Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Practice-Change Tools Survey 2020 Question Title * 1. Which of the Immunization Rate Assessment Practice-change tools did your practice/organization use? Yes No Aim Statement Aim Statement Yes Aim Statement No Data Collection Data Collection Yes Data Collection No Run Chart Run Chart Yes Run Chart No OK Question Title * 2. How helpful did you find each tool? Very Helpful Helpful Somewhat Helpful Not at all Helpful N/A Aim Statement Aim Statement Very Helpful Aim Statement Helpful Aim Statement Somewhat Helpful Aim Statement Not at all Helpful Aim Statement N/A Data Collection Data Collection Very Helpful Data Collection Helpful Data Collection Somewhat Helpful Data Collection Not at all Helpful Data Collection N/A Run Chart Run Chart Very Helpful Run Chart Helpful Run Chart Somewhat Helpful Run Chart Not at all Helpful Run Chart N/A OK Question Title * 3. How confident do you know following the immunization coverage rates? Very Confidence Fairly Confident Confident Slightly Confident Not at all Confident The immunization coverage for all pediatric patients who received care in my practice The immunization coverage for all pediatric patients who received care in my practice Very Confidence The immunization coverage for all pediatric patients who received care in my practice Fairly Confident The immunization coverage for all pediatric patients who received care in my practice Confident The immunization coverage for all pediatric patients who received care in my practice Slightly Confident The immunization coverage for all pediatric patients who received care in my practice Not at all Confident The immunization coverage for children in my state or local territory The immunization coverage for children in my state or local territory Very Confidence The immunization coverage for children in my state or local territory Fairly Confident The immunization coverage for children in my state or local territory Confident The immunization coverage for children in my state or local territory Slightly Confident The immunization coverage for children in my state or local territory Not at all Confident OK Question Title * 4. Can your practice identify how its population immunization coverage levels compare to other practices in your region or state? Yes No I don't know OK Question Title * 5. Please further explain how you practice utilize the practice-change tools. OK Question Title * 6. It was easy to follow and complete the steps for implementing the practice-change tools Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree OK Question Title * 7. How would you rate the success of implementing change in your practice with the practice-change tools? Very successful Successful Somewhat successful Unsuccessful OK Question Title * 8. Explain your success. OK Question Title * 9. How would you rate the overall duration of the practice change process described in the tools? Too short Just right Too long OK Question Title * 10. What is the likelihood that your practice will continue making changes to improve immunization rates with the practice-change tools? Definitely Very likely Somewhat likely Unlikely OK Question Title * 11. Would you recommend these tools to a colleague? Yes No Aim Statement Aim Statement Yes Aim Statement No Data Collection Data Collection Yes Data Collection No Run Chart Run Chart Yes Run Chart No OK Question Title * 12. How would you improve the practice-change tools to be more useful for your practice? OK Question Title * 13. Please indicate how you found this resource. OK DONE