NHSN HPS Flu Vaccine Protocol 2022

Last reviewed August 2022

The National Healthcare Safety

Network (NHSN) Manual

HEALTHCARE PERSONNEL SAFETY

COMPONENT PROTOCOL

Healthcare Personnel Vaccination Module:

Influenza Vaccination Summary

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Atlanta, GA, USA

Last reviewed August 2022

Table of Contents

1. Introduction to Healthcare Personnel Safety Component ....................................................... 3

2. Healthcare Personnel Safety Monthly Reporting Plan ........................................................... 4

3. Healthcare Personnel Vaccination Module: Influenza Vaccination Summary ....................... 4

Introduction ............................................................................................................................. 4

HCP Influenza Vaccination Measure ...................................................................................... 5

Settings .................................................................................................................................... 5

Requirements .......................................................................................................................... 5

Reporting Instructions ............................................................................................................. 5

Data Sources ........................................................................................................................... 9

Methodology ........................................................................................................................... 9

Data Analyses ......................................................................................................................... 9

References ............................................................................................................................. 16

4. Forms and Tables of Instructions .......................................................................................... 18

Healthcare Personnel Influenza Vaccination Summary (CDC 57.214) ................................ 18

Instructions for Completion of Healthcare Personnel Influenza Vaccination Summary Form

(CDC 57.214) ........................................................................................................................ 20

Instructions for Completion of Seasonal Survey on Influenza Vaccination Programs for

Healthcare Personnel (CDC 57.215) ..................................................................................... 25

5. Key Terms ............................................................................................................................. 29

Appendix A ............................................................................................................................... 30

Influenza Vaccination Summary: List of Contracted and Vendor Healthcare Personnel ..... 30

Examples .............................................................................................................................. 30

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1. Introduction to Healthcare Personnel Safety Component

In recent years, occupational hazards faced by healthcare personnel (HCP) in the United States

have received increasing attention. Although recommendations, guidelines, and regulations to

minimize HCP exposure to such hazards have been developed, additional information is needed

to improve HCP safety. In particular, existing surveillance systems are often inadequate to

describe the scope and magnitude of occupational exposures to infectious agents and

noninfectious occupational hazards that HCP experience, the outcomes of these exposures and

injuries, and the impact of preventive measures. The lack of ongoing surveillance of

occupational exposures, injuries, and infections in a national network of healthcare facilities

using standardized methodology also compromises the ability of the Centers for Disease

Control and Prevention (CDC) and other public health agencies to identify emerging problems,

to monitor trends, and to evaluate preventive measures.

The Healthcare Personnel Safety (HPS) Component of the National Healthcare Safety Network

(NHSN) was launched in 2009. The component consists of two modules: 1) Healthcare

Personnel Exposure; and (2) Healthcare Personnel Vaccination. The exposure module includes:

Blood/Body Fluid Exposure Only; Blood/Body Fluid Exposure with Exposure Management;

and Influenza Exposure Management. The Healthcare Personnel Vaccination Module, includes:

Influenza Vaccination Summary and COVID-19 Vaccination Summary.

Data collected in this surveillance system will assist healthcare facilities, HCP organizations,

and public health agencies to monitor and report trends in blood/body fluid exposures, to assess

the impact of preventive measures, to characterize antiviral medication use for exposures to

influenza, and to monitor influenza vaccination coverage among HCP. In addition, this

surveillance component will allow CDC to monitor national trends, to identify newly emerging

hazards for HCP, to assess the risk of occupational infection, and to evaluate measures,

including engineering controls, work practices, protective equipment, and post-exposure

prophylaxis designed to prevent occupationally-acquired infections. Hospitals and other

healthcare facilities will benefit by receiving technical support and standardized methodologies,

including a Web-based application, for conducting surveillance activities on occupational

health. The NHSN reporting application will enable facilities to analyze their own data and

compare these data with a national database.

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2. Healthcare Personnel Safety Monthly Reporting Plan

For the Influenza Vaccination Module, the monthly reporting plan (MRP) is no longer required

to complete beginning with the 2022-2023 influenza season. Instead, upon saving or uploading

data, users will agree to the following: (1) The data reported are consistent with definitions

outlined in NHSN surveillance protocols (including tables of instructions and frequently asked

questions) and (2) The data will be sent to the Centers for Medicare and Medicaid Services

(CMS) to fulfill CMS quality reporting requirements (when applicable).

3. Healthcare Personnel Vaccination Module: Influenza Vaccination

Summary

Introduction

The Advisory Committee on Immunization Practices (ACIP) recommends that all persons six

months of age and older, including HCP and persons in training for healthcare professions,

should be vaccinated annually against influenza. [1,2] Persons infected with influenza virus,

including those who are pre-symptomatic, can transmit the virus to coworkers and patients,

some of whom may be at higher risk for complications from influenza. Vaccination of working

age adults, including HCP, has been associated with reduced risk of influenza illness, and

reduced work absenteeism, antibiotic use, and medical visits. [3,4] In addition, HCP influenza

vaccination has reduced deaths among nursing home patients [5,6] and elderly hospitalized

patients.[6] Annual vaccination is recommended for all HCP and is a high priority for reducing

morbidity associated with influenza in healthcare settings. National survey data have

demonstrated that HCP influenza vaccination coverage levels are approximately 80% [7],

falling short of the Healthy People 2020 target of 90% for HCP influenza vaccination [8]. HCP

influenza vaccination varies substantially by provider type and healthcare setting. [7]

Healthcare facilities should provide influenza vaccine to HCP using approaches that have

demonstrated effectiveness in increasing vaccination coverage. [1, 2] Healthcare administrators

should consider the level of vaccination coverage among HCP to be one measure of a patient

safety quality program and consider obtaining signed declinations from personnel who decline

influenza vaccination for reasons other than medical contraindications. [2; 9-12] Influenza

vaccination rates (including ward-, unit-, and specialty-specific coverage rates) among HCP

within facilities should be regularly measured and reported to facility administrators and staff.

[2,12]

Healthcare facilities should offer influenza vaccinations to all eligible HCP, [2] including part-

time and temporary staff. Efforts should be made to educate HCP on the benefits of vaccination

and the potential health consequences of influenza illness for their patients, themselves, and

their family members [2]. Studies have demonstrated that organized campaigns can attain

higher rates of vaccination among HCP with moderate effort and by using strategies that

increase vaccine acceptance. [9,13,14] All HCP should be provided convenient access to

influenza vaccine at the work site, free of charge. [9,14]

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HCP Influenza Vaccination Measure

The HCP influenza vaccination measure is designed to ensure that reported HCP influenza

vaccination percentages are consistent over time within a single healthcare facility and

comparable across facilities. Using this measure to monitor influenza vaccination among HCP

may also result in increased influenza vaccination uptake among HCP, because improvements

in tracking and reporting HCP influenza vaccination status will allow healthcare institutions to

better identify and target unvaccinated HCP. Increased influenza vaccination coverage among

HCP is expected to result in reduced morbidity and mortality related to influenza virus infection

among patients. The HCP Vaccination Module of the HPS Component will allow NHSN users

to report HCP influenza vaccination data using this HCP influenza vaccination measure.

Settings

All types of healthcare facilities including acute care hospitals, long-term acute care hospitals,

inpatient psychiatric facilities, inpatient rehabilitation facilities, outpatient dialysis centers,

ambulatory surgery centers, and long-term care facilities are invited to join NHSN and use the

measure.

CMS-certified free-standing acute care facilities, inpatient rehabilitation facilities (IRFs), critical

access hospitals, long-term acute care facilities, prospective payment system (PPS)-exempt

cancer hospitals, and skilled nursing facilities (SNFs) are required to report HCP influenza

vaccination summary data through NHSN.

IRF units located within acute care facilities, long-term acute care facilities, critical access

hospitals, and inpatient psychiatric facilities are also required to report HCP influenza

vaccination data through NHSN.

Requirements

Participating facilities are required to report data according to this protocol, using the NHSN

definitions described herein, to ensure data are uniformly reported across facilities.

CDC/NHSN encourages that HCP influenza vaccination summary data be updated on a monthly

basis and suggests that healthcare facilities update data within 30 days of the end of each month

(for example, all October data should be added by November 30) so they have the greatest

impact on influenza vaccination activities. However, entering a single influenza vaccination

summary report at the conclusion of the measure reporting period will meet the minimum data

requirements for NHSN participation.

Reporting Instructions

Forms, Description, and Purpose (See also: Tables of Instructions for Completion of

Healthcare Personnel Influenza Vaccination Summary Form in Chapter 4)

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All facilities using the HCP Vaccination Module for HCP influenza vaccination summary data

reporting must complete the Healthcare Personnel Influenza Vaccination Summary form in the

HPS Component. In addition, dialysis centers that do not provide in-center hemodialysis are

also required to complete the Home Dialysis Center Practices survey.

• Healthcare Personnel Influenza Vaccination Summary Form (CDC 57.214) – This is

used to collect data on summary influenza vaccination counts among HCP working in a

facility. HCP influenza vaccination summary reporting in NHSN consists of a single

data entry screen per influenza season. Each time a user enters updated data for a

particular influenza season, all previously entered data for that season will be

overwritten and a new modified date will be auto-filled by the system. When entering

data, all required fields indicated with an asterisk must be completed. Otherwise, the

data cannot be saved. Users should enter “0” in a field if no HCP at the facility fall into

that category.

• Home Dialysis Center Practices Survey (CDC 57.507) – Dialysis centers that do not

provide in-center hemodialysis are required to complete the Home Dialysis Center

Practices Survey before they can enter the HCP influenza vaccination summary data into

NHSN. This survey captures information about various topics such as surveillance

practices, vaccination, and vascular access.

The Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel (CDC

57.215) is not required at this time. The survey collects data on types of personnel groups that

are included in a facility’s annual influenza vaccination campaign, methods a facility is using to

deliver influenza vaccine to its HCP, strategies a facility uses to promote/enhance HCP

influenza vaccination, etc. Facilities are encouraged to complete one survey at the end of the

influenza season.

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Measure Specifications

Denominator

The denominator for this measure consists of HCP who are physically present in the healthcare

facility for at least 1 working day between October 1 through March 31 of the following year.

Denominators are to be calculated separately for three required categories of HCP and can also

be calculated for a fourth optional category:

a. Employees (required): This includes all persons receiving a direct paycheck from the

reporting facility (i.e., on the facility’s payroll), regardless of clinical responsibility or

patient contact.

b. Licensed independent practitioners (LIPs) (required): This includes physicians (MD,

DO), advanced practice nurses, and physician assistants who are affiliated with the

reporting facility, but are not directly employed by it (i.e., they do not receive a

paycheck from the facility), regardless of clinical responsibility or patient contact. Post-

residency fellows are also included in this category if they are not on the facility’s

payroll.

c. Adult students/trainees and volunteers (required): This includes medical, nursing, or

other health professional students, interns, medical residents, or volunteers aged 18 or

older who are affiliated with the healthcare facility, but are not directly employed by it

(i.e., they do not receive a paycheck from the facility), regardless of clinical

responsibility or patient contact.

d. Other contract personnel (optional): Contract personnel are defined as persons providing

care, treatment, or services at the facility through a contract who do not fall into any of

the other - denominator categories. (See Appendix A for a list of contract personnel

examples.) Reporting for this category is optional at this time.

Denominator Notes

1. The denominator includes HCP who worked at the facility for at least 1 working day

from October 1 through March 31 during the reporting period, regardless of clinical

responsibility or patient contact. This includes HCP who joined after October 1 or left

before March 31, or who were on extended leave during part of the reporting period.

Working for any number of hours a day counts as one working day.

2. Both full-time and part-time personnel should be included. HCP should be counted as

individuals rather than full-time equivalents. If a healthcare worker (HCW) works in two

or more facilities, each facility should include the HCW in their denominator data.

3. Licensed practitioners who receive a direct paycheck from the reporting facility, or who

are owners of the reporting facility, should be counted as employees.

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4. The denominator categories are mutually exclusive. The numerator data are to be

reported separately for each of the denominator categories.

Numerator

The numerator for this measure consists of HCP in the denominator population, who fall into

one of the categories below. HCP should be counted as vaccinated if they receive influenza

vaccine any time from when it first became available, such as August or September, through

March 31 of the following year:

a. received an influenza vaccination administered at the healthcare facility; or

b. reported in writing (paper or electronic) or provided documentation that influenza

vaccination was received elsewhere; or

c. were determined to have a medical contraindication/condition of severe allergic reaction

to eggs or other component(s) of the vaccine, or history of Guillain-Barré Syndrome

(GBS) within 6 weeks after a previous influenza vaccination; or

d. were offered but declined influenza vaccination; or

e. had an unknown vaccination status or did not otherwise meet any of the definitions of

the other numerator categories.

Numerator Notes

1. Persons who declined vaccination because of conditions other than those specified in

category (c) above should be categorized as declined vaccination.*

2. Persons who declined vaccination and did not provide any other information should be

categorized as declined vaccination.

3. Persons who did not receive vaccination because of religious or philosophical

exemptions should be categorized as declined vaccination.

4. Persons who deferred vaccination all season should be categorized as declined

vaccination.

5. The numerator data are mutually exclusive. The sum of the numerator categories should

be equal to the denominator for each HCP group.

*Note: For the purposes of this measure, a medical contraindication to vaccination with is

defined as having a severe allergic reaction to eggs or other components of the influenza

vaccine or a history of GBS within 6 weeks after a previous influenza vaccination. A healthcare

facility may grant medical exemptions to HCP with other conditions besides those defined for

this measure and may include these conditions in its list of acceptable medical contraindications

to influenza vaccination. However, to ensure that data are comparable across different facilities

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reporting data using this measure, only those HCP with one of the two conditions stated above

should be reported to NHSN as having a medical contraindication to influenza vaccination.

Data Sources

Data sources for the required data elements include management/personnel data, medical or

occupational health records, and vaccination records. HCP can self-report in writing (paper or

electronic) that the vaccination was received elsewhere or provide documentation of receipt of

the influenza vaccine elsewhere. Documentation should include the date and location of vaccine

receipt. For this reporting measure, verbal statements are not acceptable proof of vaccination

outside the facility. However, HCP can provide verbal statements for medical contraindications

to and declination of the influenza vaccine, as written documentation is not required for NHSN

reporting.

Methodology

The influenza vaccination summary data reporting enables a healthcare facility to record

influenza vaccination data for HCP working in the healthcare facility for at least 1 day from

October 1 through March 31. Data must be entered for the three denominator categories of

HCP groups and the five numerator fields describing vaccination status. A fourth denominator

category for other contract personnel is optional at this time.

This module requires that data be collected as per CDC reporting requirements. Data covering

the entire denominator reporting period (October 1 through March 31) must be entered once

into NHSN for each reporting year. The data can be entered on a monthly and/or quarterly

basis, but only cumulative data should be entered. Any new data that are entered into NHSN

will overwrite previously entered data. Thus, if a facility would like to keep track of its

monthly numbers, it should maintain its own record of monthly summary reports as it will not

be able to review previously entered data in NHSN.

Data Analyses

Influenza vaccination status is calculated separately among each of the three required

denominator categories: employees, LIPs, and adult students/trainees and volunteers. Influenza

vaccination status can also be calculated for the fourth optional category of other contract

personnel using the modify option within the analysis function. Separate measures are

calculated by dividing the number of HCP in one numerator field (for example, number of HCP

who received an influenza vaccination at this healthcare facility since influenza vaccine became

available this season) by the number of HCP in that denominator group and multiplying by 100

to produce a vaccination percentage for that specific group. Percentages of vaccination

received elsewhere, medical contraindications, declinations, and unknown vaccination status

can also be calculated using the second, third, fourth, and fifth numerator fields, respectively.

Calculations for employee vaccination percentages are shown below. Vaccination percentages

for LIPs, adult students/trainees and volunteers, and other contract personnel are calculated in

the same manner.

Last reviewed August 2022

Employee Vaccination Percentages

Employee Vaccination Percentage (at this healthcare facility)

# Employees vaccinated onsite

×100 = Pct. of

Employees Vaccinated Onsite

# Employees working in the required

time period

Employee Vaccination Percentage (outside this healthcare facility)

# Employees vaccinated elsewhere

×100 = Pct. of Employees

Vaccinated Elsewhere

# Employees working in the

required time period

Employee

Medical Contraindication Percentage

# Employees reporting contraindication

×100 = Pct. of Employees

Reporting Contraindication

# Employees working in the required time period

Employee Declination Percentage

# Employees declined vaccine

×100 = Pct. of Employees

Reporting Declination

# Employees working in the

required time period

Employee Unknown

Vaccination Percentage

# Employees with unknown vaccination

# Employees working in the required time period ×100 = Pct. Employees with Unknown Status

HCP Vaccination Percentages

In addition to calculating vaccination percentages for individual denominator groups,

percentages can be calculated for all HCP (both employees and non-employees). Percentages

can also be calculated including the optional category of contract personnel using the modify

option within the analysis function. To determine vaccination for all HCP, the system will add

the total number of HCP (employees, LIPs, and adult students/trainees and volunteers) in one

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numerator field (for example, total number of HCP who received an influenza vaccination at

this healthcare facility since influenza vaccine became available this season). The number is

divided by the total number of HCP who worked at this healthcare facility for at least 1 working

day from October 1 through March 31, and multiplied by 100 to produce a vaccination

percentage for that HCP group. Percentages of vaccination received elsewhere, medical

contraindications, declinations, and unknown vaccination status can also be calculated using the

second, third, fourth, and fifth numerator fields, respectively. Calculations for total HCP

vaccination percentages are shown below. The second calculation in this section shows how an

onsite vaccination percentage is computed for all facility HCP including other contract

personnel (OCP). Other vaccination percentages for all HCP including other contract personnel

are computed in the same manner as the other calculations in this section.

HCP Vaccination Percentage (at this healthcare facility) [excluding OCP]

# Employees + # LIPs + # ASTV vaccinated onsite

×100 = Pct. of

HCP Vacc. Onsite (exc. OCP)

# Employees + # LIPs + # ASTV working in the required

time period

HCP Vaccination Percentage (at this healthcare facility) [including OCP]

# Employees + # LIPs + # ASTV + # OCP vaccinated onsite

×100 = Pct. of

HCP Vacc. Onsite (inc. OCP)

# Employees + # LIPs + # ASTV + # OCP working in the required

time period

HCP Vaccination Percentage (outside this healthcare facility) [excluding OCP]

# Employees + # LIPs + # ASTV vaccinated elsewhere

×100 = Pct. of HCP Vacc.

Elsewhere (exc. OCP)

# Employees + # LIPs + # ASTV working in the required time period

HCP Medical Contraindication Percentage [excluding OCP]

# Employees + # LIPs + # ASTV reporting contraindication

×100 = Pct. of HCP Reporting Contra. (exc. OCP)

# Employees + # LIPs + # ASTV working in

the required time period

HCP Declination

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Percentage [excluding OCP]

# Employees + # LIPs + # ASTV declined vaccine

×100 = Pct. of HCP Reporting Declination (exc. OCP)

# Employees + # LIPs + # ASTV working in

the required time period

HCP Unknown

Vaccination Percentage [excluding OCP]

# Employees + # LIPs + # ASTV with unknown status

×100 = Pct. of HCP with

Unknown Status (exc. OCP)

# Employees + # LIPs + # ASTV working in the required time period

Non-Employee Vaccination Percentages

Vaccination percentages can be calculated for all non-employees (LIPs and adult

students/trainees and volunteers). Percentages can also be calculated including the optional

category of other contract personnel using the modify option within the analysis function. To

determine vaccination for all non-employees, the system will add the total number of non-

employee HCP (LIPs and adult students/trainees and volunteers) in one numerator field (for

example, number of HCP who received an influenza vaccination at this healthcare facility since

influenza vaccine became available this season). The number is divided by the total number of

HCP who worked at this healthcare facility for at least 1 working day from October 1 through

March 31 and multiplied by 100 to produce a vaccination percentage for that group of

nonemployees. Percentages of vaccination received elsewhere, medical contraindications,

declinations, and unknown vaccination status can also be calculated using the second, third,

fourth, and fifth numerator fields, respectively. Calculations for non-employee vaccination

percentages are shown below. The second calculation in this section shows how a percentage is

computed for other contract personnel.

Non-Employee Vaccination Percentage (at this healthcare facility) [excluding OCP]

# LIPs + # ASTV vaccinated onsite

×100 =Pct. of Non-Employees

Vacc. Onsite (exc. OCP)

LIPs + # ASTV working in the required time period

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Non-Employee Vaccination Percentage (at this healthcare facility) [including OCP]

# LIPs + # ASTV + # OCP vaccinated onsite

×100 = Pct. of Non-

Employees Vacc. Onsite (inc. OCP)

# LIPs + # ASTV + # OCP working in the required time

period

Non-Employee Vaccination Percentage (outside this healthcare facility) [excluding OCP]

# LIPs + # ASTV vaccinated elsewhere

×100 = Pct. of Non-Employees

Vacc. Elsewhere (exc. OCP)

# LIPs + # ASTV working in the required time period

Non-Employee Medical Contraindication Percentage [excluding OCP]

# LIPs + # ASTV reporting contraindication

×100 = Pct. of Non-Employees Reporting Contra. (exc. OCP)

# LIPs + # ASTV working in the required time period

Non-Employee Declination Percentage [excluding OCP]

# LIPs + # ASTV declined vaccine

×100 = Pct. of Non-Employees

Reporting Declination (exc. OCP)

# LIPs + # ASTV working in the required time period

Non-Employee Unknown Vaccination Percentage [excluding OCP]

# LIPs + # ASTV with unknown vaccination

×100 = Pct. of Non-Employees with Unknown Status (exc. OCP)

# LIPs + # ASTV working in the required time period

Vaccination Compliance

To determine vaccination compliance, the system will add the total number of HCP who

received an influenza vaccination at this healthcare facility to the total number of HCP who

provided a written report or documentation of influenza vaccination outside this healthcare

facility since influenza vaccine became available this season. The number is divided by the

total number of HCP who worked at this healthcare facility for at least 1 working day from

October 1 through March 31. This number is then multiplied by 100 to obtain a percentage.

Percentages can also be calculated including the optional category of other contract personnel

using the modify option within the analysis function. Calculations for employee vaccination

Last reviewed August 2022

compliance, HCP vaccination compliance, and non-employee vaccination compliance

percentages are shown below. Vaccination compliance percentages for LIPs, adult

students/trainees and volunteers, and other contract personnel are calculated in the same

manner.

Employee Vaccination Compliance Percentage

# Employees vaccinated onsite + # Employees vaccinated elsewhere

# Employees working in the required time period ×100 = Pct. of Employee Vacc. Compliance

HCP Vaccination Compliance Percentage [excluding OCP]

(# Emp. + # LIPs + # ASTV vacc. onsite) + (# Emp. + # LIPs + # ASTV vacc. elsewhere)

×100 = Pct. of HCP Vacc. Comp. (exc. OCP)

# Emp. + # LIPs + # ASTV working in the required time period

HCP Vaccination Compliance Percentage [including OCP]

(# Emp. + # LIPs + # ASTV + # OCP vacc. onsite) + (# Emp. + # LIPs + # ASTV + # OCP vacc. elsewhere) # Emp. + #

LIPs + # ASTV + # OCP working in the required time period ×100 =

Pct. of HCP Vacc. Comp. (inc. OCP)

Non-Employee Vaccination Compliance Percentage [excluding OCP]

(# LIPs + # ASTV vacc. onsite) + (# LIPs + # ASTV vacc. elsewhere)

×100 = Pct. of Non-

Employee Vacc. Comp. (exc. OCP)

# LIPs + # ASTV working in the required time period

Non-Employee Vaccination Compliance Percentage [including OCP]

(# LIPs + # ASTV + # OCP vacc. onsite) + (# LIPs + # ASTV + # OCP vacc. elsewhere)

# LIPs + # ASTV + # OCP working in the required time period ×100 = Pct. of Non-Employee Vacc.

Comp. (inc. OCP)

Vaccination Non-Compliance

To determine vaccination non-compliance, the system will add the total number of HCP who

declined to receive the influenza vaccination to the total number of HCP with unknown

vaccination status. The number is divided by the total number of HCP who worked at this

healthcare facility for at least 1 working day between October 1 through March 31. This

number is then multiplied by 100 to obtain a percentage. Percentages can also be calculated

including the optional category of other contract personnel using the modify option within the

analysis function. Calculation for employee vaccination non-compliance, HCP vaccination

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non-compliance, and non-employee vaccination non-compliance percentages are shown below.

Vaccination non-compliance percentages for LIPs, adult students/trainees and volunteers, and

other contract personnel are calculated in the same manner.

Employee Vaccination Non-Compliance Percentage

# Employees declined vacc. + # Employees with unknown status

# Employees working in the required time period ×100 = Pct. of Employee Vacc. Non-

Compliance

HCP Vaccination Non-Compliance Percentage [excluding OCP]

(# Emp. + # LIPs + # ASTV declined vacc.) + (# Emp. + # LIPs + # ASTV with unknown status)

# Emp. + # LIPs + # ASTV working in the required time period ×100 =Pct. of HCP Vacc. Non-Comp.

(exc. OCP)

HCP Vaccination Non-Compliance Percentage [including OCP]

(# Emp. + # LIPs + # ASTV + # OCP dec. vacc.) + (# Emp. + # LIPs + # ASTV + # OCP with unknown status)

# Emp. + # LIPs + # ASTV + # OCP working in the required time period ×100 =Pct. of HCP Vacc. Non-Comp.

(inc. OCP)

Non-Employee Vaccination Non-Compliance Percentage [excluding OCP]

(# LIPs + # ASTV declined vacc.) + (# LIPs + # ASTV with unknown status)

×100 = Pct. of Non-Employee

Vacc. Non-Comp. (exc. OCP)

# LIPs + # ASTV working in the required time period

Non-Employee Vaccination Non-Compliance Percentage [including OCP]

(# LIPs + # ASTV + # OCP declined vacc.) + (# LIPs + # ASTV + # OCP with unknown status)

# LIPs + # ASTV + # OCP working in the required time period ×100 = Pct. of Non-Emp. Vacc. Non-

Comp. (inc. OCP)

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References

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R.V. Fink, Influenza Vaccination Coverage Among Health Care Personnel — United

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[8] Healthy People 2020. Immunization and Infectious Diseases.

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(Accessed April 20, 2020)

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Hospital Epidemiology, 27 (2006) 257-265.

[10] P. M. Polgreen, Y. Chen, S. Beekmann, A. Srinivasan, M. A. Neill, T. Gay, J. E.

Cavanaugh, and Infect Dis Soc Amer Emer Infect, Elements of influenza vaccination

Last reviewed August 2022

programs that predict higher vaccination rates: Results of an emerging infections network

survey, Clinical Infectious Diseases, 46 (2008) 14-19.

[11] Centers for Disease Control and Prevention, Interventions to increase influenza

vaccination of health-care workers- California and Minnesota, MMWR, 54(08) (2005)

196-199.

[12] National Quality Forum. National Voluntary Consensus Standards for Influenza and

Pneumococcal Immunizations.

http://www.qualityforum.org/Publications/2008/12/National_Voluntary_Consensus_Standa

rds_for_Influenza_and_ Pneumococcal_Immunizations.aspx , 1-68. 2008.

Washington DC, National Quality Forum. 8-12-2009.

[13] G. A. Poland, P. Tosh, and R. M. Jacobson, Requiring influenza vaccination for health

care workers: seven truths we must accept, Vaccine, 23 (2005) 2251-2255.

[14] Joint Commission on Accreditation of Healthcare Organizations, New infection control

requirement for offering influenza vaccination to staff and licensed independent

practitioners, Joint Commission Perspectives, 26 (2006) 1011.

Last reviewed August 2022

4. Forms and Tables of Instructions

Healthcare Personnel Influenza Vaccination Summary (CDC 57.214)

Page 1 of 2

*required for saving, ^conditionally required for saving

Record the number of healthcare personnel (HCP) for each category below for the influenza season

being tracked.

*Facility ID#:

^Location:

*Vaccination type:

Influenza

*Influenza

subtype

□

Seasonal

*Influenza Season

Date Last

__/__/____

Modified:

Employee

HCP

Non-Employee HCP

*Employees

(staff on

facility

payroll)

*Licensed

independent

practitioners:

Physicians,

advanced

practice

nurses, &

physician

assistants

*Adult

students/

trainees &

volunteers

Other

Contract

Personnel

1. Number of HCP who worked at this

healthcare facility for at least 1 day

between October 1 and March 31

2. Number of HCP who received an

influenza vaccination at this

healthcare facility since influenza

vaccine became available this

season

3. Number of HCP who provided a

written report or documentation of

influenza vaccination outside this

healthcare facility since influenza

vaccine became available this

season

4. Number of HCP who have a medical

contraindication to the influenza

vaccine

5. Number of HCP who declined to

receive the influenza vaccine

6. Number of HCP with unknown

vaccination status (or criteria not met

for questions 2-5 above)

Custom Fields

Label

_______________________

____/____/____

________________________

____/____/_____

Last reviewed August 2022

_______________________

_____________

________________________

______________

_______________________

_____________

________________________

______________

_______________________

_____________

________________________

______________

_______________________

_____________

________________________

______________

_______________________

_____________

________________________

______________

Comments

For the purposes of NHSN, influenza subtype refers to whether seasonal or non-seasonal vaccine is

used. Seasonal is the default and only current choice.

For the purposes of NHSN, a flu season is defined as July 1 to June 30.

Assurance of Confidentiality: The voluntarily provided information obtained in this surveillance system that would permit identification of

any individual or institution is collected with a guarantee that it will be held in strict confidence, will be used only for the purposes stated,

and will not otherwise be disclosed or released without the consent of the individual, or the institution in accordance with Sections 304,

306 and 308(d) of the Public Health Service Act (42 USC 242b, 242k, and 242m(d)).

CDC 57.214 v2, R8.2

Question 1 (Denominator) Notes:

• Include all HCP who have worked at the facility for at least 1 working day during the reporting

period, regardless of clinical responsibility or patient contact. This includes HCP who joined after

October 1 or left before March 31, or who were on extended leave during part of the reporting

period. Working for any number of hours a day counts as one working day.

• Include both full-time and part-time persons. If a HCW works in two or more facilities, each facility

should include the HCW in their denominator. Count HCP as individuals rather than full-time

equivalents.

• Licensed practitioners who receive a direct paycheck from the reporting facility, or who are owners

of the reporting facility, should be counted as employees.

• The HCP categories are mutually exclusive. Each HCP should be counted only once in the

denominator (question 1).

Questions 2-6 (Numerator) Notes:

• Questions 2-6 are mutually exclusive. The sum of the HCP in questions 2-6 should equal the

number of HCP in question 1 for each HCP category. Questions 2-6 are to be reported separately

for each of the three HCP categories.

• Only the following HCP should be counted in question 4: HCP with (1) a severe allergic reaction to

eggs or other vaccine component(s) or (2) a history of Guillain-Barré Syndrome within 6 weeks

after a previous influenza vaccination.

• The following should be counted in question 5 (declined to receive influenza vaccine):

o HCP who declined vaccination because of conditions other than those included in question

o HCP who declined vaccination and did not provide any other information.

o HCP who did not receive vaccination because of religious or philosophical exemptions.

o HCP who deferred vaccination for the entire influenza season (for example, from October 1

through March 31).

Last reviewed August 2022

Instructions for Completion of Healthcare Personnel Influenza Vaccination Summary

Form (CDC 57.214)

This form is used to collect information on summary influenza vaccination counts among

healthcare personnel (HCP). Data can be entered monthly but should represent cumulative

counts for an entire influenza season. Facilities are encouraged to complete the Seasonal Survey

on Influenza Vaccination Programs for HCP (CDC 57.215) but this is optional.

Data Fields

Instructions for Completion

Facility ID #

Required. The NHSN-assigned facility ID will be auto-

entered.

Location

Conditionally Required. Hospitals with CMS inpatient

rehabilitation facility (IRF) units and/or inpatient

psychiatric facility (IPF) units must specify if they are

reporting data for their hospital or their CMS IRF

unit(s) and/or CMS IPF unit(s).

Vaccination Type

Required. Influenza is the default and only current

choice.

Influenza Subtype

Required. Seasonal is the default and only current

choice.

Influenza Season

Required. Select the influenza season years for which

data were collected (for example, 2019/2020).

Date Last Modified

The Date Last Modified will be auto-entered and

indicate the date that these data were last changed by a

user.

Employee HCP (staff on facility

payroll)

Required. Defined as all persons receiving a direct

paycheck from the healthcare facility (i.e., on the

facility’s payroll), regardless of clinical responsibility

or patient contact.

Non-Employee HCP: Licensed

independent practitioners:

Physicians, advanced practice nurses

& physician assistants

Required. Defined as physicians (MD, DO); advanced

practice nurses; and physician assistants only who are

affiliated with the healthcare facility, but are not

directly employed by it (i.e., they do not receive a

paycheck from the facility), regardless of clinical

responsibility or patient contact. Post-residency

fellows are also included in this category.

Non-Employee HCP: Adult

students/trainees and volunteers

Required. Defined as adult students/trainees and

volunteers: medical, nursing, or other health

professional students, interns, medical residents, or

volunteers aged 18 or older that are affiliated with the

healthcare facility, but are not directly employed by it

(i.e., they do not receive a paycheck from the facility),

regardless of clinical responsibility or patient contact.

Last reviewed August 2022

Data Fields

Instructions for Completion

Non-Employee HCP: Other contract

personnel

Optional. Defined as persons providing care,

treatment, or services at the facility through a contract

who do not fall into any other denominator categories.

Please note this also includes vendors providing care,

treatment, or services at the facility who may or may

not be paid through a contract.

Question 1 (Denominator)

The denominator categories are mutually exclusive.

The numerator data are to be reported separately for

each of the denominator categories.

1. Number of HCP who worked at

this healthcare facility for at least 1

day between October 1 and March 31

Required. Indicate the number of HCP working at this

healthcare facility for at least 1 working day between

October 1 through March 31 of the influenza season.

This includes HCP who joined after October 1 or left

before March 31, or who were on extended leave

during part of the reporting period. Working for any

number of hours a day counts as one working day.

Both full-time and part-time persons should be

included. HCP should be counted as individuals rather

than full-time

equivalents. If a healthcare worker (HCW) works in

two or more facilities, each facility should include the

HCW in their denominator.

Licensed practitioners receiving a direct paycheck

from the reporting facility, or who are owners of the

reporting facility, should be counted as employees.

Questions 2-6 (Numerator)

The numerator data are mutually exclusive. The sum

of the numerator categories should be equal to the

denominator for each HCP group.

2. Number of HCP who received an

influenza vaccination at this

healthcare facility since influenza

vaccine became available this

season

Required. Enter the total number of HCP that received

an influenza vaccination at this healthcare facility since

the influenza vaccine became available this season.

3. Number of HCP who provided a

written report or documentation of

influenza vaccination outside this

healthcare facility since influenza

vaccine became available this

season

Required. Enter the total number of HCP that reported

in writing (paper or electronic) or provided

documentation of influenza vaccination outside this

healthcare facility since the influenza vaccine became

available this season. For the purposes of this reporting

measure, verbal statements of vaccine receipt outside

the facility are not acceptable.

Last reviewed August 2022

Data Fields

Instructions for Completion

4. Number of HCP having a medical

contraindication to the influenza

vaccine

Required. Enter the total number of HCP determined to

have a medical contraindication to influenza

vaccination. Documentation is not required for

reporting a medical contraindication.

For this measure, accepted contraindications include:

(1) severe allergic reaction (for example, anaphylaxis)

after a previous vaccine dose or to a vaccine

component, including egg protein, and (2) history of

Guillain-Barré Syndrome within 6 weeks after a

previous influenza vaccination.

5. Number of HCP who declined to

receive the influenza vaccine

Required. Enter the total number of HCP that were

offered an influenza vaccination but declined to

receive one.

Documentation is not required for reporting a

declination.

The following individuals should be counted in this

category:

• HCP that declined vaccination because of health

conditions other than those included in Question

• HCP that declined vaccination and did not

provide any other information.

• HCP that did not receive vaccination because of

religious or philosophical exemptions.

• HCP that deferred vaccination for the entire

measure reporting period (for example, from

October 1 through March 31).

6. Number of HCP with unknown

vaccination status (or criteria not

met for questions 2-5 above)

Required. Enter the total number of HCP with

unknown vaccination status (or who did not meet the

criteria for Questions 2-5 above).

Custom Fields & Comments

Instructions for Completion

Custom fields

Optional. Can be used to fulfill other reporting

requirements not supported by the categories above;

for example, reporting vaccination rates by

occupational group or by unit/department.

Comments

Optional. Enter any additional information on the

HCP influenza vaccination summary data. This

information will not be analyzed by CDC.

Last reviewed August 2022

Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel

Page 1 of 2

*required for saving

Facility ID #: ______________________________

*Date Entered: _________________________

*For Season: ________ - _________

(Month/Year)

(Specify years)

*1. Which personnel groups are included in your facility’s annual influenza vaccination campaign? (check all

that apply)

□ Full-time employees

□ Part-time employees

Licensed independent practitioners:

□ Non-employee physicians

□ Non-employee advanced practice nurses

□ Non-employee physician assistants

□ Students and trainees (for example, interns, residents)

□ Adult volunteers

□ Other contract personnel

□ Other, specify: ____________________________________

*2. Are healthcare personnel at your facility required to pay out-of-pocket costs for influenza vaccination

received at your facility?

□ Yes

□ No

If yes, how much do each of the following groups need to pay for influenza vaccination?

Full-time employees: $ ______

Part-time employees: $ ______

Non-employee physicians: $ ______

Non-employee advanced practice nurses: $ ______

Non-employee physician assistants: $ ______

Students and trainees: $ ______

Adult volunteers: $ ______

Other contract personnel

$ ______

Other, specify:_____________________________________

*3. Which of the following methods is your facility using this influenza season to deliver vaccine to your

healthcare personnel? (check all that apply)

□ Have mobile vaccination carts

□ Provide vaccination in Occupational/Employee Health

□ Provide vaccination in wards, clinics, cafeterias, or common areas

□ Provide vaccination during nights and weekends

□ Provide vaccination at any meetings or grand rounds

□ Provide visible vaccination of any key personnel/leadership

□ Other, specify: _____________________________________

□ None of the above

Assurance of Confidentiality: The information obtained in this surveillance system that would permit identification of any

individual or institution is collected with a guarantee that it will be held in strict confidence, will be used only for the purposes

stated, and will not otherwise be disclosed or released without the consent of the individual, or the institution in accordance

with Sections 304, 306 and 308(d) of the Public Health Service Act (42 USC 242b, 242k, and 242m(d)).

CDC 57.215 Rev. 1, NHSN v7.1

Last reviewed August 2022

Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel

Page 2 of 2

*4. Which of the following strategies does your facility use to promote/enhance healthcare personnel influenza

vaccination at your facility? (check all that apply)

□ Send vaccination reminders by mail, e-mail, and/or pager

□ Coordinate vaccination with other annual programs (for example, tuberculin skin testing)

□ Require receipt of vaccination for credentialing (if no contraindications)

□ Require receipt of vaccination as a condition of employment

□ Advertise vaccination with a campaign including posters, flyers, buttons, and/or fact sheets

□ Provide education on the benefits and risks of vaccination

□ Track unit-based vaccination rates for some or all units/departments

□ Plan to provide feedback on vaccination rates to facility administration

□ Provide incentives for vaccination

□ Track vaccination on a regular basis for targeting purposes

□ Other, specify: ____________________________________

□ No formal promotional activities are planned

*5. What is your facility’s influenza vaccination policy for healthcare personnel? (check one)

□ Influenza vaccination is required; unvaccinated personnel are terminated from employment

□ Influenza vaccination is required with consequences other than termination for unvaccinated personnel

□ Influenza vaccination is recommended but not required

□ My facility does not have a specific influenza vaccination policy for personnel

□ Other, specify: __________________

*6. Which personnel groups are covered by your facility’s influenza vaccination policy? (check all that apply)

□ Full-time employees

□ Part-time employees

Licensed independent practitioners:

□ Non-employee physicians

□ Non-employee advanced practice nurses

□ Non-employee physician assistants

□ Students and trainees (for example, interns, residents)

□ Adult volunteers

□ Other contract personnel

□ Other, specify: __________________

*7. Does your facility require healthcare personnel who receive off-site influenza vaccination to provide

documentation of their vaccination status?

□ Yes

□ No

If yes, what type of documentation is acceptable? (check all that apply)

□ Receipt or other proof of purchase from pharmacy or other vaccinator

□ Insurance claim for receipt of influenza vaccination

□ Note from person or organization that administered the vaccination

□ Handwritten statement or e-mail from healthcare worker

□ Signature of healthcare worker on standard facility form attesting to vaccination

□ Other, specify: ____________________________________

*8. What does your facility require from healthcare personnel who refuse influenza vaccination? (check one)

□ Standardized paper or electronic declination form completed by healthcare worker

□ Reading a statement about the risks of non-vaccination (no signature required)

□ Verbal declination of vaccination by healthcare worker

□ Facility does not track vaccine declinations

□ Other, specify: ____________________________________

*9. Does your facility require healthcare personnel who refuse influenza vaccination to wear a mask or other

personal protective equipment (PPE)?

□ Yes □ No

Last reviewed August 2022

Instructions for Completion of Seasonal Survey on Influenza Vaccination Programs for

Healthcare Personnel (CDC 57.215)

This survey is used to collect information on the influenza vaccination programs at each

healthcare facility. Facilities are encouraged to complete this survey, but it is not required at this

time. Only one survey should be completed per facility per year, at the end of each influenza

season.

Data Fields

Instructions for Completion

Facility ID #

Required. The NHSN-assigned facility ID will be auto-

entered.

Date Entered

Required. The month and year of the seasonal survey will

be auto entered.

For Season

Required. Enter the years of the influenza season for which

the survey was completed. This is entered in the format:

yyyy

– yyyy. Influenza season is July 1 of the current year

through June 30 of the following year.

1. Which personnel groups are

included i

n your facility’s annual

influenza vaccination campaign?

Required. Select the personnel group(s) you included in

your campaign or program.

Employee healthcare personnel (staff on facility payroll)

Defined as all persons receiving a direct paycheck from the

healthcare facility (i.e., on the facility’s payroll), regardless

of clinical responsibility or patient contact. (This is a

required denominator category for reporting healthcare

personnel [HCP

] influenza vaccination summary data.)

Non

-employee HCP : Licensed independent practitioners:

Defined as physicians (MD, DO); advanced practice nurses;

and physician assistants only who are affiliated with the

healthcare facility, but are not directl

y employed by it (i.e.,

they do not receive a paycheck from the facility), regardless

of clinical responsibility or patient contact. Post

-residency

fellows are also included in this category. (This is a

required denominator category for reporting HCP inf

luenza

vaccination summary data.)

Non-employee HCP: Adult students/trainees and

volunteers

: Defined as medical, nursing, or other health

professional students, interns, medical residents, or

volunteers aged 18 or older that are affiliated with the

hea

lthcare facility, but are not directly employed by it (i.e.,

they do not receive a paycheck from the facility), regardless

of clinical responsibility or patient contact. (This is a

required denominator category for reporting HCP influenza

vaccination summary data.)

Last reviewed August 2022

Data Fields

Instructions for Completion

Non-employee healthcare personnel: Other contract

personnel

: Defined as persons providing care, treatment, or

services at the facility through a contract who do not meet

the definition of any other required denominator

category.

(This is an optional denominator category for reporting HCP

influenza vaccination summary data.)

2. Are healthcare personnel at your

facility required to pay out

-of-

pocket costs for influenza

vaccination received at your

facility?

Required. Select Yes or No. If yes, indicate the exact

amount of out

-of pocket costs that the personnel groups

were req

uired to pay for influenza vaccination at your

facility.

3. Which of the following methods

is your facility using this influenza

season to deliver vaccine to your

healthcare personnel?

Required. Select all methods that your facility used this

influenza season to deliver influenza vaccine to your HCP.

4. Which of the following

strategies does your facility use to

promote/enhance healthcare

personnel influenza vaccination at

your facility?

Required. Select all strategies that your facility used to

promote/enhance HCP influenza vaccination at your facility.

5. What is your facility’s

influenza vaccination policy for

healthcare personnel?

Required. Select the one option that best describes the

influenza vaccination policy for HCP at your facility.

Last reviewed August 2022

Data Fields

Instructions for Completion

6. Which personnel groups are

covered by you

r facility’s

influenza vaccination policy?

Required. Select all personnel groups covered by your

facility’s influenza vaccination policy.

Full-time employees: Defined as all persons receiving a

direct paycheck from the healthcare facility (i.e., on the

facility’s payroll), regardless of clinical responsibility or

patient contact. These individuals work at the facility on a

full

-time basis.

Part-time employees: Defined as all persons receiving a

direct paycheck from the healthcare facility (i.e., on the

facility’s payroll), regardless of clinical responsibility or

patient contact. These individuals work at the facility on a

part

-time basis.

Licensed independent practitioners: Non-employee

physicians:

Defined as physicians (MD, DO) who are

affiliated with the healthcare facility, but are not directly

employed by it (i.e., they do not receive a paycheck from the

facility), regardless of clinical respons

ibility or patient

contact. Post

residency fellows are also included in this

category.

Licensed independent practitioners: Non-employee

advanced practice

nurses: Defined as advanced practice

nurses who are affiliated with the healthcare facility but are

not directly employed by it (i.e., they do not receive a

paycheck from the facility), regardless of clinical

responsibility or patient contact. Advanced practice

nurses

include nurse practitioners, nurse midwives, clinical nurse

specialists, and nurse anesthetists.

Licensed independent practitioners: Non-employee

physician assistants:

Defined as physician assistants who

are affiliated with the healthcare facility but are not directly

employed by it (i.e., they do not receive a paycheck from the

facility), regardless of clinical responsibility or patient

contact.

Students and trainees:

Defined as medical, nursing, or other

health professional students, interns, medical residents, aged

18 or older that are affiliated with the healthcare facility, but

are not directly employed by it (i.e., they do not receive a

paycheck from the faci

lity), regardless of clinical

responsibility or patient contact.

Adult volunteers:

Defined as volunteers aged 18 or older

that are affiliated with the healthcare facility but are not

directly employed by it (i.e., they do not receive a paycheck

Last reviewed August 2022

Data Fields

Instructions for Completion

from the facility), regardless of clinical responsibility or

patient contact.

Other contract personnel: Defined as persons providing

care, treatment, or services at the facility through a contract

who do not meet the definition of any other required

denominat

or category.

7. Does your facility require

healthcare personnel who receive

offsite influenza vaccination to

provide documentation of their

vaccination status?

Required. Select Yes or No. If yes, select all types of

documentation for off

-site influenza vaccination that your

facility accepted.

8. What does your facility require

from healthcare personnel who

refuse influenza vaccination?

Required. Select one option that best describes what your

facility requires from HCP who refused influenza

vaccination.

9. Does your facility require

healthcare personnel who refuse

influenza vaccination to

wear a

mask or other personal protective

equipment (PPE)?

Required. Select Yes or No. Select yes if your facility

requires HCP to wear a mask o

r other PPE if they refuse

influenza vaccination. Select no if your healthcare facility

does not have this requirement.

Last reviewed August 2022

5. Key Terms

Key term

Definition for purposes of the HCP Influenza Vaccination Summary

Module

Adult

students/trainees and

volunteers

Medical, nursing, or other health professional students, interns, medical

residents, or volunteers aged 18 or older that are affiliated with the healthcare

facility, but are not directly employed by it (i.e. they do not receive a paycheck

from the facility), regardless of clinical responsibility or patient contact.

Contract

personnel

Persons providing care, treatment, or services at the facility through a contract,

regardless of clinical responsibility or patient contact, who do not meet the

definition of employees, licensed independent

practitioners, or adult

students/trainees and volunteers. Please note this also includes vendors

providing care, treatment, or services at the facility who may or may not be paid

through a contract

Employees

Persons receiving a direct paycheck from the healthcare facility (i.e. on the

facility’s payroll), regardless of clinical responsibility or patient contact.

Healthcare personnel

(HCP)

The entire population of healthcare workers working in healthcare settings. HCP

might include (but are not limited to) physicians, nurses, nursing assistants,

therapists, technicians, emergency medical service personnel, dental personnel,

pharmacists, labo

ratory personnel, autopsy personnel, students/ trainees, and

volunteers, contractual staff not employed by the healthcare facility (for

example, clerical, dietary, housekeeping, maintenance, and volunteers),

regardless of clinical responsibility or patient

contact.

HCP influenza

vaccination measure

reporting period

The reporting period for the HCP influenza vaccination measure is October 1

through March 31. This reporting period refers to the denominator only.

Healthcare worker

(HCW)

A person who works in a healthcare facility, whether paid or unpaid, regardless

of clinical responsibility or patient contact. Healthcare worker is the singular

form of HCP.

Influenza season

For the purposes of NHSN reporting, an influenza season is defined as July 1

through June 30 of the following year.

Licensed independent

practitioners (LIPs)

Physicians (MD, DO), advance practice nurses, and physician assistants who are

affiliated wi

th the healthcare facility, but are not directly employed by it (i.e.

they do not receive a paycheck from the facility), regardless of clinical

responsibility or patient contact. Post

residency fellows are also included in this

category if they are not on a facility’s payroll.

Last reviewed August 2022

Appendix A

Influenza Vaccination Summary: List of Contracted and Vendor Healthcare Personnel

Examples

The list below includes examples of contracted and vendor healthcare personnel (HCP) who

provide direct patient care and who perform non-direct or non-patient care duties. HCP listed

below can acquire influenza from or transmit influenza to patients, families, and other staff

members. This list is not exhaustive.

Contracted and vendor HCP can include the following non-employee care providers who

may or may not be involved in patient care:

• Admitting staff/clerical

support/registrars

• Agency nurses

• Ambulance drivers (who enter the

facility to assist with transportation)

• Biomedical engineers

• Central supply staff

• Chaplains

• Construction workers (working

inside the facility)

• Dietary/food service staff

• Dieticians

• Dialysis technicians

• EKG technicians

• EMG technicians

• Home health aides

• Housekeeping staff

• Information Technology staff

• Laboratory: Phlebotomists

• Laboratory: Technicians

• Landscapers (working inside the

facility)

• Laundry staff

• Maintenance staff/engineers

• Nursing aides

• Occupational therapists

• Patient care technicians

• Patient transporters

• Pharmacists

• Pharmacy/medication technicians

• Physical therapists

• Psychologists

• Psychology technicians/Mental

health workers

• Radiology: X-ray technicians

• Recreational therapists/Music

therapists

• Respiratory therapists

• Security staff

• Social workers/Case managers

• Speech therapists

• Surgical technicians

• Traveling nurses

• Ultrasound technicians

• Utilization review nurses