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Activities Check List

(check the box when you have completed that activity)

  • Attend Kick-Off Call, 4/4/23

  • Session 1, due 4/18/23

  • Attend session

  • Submit weekly data--due 4/25 and 5/2

    • (As a reminder, “big data,” the de-identified patient-level data, is still pending Data Use Agreements but please review the materials on the SIPS Data Walkthrough page)

  • Homework for next session--due 5/2

1. Use the Assess Worksheet Tool and then upload complete information here: Link to Assess Tool Form

2. Complete a 10-chart Audit and upload to Confluence on Partner File Upload page. If performing a mini-intervention, complete another 10-chart audit to monitor effect of mini-intervention


  • Submit weekly data, due 4/25/23

  • Session 2, due 5/2/23

  • Attend session

  • Submit weekly data--due 5/9 and 5/16. (As a reminder, “big data,” the de-identified patient-level data, is still pending Data Use Agreements but please review the materials on the SIPS Data Walkthrough page)

  • Homework for next session--due 5/16

1. Complete a 10-chart Audit and upload to Confluence on Partner File Upload page. If performing a mini-intervention, complete another 10-chart audit to monitor effect of mini-intervention

2. Staff Vaccine Hesitancy Survey (available May 5th)


  • Submit weekly data, due 5/9/23

  • Session 3, due 5/16/23

  • Attend session

  • Submit weekly data--due 5/23 and 5/30

  • Complete a 10-chart Audit and upload to Confluence on Partner File Upload page. If performing a mini-intervention, complete another 10-chart audit to monitor effect of mini-intervention

  • Homework for next session--due 6/6:

    • Complete the Administer/Refer Activity and post in Confluence


  • Submit weekly data, due 5/23/23

  • Submit weekly data, due 5/30/23

  • Session 4, due 6/6/23

Pre work: https://www.cdc.gov/vaccines/hcp/adults/for-practice/standards/documentation.html

  • Submit weekly data--due 6/13 and 6/20


  • Submit weekly data, due 6/13/23

  • Harvest Meeting, due 6/20/23

Under construction!


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