This fillable PDF was developed by Mountain-Pacific Quality Health, to help nursing homes track measures related to COVID-19 vaccination and boosters including:
- Date of last positive test from unvaccinated and vaccinated resident
- Date of last hospitalization of unvaccinated and vaccinated resident
- Last COVID-19 hospitalization of unvaccinated and vaccinated resident
- Date since last positive test of unvaccinated and 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.
