Long-Term Care COVID-19 Vaccination Tracking Infographic

Image of a table on a desk that appears to have 3D graphics popping out from the screen

This fillable PDF was developed by Mountain-Pacific Quality Health, a Centers for Medicare & Medicaid Services Quality Innovation Network-Quality Improvement Organization, to help nursing homes track measures related to COVID-19 vaccination and boosters including:

  • Date of last positive test from unvaccinated resident
  • Date of last positive test from vaccinated resident
  • Date of last hospitalization of unvaccinated resident
  • Date of last death of unvaccinated resident
  • Last COVID-19 hospitalization of vaccinated resident
  • Last COVID-19 death of vaccinated resident
  • Date since last positive test of unvaccinated staff member
  • Date since last positive test of vaccinated staff member
  • Number of residents vaccinated
  • Number of residents with a booster
  • Number of staff vaccinated
  • Number of staff with a booster

The infographic is intended to be posted within facilities where it can be seen. 


Intended Audience
QIN-QIO
HQIC
AIANHQI
Health Care Providers

Provided by
Mountain-Pacific Quality Health

Last Updated:
July 18, 2023