Home Quality Indicator Repository Percentage of Healthcare Personnel Who Are up to Date With COVID-19 Vaccinations

Percentage of Healthcare Personnel Who Are up to Date With COVID-19 Vaccinations

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Hospital Inpatient Quality Reporting Program, Centers for Medicare & Medicaid Services (CMS): Hospital Outpatient Quality Reporting (HOQR) Program, Veterans Health Administration (VHA)
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Setting-Specific Domain
Infection and Sepsis

Defining Attributes

Definition

The average percentage of healthcare personnel (HCP) who are considered up to date with recommended COVID-19 vaccines among the total number of HCP who regularly work in the facility.

Numerator

The cumulative number of HCP who are considered up to date with recommended COVID-19 vaccines administered at the healthcare facility; or reported in writing (paper or electronic) or provided documentation of being up to date with recommended COVID-19 vaccines.

Denominator

The number of HCP eligible to work in the healthcare facility for at least one day during the one-week data collection reporting period.

Exclusions

Persons with contraindications/exclusions to COVID-19 vaccination.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

By hospital and state.

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Electronic health records, other, paper patient medical records

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Hospital Care Compare Website

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/hospital-outpatient-quality-reporting-program www.cms.gov/medicare/quality/initiatives/hospital-quality-initiative/inpatient-reporting-program

Technical Specifications

p4qm.org/measures/3636

Link to Measurement Tools
Domain
Infection and Sepsis
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025

Contents

Actions

Date Modified 10 June 2026