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Occupational Health News & Analysis  

New JCAHO Infection Control Standard

[Posted 6/15/06] In order to maintain Joint Commission on Accreditation of Healthcare Organizations (JCAHO) accreditation, institutions must now offer influenza vaccinations to staff, volunteers, and licensed independent practitioners with close patient contact. The new standard, effective January 1, 2007, is a requirement for the Critical Access Hospital, Hospital, and Long Term Care programs.

The Centers for Disease Control and Prevention (CDC) has recommended annual influenza vaccination for healthcare workers since 1981 and the 2006 Healthcare Infection Control Practices Advisory Committee (HICPAC), together with the Advisory Committee on Immunization Practices (ACIP), calls for stronger action to increase the vaccination of healthcare workers (HCWs). Despite the repeated recommendations, vaccination rates as measured by the CDC remain low—less than 40% of healthcare workers are immunized each year. JCAHO developed the standard in response to CDC’s recommendations.

Influenza causes 36,000 deaths and over 200,000 hospitalizations annually in the United States. Infections due to unvaccinated healthcare workers and transmission of influenza by or among HCWs have been documented among many patient populations in various clinical settings. Understandably, the CDC has made reduction of influenza transmission from HCWs a top priority in the United States.

JCAHO accredited organizations will be required to:

  • create an annual influenza vaccination program that includes, at a minimum, the staff and licensed independent practitioners;

  • provide access to on-site influenza vaccinations;

  • educate staff and licensed independent practitioners regarding diagnosis, transmission, and potential impact of influenza;

  • institute prevention measures including both flu vaccination and non-vaccine control measures (such as the use of appropriate precautions);

  • evaluate vaccination rates and reasons for non-participation in the organization’s immunization program every year; and

  • improve the existing program to increase participation.

Related Link:
News Release

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