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Request for Quality Improvement Assistance and One-on-One Coaching

Telligen's mission as the Quality Innovation Network Quality Improvement Organization, QIN QIO is to improve the effectiveness, efficiency and value of services through healthcare quality improvement initiatives that increase patient care and make communities healthier. We offer resources, tools, assistance and coaching to our Telligen QI Connect(TM) partners at no cost to you.

Thank you for contacting us with your quality improvement request. Please allow up to 3 business days for response.

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: *

CCN [6 characters]:

City: *

County: *

State [2 characters]: *

Contact Information

Name: *

Email Address: *

Request Information

What type(s) of and support you are interested in?

One-on-One coaching or quality improvement

Community Organizing support

Help implementing intervention or best practice

QI tools, resources or training

Staff education and resources

Which area best describes your topic of interest? (check all that apply)

Opioids and behavioral health

Chronic disease prevention and self-management

Care coordination/care transitions

Long-Term Care/Skilled Nursing Facility

Other

Other specify:

Please leave a brief description of your request: *

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