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COVID-19 Vaccine Mandates: Impact on Radiology Department Operations and Mitigation Strategies

Multicenter Study

. 2022 Mar;19(3):437-445. doi: 10.1016/j.jacr.2021.11.002. Epub 2021 Nov 20. COVID-19 Vaccine Mandates: Impact on Radiology Department Operations and Mitigation Strategies

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Multicenter Study

COVID-19 Vaccine Mandates: Impact on Radiology Department Operations and Mitigation Strategies

Neo Poyiadji et al. J Am Coll Radiol. 2022 Mar.

. 2022 Mar;19(3):437-445. doi: 10.1016/j.jacr.2021.11.002. Epub 2021 Nov 20. Affiliations

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Abstract

Objective: Coronavirus disease 2019 (COVID-19) vaccine mandates are being implemented in health systems across the United States, and the impact on the radiology department workforce and operations becuase of vaccine hesitancy among health care workers is currently unknown. This article discusses the potential impact of the COVID-19 vaccine mandate on a large multicenter radiology department as well as strategies to mitigate those effects.

Methods: Weekly vaccine compliance data were obtained for employees across the entire health system from August 17, 2021, through September 13, 2021, and radiology department-specific data were extracted. Vaccine compliance data was mapped to specific radiology job titles and the five different hospital locations.

Results: A total of 6% of radiology department employees were not fully vaccine compliant by the initial deadline of September 10, 2021. MR technologists and radiology technology assistants had the highest initial rates of noncompliance of 37% and 38%, respectively. Vaccine noncompliance rates by the mandate deadline ranged from 0.5% to 7.0% at the five hospital sites. Only one hospital required a decrease in imaging hours of operation because of the vaccine mandate.

Conclusion: Despite initial concerns about the impact of vaccine mandate noncompliance on departmental operations, there was ultimately little effect because of improved vaccine compliance after the mandate. Understanding individual employee and locoregional differences in vaccine compliance can help leaders proactively develop mitigation strategies to manage this new challenge during the COVID-19 pandemic.

Keywords: COVID-19; mandate; operations; radiology; vaccine.

Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.

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Figures

Fig. 1

Trend of vaccine noncompliance for…

Fig. 1

Trend of vaccine noncompliance for radiology department employees compared with employees in the…

Fig. 1

Trend of vaccine noncompliance for radiology department employees compared with employees in the entire health system from August 17, 2021, to September 13, 2021. HFHS = Henry Ford Health system.

Fig. 2

Vaccine compliance rates of radiology…

Fig. 2

Vaccine compliance rates of radiology department and health system employees 1 day before…

Fig. 2

Vaccine compliance rates of radiology department and health system employees 1 day before the initial vaccine mandate deadline.

Fig. 3

Radiology department vaccine noncompliance rates…

Fig. 3

Radiology department vaccine noncompliance rates by job title from August 17, 2021, to…

Fig. 3

Radiology department vaccine noncompliance rates by job title from August 17, 2021, to September 13, 2021. Total number of radiology employees with a specific job title is denoted by n.

Fig. 4

Locoregional differences in radiology department…

Fig. 4

Locoregional differences in radiology department vaccine noncompliance rates among five different hospitals in…

Fig. 4

Locoregional differences in radiology department vaccine noncompliance rates among five different hospitals in southeastern Michigan from August 17, 2021, to September 13, 2021. HF = Henry Ford.

Similar articles Cited by References
    1. Cavallo J.J., Forman H.P. The economic impact of the COVID-19 pandemic on radiology practices. Radiology. 2020;296:E141–E144. - PMC - PubMed
    1. Sharpe R.E., Jr., Kuszyk B.S., Mossa-Basha M., RSNA COVID-19 Task Force Members Special report of the RSNA COVID-19 Task Force: the short- and long-term financial impact of the COVID-19 pandemic on private radiology practices. Radiology. 2021;298:E11–E18. - PMC - PubMed
    1. Malhotra A., Wu X., Fleishon H.B., et al. Initial impact of COVID-19 on radiology practices: an ACR/RBMA survey. J Am Coll Radiol. 2020;17:1525–1531. - PMC - PubMed
    1. Poyiadji N., Klochko C., Palazzolo J., Brown M.L., Griffith B. Impact of the COVID-19 pandemic on radiology physician work RVUs at a large subspecialized radiology practice. Clin Imaging. 2021;73:38–42. - PMC - PubMed
    1. Shanafelt T., Ripp J., Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323:2133–2134. - PubMed

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