This report is used to measure the influenza vaccination rates of healthcare workers in facilities throughout Rhode Island. Certain healthcare facilities are required to report vaccination information about their empolyees. In addition to being listed in Rhode Island's immunization rules and regulations for healthcare workers, the facility types that must report are listed below under "Facility Type". Facility types not included in this list do not have to report.
Please complete this report each influenza season by May 15. This report is divided into three sections:
I. Facility information
II. Employee healthcare workers
III. Non-employee healthcare workers
Before submitting this report, please make a separate copy of the information to be submitted.
* Questions 1:
** Questions 2-5: