Attachment VI - VHA Directive 1192.01, Flu.pdf

This is a VHA Directive establishing mandatory seasonal influenza vaccination policy for health care personnel (HCP) in the Veterans Health Administration.

The directive requires all HCP working at VHA facilities to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons by November 30 each year. HCP includes VA employees, volunteers, trainees, contractors, and other personnel working in VA hospitals, clinics, community-based outpatient centers, domiciliary units, and VA-leased medical facilities, as well as those providing home-based care to veterans. Compliance is a condition of employment, and violations may result in disciplinary action up to removal from federal service. HCP who obtain exemptions must wear a face mask throughout the influenza season (December 1 through March 31, or as expanded based on local epidemiological circumstances) in both clinical and non-clinical areas during assigned duties. The directive authorizes medical exemptions only for CDC-recognized contraindications with physician documentation, and religious exemptions for deeply held religious beliefs with supervisor notification. The policy establishes comprehensive responsibilities across VHA leadership levels, from the Under Secretary for Health through facility directors, occupational health staff, and human resources officers. Implementation procedures include notification of all HCP by November 30, documentation via VA Form 10-9050 submitted to Employee Occupational Health, and monitoring of compliance by facility occupational health staff and designated education officers. The directive supersedes VHA Directive 1192 from September 2017 and is scheduled for recertification by August 31, 2025.