"Getting out of jury duty is probably a little bit easier than getting out of this," she jokes. "The policy is very clear about what the medical and religious exemptions are and we want to make sure we apply those consistently."
To that end, a committee reviews all the religious and medical exemption requests and makes determinations quickly. Those who request an exemption that don't fit the requirements are allowed to provide any additional information that might exempt them. Otherwise they must comply with the policy by getting the shot, says Bessel.
And that's by Dec. 1, which for Arizona, according to the Centers for Disease Control and Prevention, is the start of the flu season.
This policy didn't just come from an executive decree, however. The requirement is couched in the very reason most people choose to work in healthcare, says Bessel—to improve health.
"There are a number of other organizations that have done this previously and we have done a lot of reading and research about this by speaking with them to get their lessons learned," Bessel says.