Department of Health Childhood Vaccine Program Provider Survey

The Department of Health is collecting this valuable data about your satisfaction with Childhood Vaccine Program operations and service delivery. This survey will take about 2 minutes to complete, and the information will be used by the Department of Health Childhood Vaccine Program (DOH CVP) to improve customer service and provider support. Information collected via this survey may be subject to release in accordance with RCW 42.56 (Public Records
Act).

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* 1. In which county is your practice located?

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* 2. Are you satisfied with how frequently you can order vaccines?

Yes

If no, please explain why

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* 3. How would you rate the difficulty and/or ease of these program reporting areas?

	Extremely Easy	Easy	Normal	Hard	Extremely Hard	N/A
Temperature logs	Temperature logs Extremely Easy	Temperature logs Easy	Temperature logs Normal	Temperature logs Hard	Temperature logs Extremely Hard	Temperature logs N/A
IIS Monthly Inventory (Reconciliation)	IIS Monthly Inventory (Reconciliation) Extremely Easy	IIS Monthly Inventory (Reconciliation) Easy	IIS Monthly Inventory (Reconciliation) Normal	IIS Monthly Inventory (Reconciliation) Hard	IIS Monthly Inventory (Reconciliation) Extremely Hard	IIS Monthly Inventory (Reconciliation) N/A
Vaccine Loss Logs	Vaccine Loss Logs Extremely Easy	Vaccine Loss Logs Easy	Vaccine Loss Logs Normal	Vaccine Loss Logs Hard	Vaccine Loss Logs Extremely Hard	Vaccine Loss Logs N/A
Doses Administered Outside Age Range Survey	Doses Administered Outside Age Range Survey Extremely Easy	Doses Administered Outside Age Range Survey Easy	Doses Administered Outside Age Range Survey Normal	Doses Administered Outside Age Range Survey Hard	Doses Administered Outside Age Range Survey Extremely Hard	Doses Administered Outside Age Range Survey N/A
Vaccine Ordering	Vaccine Ordering Extremely Easy	Vaccine Ordering Easy	Vaccine Ordering Normal	Vaccine Ordering Hard	Vaccine Ordering Extremely Hard	Vaccine Ordering N/A
Provider Agreement Renewal	Provider Agreement Renewal Extremely Easy	Provider Agreement Renewal Easy	Provider Agreement Renewal Normal	Provider Agreement Renewal Hard	Provider Agreement Renewal Extremely Hard	Provider Agreement Renewal N/A

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* 4. Has your practice recieved a DOH CVP Program Site Visit in the past 12 months?

Yes (If "yes", go to question #5)

No (If "no", go to question #6)

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* 5. If “Yes”, please tell us what you thought. (check all that apply.)

Site Visitor was knowledgeable

Site Visitor provided resources

Site Visit took around 2 hours

All my questions were answered

Learned something new

N/A

Add any additional comments regarding your site visit that you would like to share with the DOH CVP

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* 6. How do you most frequently contact the CVP? (check all that apply)

Email to WACHILDHOODVACCINES@doh.wa.gov

Phone

Fax

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* 7. For the above question, did you add provider pin number in your communication?

Yes

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* 8. On average, how long did it take for a DOH CVP Program Representative to resolve your problem?

Same day

Next day

More than 2 business days

The problem did not get resolved

Did not contact Department of Health in the past 12 months

Please add any additional comments

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* 9. Overall, how satisfied are you with the DOH CVP Services?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

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* 10. Would you attend open office hours hosted by the DOH CVP staff to ask program specific questions?

Yes

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* 11. Check the box that best reflects your usage & experience with the DOH CVP training resources.

	Always	Sometimes	Never
Do you attend our monthly CVP Provider Training Series?	Do you attend our monthly CVP Provider Training Series? Always	Do you attend our monthly CVP Provider Training Series? Sometimes	Do you attend our monthly CVP Provider Training Series? Never
Do you attend the Clinical Immunization Webinars?	Do you attend the Clinical Immunization Webinars? Always	Do you attend the Clinical Immunization Webinars? Sometimes	Do you attend the Clinical Immunization Webinars? Never
Are the Clinical Immunization Webinars helpful to you?	Are the Clinical Immunization Webinars helpful to you? Always	Are the Clinical Immunization Webinars helpful to you? Sometimes	Are the Clinical Immunization Webinars helpful to you? Never
Is our website easy to use and navigate for you?	Is our website easy to use and navigate for you? Always	Is our website easy to use and navigate for you? Sometimes	Is our website easy to use and navigate for you? Never
Have you utilized any resources on our website?	Have you utilized any resources on our website? Always	Have you utilized any resources on our website? Sometimes	Have you utilized any resources on our website? Never
Have you utilized our Training Guides? EX: Online Returns Guide	Have you utilized our Training Guides? EX: Online Returns Guide Always	Have you utilized our Training Guides? EX: Online Returns Guide Sometimes	Have you utilized our Training Guides? EX: Online Returns Guide Never
Are the Training Guides easy to follow?	Are the Training Guides easy to follow? Always	Are the Training Guides easy to follow? Sometimes	Are the Training Guides easy to follow? Never

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* 12. How do you stay updated on vaccine recommendation updates? (check all that apply)

Vaccine Blurbs

DOH Immunization Webinars

Immunize.org's Newsletter

Children's Hospital of Philadelphia Vaccine Education Center Newsletters

Direct Emails from CDC

Other (please specify)

Department of Health Childhood Vaccine Program Provider Survey

Question Title

* 1. In which county is your practice located?

Question Title

* 2. Are you satisfied with how frequently you can order vaccines?

Question Title

* 3. How would you rate the difficulty and/or ease of these program reporting areas?

Question Title

* 4. Has your practice recieved a DOH CVP Program Site Visit in the past 12 months?

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* 5. If “Yes”, please tell us what you thought. (check all that apply.)

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* 6. How do you most frequently contact the CVP? (check all that apply)

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* 7. For the above question, did you add provider pin number in your communication?

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* 8. On average, how long did it take for a DOH CVP Program Representative to resolve your problem?

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* 9. Overall, how satisfied are you with the DOH CVP Services?

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* 10. Would you attend open office hours hosted by the DOH CVP staff to ask program specific questions?

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* 11. Check the box that best reflects your usage & experience with the DOH CVP training resources.

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* 12. How do you stay updated on vaccine recommendation updates? (check all that apply)

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* 13. What training topics are you interested in?

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* 14. Do you have any suggestions for improving our services?