Large healthcare organization successfully uses a thoughtful, proactive approach to raise COVID-19 vaccination rates for BIPOC staff

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Apr 20, 2022, 12:00 ET

PORTLAND, Ore., April 20, 2022 /PRNewswire/ -- In late 2021, Oregon enacted a vaccine mandate for health care workers to help reduce the spread of COVID-19.

This was an understandable step taken during the COVID-19 pandemic. But the requirement also inadvertently highlighted the inequities that Black, Indigenous, and communities of color (BIPOC) face when it comes to health care. These inequities were founded on historical forces that Legacy Health wanted to understand better.

While its overall employee vaccine rate was impressive, Legacy's rates for Black and Hispanic staff were low. Legacy wanted to increase these numbers. Indeed, over the course of several weeks, it successfully raised vaccine rates for its Black and Hispanic employees through a thoughtful, proactive approach.

After the mandate came out, a cross-functional team of Legacy staff was formed. Members shared diverse cultural backgrounds, a passion for public health, and inclusive education. Together, the group figured out how Legacy would comply with the state mandate and not lose valuable employees through a forced termination. The strategy was straightforward: Face vaccine hesitancy by staff of color and understand their reasons without judgment - reasons rooted in a history of systemic racism and a lack of trust in the health care experienced by BIPOC communities over generations.

"Vaccine hesitancy among our staff of color is bigger than any single moment in time," says Lisa Goren, a senior vice president at Legacy and chief people and culture officer. "A long-standing and understandable sense of distrust born out of systemic racism perpetuated by the health care industry. A mandate doesn't instantly turn that around."

The team identified very reachable goals for getting unvaccinated staff safely vaccinated within a short period:

Building trust and meet staff in their workplace.
Being available to employees who do not regularly use computers or email. The lack of technological access causes a gap in awareness and understanding of vaccine requirements.
Making information about COVID-19 simple and understandable.
Being ready to administer vaccines at locations convenient to working staff.

To achieve these goals, the team:

Hosted virtual town halls for Black and Spanish-speaking employees focused on vaccine safety and pregnancy or general COVID-19 questions.
Created a confidential clinician-staff hotline for English and Spanish-speaking staff.
Joined daily employee huddles to help staff who had limited access to electronic communication or language barriers.

"It was critical for us to be visible and easily available to employees," says Dominic Chan, a pharmacy director at Legacy and a team member. "We gave them as much personal time needed to ask questions so they could make an informed decision about vaccination."

These collective efforts resulted in a dramatic increase in rates among Legacy employees of color. Within a few weeks, the overall vaccination rate jumped from 84% to 94%. But the rates for Black employees were even more compelling, rising from 72.1% to 90.6%. The rates for Hispanic employees increased from 79.4% to 93.5%, while rates for employees who identify as two or more races climbed from 78.7% to 92.6%.

"This was a reminder about earning employee trust for the current moment and beyond the pandemic," says Chan. "We learned a few valuable lessons during this process."

Start as fast as possible to create and sustain employee appetite for change.
Realize that some employees have personal reasons for vaccine decisions. These reasons require patience and understanding.
Gather diverse staff to relay the messages.

Finally, Chan says a major takeaway of this project is embracing why employees need a safe space to make choices. A safe space gives people the freedom to understand the options in front of them.

Legacy Health www.legacyhealth.org.

SOURCE Legacy Health