Maine VFC Survey - COVID - 19 - Changes to Your Practice

The Maine Immunization Program would like to gather information from you about how COVID-19 response has impacted your clinic and its services. Please fill out this survey below. It should take no longer than 5-10 minutes. This survey is for informational uses only. Your responses will be confidential and information you share will not impact your participation in the VFC program. We appreciate you taking the time to fill out this survey.

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* 1. Name

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* 2. Clinic Name

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* 3. Clinic's VFC PIN

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* 4. Your job title at your clinic

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* 5. Is this a primary care site?

Yes

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* 6. What is your patient population (choose only one)?

We see patients of all ages, or

We see only children, or

We see only adults

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* 7. Have you modified your clinic’s operations to adapt to the coronavirus pandemic? By "operations" we mean hours of operation, limiting certain services, decreased staff hours, etc.

Yes

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* 8. Please check any of the following suggested modifications that you have implemented in your practice(s).

Our total weekly hours expanded.

Our total weekly hours contracted.

Our total weekly hours changed in another way.

Limiting well-care visits.

Providing NO well-care visits.

Prioritizing newborn care and vaccination of infants and young children (through 24 months of age) when possible.

Physically separating sick patients from well patients.

Increasing telemedicine/telehealth visits.

Rescheduling well-visits for those in middle childhood and adolescence to a later date.

Postponing adult immunizations unless required for illness, employment or exposure.

We modified when certain visits are available (for example, well visits in the morning, sick visits in the afternoon).

We closed our clinic permanently.

We closed out clinic temporarily, but plan to reopen.

We closed our clinic (temporarily or permanently) and merged our services with a sister clinic.

None.

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* 9. If you have closed your clinic permanently or temporarily, have you moved your vaccine?

Yes

Not applicable, we are still open

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* 10. Has the clinic had trouble maintaining staffing since the pandemic began?

Yes

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* 11. In response to the pandemic, has the clinic made changes in its immunization workflow to emphasize or de-emphasize immunization opportunities?

Yes

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* 12. If yes, what are those changes?

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* 13. At this time, do staff routinely discuss immunizations that are due or overdue with patients at sick patient visits?

Yes

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* 14. Has time that was formerly devoted to managing the clinic’s immunization program been diverted to the coronavirus response?

Yes

Not applicable, nothing has changed

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* 15. We are aware that many jobs have shifted. Has the person in charge of immunization changed recently? If so, please add the email address of the new person(s) in charge here.

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* 16. For patients that fall behind on immunizations during the pandemic, does the clinic have a plan for contacting patients and catching them up once circumstances allow?

Yes

Considering

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* 17. What are services or allowances that the Immunization Program could provide that would help support your clinic through this pandemic? Please let us know if you need to move your vaccine so it is being monitored. We are happy to help you come up with a plan.

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* 18. Is there anything else you would like to share regarding vaccines, the Immunization Program or your immunization practice? If you do not receive our program updates, monthly newsletter and other communications through our listserv, please add your email below. If you would like for us to reach out to you, please enter your contact info below.