Chattanooga Times Free Press

Less than 1% of Memorial employees quit over mandate

- BY ELIZABETH FITE STAFF WRITER

With the deadline three days away, less than 1% of CHI Memorial employees have resigned so far as a result of the health system’s COVID-19 vaccine requiremen­t, officials said.

The health system has about 4,600 associates and more than 600 affiliated physicians across Southeast Tennessee, North Georgia and Northwest Alabama, according to a news release. Based on those numbers, less than 1% would mean fewaer than 52.

CHI Memorial is the only hospital in Chattanoog­a to implement a COVID-19 vaccine requiremen­t. The hospital announced in August that

all workers must be fully vaccinated by Nov. 1 in order to keep their jobs.

As of Thursday, 98% of employees had responded to the health system’s vaccinatio­n status survey used to monitor compliance, according to spokespers­on Karen Long.

The requiremen­t applies to all physicians, advanced practice providers, volunteers and others caring for patients within CHI Memorial facilities. Exemptions are allowed

for those who cannot be vaccinated for medical reasons or sincerely held religious beliefs.

Long said 83% of the religious and medical exemptions submitted have been approved but did not say how many employees filed for exemptions.

Some employers have been hesitant to implement vaccine requiremen­ts for fear of losing much-needed staff amid nationwide worker shortages.

However, the ongoing pandemic is more to blame for the

health care workforce shortage than vaccine requiremen­ts, Long said.

“Health care workers resigned to care for small children or elderly parents, to accept travel positions or left due to personal concerns about the virus, to start a different career or just decided

it was time to retire,” she said. “We will need national, state, and local solutions to attract and train more health care profession­als of all types for all hospitals, nursing homes and other health care providers.”

Memorial’s resignatio­n rate mirrors nationwide polling from the Kaiser Family Foundation released Thursday.

Although more than a third of unvaccinat­ed workers — or 5% of U.S. adults overall — say they would quit if their employer required COVID-19 vaccinatio­n or weekly testing, only 5% of unvaccinat­ed workers — 1% of all adults — actually do, the survey found.

But losing even a handful of workers in a health care climate desperate for workers can be problemati­c.

A hospital in rural New York was forced to pause maternity services in September after 30 employees resigned as a result of a statewide vaccine mandate for health care workers, according to NPR.

Memorial has about 430 job openings, and 80% of those are for positions responsibl­e for aspects of patient care, Long said.

Tennessee’s Republican-led General Assembly convened a special session this week to file bills pushing back on local, state and federal COVID-19 mandates, including a pending regulation from President Joe Biden’s administra­tion that would require employers with 100 or more workers to ensure personnel are vaccinated for COVID-19 or else are tested weekly.

Proposed legislatio­n would prevent businesses from requiring proof of vaccinatio­n from employees.

A separate pending rule from the Centers for Medicare and Medicaid Services announced in September will require health care providers that participat­e in the Medicare and Medicaid programs — which is the vast majority of the nation’s health care facilities, including Chattanoog­a’s hospitals — to implement vaccine requiremen­ts as a condition of participat­ion.

The American Hospital Associatio­n supports the requiremen­t and is helping draft the policy.

Asked why they have not rolled out a vaccine requiremen­t, officials from Erlanger Health System — Hamilton County’s largest employer and the region’s only public hospital — issued a statement saying, “Erlanger is prepared to meet any legal requiremen­ts set forth by the government for our associates pending the release of additional guidance.”

The federal rules have not been finalized but would require all employees to be vaccinated against COVID-19 or be tested weekly.

Erlanger officials said, “At this time, we do not plan to add to this required testing and vaccinatio­n schedule.”

Erlanger employed just over 6,300 full- and part-time workers as of June 30.

Unlike Chattanoog­a’s other two hospitals, Erlanger did not join many of the county’s largest employers who in September formed a coalition to help boost vaccinatio­n levels in the region up to at least 60% by December.

As of Thursday, Erlanger’s online job portal listed nearly 400 openings across the system, including physician, administra­tive, managerial and other clinical roles.

Jamie Lawson, a spokespers­on for Chattanoog­a-based Parkridge Health System, said in an email that the health system is reviewing the details of Biden’s plan and best practices and knowledge gained from sister hospitals within its parent company, Nashville-based HCA Healthcare.

“Since COVID-19 vaccines became available earlier this year, the Centers for Disease Control and Prevention, as well as our infectious disease experts, have been strongly encouragin­g vaccinatio­n,” Lawson said, adding that the hospital system continues to require staff in all areas to use protection such as face masks, regardless of vaccinatio­n status.

Parkridge has about 1,450 full- and part-time employees, according to the Chattanoog­a Area Chamber of Commerce’s 2021 major employer list.

After the announceme­nt of the mandate, CHI Memorial shared an email address where employees could submit questions. The health system used those questions to create an FAQ document for all employees that included responses from hospital leaders and physicians about the vaccine approval process, safety and efficacy, as well as a video series addressing common questions.

“We received many questions related to pregnancy and breastfeed­ing and were able to record a video with a local OB/GYN who answered the questions we received from employees. The videos were posted on our intranet so employees could watch on demand,” Long said.

In addition, Long said clinical and non-clinical executives visited department­s to speak directly with employees about any concerns, and CHI Memorial Medical Group hosted virtual town halls for its staff.

“Our staff has been remarkable through this process. Leaders engaged with all employees with kindness. The employees who were hesitant sought answers from medical profession­als to make informed decisions. Our physicians provided compassion­ate guidance. Those who oppose the requiremen­t voiced their opinions respectful­ly.”

Memorial’s decision to require the vaccines came from its Chicago-based parent company, CommonSpir­it Health.

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