Vaccination Guidelines

A.   Influenza Vaccine

1.     All Patients ≥ 6 months of age

2.    What are the CMS accepted reasons for NOT giving the vaccine (The reason must be documented in the chart):

a)    Patients who have already been vaccinated for the current season - "current season" or month and year need to be documented

b)   The patient refuses vaccination

c)    The patient has an allergy to the vaccine or an anaphylactic allergy to eggs

d)   History of Guillain-Barre Syndrome within 6 weeks after previous vaccination

e)   Bone Marrow transplant within the past 6 months - In this case the vaccine will not likely be effective

f)    Anaphylactic latex allergy

g)   Patients with an organ transplant during the current hospitalization (effective 1/1/2012)

B.    Pneumococcal Vaccine

1.     All Patients between the ages of 6 and 64

2.    What are the CMS accepted reasons for NOT giving the vaccine (The reason must be documented in the chart):

a)    Patient refuses vaccination

b)   Patient is pregnant

c)    Patient has had the vaccination in the past

d)   The patient has an allergy to the vaccine

e)   Bone marrow transplant within the past 12 months

f)    Chemotherapy or radiation therapy during this hospitalization or less than 2 weeks prior to this hospitalization

g)   The patient has received the shingles vaccine within the last 4 weeks

h)   Patients that are 6 years old and have received a conjugate vaccine within the past 8 weeks (Effective 1/1/2012)

i)     Patients with an organ transplant during the current hospitalization (Effective 1/1/2012)

Fact Sheet for Pneumococcal & Influenza Vaccine