Please take a moment to tell us about vaccination rates for your staff who provide direct care.

In early October, the Maine Long-Term Care Ombudsman Program (LTCOP), in partnership with Ethos, Maine CDC, DHHS Office of Aging and Disability Services and Licensing and Certification launched the Power of Care campaign.

The objective of the campaign is to increase vaccination rates for both COVID-19 and influenza among direct care staff employed in long-term care facilities and home care.

We want to assist you in your efforts to promote vaccination among your staff. The Power of Care campaign will utilize social media and peer to peer support to reach direct care staff across long-term services and supports settings providing information about the importance of vaccination.
Please complete survey by 11/04/2022

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* 1. Name of facility or agency:

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* 2. Name & contact of person completing the form: (name, email & phone number). 

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* 3. If you are a mandated provider (Nursing home, PNMI or Home Health Agency) - what percentage of your staff are fully up to date on COVID-19 & Influenza vaccination? (primary + boosters)

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* 4. If you are NOT a mandated provider (Assisted living and PCA agencies) - what percentage of your staff are fully up to date on COVID-19 & Influenza vaccination? (primary + boosters).

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* 5. Who is your infection control contact? (name, email & phone number)

LTCOP is looking forward to working with you and your staff to increase vaccination rates. Thank you for your participation!

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