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Vaccinations Quality Improvement Activity (QIA)

The COVID-19 pandemic impacted Americans across the country and further threatened the health of patients living with chronic conditions. ESRD patients carry a greater risk of mortality and morbidity if contracted with COVID-19. Thankfully, three vaccine variations are readily available to the public to decrease the spread and severity of the virus. Vaccine hesitancy can be linked to lack of education and the spread of false information. To overcome this barrier, we must work diligently to encourage, educate, and inform our ESRD patients about the benefits of vaccination. In addition to COVID-19, patients remain at risk for contracting flu and pneumonia. The Network will provide continuous support to patients, providers, and facilities so that together, we can keep patients with complex, chronic conditions protected and informed.

2021-22 National Goals

  • Ensure at least 80% of dialysis patients receive a COVID-19 vaccination
  • Ensure at least 85% of dialysis patients receive an influenza vaccination
  • Ensure at least 90% of dialysis facility staff receive an influenza vaccination
    • Report staff influenza vaccinations in the National Healthcare Safety Network (NHSN)
  • Achieve a 10% increase in the number of patients receiving a pneumococcal conjugate vaccination (PCV) 13
  • Ensure 87% of dialysis patients receive a pneumococcal polysaccharide vaccine (PPSV) 23
  • Achieve a 10% increase in the number of patients receiving a booster PPSV 23
  • Ensure 80% of dialysis patients over 65 years old receive a PPSV 23

Vaccination Olympics Campaign 

Vaccination Olympics LogoThe Network 4 Vaccination Olympics Campaign aims to promote the importance and benefits of vaccinations to ensure the safety of ESRD patients and to recognize facilities’ commitments to promoting and increasing vaccination rates for their patients and staff. 

Campaign Objectives

The main goal of the campaign is to urge greater engagement and importance around immunization for dialysis facility staff and patients. As part of the 2021 campaign, Quality Insights and partners aim to:
  • Demonstrate the value of vaccines for the health of individuals on dialysis, and dialysis staff
  • Highlight the need to build on immunization progress while addressing gaps.

How to Participate

The campaign will run from September 1, 2021 to March 31st, 2022.
  1. Post the pledge form in the facility waiting room and staff lounge. 
  2. Facility must join the campaign to be eligible for the prize. Link to Join the Campaign
  3. Achieve 85% Influenza vaccination of eligible* patients.  
  4. Achieve 90% Influenza vaccination of eligible* staff.  
  5. Achieve initiation of the Pneumococcal vaccination PCV13 in all eligible patients. 
  6. Achieve administration of the Pneumococcal vaccination PPSV 23 in all eligible patients.
  7. Achieve 80% COVID-19 vaccination in eligible patients. 


A facility will earn a GOLD medal for achieving the Network goals for each of the vaccination Olympic events listed below. To be recognized as a Network Vaccination Olympics winner, the facility must earn a GOLD medal for all vaccination Olympic events.
  • Influenza (patients and staff), 
  • COVID-19 (patients), 
  • Pneumonia (patients) 
EQRS and NHSN data will be used to monitor progress toward medal achievement. Facility level progress reports will be provided to participating facilities. 

Why Vaccines are Important

In the U.S., vaccines have greatly reduced or eliminated many infectious diseases that once routinely killed or harmed infants, children, and adults. However, the viruses and bacteria that cause these diseases still exist and you can still get these diseases if you aren’t vaccinated.

Source: CDC Reasons to Vaccinate

Key Messages to Share with Patients and Staff

Vaccines Are Very Safe

  • Vaccines are tested and monitored. Vaccines go through years of testing before the Food and Drug Administration (FDA) licenses them for use. Both the CDC and FDA continue to track the safety of all licensed vaccines.
  • Vaccine side effects are usually mild and go away in a few days. The most common side effects include soreness, redness, or swelling where the shot was given. Severe side effects are very rare.
  • Vaccines are one of the safest ways to protect your health. Talk with your doctor about the vaccines you should safely receive based on your health or other conditions.


Vaccination Resources



Pneumococcal Pneumonia 

For assistance with the implementation of strategies to improve vaccination, contact Jeannette Shrift at