Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 245 - HOME HEALTH, HOME SERVICES, AND HOME NURSING AGENCY CODE › Subpart B - OPERATIONAL REQUIREMENTS › Section 245.55 - Vaccinations

Current through Register Vol. 48, No. 28, July 12, 2024
a) Influenza
1)
A home health agency
and
				home nursing agency
shall annually administer or arrange for
				administration of a vaccination against influenza to each
				client
/patient
, in accordance with the recommendations of the
				Advisory Committee on Immunization Practices of the Centers for Disease Control
				and Prevention that are most recent to the time of vaccination
,
unless the vaccination is medically contraindicated or the
				client
/patient
has refused the vaccine.
(Section 6.5
				of the Act)
2) The following
				activities by home health or home nursing agencies shall be considered to be
				"arranging for" a client/patient to receive an influenza vaccination:
A) Referring a client/patient to the health
				care professional who is supervising the client's/patient's home care, or to
				his/her primary health care professional; or
B) Referring a client/patient to the hospital
				affiliated with the home health agency; or
C) Referring a client/patient to the local
				health department or other community location (e.g., local pharmacy, influenza
				vaccine clinic, hospital) where influenza vaccinations are available;
				or
D) Arranging for the local
				health department or other private or community health organization to provide
				the vaccination in the client's/patient's home.
3) When a referral or arrangement is made,
				home health or home nursing agency staff shall assist the client/patient in
				developing a plan for implementing the referral or arrangement and shall assess
				implementation of the plan and document the outcome.
4)
Influenza vaccination for all
				clients
/patients
age 65 or over shall be completed by November
				30 of each year or as soon as practicable if vaccine supplies are not available
				before November 1. Home health
or home nursing
clients
/patients
whose services start after November
				30, during the flu season, and until February 1, shall, as medically
				appropriate, receive an influenza vaccination prior to or upon service
				initiation or as soon as practicable if vaccine supplies are not available at
				the time of the service initiation, unless the vaccine is medically
				contraindicated or the client
/patient
has refused the
				vaccine.
(Section 6.5(a) of the Act)
5) For all clients/patients who are provided
				services between November 1 and February 28, the
home health
or home nursing
agency shall document in the
client's/patient's
medical record that an annual vaccination against
				influenza was administered, arranged, refused, or medically
				contraindicated
or that the client/patient is not a member of a
				vaccination priority population
.
(Section 6.5(a) of the
				Act)
6) The following shall be
				considered to be documentation approaches that meet the requirements of Section
				6.5 of the Act:
A) Individual client/patient
				record entries identifying the assessment for the need of vaccination; date of
				offer or referral; client/patient response; administration, contraindication,
				or refusal; and any follow-up activities.
B) Standardized check-off form recording
				client/patient specific information, including the assessment for the need of
				vaccination; date of offer or referral; client/patient response;
				administration, contraindication, or refusal; and any follow-up
				activities.