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Telligen QI Connect™

Telligen QI Connect™ initiatives are data-driven and locally-tailored to improve healthcare quality and outcomes by implementing and spreading evidence-based and best practices. By joining Telligen QI Connect™, nursing homes, clinicians, hospitals and community partners work together to address the most challenging healthcare issues facing our communities today. By completing this form, you commit to join Telligen QI Connect™.

Are you a patient or family caregiver? Sign up here instead.

Organization Information

Zip Code [5 digits]: *
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Select Your Organization From the Drop Down or Manually Enter Your Organization's Information in the Required (*) Fields Below:

Organization Name: *

Type of Organization: *

Organization Type Other specify:

CCN [6 characters]:

NPI [10 characters]:

Organization Address: *

City: *

State [2 characters]: *

Does Your Organization Have A Documented Emergency Preparedness Plan?: *

Yes

Unsure

Contact Information

First Name: *

Last Name: *

Title: *

Email Address: *

Please Select One Or More Areas Of Interest: *

Care Coordination

Chronic Disease Management

COVID-19 and Infection Control

Immunizations

Nursing Home Quality

Opioid Utilization and Misuse

Patient Safety

How did you hear about Telligen QI Connect™?

Newsletter

Telligen Event

Social Media

Co-worker or Colleague

Direct Outreach From Telligen Team Member

Telligen Mastermind

Telligen Community Ambassador

Telligen Beneficiary and Family Advisory Council member

Other

Other specify:

I permit Telligen to disclose our participation in this initiative through newsletters and social media recognition *