Vaccine Policies and Measles Poll Section 1: Practice Demographics Question Title * 1. Practice Location Urban Suburban Rural Question Title * 2. Number of pediatric providers in your practice 1 - 2 3 - 5 6 - 10 More than 10 Question Title * 3. Approximate percentage of patients with Medicaid Less than 25% 25 - 50% 51 - 75% Greater than 75% Section 2: Vaccine Policies Question Title * 4. Which vaccine schedule does your practice formally follow? AAP Recommended Immunization Schedule CDC Recommended Immunization Schedule Modified internal schedule Other (please specify) Question Title * 5. Does your practice have a formal written vaccine policy? Yes No if yes, please copy and paste your vaccine policy into the text box. Question Title * 6. Does your practice accept non-vaccinating patients? Yes No Question Title * 7. How can patients find your vaccine policy? (Select all that apply) Practice Website Posted in Office New Patient Paperwork Patient Portal Verbal Discussion Only Not Communicated Proactively Other Question Title * 8. Which statement best describes your policy? Vaccines required per AAP schedule with no exceptions (including HPV, flu, etc) Vaccines required for school/daycare per AAP schedule with no other exceptions Vaccines required with limited exceptions Vaccines strongly recommended but not required Families may selectively delay or refuse vaccines Case-by-case determination Question Title * 9. If you indicated exceptions are allowed, what are these exceptions? Question Title * 10. How does your practice respond to families requesting a non-standard or delayed schedule? Not permitted Temporarily permitted with catch-up plan Permitted without restrictions Provider-dependent Question Title * 11. How does your practice respond to partial vaccine refusal of daycare/school required vaccines (e.g., refusing specific vaccines)? Not accepted in practice and patient is dismissed Accepted with signed refusal documentation Accepted without documentation Evaluated case by case Question Title * 12. At what point, if any, does daycare/school required vaccine refusal lead to dismissal from the practice? Immediate dismissal After repeated counseling After a specific age or milestone Never Other (please specify) Section 4: Scenario based questions Scenario 1: A 2-month-old infant presents for a well visit. Parents decline all vaccines but request continued care. Question Title * 13. How would your practice respond? Require all vaccines for continued care Continue care with refusal documentation Allow delay but set a deadline Dismiss from practice Other (please specify) Scenario 2: Parents agree to all vaccines except MMR due to safety concerns. Question Title * 14. Your practice would: Require MMR for continued care Continue care with refusal documentation Allow delay but set a deadline Dismiss from practice Other (please specify) Scenario 3:A 2 month-old infant presents for a well visit. Parents decline Hepatitis B but accept all other vaccines and request continued care. Question Title * 15. How would your practice respond? Require Hepatitis B vaccine for continued care Continue care with refusal documentation Allow delay but set a deadline Dismiss from practice Other (please specify) Section 5: Vaccine Policy Impact and Resources Question Title * 16. What factors most influence your vaccine policy? (Select up to 4) Patient safety Community health AAP guidance CDC guidance Legal liability Practice philosophy Patient demand Operational burden Question Title * 17. Has enforcing a vaccine policy impacted your practice negatively in any of the following ways? (select all that apply) Patient retention Staff morale Scheduling efficiency Public reviews Community reputation Question Title * 18. Optional comments or best practices regarding vaccine policies you wish to share: Question Title * 19. What resources would be most helpful in promoting the AAP vaccine policy in your office? Patient education hand outs Learning about other local practices vaccine policies Staff education resources Other (please specify) Section 6: Measles Question Title * 20. At what age does your practice routinely administer the first dose of MMR? 12 months Earlier than 12 months for certain patients Case-by-case based on risk Other (please specify) Question Title * 21. Under what circumstances does your practice administer MMR prior to 12 months of age? (Select all that apply) Local or regional measles outbreak International travel Domestic travel to areas of outbreak We do not administer MMR before 12 months Other (please specify) Question Title * 22. At what age does your practice routinely administer the second dose of MMR? At 4 years old Between 4 - 6 years Earlier than 4 years Case-by-case Other (please specify) Question Title * 23. Is your office offering an accelerated MMR schedules due to outbreaks? Yes No Under consideration Question Title * 24. Has your practice made any changes to its vaccine policies in response to the current measles outbreak? Yes No Considering changes Question Title * 25. If yes, which changes have been implemented? (Select all that apply) Earlier administration of MMR Stricter enforcement of vaccine requirements Reduced acceptance of delayed schedules Elimination of non-medical exemptions Updated written vaccine policy Enhanced counseling requirements Other (please specify) Question Title * 26. Have families expressed increased concern or interest in MMR vaccination due to the outbreak? Significant increase Moderate increase No noticeable change Unsure Question Title * 27. Has your practice implemented workflow changes related to measles prevention or MMR vaccination? Yes No Planning to implement Question Title * 28. If yes, which workflow changes have been made? (Select all that apply) Pre-visit vaccine status screening Earlier identification of under-immunized patients Dedicated vaccine-only visits EMR alerts for overdue MMR Modified sick-visit triage for rash/fever Masking or isolation protocols for suspected measles Other (please specify) Question Title * 29. Has your practice adjusted front desk or phone triage protocols related to measles symptoms? Yes No In development Question Title * 30. How has your practice communicated measles-related information to families? (Select all that apply) In-office counseling Patient portal messages Website updates Social media Printed handouts No specific communication Question Title * 31. What resources with regards to measles would be most helpful to your practice? Work flow resources to triage sick patients Resources about accelerated MMR vaccination Resources on what to do when concerned that a patient has measles Connecting with other local practices to hear about their experience Other (please specify) Done