Melanie D Swift1, Muktar H Aliyu1, Daniel W Byrne1, Keqin Qian1, Paula McGown1, Patricia O Kinman1, Katherine Louise Hanson1, Demoyne Culpepper1, Tamara J Cooley1, Mary I Yarbrough1. 1. Melanie D. Swift, Katherine Louise Hanson, and Mary I. Yarbrough are with Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN. Muktar H. Aliyu is with the Department of Health Policy, Vanderbilt University School of Medicine. Daniel W. Byrne is with the Department of Biostatistics, Vanderbilt University School of Medicine. Keqin Qian, and Patricia O. Kinman are with the Occupational Health Clinic, VUMC. Paula McGown, Demoyne Culpepper are with Faculty/Staff Health and Wellness, VUMC. Tamara J. Cooley is with Environmental Health and Safety, VUMC.
Abstract
OBJECTIVES: To explore whether an emergency preparedness structure is a feasible, efficient, and sustainable way for health care organizations to manage mass vaccination events. METHODS: We used the Hospital Incident Command System to conduct a 1-day annual mass influenza vaccination event at Vanderbilt University Medical Center over 5 successive years (2011-2015). Using continuous quality improvement principles, we assessed whether changes in layout, supply management, staffing, and documentation systems improved efficiency. RESULTS: A total of 66 591 influenza vaccines were administered at 5 annual Flulapalooza events; 13 318 vaccines per event on average. Changes to the physical layout, staffing mix, and documentation processes improved vaccination efficiency 74%, from approximately 38 to 67 vaccines per hour per vaccinator, while reducing overall staffing needs by 38%. An unexpected finding was the role of social media in facilitating active engagement. CONCLUSIONS: Health care organizations can use a closed point-of-dispensing model and Hospital Incident Command System to conduct mass vaccination events, and can adopt the "Flulapalooza method" as a best practice model to enhance efficiency.
OBJECTIVES: To explore whether an emergency preparedness structure is a feasible, efficient, and sustainable way for health care organizations to manage mass vaccination events. METHODS: We used the Hospital Incident Command System to conduct a 1-day annual mass influenza vaccination event at Vanderbilt University Medical Center over 5 successive years (2011-2015). Using continuous quality improvement principles, we assessed whether changes in layout, supply management, staffing, and documentation systems improved efficiency. RESULTS: A total of 66 591 influenza vaccines were administered at 5 annual Flulapalooza events; 13 318 vaccines per event on average. Changes to the physical layout, staffing mix, and documentation processes improved vaccination efficiency 74%, from approximately 38 to 67 vaccines per hour per vaccinator, while reducing overall staffing needs by 38%. An unexpected finding was the role of social media in facilitating active engagement. CONCLUSIONS: Health care organizations can use a closed point-of-dispensing model and Hospital Incident Command System to conduct mass vaccination events, and can adopt the "Flulapalooza method" as a best practice model to enhance efficiency.
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