nursing and Rehabilitation Center

144 95% 3% 2% 139%

Valley West Health Care Center

50 80% 16% 4% 134% 5

Village Health Care 127 64% 25% 11% -4% 33

Village Manor 78 63% 0% 37% N/A 21

West Hills Health and Rehab

199 68% 10% 23% 3% 44

Willamette View Health Center

77 77% 12% 12% 2% 10

Willowbrook Terrace 72 65% 18% 17% 24% 18

Windsor Health and Rehabilitation

74 97% 3% 0% -3%

N/A: Percentage change could not be calculated if no vaccination data reported in the previous season.

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28 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Figure 5. Oregon skilled nursing facilities, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=136)

79.9%80.0%80.0%80.2%80.4%80.5%

82.9%83.9%85.0%85.7%86.7%87.4%87.8%88.0%89.1%89.6%90.5%90.9%91.5%92.0%92.6%94.2%94.3%94.6%95.1%95.9%96.6%96.7%97.3%98.0%98.5%99.1%99.1%100.0%

Maryville Nursing HomeValley West Health Care Center

Providence Benedic�neRegency Gresham Nursing and Rehabilita�on Center

Lakeview GardensMarquis Post Acute Rehabilita�on at Hope Village

Rose Villa Senior LivingProvidence Child Center

Blue Mountain Care CenterPres�ge Post-Acute and Rehabilita�on Center — Milwaukie

Rose City Nursing HomePortland Health and Rehab

La Grande Post-Acute RehabRoyale Gardens Health and Rehabilita�on Center

Marquis CentennialGood Samaritan Society — Eugene Village

Marquis Silver GardensEmpRes Hillsboro

Avamere Rehabilita�on of ClackamasAvamere of Junc�on City

Hillside HeightsHighland House Nursing and Rehabilita�on Center

Regency Hermiston Nursing and Rehabilita�on CenterAidan Senior Living at Reedsport

Umpqua Valley Nursing and Rehabilita�on CenterRose Haven Nursing Center

Milton Freewater Health and Rehabilita�on CenterGreen Valley Nursing and Rehabilita�on Center

Windsor Health and Rehabilita�onSouth Hills Rehabilita�on CenterIndependence Health and Rehab

French Prairie Nursing and Rehab CenterHearthstone Nursing & Rehabilita�on Center

Gracelen Terrace

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

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29Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

58.1%59.8%60.0%60.8%61.0%61.5%62.2%62.3%62.8%62.8%63.0%63.8%64.4%65.3%65.9%66.1%66.7%67.2%67.8%

70.6%71.0%71.4%71.5%71.7%72.0%72.9%74.1%75.6%75.6%76.6%76.7%78.2%78.2%78.3%

Pres�ge Care & Rehab of Menlo ParkGateway Care & Re�rement

Park Forest Care CenterChehalem Health and Rehabilita�on

Marquis Vermont HillsPilot Bu�e Rehab

Porthaven Care CenterForest Grove Rehabilita�on and Care Center

Avamere Rehabilita�on of BeavertonVillage Manor

Robison Jewish Health CenterVillage Health Care

Pres�ge Care and Rehab of ReedwoodWillowbrook Terrace

Nehalem Valley Care CenterAvamere Rehabilita�on of Eugene

Avamere Twin Oaks of Sweet HomeMarquis Piedmont

West Hills Health and RehabAvamere of Newport Rehabilita�on and Specialty Care

Cornerstone Care Op�onLife Care Center of Coos Bay

Corvallis Manor Nursing and Rehabilita�on CenterBend Transi�onal Care

Columbia Basin Care FacilityTown Center Village Rehab

Oregon Veterans' Home, The DallesMarquis NewbergRegency Florence

Willame�e View Health CenterSalem Transi�onal Care

Good Samaritan Society — Fairlawn VillageMarquis Forest Grove

Regency Albany

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Figure 5. continued

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30 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

41.0%41.2%41.4%41.8%

44.7%45.6%45.8%46.2%46.3%46.5%47.1%47.6%47.7%48.1%49.5%49.6%50.0%50.5%51.1%51.1%51.7%52.6%54.1%54.3%54.5%55.0%55.8%56.0%56.5%56.7%56.8%57.3%57.5%57.8%

Marquis Oregon City Post Acute RehabMirabella Portland

Regency Redmond Rehabilita�on and Nursing CenterMarquis Plum Ridge

Pres�ge Post-Acute Care & Rehabilita�on — GreshamGlisan Care Center

Creekside Rehab and NursingLinda Vista Nursing & Rehabilita�on

Marquis SpringfieldRogue Valley Manor

Marquis Autumn HillsMarquis Post Acute Rehab at Mill Park

Regency Prineville Rehabilita�on andNursing CenterRegency Care of Rogue Valley

Avamere Transi�onal Care at SunnysideDallas Re�rement Village

Columbia Care CenterCascade Terrace

Myrtle Point Care CenterMary's Woods at Marylhurst

Marian EstatesCoast Fork Nursing Center

The Dalles Health and Rehabilita�onMolalla Manor Care Center

Hood River Care CenterTierra Rose Care Center

Creswell Health and Rehabilita�on CenterHolladay Park Plaza

Sherwood Park Nursing & Rehab CenterBaycrest Village

Timberview Care CenterClatsop Care Center

Regency Care of Central OregonPioneer Nursing Home

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Figure 5. continued

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31Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

0.0%11.1%12.3%

18.1%

19.5%20.0%

23.3%24.8%

25.4%

26.6%27.0%

28.2%

28.7%29.1%29.2%

30.2%30.4%30.9%

31.1%

31.2%31.6%

32.9%34.6%

34.8%35.7%35.8%36.1%

37.0%38.8%39.2%

39.6%39.7%40.1%40.9%

Avamere Rehabilita�on of Oregon City

Avamere Rehabilita�on of Coos Bay

The Pearl at Kruse WayAvamere Medford at Three Fountains

Hillside Brookdale

Avamere Crestview of PortlandAvamere Rehabilita�on of King City

Pacific Health & Rehabilita�on

Fernhill EstatesGood Samaritan — Curry Village

Secora Rehabilita�on of CascadiaLifecare Center McMinnville

Avamere Rehabilita�on of LebanonMarquis Mt. Tabor

Marquis Tuala�n Post Acute RehabAvamere Rehabilita�on of Hillsboro

Pres�ge Post-Acute and Rehabilita�on Center — McMinnvilleAvamere Court at Keizer

Sheridan Care Center

Mennonite HomeLaurelhurst Village

Rose Linn Care Center

Avamere Riverpark Of Eugene

Marquis WilsonvilleEast Cascade Re�rement Community

Care Center EastLaurel Hill Nursing and Rehab Center

Friendship Health Center

Avamere Health Services of Rogue ValleyMeadow Park

Healthcare at Foster Creek

Cascade ManorOregon Veterans' Home, Lebanon

Oregon City Health Care Center

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Figure 5. continued

Facility with percentage of HCW vaccinated ≥90% Facility with percentage of HCW vaccinated 60%–74%

Facility with percentage of HCW vaccinated 75%–90% Facility with percentage of HCW vaccinated ≤59%

For facility-specific maps, see http://www.healthoregon.org/hai-reports.

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32 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Table 5. Rates of health care worker (HCW) influenza vaccination, declination and unknown vaccination status for the 2017–2018 influenza season: Dialysis facilities (n=71)

Each dialysis facility’s vaccination rate is included. Sixty-seven (94%) of the 71 dialysis facilities met the HP2015 goal. Forty (56%) met the HP2020 goal. Compared to last season, 36 (51%) reported increases in their vaccination rates.

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Blue Mountain Kidney Center

11 100% 0% 0% 0%

Cornell Road 23 91% 9% 0% 13%

FMC Albany 26 92% 8% 0% -8%

FMC Bend 56 86% 11% 4% 3% 2

FMC Coos Bay 44 82% 14% 5% -4% 4

FMC Corvallis 42 90% 5% 5% -3%

FMC Dialysis Services of Mt. Hood

131 84% 4% 12% 35% 8

FMC Emerald Valley 20 100% 0% 0% 0%

FMC Eugene 71 83% 7% 10% -10% 5

FMC Florence 11 91% 0% 9% -9%

FMC Lebanon 46 91% 4% 4% -2%

FMC Madras Dialysis 35 83% 17% 0% 29% 3

FMC Maywood Park 126 80% 4% 16% 19% 12

FMC Milton Freewater 13 85% 8% 8% -15% 1

FMC Newport 20 100% 0% 0% 7%

FMC Redmond 35 89% 11% 0% -11% 1

FMC Salem 99 91% 6% 3% 1%

FMC Sandy Dialysis 66 83% 3% 14% 30% 4

FMC Scholls Ferry 58 90% 9% 2% -5%

FMC Springfield 57 93% 7% 0% -1%

FMC West Salem 47 91% 4% 4% 5%

Four Rivers Dialysis Center

26 100% 0% 0% 0%

Fresenius Kidney Care Piedmont

27 93% 7% 0% N/A

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33Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

Fresenius Kidney Care Tualatin

11 100% 0% 0% 20%

Fresenius Rose Quarter Dialysis Center

144 75% 3% 22% -4% 22

Grants Pass II Dialysis 17 100% 0% 0% 5%

Gresham Station Dialysis 9 89% 0% 11% N/A

Hermiston Community Dialysis

15 100% 0% 0% 9%

Hillsboro Dialysis Center 24 96% 4% 0% -4%

Hilltop Dialysis 100 81% 4% 15% 32% 9

Kaiser Sunnybrook Peritoneal Dialysis Facility

9 89% 0% 11% 33%

Klamath Falls Dialysis 26 96% 0% 4% 7%

Lake Road Dialysis Center 41 88% 12% 0% 2% 1

Lancaster Drive Dialysis 12 100% 0% 0% N/A

McMinnville Dialysis 27 100% 0% 0% 0%

Meridian Park Dialysis Center

28 93% 7% 0% -7%

NE Salem Dialysis 17 100% 0% 0% 10%

Noble Woods Dialysis Clinic

46 91% 7% 2% 7%

Northeast Portland Renal Center

96 83% 4% 13% -12% 6

OHSU Pediatric Outpatient Peritoneal Dialysis

14 86% 14% 0% N/A 1

Oregon Kidney Center 35 80% 0% 20% -20% 4

PNRS Beaverton Dialysis Center

31 58% 16% 26% -32% 10

PNRS Clackamas 138 83% 5% 12% 28% 10

PNRS Columbia River The Dalles

18 100% 0% 0% 15%

PNRS Eastern Oregon Dialysis

23 100% 0% 0% 8%

PNRS Emanuel Pediatric Dialysis

18 100% 0% 0% 0%

PNRS Hollywood Dialysis Center

136 63% 5% 32% 45% 36

Page 34: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

34 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Facility name

Number of HCWs

eligible for influenza vaccine

Rate of influenza

vaccination for eligible

HCWs

Rate of vaccine

declination by eligible

HCWs

Rate of unknown

vaccination status for eligible HCWs

Percent change in

vaccination rate since

last season

Met HP2015 target (75%)

Met HP2020 target (90%)

Additional HCWs

needed to vaccinate to reach HP2020

PNRS McMinnville Kidney Center (FKA PNRS Evergreen)

26 100% 0% 0% 15%

PNRS Newberg Dialysis Center

106 77% 8% 15% 27% 13

PNRS North Coast Dialysis Clinic

100 83% 5% 12% 0% 7

PNRS Portland Home Dialysis (Pacific NW Home in NHSN)

18 100% 0% 0% 58%

PNRS St. Helens Dialysis 37 89% 8% 3% 57% 0

PNRS Tualatin Kidney Center

132 85% 3% 12% 10% 7

PNRS Twin Oaks 64 86% 9% 5% 20% 3

PNRS/THC Raines Dialysis Center

118 83% 3% 14% -1% 8

Portland Gateway Dialysis 35 97% 3% 0% 2%

Portland MLK Dialysis 16 88% 13% 0% -9%

Ray Yasui Dialysis Center 20 90% 10% 0% 1%

Redwood Dialysis 16 100% 0% 0% 0%

Rogue Valley Dialysis 67 100% 0% 0% 0%

Roseburg/Mercy Dialysis 39 87% 13% 0% 16% 1

Salem Dialysis 74 100% 0% 0% 46%

Salem North Dialysis 36 94% 6% 0% 3%

Sherwood Dialysis Center 20 100% 0% 0% 0%

Tillamook Dialysis Center 10 90% 10% 0% 0%

USRC Gresham Dialysis Center

20 70% 30% 0% -9% 4

USRC Portland Dialysis Center

22 86% 14% 0% 8% 1

USRC Portland Home Therapies

6 67% 33% 0% 0% 1

West Linn Dialysis Center 13 100% 0% 0% 0%

Willamette Valley Renal Center

35 100% 0% 0% 3%

Woodburn Dialysis 40 95% 5% 0% 94%

N/A: Percentage change could not be calculated if no vaccination data reported in the previous season.

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35Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Figure 6. Oregon dialysis facilities, by HCW influenza vaccination rate for the 2017–2018 influenza season (n=71)

91.3%

91.3%

91.3%

91.5%

92.3%

92.6%

92.9%

93.0%

94.4%

95.0%

95.8%

96.2%

97.1%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

Cornell Road (FKA: Walker Road Dialysis)

FMC Lebanon

Noble Woods Dialysis Clinic

FMC West Salem

FMC Albany

Fresenius Kidney Care Piedmont

Meridian Park Dialysis Center

FMC Springfield

Salem North Dialysis

Woodburn Dialysis

Hillsboro Dialysis Center

Klamath Falls Dialysis

Portland Gateway Dialysis

Blue Mountain Kidney Center

FMC Emerald Valley

FMC Newport

Four Rivers Dialysis Center

Fresenius Kidney Care Tuala�n

Grants Pass II Dialysis

Hermiston Community Dialysis

Lancaster Drive Dialysis

McMinnville Dialysis

NE Salem Dialysis

PNRS Columbia River The Dalles

PNRS Eastern Oregon Dialysis

PNRS Emanuel Pediatric Dialysis

PNRS McMinnville Kidney Center (FKA PNRS Evergreen)

PNRS Portland Home Dialysis (Pacific NW Home in NHSN)

Redwood Dialysis

Rogue Valley Dialysis

Salem Dialysis

Sherwood Dialysis Center

West Linn Dialysis Center

Willame�e Valley Renal Center

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Page 36: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

36 Health care worker vaccination data | Oregon Health Care Worker Influenza Vaccination

Figure 6. continued

Facility with percentage of HCW vaccinated ≥90% Facility with percentage of HCW vaccinated 60%–74%

Facility with percentage of HCW vaccinated 75%–90% Facility with percentage of HCW vaccinated ≤59%

For facility-specific maps, see http://www.healthoregon.org/hai-reports.

66.7%70.0%

75.0%77.4%

80.0%80.2%81.0%81.8%82.6%82.9%83.0%83.1%83.1%83.3%83.3%84.0%84.6%84.8%85.7%85.7%85.9%86.4%87.2%87.5%87.8%88.6%88.9%88.9%89.2%89.7%90.0%90.0%90.5%

USRC Portland Home TherapiesUSRC Gresham Dialysis Center

Fresenius Rose Quarter Dialysis CenterPNRS Newberg Dialysis Center

Oregon Kidney CenterFMC Maywood Park

Hilltop DialysisFMC Coos Bay

PNRS ClackamasFMC Madras Dialysis

PNRS North Coast Dialysis ClinicPNRS/THC Raines Dialysis Center

FMC EugeneFMC Sandy Dialysis

Northeast Portland Renal CenterFMC Dialysis Services of Mt. Hood

FMC Milton FreewaterPNRS Tuala�n Kidney Center

FMC BendOHSU Pediatric Outpa�ent Peritoneal Dialysis

PNRS Twin OaksUSRC Portland Dialysis Center

Roseburg/Mercy DialysisPortland MLK Dialysis

Lake Road Dialysis CenterFMC Redmond

Kaiser Sunnybrook Peritoneal Dialysis FacilityGresham Sta�on DialysisPNRS St. Helens Dialysis

FMC Scholls FerryTillamook Dialysis CenterRay Yasui Dialysis Center

FMC Corvallis

0 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Page 37: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

37Oregon Health Care Worker Influenza Vaccination | Health care worker vaccination data

Improving Oregon health care worker vaccination ratesOregon Health Authority’s Healthcare-Associated Infections (HAI) Program works directly with health care facilities to track and improve vaccination rates. In the current season, the HAI Program reached out to all skilled nursing facilities to promote health care worker flu vaccination, as vaccination rates in this setting have remained lower than in other facility types. Objectives for this outreach included:

• Provide data for action. Vaccination rates for Oregon skilled nursing facilities relative to Healthy People goals were sent directly to facilities.

• Motivate facilities to improve documentation of health care worker vaccination status. Low vaccination rates may be, in part, due to poor documentation of health care worker vaccination. Facilities were encouraged and given resources to support a systematic data collection process.

• Provide toolkits. Skilled nursing facilities received CDC and OHA health care worker vaccination toolkits. These toolkits detail strategies for improving health care worker flu vaccination.

• Follow up in person or by phone. OHA followed up with all 136 skilled nursing facilities to confirm they received the above information, to inquire about vaccination progress and to offer technical support.

• Identify high-performing facilities and share best practices. Facilities with high or notably improved vaccination rates as well as those with innovative practices in promoting health care worker flu vaccination were recognized and asked to present their experience to colleagues from other facilities.

The Oregon Health Authority will evaluate the impact of this outreach over the next year and, if successful, extend the outreach to other facilities to improve health care worker vaccination rates in Oregon.

Page 38: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

38 References | Oregon Health Care Worker Influenza Vaccination

References

1. Centers for Disease Control and Prevention. Estimated influenza illnesses, medical visits, hospitalizations, and deaths averted by vaccination in the United States. [cited 2018 March 6]. Available from: https://www.cdc.gov/flu/about/disease/2015-16.htm.

Page 39: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause
Page 40: Oregon Health Care Workers Influenza Vaccination Annual Report · Oregon Health Care Worker Influenza Vaccination | Executive summary 5 Executive summary The influenza virus can cause

OHA 8628 (04/19)

You can get this document in other languages, large print, braille or a format you prefer. Contact the Healthcare-Associated Infections (HAI) Program at 971-673-1111 or email [email protected]. We accept all relay calls or you can dial 711.

PUBLIC HEALTH DIVISIONHealthcare-Associated Infections (HAI) ProgramPhone: 971-673-1111FAX: 971-673-1100