Carrots and sticks: achieving high healthcare personnel influenza vaccination rates without a mandate.

Objective: Achieving high healthcare personnel (HCP) influenza vaccination rates has typically required mandating vaccination, which is often challenging to implement. Our objective was to achieve >90% employee influenza vaccination without a mandate.

Design: Prospective quality improvement initiative

Setting And Participants: All employees of a 2-hospital, 1,100-bed, community-based academic healthcare system.