This report is used by the Department of Health to determine the vaccination rates of healthcare workers in facilities throughout Rhode Island. Only healthcare facility administators who have been contacted about this report need to complete this report.
Healthcare facility administrators who have been contacted about this report are asked to complete it by May 31, 2013. This report is divided into three sections:
I. Facility information
II. Employee healthcare workers
III. Non-employee healthcare workers
If you have any questions, write to firstname.lastname@example.org
Before submitting this interim report, please make a separate copy of the information to be submitted.
* Questions 1:
** Questions 2-5: