IMATS Survey Word Version

Attachment G: Data Collection Instrument – Word Version

Form approved
OMB No. 0920-0879
Expiration Date: 03/31/2014

Introduction Page

The Countermeasure Tracking Systems (CTS) team would like to thank you for your interest in the Inventory Management and Tracking System (IMATS). As part of the final phase of the IMATS assessment, we are gathering feedback from local and state health departments who have evaluated IMATS and/or made the decision to adopt IMATS as a primary or backup inventory management system for their jurisdiction. The purpose of this assessment is to collect valuable input from users to assess future enhancements to IMATS to manage inventory.

We would like one point of contact from your jurisdiction to answer the following questions to provide feedback on IMATS. We estimate it will take 15-20 minutes to complete the feedback follow up assessment.

Public reporting burden of this collection of information is estimated to average 15-20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0735)

1. Do you represent a PHEP awardee* or local jurisdiction?

*CDC’s Public Health Emergency Preparedness awardees, which include 50 states, Washington D.C., Los Angeles, New York City, Chicago and 8 island territories.

1. PHEP awardee

2. Local

3. Other (please specify): _________

2. How did you hear about IMATS (select as many as apply)?

   1. Social media (Facebook, Twitter, etc.)

   2. Inventory Management Insider newsletter from Division of Strategic National Stockpile (DSNS)

   3. CTS web pages

   4. DSNS Consultants (Program Service Consultants)

   5. Communications from state official(s)

   6. Communication from other (planning) jurisdictions

   7. State SNS Coordinator

   8. Other (please specify): ________

3. Why did you decide to evaluate IMATS (select as many as apply)?

   1. Current system does not meet our needs

   2. Positive impression of IMATS capabilities

   3. Cost/budgetary concerns

   4. Received a request to evaluate IMATS

   5. Other (please specify): _________

4. Did you evaluate IMATS for potential adoption as a primary or backup inventory management system?

1. Primary inventory management system

2. Backup inventory management system

3. Other (please specify): _____________

5. Have you decided to adopt IMATS for your inventory management system?

   1. Yes, for primary

   2. Yes, for backup

   3. Haven’t decided

   4. Decided not to adopt IMATS as primary or backup

6. How would you rate the importance of the following factors in your decision to adopt IMATS? Please provide a rating for each category listed.

	Not important				Very important
Ease of use	1	2	3	4	5
Cost	1	2	3	4	5
Availability	1	2	3	4	5
Efficiency	1	2	3	4	5
Suitability for an event	1	2	3	4	5
Features	1	2	3	4	5

7. If applicable, please list any additional factors in your decision to adopt IMATS and rate their importance:

	Not important				Very important
List other factor 1	1	2	3	4	5
List other factor 2	1	2	3	4	5
List other factor 3	1	2	3	4	5

8. The opportunity to assess IMATS was helpful in deciding whether to adopt IMATS.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional)______________________

9. What is your primary system for tracking countermeasure inventory within your jurisdiction? If your jurisdiction is adopting IMATS, please respond based on your experience with your previous primary system.

1. Vendor provided (please specify): ­­­­_________

2. Home grown

3. None

10. If your jurisdiction has decided not to adopt IMATS as your primary system, please indicate why.

1. Satisfied with our current primary system

2. Currently under contract with a vendor system

3. Made substantial investments with current system

4. Not applicable

5. Other (please specify): ________

11. If you are currently under contract with a vendor system, will you consider implementing IMATS after the contract ends?

    1. Yes

    2. No (please specify why): _________

    3. Not applicable

12. How satisfied are you with the primary system you are currently using for tracking countermeasure inventory?

Not satisfied				Satisfied
1	2	3	4	5

Comments (optional)______________________

13. Please indicate the backup system for tracking countermeasure inventory within your jurisdiction.

1. IMATS

2. Home grown

3. Microsoft Excel

4. Microsoft Access

5. None

6. Vendor provided (please specify): ______

14. If your jurisdiction has decided not to adopt IMATS as your backup system, please indicate why:

1. Satisfied with our current primary system

2. Currently under contract with a vendor system

3. Made substantial investments with current system

4. Not applicable

5. Other (please specify): ________

15. How satisfied are you with the backup system you are currently using for tracking countermeasure inventory?

Not satisfied				Satisfied
1	2	3	4	5

Comments (optional)______________________

16. IMATS meets your expectations as a system for tracking countermeasure inventory.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional)______________________

17. How satisfied are you with the quality of IMATS as a system for tracking countermeasure inventory?

Not satisfied				Satisfied
1	2	3	4	5

Comments (optional)______________________

18. How satisfied are you with the value of IMATS as a system for tracking countermeasure inventory?

Not satisfied				Satisfied
1	2	3	4	5

Comments (optional)______________________

19. The IMATS application is easy to use.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional) ______________________

20. My jurisdiction feels confident in our ability to use IMATS to support a public health event.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional) ______________________

21. IMATS has sufficient functionality and features to track the inventory of medical and non-medical countermeasures during a public health event.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional)______________________

22. The Secure Access Management Services (SAMS) identity proofing process will impede access to IMATS during a future public health event.

Strongly disagree				Strongly agree
1	2	3	4	5

Comments (optional)______________________

23. If you could change one thing about IMATS, what would it be and why?

Open comments ______________________

24. What feature or functionality in IMATS do you find the most useful/beneficial and why?

Open comments______________________

25. Please list any suggestions you have to improve IMATS functionality and use.

Open comments____________________________

26. Please provide your jurisdiction name, city and state (optional).

Jurisdiction name_______________________________

City________________________________

State_______________________________

Conclusion Page

Thank you for taking a moment to provide your feedback on IMATS. Again, your input will provide valuable information to assess future enhancements to IMATS and ensure this solution meets user needs, preferences and goals to manage inventory.

If you have any questions or concerns, please email [email protected].

Thank you,
The CTS Team

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