Apply for the Influenza Vaccination Honor Roll

Mandatory Influenza Vaccination for Healthcare Personnel

About the Honor Roll

The best way to prevent the transmission of influenza to patients is to mandate the vaccination of healthcare personnel. The Influenza Vaccination Honor Roll recognizes the champions who have taken the lead in mandating influenza vaccination within their organization or institution.

Criteria for Inclusion

To be included in Immunize.org’s Influenza Vaccination Honor Roll:

  • You must require influenza vaccination for employees.
  • You must include serious measures to prevent the transmission of influenza from unvaccinated workers to patients.

Such measures might include a mask requirement, reassignment to nonpatient-care duties, or dismissal of the employee.

Application

All fields are required unless otherwise specified.

Has your organization been listed on the Honor Roll previously?
If you’re not sure, check the list of existing honorees for your organization.

Listed previously? *Has your organization been listed on the Honor Roll previously?

Your Contact Information

Organization Information

Social Media Information (optional)

If accepted for the Honor Roll, Immunize.org will announce this recognition on our social media channels. Please provide any social media handles for the organization that we may use to bring attention to your organization’s excellence in our posts.

Mandate Information

Can staff opt out of receiving the influenza vaccination:

For medical reasons? *
For religious reasons? *
For reasons other than religious or medical? *

Who is covered by the mandate:

All healthcare personnel employed in the facility? *
All healthcare personnel who come into the facility to see patients (e.g., all non-hospital-based physicians)? *
All healthcare personnel with patient contact? *
Clerical staff? *
Janitorial staff? *
Laboratory staff? *
Dietary staff? *
Students? *
People who volunteer in the facility? *

Approximately how many people are covered by this mandate?

What is/was the implementation date?

Please provide internet links to any information about the mandate, such as press releases or organization web pages.

Clear0 / 500

Supporting Information (optional)

Please provide any additional information about the mandate or any additional comments you would like to share.

Clear0 / 500

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Our Affiliated Sites

For the Public: VaccineInformation.org
For Coalitions: ImmunizationCoalitions.org
65+ Flu Defense
Protect vulnerable, older adult patients from influenza.
Give2MenACWY.org
Improve protection from meningococcal serogroups ACWY.
Mass Vaccination Resources
Access guidance documents, toolkits, and helpful resources.
NAIIS
Home of the National Adult and Influenza Immunization Summit.