Combating Viral Respiratory Diseases in Illinois Long Term Care Facilities
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Long-Term Care Facility
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How many long-term care facilities do you currently work for?
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Approximate year you started working for your organization
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Which of the following best describes your previous experience working on infectious disease outbreak investigations?
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I have no previous experience with outbreak investigations in a professional or educational setting (certification program, college coursework)
I have learned about outbreak investigations in an educational setting but have no direct professional experience working on them
I have contributed to at least one outbreak investigation with supervision
I have independently led an outbreak investigation and can educate others about the appropriate steps
I don't know or prefer not to answer
What motivated you to participate in this project? (select all that apply)
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I work in an organization that has been significantly or recently affected by a respiratory disease outbreak(s).
I have a personal or professional interest in the topic and want to learn more.
I want to earn the monetary incentive.
I want to learn about state and federal guidelines related to infection disease prevention, control, and reporting.
My employer offered me an incentive to participate (independent of the incentive offered by UIC/IDPH).
I am required to participate as part of my employment.
Convenience of participation (i.e., educational content can be accessed virtually and on-demand).
The training is free.
I want access to the consultative services being offered through this program.
Other (specify in textbox).
Please explain your motivation.
Which is the main reason you chose to participate in this project?
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I work in an organization that has been significantly or recently affected by a respiratory disease outbreak(s).
I have a personal or professional interest in the topic and want to learn more.
I want to earn the monetary incentive.
I want to learn about state and federal guidelines related to infection disease prevention, control, and reporting.
My employer offered me an incentive to participate (independent of the incentive offered by UIC/IDPH).
I am required to participate as part of my employment.
Convenience of participation (i.e., educational content can be accessed virtually and on-demand).
The training is free.
I want access to the consultative services being offered through this program.
Other (specify in textbox).
Is your facility certified by the Centers for Medicare and Medicaid Services (CMS)?
Yes
No
I don't know or prefer not to answer
Has your facility engaged with a STAT team to administer COVID-19 therapies or immunizations to residents and/or staff?
Yes
No
I don't know or prefer not to answer
% Adults (18 - <65 years)
% Older adults >= 65
% Youth <18 years
% I don't know or prefer not to answer
What are the main barriers or challenges to preventing and controlling infectious disease outbreaks in your facility?
How would you describe the level of staff turnover in your primary organization over the past six months?
Turnover of staff has caused serious disruptions to care delivery or other aspects of our operations
There has been some turnover of staff, but it has not led to serious disruptions of care delivery or other aspects of our operations
There has been little to no staff turnover in my organization
I don't know or prefer not to answer
Over the past year, when you have reached out to your LHD for assistance with an outbreak in your primary facility, how often was it resolved effectively?
All/Nearly all of the time
Some of the time
None/Almost none of the time
Not applicable
Have you ever been vaccinated for COVID-19?
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Yes
No
Have you received the most recent COVID-19 vaccine (2023 monovalent vaccine)?
Yes
No
In the past six months, have you felt that the area where you work is adequately staffed?
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Yes, all the time
Yes, most of the time
About half of the time
No, some of the time
No, never
Do you identify as Hispanic/Latinx?
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No
I don't know or prefer not to answer
What race(s) do you identify with? (select all that apply)
American Indian/Alaska Native
Asian
Black/African American
Native Hawaiian or Pacific Islander
White/Caucasian
Other
Unkown
Prefer not to identify
Do you currently identify as a woman, a man, or in some other way?
Man
Woman
In some other way
Prefer not to identify
Which age group do you belong to?
<23
23-29
30-44
45-59
60-69
70+
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