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INDIANA UNIVERSITY HEALTH
COVID-19 Vaccination of Facility Staff
Tag No.: A0792
Based on document review and interview, the facility failed to follow the QSO-22-11-All Memorandum regarding the rate of compliance (82%).
Findings Include:
1. Review of policy titled: IU Health COVID-19 Vaccination Program, created 08/13/2021, indicated that IU Health personnel, priviledged providers, volunteers, student learners and contracted vendors and workers who access IUHealth facilities or affiliate locations will be fully vaccinated against COVID-19.
2. Review of QSO-22-11-All Memorandum, revised 04/05/22, indicated that facilities failing to maintain compliance with the 100% standard may be subject to enforcement action.
3. Review of the facility's breakdown of compliance (see below):
Completed First Dose 298 3.3%
Completed 2 Doses 6686 73.1%
Religious Exemption 503 5.5%
Medical Exemption 6 0.1%
Non-compliant 1648 18.0%
Total Employees 9141
Compliance equals 82%
4. Interview on 05/18/22 at approximately 3:00 pm with P61 (Executive Director Accreditation) per Team Meeting confirmed the numbers listed in #3. Confirmed knowledge of issue with the non-compliant number; that number is made up of medical/nursing students and outside contractors working inside the IU Health buildings and affiliates; confirmed there is a process to start to reduce that number.