AllJanet – From scenarios in our staffing continuity plan… #1 During flu season, staff members are encouraged to report absenteeism as a result of flu like symptoms.#2 Staff will be informed of government recommendations regarding the spread of the flu or other illness and referred to reliable sources for additional information. Staff will also be reminded to stay at home if they are ill and to notify their coach immediately if they become ill at work and to go home promptly. Staff will also be reminded not to bring their children to work if they are sick. #3 Our top management team identified and prioritized the core services we provide. This document is posted on our intranet. If our level of staffing is compromised, we will engage the staff that are present in providing the core services in order of priority.
Stop The Flue At Your Office Door
Stop The Flu <br />At Your Office Door<br />Gaurov Dayal, MD<br />Janet G. McNichol, SPHR, CAE<br />Amanda Morgan, RN, BSN, MBA<br />An Affiliate of Adventist Healthcare<br />www.LifeWorkStrategies.com<br />
Talking Points <br /><ul><li>Lessons learned in 2009
Considerations for the upcoming 2010 Flu season
Clinical issues related to the 2010 Flu and Vaccine
Businesses discussed policies and continuity of operation procedures</li></li></ul><li>Vaccine Match, Effectiveness and Safety<br /><ul><li>>99% of 2009 H1N1 viruses well matched to the vaccine strain
Preliminary estimates of effectiveness coming to light</li></ul>Generally in range expected with good match<br /><ul><li>No safety concerns</li></ul>Similar patterns to seasonal influenza vaccine<br />
Estimated number and proportion of deaths in persons <65 years of age in the United States for seasonal and pandemic influenza*<br />aThe methods of estimating influenza deaths between pandemics and for seasonal influenza varied considerably. Estimates are not directly comparable, but are included to illustrate the wide range in potential impact by age group.<br />bEstimated excess pneumonia and influenza deaths attributed to influenza. <br />cEstimated excess respiratory and circulatory deaths attributed to influenza.<br />dEstimated 2009 pandemic H1N1 influenza attributable deaths. Available at: http://www.cdc.gov/h1n1flu/estimates_2009_h1n1.htm<br />
Adventist Healthcare - Lessons Learned in 2009<br /><ul><li>System Integration Flu Program - 17 locations
Communication Flow based on most current CDC Guide
Vaccine procurement and promotion by each location
Vaccine data entry into employee data base for tracking, trending and reporting
Flu vaccine rates weekly leader report to all entities.</li></li></ul><li>ASHA<br />http://insideworkplacewellness.blogspot.com/2010/08/staffing-continuity-flu-shots-and.html<br />
Why is Getting Vaccinated Annually important? <br />5% to 20% of the population get the flu;<br />More than 200,000 people are hospitalized from seasonal flu complications, including 20,000 children; and <br />About 23,600 people die from seasonal flu.<br />This number increases if H3N2 circulates that year.<br />The vaccine is effective!<br />
2010 Flu Vaccine<br /><ul><li>Only one vaccine this year, not two
First year: all 6 months and older recommended for annual vaccination
This summer, all 3 strains identified in US & Internationally</li></li></ul><li><ul><li>Vaccine strains:</li></ul>A/California/7/2009-like H1N1 <br /><ul><li>Same strain as 2009 monovalent vaccine</li></ul>A/Perth/16/2009-like H3N2<br /><ul><li>New H3N2 strain for Northern Hemisphere</li></ul>B/Brisbane/60/2008<br /><ul><li>Was in 2009-10 seasonal vaccine</li></li></ul><li>Rationale: Recommendation to vaccinate all people ages 6 months or older (simply stated)<br /><ul><li>Annual influenza vaccination is a safe and effective prevention measure that provides a potential benefit for people in all age groups
Morbidity and mortality occurs in all age groups, including among adults aged 19-49
Some persons who have influenza complications </li></ul>have no previously identified risk factors,<br />have risk factors but are unaware that they should be vaccinated, or<br />might be at risk due to newly identified risk factors, such as morbid obesity or race/ethnicity<br />
What sort of flu season is expected this year?<br /><ul><li>160-165 million vaccines
Continued spread of H1N1 and seasonal flu</li></li></ul><li>Prevalence, Hospitalized H1N1 Patients<br />Prevalence, Novel H1N1 Deaths<br />Prevalence, General US Pop<br />Underlying conditions among hospitalized patients and those who died from H1N1 compared to the general population<br />
Obesity a New Risk Factor for Severe Illness due to 2009 H1N1? <br /><ul><li>Disproportionate number of obese, particularly morbidly obese, among severely ill during 2009 H1N1 pandemic
Morbid obesity (BMI≥40) was associated with hospitalization, and possibly death, due to 2009 H1N1 infection among adults without chronic medical conditions
Additional studies with larger samples of patients and appropriate comparison groups are needed</li></ul>Morgan OW, et al. PLOS ONE, 2010<br />
2010 flu season impact on businesses <br />The focus during 2010 & beyond for healthcare organizations is to increase HCW vaccination rate to 90% or greater<br />The Joint Commission, CDC and OSHA are in favor of mandatory vaccinations<br />Internal Impact on resources to achieve rate<br />External Impact (Public perception & public record of patient safety)<br />
Businesses can have a better effect during<br /> the 2010 flu season by implementing the CDC three pronged strategy for flu prevention <br />Making Flu vaccines available for all employees<br />Educating about frequent hand washing and CDC etiquette of covering a cough with a tissue or elbow.<br />Schedule Flexibility –can stay home when ill with the flu<br />
You may have the flu if you have some or all of these symptoms:<br />fever * <br />cough <br />sore throat <br />runny or stuffy nose <br />body aches<br />headache <br />chills <br />fatigue <br />sometimes diarrhea and vomiting<br />*It’s important to note that not everyone with flu will have a fever.<br />
What to do if symptoms develop<br /><ul><li>Discuss Antiviral drugs with your physician (preferred first 24-48 hours)
If you have a fever, use fever reducing Agents</li></li></ul><li>When will flu activity begin and when will it peak?<br /><ul><li>The timing of flu is very unpredictable and can vary from season to season. Flu activity most commonly peaks in the U.S. in January or February. However, seasonal flu activity can occur as late as May. </li></li></ul><li><ul><li>Flu Prevention Plan</li></ul>A written document/policy outlining a consistent process<br />Addresses System position on employee & HCWs vaccination (vaccine or declination)<br />Addresses flu prevention responsibility based on role<br />24/7 vaccination availability & contact information for after hours<br />Flu vaccine & declination data entry for trending & reporting<br />
<ul><li>Employers play a role in allaying employees fears/misconceptions about the flu vaccine by:</li></ul>Providing frequent education based on frequently asked questions - visit CDC website for most recent info http://www.cdc.gov/flu/about/qa/1011season.htm)<br />Using e-mail blast, posters, flyers, print media to communicate/educate & promote the vaccine<br />Using employee newsletter as flu media<br />Unit specific education/clarify flu misconceptions<br />
<ul><li>Keep communication simple, consistent and to the point </li></ul>Employees will notice inconsistencies and will question them.<br />Have a point person to answer employee questions if the manager cannot answer.<br />Listen to employees, answer their questions and engage them in the process, because their opinions are valuable. <br />Provide your managers with flu talking points<br />
Organizational Considerations <br /><ul><li>Sick employees should stay home.
Encourage your employees to wash their hands often, cover their coughs and sneezes.
Clean surfaces and items that are more likely to have frequent hand contact.
Encourage employees to get vaccinated.</li></li></ul><li>Organizational Considerations<br /><ul><li>Have a plan for the event that an increased number of employees become absent due to employee flu illness or their family members. Plan to maintain essential business functions
Advise employees before traveling to take certain steps or to follow-up with their physician prior to traveling abroad.</li></li></ul><li>Organizational Considerations<br /><ul><li>Prepare for the possibility of school dismissals or temporary closure of child care programs.
If an epidemic, consider active screening of employees who report to work.
Consider alternative work environments for employees at higher risk for complications of flu during periods of increased flu activity in the community. </li></li></ul><li>Case Studies <br /><ul><li>An employee calls in sick to his manager…
An employee shows up to work and appears symptomatic of influenza…
Influenza has become wide-spread, several employees are symptomatic, and a major work deadline is approaching…</li></li></ul><li>Increasing participation in flu prevention programs:<br /><ul><li>Communication strategies
Long-term, trusting relationship with provider
Invite family members to participate</li></li></ul><li>Implication for Comprehensive Wellness Efforts<br />
People in all communities should be able to make healthy choices, but in order to make those choices there must be healthy choices to make. We need to change our communities into places where healthy eating and active living are the easiest path. ~ Dr. William Dietz<br />
What other resources might be helpful to workplaces as they prepare to protect their employees this flu season?<br />www.flu.gov<br />www.cdc.gov<br />www.HelpStopTheFlu.com<br />http://www.cdc.gov/flu/freeresources/vis.htm<br />
In Summary:<br />Take time to get vaccinated (be a role model)<br />Take everyday preventive actions (wash hands/sanitize frequently) cover your cough)<br />Prepare your workplace….<br />Flu Communication to all employees<br />Have a point person to answer employee questions or concerns<br />Educate…educate…use CDC resources and FAQ’s<br />
Access the CDC Flu VIS of 08/10/10 at<br /><ul><li>http://www.cdc.gov/vaccines/pubs/vis/default.htm#flu</li></li></ul><li>For more information on the flu vaccine or to<br />schedule a clinic please call <br />Cyndi Fales<br />301-315-3655<br />