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Getting to Know New Jersey's Vaccine Preventable Disease Program

Thank you for attending Getting to Know New Jersey's Vaccine Preventable Disease Program

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* 1. I understand that successful completion of this activity is defined as attending/viewing 100% of the formal presentation, as well as completing the post-evaluation survey.

Yes

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* 2. I give permission to the New Jersey Chapter, American Academy of Pediatrics, to share my completion data (first/last name, ABP ID and date of completion) with the ACCME and ABP for purposes of reporting my MOC Part II credit. (Please note: If permission is not granted, you will not receive MOC Part II credit through the ABP.)

Yes

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* 3. Demographics

Name *

Designation (MD, RN etc)

Email Address *

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* 4. Date of birth

Month

Day

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* 5. What type of credits are you seeking?

CME

CME & MOC Part 2

N/A

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* 6. ABP Diplomat #

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* 7. Please indicate your level of agreement with the following statements.
At the conclusion of this activity, participants will be able to:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures.	Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures. Strongly Agree	Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures. Agree	Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures. Neutral	Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures. Disagree	Recognize the goal of the NJDOH vaccine preventable disease surveillance unit, HIPAA and the allowable release of patient information to public health, and available resources for VPD reporting, investigation, prevention, and control measures. Strongly Disagree
Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative.	Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative. Strongly Agree	Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative. Agree	Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative. Neutral	Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative. Disagree	Locate at least two educational materials on the VPDP website and identify at least one VPDP immunization initiative. Strongly Disagree
Identify the differences between medical and religious exemptions.	Identify the differences between medical and religious exemptions. Strongly Agree	Identify the differences between medical and religious exemptions. Agree	Identify the differences between medical and religious exemptions. Neutral	Identify the differences between medical and religious exemptions. Disagree	Identify the differences between medical and religious exemptions. Strongly Disagree
Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings.	Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings. Strongly Agree	Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings. Agree	Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings. Neutral	Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings. Disagree	Identify the four core CDC IQIP strategies, and the best practices associated with each to enhance immunization quality in provider settings. Strongly Disagree
Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility.	Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility. Strongly Agree	Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility. Agree	Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility. Neutral	Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility. Disagree	Recognize the benefits of the VFC program including but not limited to receiving federally funded vaccines at no cost to the facility. Strongly Disagree
Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system.	Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system. Strongly Agree	Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system. Agree	Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system. Neutral	Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system. Disagree	Identify the reporting requirements in New Jersey in regards to vaccinations being entered into NJIIS, as well as the process for enrollment and provider engagement with the system. Strongly Disagree

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* 8. Please evaluate the overall program:

	Excellent	Very Good	Good	Fair	Poor
Program increased my competence in this area	Program increased my competence in this area Excellent	Program increased my competence in this area Very Good	Program increased my competence in this area Good	Program increased my competence in this area Fair	Program increased my competence in this area Poor
Program will help me improve patient outcomes	Program will help me improve patient outcomes Excellent	Program will help me improve patient outcomes Very Good	Program will help me improve patient outcomes Good	Program will help me improve patient outcomes Fair	Program will help me improve patient outcomes Poor
This CME activity was valuable for my practice and/or performance	This CME activity was valuable for my practice and/or performance Excellent	This CME activity was valuable for my practice and/or performance Very Good	This CME activity was valuable for my practice and/or performance Good	This CME activity was valuable for my practice and/or performance Fair	This CME activity was valuable for my practice and/or performance Poor
The presentation was based upon scientific evidence	The presentation was based upon scientific evidence Excellent	The presentation was based upon scientific evidence Very Good	The presentation was based upon scientific evidence Good	The presentation was based upon scientific evidence Fair	The presentation was based upon scientific evidence Poor
Speaker disclosures were communicated verbally or in writing	Speaker disclosures were communicated verbally or in writing Excellent	Speaker disclosures were communicated verbally or in writing Very Good	Speaker disclosures were communicated verbally or in writing Good	Speaker disclosures were communicated verbally or in writing Fair	Speaker disclosures were communicated verbally or in writing Poor

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* 9. How valuable was today's session to your practice?

Very valuable

Somewhat Valuable

Not at All Valuable

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* 10. Elizabeth Zaremski

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentations	Clarity of presentations Excellent	Clarity of presentations Very Good	Clarity of presentations Good	Clarity of presentations Fair	Clarity of presentations Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 11. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 12. Jenish Sudhakaran

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentation	Clarity of presentation Excellent	Clarity of presentation Very Good	Clarity of presentation Good	Clarity of presentation Fair	Clarity of presentation Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 13. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 14. Jill Dinitz-Sklar

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentation	Clarity of presentation Excellent	Clarity of presentation Very Good	Clarity of presentation Good	Clarity of presentation Fair	Clarity of presentation Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 15. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 16. Taylor Crosby

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentation	Clarity of presentation Excellent	Clarity of presentation Very Good	Clarity of presentation Good	Clarity of presentation Fair	Clarity of presentation Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 17. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 18. Keely Ogden

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentation	Clarity of presentation Excellent	Clarity of presentation Very Good	Clarity of presentation Good	Clarity of presentation Fair	Clarity of presentation Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 19. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 20. Jennifer Smith

	Excellent	Very Good	Good	Fair	Poor
Organization of presentations	Organization of presentations Excellent	Organization of presentations Very Good	Organization of presentations Good	Organization of presentations Fair	Organization of presentations Poor
Clarity of presentation	Clarity of presentation Excellent	Clarity of presentation Very Good	Clarity of presentation Good	Clarity of presentation Fair	Clarity of presentation Poor
Appropriateness for your level of training	Appropriateness for your level of training Excellent	Appropriateness for your level of training Very Good	Appropriateness for your level of training Good	Appropriateness for your level of training Fair	Appropriateness for your level of training Poor
Relevance to practice	Relevance to practice Excellent	Relevance to practice Very Good	Relevance to practice Good	Relevance to practice Fair	Relevance to practice Poor

Comments

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* 21. Was the Speaker's lecture free from commercial bias?

Yes

NA- Did not attend

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* 22. Going forward, what is one thing you will you do differently in the care of your patients?

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* 23. Identify one lesson learned at this activity that you plan to incorporate into your own work.

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* 24. What additional “practice gaps”, i.e. the difference between what you currently do in practice and what is achievable based upon current professional practices, would you like addressed in future CME activities?

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* 1. I understand that successful completion of this activity is defined as attending/viewing 100% of the formal presentation, as well as completing the post-evaluation survey.

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* 3. Demographics

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* 4. Date of birth

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* 5. What type of credits are you seeking?

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* 6. ABP Diplomat #

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* 7. Please indicate your level of agreement with the following statements.At the conclusion of this activity, participants will be able to:

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* 8. Please evaluate the overall program:

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* 9. How valuable was today's session to your practice?

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* 10. Elizabeth Zaremski

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* 11. Was the Speaker's lecture free from commercial bias?

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* 12. Jenish Sudhakaran

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* 13. Was the Speaker's lecture free from commercial bias?

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* 14. Jill Dinitz-Sklar

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* 15. Was the Speaker's lecture free from commercial bias?

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* 16. Taylor Crosby

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* 17. Was the Speaker's lecture free from commercial bias?

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* 18. Keely Ogden

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* 19. Was the Speaker's lecture free from commercial bias?

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* 20. Jennifer Smith

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* 21. Was the Speaker's lecture free from commercial bias?

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* 22. Going forward, what is one thing you will you do differently in the care of your patients?

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* 23. Identify one lesson learned at this activity that you plan to incorporate into your own work.

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* 24. What additional “practice gaps”, i.e. the difference between what you currently do in practice and what is achievable based upon current professional practices, would you like addressed in future CME activities?

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* 25. Additional Feedback

* 7. Please indicate your level of agreement with the following statements.
At the conclusion of this activity, participants will be able to: