EDN User Survey - word

EDN User Assessment
Welcome!

Form Approved
OMB Control No.: 0920-1071
Expiration date: 06/30/2018

Welcome! Thank you for your interest in helping the Centers for Disease Control and Prevention
(CDC) evaluate and improve the Electronic Disease Notification (EDN) system. Your feedback is
extremely important. We are assessing EDN to see how well it works for refugee clinics across the
country and what we can do to improve the system. This survey is for clinical and nonclinical staff
and is intended primarily for providers who see refugees.
Your participation is voluntary, and there is no penalty if you choose not to participate. All
responses to questions will be kept in a secure manner. No personal identifiers will be recorded,
and an aggregated report will be available upon request. We anticipate the survey will take about 15
minutes to complete.
If you have questions and/or comments about this survey, please contact [email protected] or
404-718-5632.
If you have any questions about EDN, please contact the Migration Health Information Nexus at
[email protected].
The MHINx unit is within the Immigrant, Refugee, and Migrant Health Branch of DGMQ at CDC and
coordinates efforts within CDC to oversee the quality of the data provided by overseas panel
physicians to the EDN health partners. CDC and its federal partners are working closely to improve
the timeliness and completeness of the overseas medical information that is critical for your work
and care of newly arrived persons.
By clicking Next, you are providing your voluntary consent to participate in this assessment. To
proceed through the survey, select your answer for each question, and then click Next.

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Public reporting burden of this collection of information is estimated to average 15 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 0920-1071

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EDN User Assessment
Background Information

* 1. In which state do you work?

* 2. Please select which of the following best describes the organization you work for.
Academic institution or university affiliated
Community-based or philanthropic organization or health center
Healthcare institution or health plan
State Health Department
Local Health Department
Other (please specify)

* 3. What is your primary job function within your organization? (You may select more than one if you spend
significant time in multiple roles.)
Nurse
Epidemiologist
Administrative or Clerical
Refugee Coordinator
TB Coordinator
TB/Refugee Coordinator
Physician
Other (please specify)

* 4. Do you provide direct refugee patient care as part of this job?
Yes
No

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EDN User Assessment
EDN Background

1. Please select how often you typically use the following information (when available) from the overseas
medical exam to provide medical care to a refugee patient (See screenshot of panel below):
Always

Very Often

Sometimes

Rarely

Never

Don't know

Pre-Departure Medical
Screening Document
(IOM)
Alien Information
Medical Examination
(DS-2054)
Tuberculosis Worksheet
(DS-3030)
Medical History and
Physical Examination
Worksheet (DS-3026)
Vaccination
Documentation
Worksheet (DS-3025)

EDN Forms panel

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EDN User Assessment
EDN Vaccination Documentation

The following questions focus on how the information in EDN currently influences your decisions
on refugee vaccinations in your clinic.
1. Before or during a refugee’s first visit for vaccines, how often do you have access to his or her DS-3025
Vaccination Documentation Worksheet in EDN?
Always
Very Often
Sometimes
Rarely
Never

2. What prevents you from accessing the DS-3025 in EDN?

3. For each of the following options for accessing the Vaccination Documentation Worksheet, please
indicate how often you refer to each (see examples below):
Always

Very Often

Sometimes

Rarely

Never

EDN web form
Scanned PDF of DS3025
DS-3025 form handcarried by client
DS-3025 form sent by
Volunteer Agency
DS-3025 form sent by
Local/State Health
Department

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EDN web form

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Scanned PDF of DS-3025

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4. How much do you agree with the following statement?
I trust the vaccination documentation available for refugees in the EDN web form.
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly Disagree

5. Do you rely on the vaccination information in the EDN web form, either directly on your computer or
printed from EDN, to make clinical decisions?
Yes
No

6. Please explain how the vaccination information in the EDN web form impacts your clinical decisions:

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EDN User Assessment
EDN Vaccination Documentation continued

The following questions will be asked for refugee children (<19 years of age) and adults separately.
If you provide care for only adults or children, please leave the other section blank.
Refugee Children
1. Does the vaccination information in the EDN web form determine which vaccines you administer to
refugee children?
Yes
No
N/A

2. If yes, please select the vaccines that apply:
MMR
DTP/DTap
Hep B
Hib
Polio
PCV
Rotavirus
Td
Other (please specify)

3. If EDN included the results of Hepatitis B surface antigen screening, a component of the overseas
vaccination program, how would that impact your clinical practice for refugee children?

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EDN User Assessment
EDN Vaccination Documentation continued

The following questions will be asked for refugee children (<19 years of age) and adults separately.
If you provide care for only adults or children, please leave the other section blank.
Refugee Adults
1. Does the vaccination information in the EDN web form determine which vaccines you administer to
refugee adults?
Yes
No
N/A

2. If yes, please select the vaccines that apply:
MMR
Hep B
Td
Other (please specify)

3. If EDN included the results of Hepatitis B surface antigen screening, a component of the overseas
vaccination program, how would that impact your clinical practice for refugee adults?

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EDN User Assessment
Learning More About EDN Vaccination Documentation

1. How often do you access the CDC Immigrant Refugee Migrant Health Branch (IRMHB) website at
https://www.cdc.gov/immigrantrefugeehealth/index.html to learn more about EDN?
Always
Very often
Sometimes
Rarely
Never

2. How often do you access the IRMHB website to learn more about vaccination information that is included
in EDN such as the overseas vaccination schedule that is provided for some refugees during the overseas
medical exam process?
(https://www.cdc.gov/immigrantrefugeehealth/guidelines/overseas/interventions/immunizationsschedules.html)
Always
Very often
Sometimes
Rarely
Never

3. Has the information on the IRMHB website communicated to you that the Vaccination Documentation
Worksheet in EDN is an up to date source of information on a refugee’s vaccination history?
(https://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic-refugee-questions.html)
Yes
No
N/A

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EDN User Assessment
EDN Use

* 1. Which of the following best describes your EDN use?
I use EDN for clinical purposes
I use EDN for surveillance, program evaluation, or public health assessment purposes
I use EDN for BOTH clinical and other purposes
I have not used EDN

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EDN User Assessment
Using EDN

The following questions will focus on your current use of EDN and access to EDN records.
1. How often do you use EDN?
Daily
Weekly
Monthly
A few times a year
Yearly
Less than once per year
Never

2. Which internet browsers (if any) have you used to open the EDN portal on your computer?
Google Chrome
Safari
Firefox
Internet Explorer
Other (please specify)

3. Of the internet browsers you have used, which (if any) havenot been able to open the EDN portal?
Google Chrome
Safari
Firefox
Internet Explorer
No problems with browsers
Other (please specify)

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4. In general, what is your experience with EDN load times?
EDN usually loads quickly enough (even if quicker still would be better)
EDN is usually pretty slow but that doesn’t stop me from using it (it is a minor annoyance)
I have sometimes given up on waiting for something to load (it is a major annoyance)
I avoid using EDN at all costs because load times are so slow (it is broken)

5. How often do you typically use the following functions in EDN? (Please see screenshots from EDN panel
below)
Always

Very Often

Sometimes

Rarely

Never

Alien List
Alien Search
Batch Print
Reports
Data Download
Enter information on TB
follow-up worksheet
Generate blank TB
follow-up worksheet
Access and print
scanned documents
Other (please specify)

EDN Workflow panel

EDN TB Worksheet panel

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EDN Activities panel

6. How often have you been able to access EDN medical forms of refugees from other counties or states
outside of your EDN user jurisdiction who came into your organization? (For example, secondary migration
of refugee from Florida to Georgia jurisdiction)
Always
Very Often
Sometimes
Rarely
Never
N/A

7. Of the times you are unable to access a refugee’s EDN record, how often is it either because of the load
time or inability to open the record?
Always
Very Often
Sometimes
Rarely
Never
N/A

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EDN User Assessment
EDN User Approval

This question will focus on the process of getting credentials to access EDN.
1. Did you have difficulty becoming an authorized EDN User? Please select where you had difficulty
(Choose all that apply):
Registering for SAMS (Secure Access Management Services)
Completing EDN User Agreement
Completing EDN Rules of Behavior
Obtaining approval signatures from Refugee Health Coordinator or State TB Coordinator
None
Can’t remember
Other (please specify)

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EDN User Assessment
EDN Support

The following questions will focus on technical support for using EDN.
1. Please select which of the following you use or would consider using in the future for support if you have
a problem with EDN.
Currently use

Would use

Neither

Fellow Staff
Contact at CDC
EDN Help Desk
EDN Help Links
Formal trainings at
workplace
Other (please specify)

2. Have you used any of the following EDN Help Links? (located in left panel in EDN under “Help”, see
screenshot below)
Yes

No

New User Training
EDN Quick Help
Document
New DS Forms Webinar
EDN Interjurisdictional
Transfer Protocol
Data Dictionary for Data
Download
Other (please specify)

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EDN Help Links

3. To what degree do you find the EDN Help Links helpful?
Very helpful
Somewhat helpful
Unhelpful
Very unhelpful
N/A

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EDN User Assessment
EDN Satisfaction

1. What is your overall level of satisfaction with the EDN system?
Very satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Very dissatisfied

2. What could we do to improve the EDN system? Please feel free to describe any difficulties you have
encountered with EDN.

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EDN User Assessment
Closing Question

1. Please use the space below to leave any comments you have about EDN.

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EDN User Assessment

You have reached the end of the survey—thank you for your participation!
Please contact [email protected] with questions.
For more information on the overseas vaccination program for U.S. bound refugees, visit
https://www.cdc.gov/immigrantrefugeehealth/guidelines/overseas/interventions/immunizationsschedules.html

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