Current through Register No. 40, October 3, 2024
(a) Hospitals and
specialty hospitals shall report staff and patient vaccination rates annually
on or before April 30th for the previous influenza season via the "Flu Survey-
Hospital" as described in (g) below.
(b) Assisted living residences and
residential care facilities shall report staff and resident vaccination rates
annually on or before April 30th for the previous influenza season via the "Flu
Survey- Assisted Living" as described in (h) below.
(c) Nursing homes and the New Hampshire
veterans' home shall report staff and resident vaccination rates annually on or
before April 30th for the previous influenza season via the "Flu Survey-LTC
&VA" as described in (h) below.
(d) Ambulatory surgical centers and end stage
renal dialysis centers shall report staff vaccinations rates annually on or
before April 30th for the previous flu season via the "Flu Survey for ASC and
End Stage Rental Dialysis Centers" as described in (i) below.
(e) The department shall contact hospitals,
specialty hospitals, residential care facilities, assisted living facilities,
nursing homes, the New Hampshire veterans' home, ambulatory surgical centers,
and end stage renal dialysis centers each year on or before April 1st, and
provide an online link to the survey, as well as a pdf copy.
(f) Hospitals, specialty hospitals,
residential care facilities, assisted living residences, nursing homes, the New
Hampshire veterans' home, ambulatory surgical centers and end stage renal
dialysis centers shall either:
(1) Complete
the survey via the survey link; or
(2) Complete the pdf version of the survey
and return to the department via:
a. Email,
as an email attachment to haiprogram@dhhs.nh.gov;
b. Fax, to (603) 271-0545; or
c. Mail, to:
Healthcare Associated Infections Program
Bureau of Disease Control
Division of Public Health Services
Department of Health and Human Services
29 Hazen Drive
Concord, NH 03301
(g) Hospitals and specialty hospitals shall
report the following information:
(1) Hospital
contact information, to include the following:
a. Facility name;
b. Name of person completing the
survey;
c. Professional title of
person completing the survey;
d.
Email address of person completing the survey; and
e. Telephone number of the person completing
the survey;
(2) Number
of patients admitted to the hospital during the reporting season, separated by:
a. Total number of patient admissions;
and
b. Total number of patient
admissions excluding readmissions;
(3) Number of patients immunized against
seasonal influenza;
(4) Number of
patients not immunized against seasonal influenza;
(5) Number of patients admitted that have
been immunized against pneumococcal disease;
(6) Number of healthcare personnel who worked
or volunteered at the facility during the reporting period;
(7) Number of staff immunized against
seasonal influenza during the reporting season;
(8) Number of staff not immunized against
seasonal influenza during the reporting season;
(9) Of the staff not immunized, the number
who did not receive influenza vaccine for the following reasons:
a. Medical contraindications;
b. Religious;
c. Personal or philosophical; or
d. Unknown;
(10) The extent to which the facility has a
seasonal influenza vaccination policy, indicated as:
a. A policy is in place;
b. A policy is not in place but being
considered;
c. A policy is not in
place and is not being considered; or
d. Other;
(11) For facilities that have a seasonal
influenza vaccination policy, the reasons for exemption, indicated as:
a. Medical;
b. Religious;
c. Personal or philosophical; or
d. Other;
(12) For facilities that have a seasonal
influenza vaccination policy, the requirements for staff with an acceptable
reason for exemption, indicated as:
a. The
wearing of a mask;
b. Receiving
verbal or written education, or both; or
c. Other;
(13) For facilities that have a seasonal
influenza vaccination policy, the potential consequences for unvaccinated staff
without an acceptable reason for exemption, indicated as:
a. The wearing of a mask;
b. Progressive discipline, up to and
including termination;
c. Receiving
verbal or written education, or both; or
d. Other;
(14) For facilities that have a season
influenza vaccination policy, the number of noncompliant staff that were that
were:
a. Temporarily suspended;
b. Resigned; or
c. Terminated;
(15) Whether or not the facility offers
high-dose influenza vaccine; and
(16) Any other comments the facility would
like to share.
(h)
Assisted living residences, residential care facilities, nursing homes, and the
New Hampshire veterans' home shall report the following information:
(1) Facility contact information:
a. Facility name;
b. The name of the person completing the
survey;
c. The professional title
of the person completing the survey;
d. The email address of the person completing
the survey;
e. The telephone number
of the person completing the survey;
f. The facility's license number; and
g. The facility's street address
and city name;
(2) The
total number of residents or attendees of the facility during the reporting
season;
(3) Number of residents or
attendees immunized against influenza;
(4) Number of residents or attendees not
immunized against influenza;
(5)
Number of residents or attendees that have ever received a pneumococcal disease
vaccination;
(6) The number of
healthcare personnel who worked or volunteered at the facility during the
reporting season;
(7) The number of
facility staff immunized against influenza for the reporting season;
(8) The number of facility staff not
immunized against influenza for the reporting season;
(9) Of the staff not immunized, the number
who did not receive influenza vaccine for the following reasons:
a. Medical contraindications;
b. Religious;
c. Personal or philosophical; or
d. Unknown;
(10) The extent to which the facility has a
seasonal influenza policy, indicated as:
a. A
policy is currently in place;
b. A
policy is not in place but is being considered;
c. A policy is not in place and is not being
considered; or
d. Other;
(11) For those facilities that
have an influenza vaccination policy, the acceptable reasons for exemption,
indicated as:
a. Medical;
b. Religious;
c. Personal or philosophical; or
d. Other;
(12) For those facilities that have an
influenza vaccination policy, the requirements for staff with an acceptable
reason for exemption, indicated as:
a. The
wearing of a mask;
b. Receiving
verbal or written education, or both; or
c. Other;
(13) For those facilities that have an
influenza vaccination policy, the potential consequences for unvaccinated staff
without an acceptable reason for exemption, indicated as:
a. The wearing of a mask;
b. Progressive discipline, up to and
including termination;
c. Receive
verbal or written education, or both; or
d. Other;
(14) For those facilities that have an
influenza policy, the number of noncompliant staff that were:
a. Temporarily suspended;
b. Resigned; or
c. Terminated;
(15) Whether or not the facility offered
high-dose influenza vaccine; and
(16) Any other comments the facility would
like to share.
(i)
Ambulatory surgery centers and end-stage renal dialysis centers shall report
the following information:
(1) Facility
contact information:
a. Facility
name;
b. The name of the person
completing the survey;
c. The
professional title of the person completing the survey;
d. The email address of the person completing
the survey; and
e. The telephone
number of the person completing the survey;
(2) Number of healthcare personnel who worked
or volunteered at the facility during the reporting period;
(3) The number of healthcare personnel
immunized against influenza for the reporting season;
(4) The number of healthcare personnel not
immunized against influenza for the reporting season;
(5) Of the staff not immunized, the number
who did not receive influenza vaccine for the following reasons:
a. Medical contraindications;
b. Religious;
c. Personal or philosophical; or
d. Unknown;
(6) The extent to which the facility has a
seasonal influenza policy, indicated as:
a. A
policy is currently in place;
b. A
policy is not in place but is being considered;
c. A policy is not in place and is not being
considered; or
d. Other;
(7) For those facilities that have
an influenza vaccination policy, the acceptable reasons for exemption,
indicated as:
a. Medical;
b. Religious;
c. Personal or philosophical; or
d. Other;
(8) For those facilities that have an
influenza vaccination policy, the requirements for staff with an acceptable
reason for exemption, indicated as:
a. The
wearing of a mask;
b. Receiving
verbal or written education, or both; or
c. Other;
(9) For those facilities that have an
influenza vaccination policy, the potential consequences for unvaccinated staff
without an acceptable reason for exemption, indicated as:
a. The wearing of a mask;
b. Progressive discipline, up to and
including termination;
c. Receiving
verbal or written education, or both; or
d. Other;
(10) For those facilities that have an
influenza policy, the number of noncompliant staff that were:
a. Temporarily suspended;
b. Resigned; or
c. Terminated;
(11) Total number of procedures performed at
the facility within the past calendar year; and
(12) Any other desired comments the facility
would like to share.
