Attachment IV - VHA Directive 1192-01.pdf

This document is a Veterans Health Administration (VHA) Directive establishing a mandatory seasonal influenza vaccination program for VHA health care personnel (HCP). The directive requires all HCP to receive annual seasonal influenza vaccination or obtain an exemption by November 30 each year, with compliance being a condition of employment. HCP who are not vaccinated must wear a face mask in VHA facilities and can face disciplinary action up to and including removal from federal service for non-compliance.

Key details include: the directive covers all VA licensed and unlicensed clinical and administrative employees, volunteers, trainees, and contractors; provides procedures for vaccination documentation; outlines medical and religious exemption processes; and mandates that unvaccinated personnel wear face masks in clinical and non-clinical areas. The directive references CDC recommendations and notes that VHA has historically fallen short of the 90% vaccination rate goal for health care personnel, with only 81.1% of HCP vaccinated during the 2018-19 influenza season.