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Hepatitis B Birth Dose Honor Roll

Hepatitis B Birth Dose Honor Roll

Hepatitis B Birth Dose Policies Achieve High Coverage Rates

On July 16, 2013, the Immunization Action Coalition (IAC) launched the Hepatitis B Birth Dose Honor Roll. The Honor Roll recognizes hospitals and birthing centers that have attained high coverage rates for administering hepatitis B vaccine at birth.
In addition to recognition on IAC's Birth Dose Honor Roll and announcement of their achievement in IAC Express, honorees receive a 8.5" x 11" color certificate suitable for framing.
IAC's Inaugural Honoree
IAC's Inaugural Honoree
Albany Medical Center (Albany, New York), with support from the New York State Department of Health Immunization Bureau, achieved a birth dose coverage rate of 99%.
Pictured: Mary Miller, RNC, Nurse Manager of Postpartum and Newborn Nursery, Albany Medical Center; Mary Ellen Plass, MS, RN, Senior Vice President and Chief Nursing Officer, Albany Medical Center; and Deborah Wexler, MD, Executive Director, Immunization Action Coalition
>> view all honorees
 
Criteria for inclusion on IAC's Hepatitis B Birth Dose Honor Roll
To be included in the Immunization Action Coalition's Hepatitis B Birth Dose Honor Roll, a birthing institution should have:
Achieved, over a 12-month period, a coverage rate of 90% or greater for administering hepatitis B vaccine before hospital discharge to all newborns (regardless of weight), including those whose parents refuse vaccination. (Newborns who are transferred to a different facility after birth due to medical problems do not need to be included in the denominator.)
Implemented written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.
Note: The following criteria are generally required, but exceptions may be made.
   
Parents are informed about the importance of the hepatitis B vaccine birth dose and that it is recommended for all newborns.
All newborns routinely receive hepatitis B vaccine within 24 hours of birth.
A review is performed as to whether the correct screening test, hepatitis B surface antigen (HBsAg), was ordered for the mother during this pregnancy.
The result of the mother's HBsAg screening test is reviewed. It is best, if at all possible, that the policy calls for review of a copy of the original HBsAg test result, and not a transcribed or hand-entered report.
An HBsAg blood test is ordered ASAP if an incorrect test was ordered on the mother or if no test result is included on her chart.
Infants born to HBsAg-positive mothers receive hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12 hours of birth.
Infants born to mothers whose HBsAg status is unknown receive hepatitis B vaccine within 12 hours of birth.
Infants who weigh less than 2,000 grams and are born to mothers whose HBsAg status is unknown receive HBIG (in addition to hepatitis B vaccine) within 12 hours of birth.
Routine newborn admission orders include a standing order to administer hepatitis B vaccine to all infants (similar to standing orders to administer Vitamin K and ophthalmic antibiotic).
Notification of the state or local health department’s perinatal hepatitis B prevention program is done prior to discharge (or as soon as known, if after discharge) for all mothers whose HBsAg test result is positive.
 
Who's on the Honor Roll?
Who's on the Honor Roll?
 
View the hospitals and birthing centers -- over 500 -- that have attained high coverage rates
 
Apply for the Hepatitis B Birth Dose Honor Roll
Apply for the Hepatitis B Birth Dose Honor Roll
Complete this online form to tell IAC about the birth dose policy in your birthing facility
Apply Now
 
Flyer: Do You Qualify?
Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If so, apply today
Applying for the Birth Dose Honor Roll
One-page handout on IAC's Hepatitis B Birth Dose Honor Roll for birthing hospitals and centers, including how to qualify and apply
 
Endorsed by AAFP, AAP, ACOG, CDC
Hepatitis B: What Hospitals Need to Do to Protect Newborns
IAC'S COMPLETE GUIDE
Hepatitis B: What Hospitals Need to Do to Protect Newborns
IAC’s comprehensive guidebook is a complete resource to help hospitals and birthing centers establish, implement, and optimize their birth dose policies.
learn more
 
Learn more about the initiative: Give birth to the end of Hep B
 
Support for the Universal Hepatitis B Birth Dose
American Academy of Family Physicians
American Academy of Pediatrics
American College of Obstetricians and Gynecologists
Centers for Disease Control and Prevention
>> read letter of endorsement
 
This page was updated on November 12, 2020.
This page was reviewed on November 26, 2019.
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.