State and local health officials will use Oregon Health Authority’s (OHA) newest interactive data dashboard to track COVID-19 vaccination rates among long-term care facility residents and staff.
The LTCF COVID-19 Vaccination Data dashboard, launched Tuesday by the OHA Healthcare-Associated Infections (HAI) Program, will allow epidemiologists to monitor trends in COVID-19 vaccinations among long-term care residents and staff at state, county and facility levels. The goal is to help improve facilities’ reporting of vaccinations and provide guidance on ways to increase their vaccination rates.
“This data collection is a natural extension of our program’s work to track vaccinations and support infection control in these settings,” said Dat Tran, M.D., M.S., medical director for the HAI Program. “Nursing, assisted-living and residential care facilities are still experiencing outbreaks of COVID-19, and many of their residents are at high risk for serious illness from the virus. Vaccination remains our No. 1 tool for reducing infection risk for vulnerable persons.”
Licensed nursing, assisted living and residential care facilities are required to report COVID-19 vaccination data to OHA every month. Facilities report total counts of staff and residents, along with counts of staff and residents who are up to date with COVID-19 vaccination.
The new dashboard uses the facility-reported data to show percentages of long-term care residents and staff who received the 2023-2024 COVID-19 vaccine. Users can filter the data by hospital region – Oregon has seven – as well as county, facility, facility type and facility characteristic.
For the 2023–2024 respiratory virus season, the definition of “up to date” on COVID-19 vaccination aligns with the latest Centers for Disease Control and Prevention (CDC) recommendations – to reflect anyone who receives the 2023–2024 COVID-19 vaccine that became available in mid-September. Previously, the definition for being up to date on COVID-19 vaccination was anyone who received the bivalent vaccine that became available a year earlier.
Data for staff and residents who received the bivalent COVID-19 vaccine or a primary series, are no longer collected.
Through the week of Oct. 2–8, only 6% of staff and 11% of residents were reported as up to date on their 2023–2024 COVID-19 vaccination. Dr. Tran acknowledged that up-to-date vaccination rates reported so far by Oregon facilities are woefully low, which he attributes to “facilities not yet having vaccine clinics as well as limited availability of the new vaccine.” However, Oregon’s rates through that week were higher than national rates reported by CDC for nursing facilities, which were at 1% of staff and 9% of residents.
In Oregon, up-to-date COVID-19 vaccination rates are lowest in Region 6 (1% of staff and 5% of residents) and Region 7 (2% of staff and 8% of residents). Of the 528 total facilities statewide that reported, 76% (403) reported zero staff and residents were up to date.
There are ways long-term care facilities can improve vaccination rates among staff and residents, Dr. Tran says. OHA has developed a toolkit with strategies employers have used to increase influenza vaccination rates, and they can be used for COVID-19 vaccines as well.
