Hospitals to require worker flu shots

Refusal may lead to firing at Beth Israel, Children’s

September 14, 2011|By Kay Lazar, Globe Staff

Two of Boston’s largest teaching hospitals will require all employees who have contact with patients to get a flu vaccine this fall or face suspension or possibly termination.

The two, Beth Israel Deaconess Medical Center and Children’s Hospital Boston, are part of a 10-hospital coalition that pledged in July to adopt policies “as quickly as logistically feasible’’ to mandate seasonal flu vaccines for all health care workers “as a condition of employment.’’

The hospital rules are aimed at keeping workers healthy so they do not spread the flu to patients and also to ensure that a large number of caregivers do not get sick in the middle of a flu outbreak, when hospitals could be inundated with patients.

The rules come as state health regulators are slated to unveil the latest flu vaccination rates today among the state’s 71 acute care hospitals.

The state’s relatively low vaccination rate - 68 percent of workers were immunized in the 2009-2010 season - has long frustrated public health leaders.

“It’s a critical patient-safety issue,’’ said Dr. Alan Woodward, past president of the Massachusetts Medical Society and a member of the state Public Health Council, an appointed panel of doctors, consumer advocates, and professors will discuss how to get more workers vaccinated today.

“Health care workers are very prone to be vectors, transmitting the disease to others, and they can be infectious before they show symptoms,’’ Woodward said.

Hoping to boost statewide rates, the 10-hospital coalition called the Eastern Massachusetts Healthcare Initiative adopted a statement in July in which member hospitals agreed to develop mandatory vaccination policies for all health care personnel, with approved medical exemptions as the only exception.

Included in that coalition are Boston Medical Center, Brigham and Women’s Hospital, Dana-Farber Cancer Institute, Lahey Clinic, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, Tufts Medical Center, and Winchester Hospital.

Current state rules require hospital workers to be vaccinated or to sign a form declining the shot. Those rules allow for medical and religious exceptions.

But Dr. Kenneth Sands, senior vice president for health care quality at Beth Israel Deaconess and chairman of the coalition, said stricter rules that allow only medical exceptions, such as a signed doctor’s form indicating a worker’s allergy to the vaccine, can create significantly higher vaccination rates.

“Most of these places [nationally] that have gotten to 100 percent vaccination rates either have people receiving vaccine or having a documented reason to not get a vaccine,’’ he said.

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