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Vaccine Policies and Measles Poll
Section 1: Practice Demographics
1.
Practice Location
Urban
Suburban
Rural
2.
Number of pediatric providers in your practice
1 - 2
3 - 5
6 - 10
More than 10
3.
Approximate percentage of patients with Medicaid
Less than 25%
25 - 50%
51 - 75%
Greater than 75%
Section 2: Vaccine Policies
4.
Which vaccine schedule does your practice formally follow?
AAP Recommended Immunization Schedule
CDC Recommended Immunization Schedule
Modified internal schedule
Other (please specify)
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.
6.
Does your practice accept non-vaccinating patients?
Yes
No
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
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
9.
If you indicated exceptions are allowed, what are these exceptions?
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
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
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.
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.
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.
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
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
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
18.
Optional comments or best practices regarding vaccine policies you wish to share:
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
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)
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)
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)
23.
Is your office offering an
accelerated MMR schedules
due to outbreaks?
Yes
No
Under consideration
24.
Has your practice made
any changes to its vaccine policies
in response to the current measles outbreak?
Yes
No
Considering changes
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)
26.
Have families expressed increased concern or interest in MMR vaccination due to the outbreak?
Significant increase
Moderate increase
No noticeable change
Unsure
27.
Has your practice implemented
workflow changes
related to measles prevention or MMR vaccination?
Yes
No
Planning to implement
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)
29.
Has your practice adjusted
front desk or phone triage protocols
related to measles symptoms?
Yes
No
In development
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
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)