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IID-12.8 Data Details

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IID-12.8 Increase the percentage of institutionalized adults aged 18 years and older in long-term or nursing homes who are vaccinated annually against seasonal influenza

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Minimum Data Set
Changed Since the Healthy People 2020 Launch: 
Baseline (Year): 
71.4 (2005–06)
Target-Setting Method: 
Retention of Healthy People 2010 target

Number of persons in long-term care facilities and nursing homes reported to have received an influenza vaccination during the influenza season


Number of persons in nursing homes certified by the Centers for Medicare and Medicaid Services who had resident assessments conducted with a target date between October 1 and March 31

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Data Collection Frequency: 
Methodology Notes: 

    Data are from the population residing in long-term care facilities or nursing homes certified by the Centers for Medicare and Medicaid Services. These data represent a census of all residents of CMS-certified nursing homes during the influenza season of interest.

    Data include residents of CMS-certified nursing homes who had at least one assessment with a target date between October 1 and March 31. Residents have an average of 5 assessments per year. Percentage includes U.S. resident nursing home population (i.e., not adjusted for state or facility). Residents who lived in multiple states during a single year were included once in each state they lived in.

    Vaccination status is ascertained by the staff member completing the resident assessment instrument based on medical records when available, self-report by the resident, or report from a resident’s care taker. Residents were considered vaccinated based on a “yes” response to the question “Did the resident receive the influenza vaccine in this facility for this year's influenza season?” or, if not, if the reason stated for not receiving vaccination was because the vaccination was received outside of the facility. Residents were considered vaccinated if they were ever reported to be vaccinated for the current influenza season at any assessment conducted from October 1 through June 30 of each influenza season.

    Prior to the 2010-11 influenza season, Native Hawaiians and other Pacific Islanders are included in the Asian race/ethnicity estimates.

Caveats and Limitations: 
Approximately 2-5% of residents are excluded from the estimates each season due to missing information regarding influenza vaccination. Additionally, approximately 5% of residents each influenza season had inconsistent vaccination information wherein they were reported as having been vaccinated for the current influenza season on at least one assessment followed by at least one subsequent assessment in which they were reported as not having been vaccinated. In the estimates reported here, residents were considered to be vaccinated if the resident was reported to be vaccinated on any assessment conducted during the current influenza season.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2013, objectives IID-12.5 through 12.8 objectives were consolidated and revised to IID-12.12. In 2017, objective IID-12.8 was moved from archived to measurable, as the influenza vaccination of institutionalized adults was no longer being tracked by objective IID-12.12.


Additional resources about the objective

  1. Klein, R.J.; Proctor, S.E.; Boudreault, M.A.; Turczyn, K.M. Healthy People 2010 Criteria for Data Suppression. Statistical Notes No. 24. Hyattsville, MD: National Center for Health Statistics. 2002.