N.H. Admin. Code § He-P 309.12

Current through Register No. 45, November 7, 2024
Section He-P 309.12 - Influenza Vaccination Rates
(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.

N.H. Admin. Code § He-P 309.12

Derived from Volume XL Number 2, Filed January 9, 2020, Proposed by #12943, Effective 12/11/2019, Expires 12/11/2029.