The Pediatric Pulse: The Impact of Vaccine Delivery and Payment Coverage on Patient Care Survey

Question Title

* 1. Which of the following best describes you?

Physician

Physician Assistant

Advanced Practice Nurse, Nurse Practitioner, Registered Nurse

Medical Assistant

Midwife

Practice/Office Manager

Front Desk Staff

Billing Staff

Resident/Attending/Medical Student

Other (please specify)

Question Title

* 2. What type of pediatric practice do you work with?
(Check all that apply)

Independent solo practice

Independent group practice

Hospital-owned practice or outpatient clinic

Health system-affiliated (but not owned)

Academic/University Medical Center

Federally Qualified Health Center (FQHC)

Community Health Center (non-FQHC)

Rural Health Clinic

Pediatric practice within a multispecialty group

Pediatric section of a large health system

Member of an Independent Practice Association (IPA)

Member of an Accountable Care Organization (ACO)

School-based Health Center

Urgent Care Center (pediatric-focused)

Other (please specify)

Question Title

* 3. What is the name and location (zip code) of your practice/organization? (List all that apply)

Question Title

* 4. Which insurance plans do you currently accept?
(Check all that apply)

Aetna Better Health of NJ

Horizon NJ Health

Wellpoint

UnitedHealthcare Community Plan

Fidelis Care

Other (please specify, including any Commercial plans)

Question Title

* 5. Your office provides vaccines to:
(Check all that apply)

VFC-eligible patients (NJ FamilyCare Plan A)

Medicaid patients (Non-VFC plans)

Commercial insurance patients

Uninsured/Underinsured patients

Other (please specify)

Question Title

* 6. Which of the following vaccines do you currently offer in-office?
(Check all that apply)

Hepatitis B (HepB)

Rotavirus

DTaP

Hib

PCV (Prevnar)

IPV (Polio)

MMR

Varicella

Hepatitis A

Influenza A & B

COVID-19

HPV

Meningococcal (MenACWY, MenB)

Tdap

RSV (nirsevimab or maternal vaccine)

Other (please specify)

Question Title

* 7. What barriers does your practice face in stocking and administering vaccines?
(Check all that apply)

High cost of vaccines

Low payment/reimbursement

Storage limitations

Low demand

Vaccine hesitancy

Lack of staffing

Lack of time

Lack of staff training

Prefer to refer elsewhere (labs/pharmacies)

Vaccine supply issues/lack of availability

Insurance complexity

Reporting burden (i.e. VFC complexities)

Not applicable

Other (please specify)

Question Title

* 8. When do you administer vaccines?
(Check all that apply)

Well visits

Sick visits (if applicable)

Vaccine-designated visits

Walk-in vaccine hours

Outreach clinics/events

Other (please specify, including any Commercial plans)

Question Title

* 9. Where do you track immunizations?
(Check all that apply)

Office EHR

NJIIS (New Jersey Immunization Information System)

Paper records

VFC reporting

Other (please specify)

Question Title

* 10. Who is primarily responsible for ordering and managing vaccines?
(Check all that apply)

Nurse/PA

Medical Assistant

Office Manager

Pediatrician

Other (please specify)

Question Title

* 11. Do you have appropriate cold storage units (fridge/freezer) with temperature monitoring (if needed)?

Yes

In progress

Question Title

* 12. Have you had to discard vaccines or had issues due to:

Temperature excursions

Data logger issues

Multiple audits

Expiration dates

Power outage

Dropped plan/VFC

Unforeseen circumstances

Not applicable

Other (please specify)

Question Title

* 13. What payment/reimbursement challenges does your office face for vaccines?
(Check all that apply)

Underpayment for vaccine cost

Inadequate administration fees

Delays in payment

Denials of claims

Inability to bill both vaccine and admin fee

Differences between plans

Not applicable

Other (please specify)

Question Title

* 14. Do financial concerns prevent you from offering certain vaccines?

Yes

Which vaccines have you had concerns with or stopped providing all together? (please specify)

Question Title

* 15. How often do you face family/patient vaccine hesitancy?

Always

Frequently

Sometimes

Rarely

Never

Question Title

* 16. Which tools/education materials does your office use?
(Check all that apply)

AAP / NJAAP (NJIN) resources

CDC resources

NJDOH resources

Publications/Research

Self-created resources

Not applicable

Other (please specify)

Question Title

* 17. Is there anything else you'd like us to know about vaccine delivery in your pediatric office?

Question Title

* 18. Please provide your name and contact information if you're open to follow-up discussions regarding this topic:

Name:

Email:

Phone:

The Pediatric Pulse: The Impact of Vaccine Delivery and Payment Coverage on Patient Care

Question Title

* 1. Which of the following best describes you?

Question Title

* 2. What type of pediatric practice do you work with? (Check all that apply)

Question Title

* 3. What is the name and location (zip code) of your practice/organization? (List all that apply)

Question Title

* 4. Which insurance plans do you currently accept? (Check all that apply)

Question Title

* 5. Your office provides vaccines to: (Check all that apply)

Question Title

* 6. Which of the following vaccines do you currently offer in-office? (Check all that apply)

Question Title

* 7. What barriers does your practice face in stocking and administering vaccines? (Check all that apply)

Question Title

* 8. When do you administer vaccines? (Check all that apply)

Question Title

* 9. Where do you track immunizations? (Check all that apply)

Question Title

* 10. Who is primarily responsible for ordering and managing vaccines? (Check all that apply)

Question Title

* 11. Do you have appropriate cold storage units (fridge/freezer) with temperature monitoring (if needed)?

Question Title

* 12. Have you had to discard vaccines or had issues due to:

Question Title

* 13. What payment/reimbursement challenges does your office face for vaccines? (Check all that apply)

Question Title

* 14. Do financial concerns prevent you from offering certain vaccines?

Question Title

* 15. How often do you face family/patient vaccine hesitancy?

Question Title

* 16. Which tools/education materials does your office use? (Check all that apply)

Question Title

* 17. Is there anything else you'd like us to know about vaccine delivery in your pediatric office?

Question Title

* 18. Please provide your name and contact information if you're open to follow-up discussions regarding this topic:

The Pediatric Pulse:
The Impact of Vaccine Delivery
and Payment Coverage on Patient Care

* 2. What type of pediatric practice do you work with?
(Check all that apply)

* 4. Which insurance plans do you currently accept?
(Check all that apply)

* 5. Your office provides vaccines to:
(Check all that apply)

* 6. Which of the following vaccines do you currently offer in-office?
(Check all that apply)

* 7. What barriers does your practice face in stocking and administering vaccines?
(Check all that apply)

* 8. When do you administer vaccines?
(Check all that apply)

* 9. Where do you track immunizations?
(Check all that apply)

* 10. Who is primarily responsible for ordering and managing vaccines?
(Check all that apply)

* 13. What payment/reimbursement challenges does your office face for vaccines?
(Check all that apply)

* 16. Which tools/education materials does your office use?
(Check all that apply)