Healthcare Executive - November/December 2013 - 45

of healthcare workers to those
patients—we believe an ethically
grounded policy of mandatory influenza vaccination is morally justified as
long as implementation of the policy
allows healthcare workers with medical or religious grounds to opt out.
Healthcare workers with medical or
religious grounds for opting out
should be made aware of a clearly
delineated process that is easily available to stipulate and review their
objection to influenza immunization
and render a fair decision. The process
should protect the confidentially of
the person seeking to opt out. The
stated policy can stipulate a reasonable
requirement that the healthcare
worker document the justification for
his or her objection, such as by providing a doctor’s note to Human
Resources specifying his or her medical contraindications to immunization
or a letter stating a religious conviction
and membership in a faith group that
does not recognize vaccinations.

which the healthcare worker does
not accept the decision rendered by
the institutional system. To ensure
this system achieves the desired
result of widespread healthcare
worker immunization, we believe
unfounded refusal of mandatory
influenza immunization should be
grounds for dismissal.

After the policy is drafted, reviewed
and approved by the appropriate
institutional clinical and administrative leaders and legal counsel, there
needs to be a facilitywide effort to
openly share the policy. Public conversation about the policy, if handled correctly, should help explain
its rationale and identify routes of

To ensure the opting-out process protects the rights of at-risk healthcare
workers, and that it does not result in
undermining of the purpose of mandatory influenza immunization
through widespread, unsubstantiated
opting out, there should be an objective review process. For instance, optout decisions should be made on the
basis of standardized criteria that are
applied systematically and not on a
case-by-case basis. Furthermore,
appeals to opt out should be reviewed
by individuals who do not serve in a
supervisory capacity for the healthcare worker in question.
Lastly, there should be a defined
appeals process for the rare cases in
Healthcare Executive
nOv/DEC 2013

45



Healthcare Executive - November/December 2013

Table of Contents for the Digital Edition of Healthcare Executive - November/December 2013

Healthcare Executive - November/December 2013
Contents
ACHE Online
Take Note
Perspectives
Managing Your Career in Transformative Times
Generation Now: The New Era of Leadership
Aspirations of a Servant Leader
Professional Pointers
Healthcare Management Ethics
Satisfying Your Customers
Community Health Innovations
Public Policy Update
Careers
Governance Insights
Improving Patient Care
CEO Focus
Executive News
On the Move
Member Accolades
Chapter News
Professional Development Calendar
2013 Editorial Index
Healthcare Executive - November/December 2013 - Healthcare Executive - November/December 2013
Healthcare Executive - November/December 2013 - Cover2
Healthcare Executive - November/December 2013 - Contents
Healthcare Executive - November/December 2013 - 2
Healthcare Executive - November/December 2013 - 3
Healthcare Executive - November/December 2013 - ACHE Online
Healthcare Executive - November/December 2013 - 5
Healthcare Executive - November/December 2013 - Take Note
Healthcare Executive - November/December 2013 - 7
Healthcare Executive - November/December 2013 - Perspectives
Healthcare Executive - November/December 2013 - 9
Healthcare Executive - November/December 2013 - Managing Your Career in Transformative Times
Healthcare Executive - November/December 2013 - 11
Healthcare Executive - November/December 2013 - 12
Healthcare Executive - November/December 2013 - 13
Healthcare Executive - November/December 2013 - 14
Healthcare Executive - November/December 2013 - 15
Healthcare Executive - November/December 2013 - 16
Healthcare Executive - November/December 2013 - 17
Healthcare Executive - November/December 2013 - 18
Healthcare Executive - November/December 2013 - 19
Healthcare Executive - November/December 2013 - Generation Now: The New Era of Leadership
Healthcare Executive - November/December 2013 - 21
Healthcare Executive - November/December 2013 - 22
Healthcare Executive - November/December 2013 - 23
Healthcare Executive - November/December 2013 - 24
Healthcare Executive - November/December 2013 - 25
Healthcare Executive - November/December 2013 - 26
Healthcare Executive - November/December 2013 - 27
Healthcare Executive - November/December 2013 - 28
Healthcare Executive - November/December 2013 - 29
Healthcare Executive - November/December 2013 - Aspirations of a Servant Leader
Healthcare Executive - November/December 2013 - 31
Healthcare Executive - November/December 2013 - 32
Healthcare Executive - November/December 2013 - 33
Healthcare Executive - November/December 2013 - 34
Healthcare Executive - November/December 2013 - 35
Healthcare Executive - November/December 2013 - 36
Healthcare Executive - November/December 2013 - 37
Healthcare Executive - November/December 2013 - 38
Healthcare Executive - November/December 2013 - 39
Healthcare Executive - November/December 2013 - Professional Pointers
Healthcare Executive - November/December 2013 - 41
Healthcare Executive - November/December 2013 - Healthcare Management Ethics
Healthcare Executive - November/December 2013 - 43
Healthcare Executive - November/December 2013 - 44
Healthcare Executive - November/December 2013 - 45
Healthcare Executive - November/December 2013 - 46
Healthcare Executive - November/December 2013 - 47
Healthcare Executive - November/December 2013 - Satisfying Your Customers
Healthcare Executive - November/December 2013 - 49
Healthcare Executive - November/December 2013 - 50
Healthcare Executive - November/December 2013 - 51
Healthcare Executive - November/December 2013 - Community Health Innovations
Healthcare Executive - November/December 2013 - 53
Healthcare Executive - November/December 2013 - 54
Healthcare Executive - November/December 2013 - 55
Healthcare Executive - November/December 2013 - Public Policy Update
Healthcare Executive - November/December 2013 - 57
Healthcare Executive - November/December 2013 - 58
Healthcare Executive - November/December 2013 - 59
Healthcare Executive - November/December 2013 - 60
Healthcare Executive - November/December 2013 - 61
Healthcare Executive - November/December 2013 - Careers
Healthcare Executive - November/December 2013 - 63
Healthcare Executive - November/December 2013 - 64
Healthcare Executive - November/December 2013 - 65
Healthcare Executive - November/December 2013 - Governance Insights
Healthcare Executive - November/December 2013 - 67
Healthcare Executive - November/December 2013 - 68
Healthcare Executive - November/December 2013 - 69
Healthcare Executive - November/December 2013 - Improving Patient Care
Healthcare Executive - November/December 2013 - 71
Healthcare Executive - November/December 2013 - 72
Healthcare Executive - November/December 2013 - 73
Healthcare Executive - November/December 2013 - 74
Healthcare Executive - November/December 2013 - 75
Healthcare Executive - November/December 2013 - CEO Focus
Healthcare Executive - November/December 2013 - 77
Healthcare Executive - November/December 2013 - 78
Healthcare Executive - November/December 2013 - 79
Healthcare Executive - November/December 2013 - Executive News
Healthcare Executive - November/December 2013 - 81
Healthcare Executive - November/December 2013 - 82
Healthcare Executive - November/December 2013 - 83
Healthcare Executive - November/December 2013 - On the Move
Healthcare Executive - November/December 2013 - 85
Healthcare Executive - November/December 2013 - 86
Healthcare Executive - November/December 2013 - 87
Healthcare Executive - November/December 2013 - Member Accolades
Healthcare Executive - November/December 2013 - 89
Healthcare Executive - November/December 2013 - Chapter News
Healthcare Executive - November/December 2013 - 91
Healthcare Executive - November/December 2013 - Professional Development Calendar
Healthcare Executive - November/December 2013 - 93
Healthcare Executive - November/December 2013 - 2013 Editorial Index
Healthcare Executive - November/December 2013 - 95
Healthcare Executive - November/December 2013 - 96
Healthcare Executive - November/December 2013 - Cover3
Healthcare Executive - November/December 2013 - Cover4
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