2017 ILHITREC Provider Support Survey

Organization Information

ILHITREC offers health care providers technical assistance, guidance, and information on best practices to support the achievement of meaningful use and quality improvement. Your feedback will be instrumental in shaping the current and future education, training, technology, and service needs of Illinois clinics, practices, and physicians.

Please take a few minutes to let us know how we can support your education, training, and technical assistance needs.

Thank you for your participation and feedback!

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* 1. How many providers are part of your organization?

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* 2. Which of the following best describes your type of organization? Check all that apply.

primary care practice

specialty practice

multi specialty practice

critical access hospital

acute care hospital

federally qualified health center

rural health clinic

dental practice

optometric practice

long term care facility

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* 3. Which of the following best describes your provider types? Check all that apply.

primary care

pediatrics

specialist

podiatrist

dentist

optometrist

nurse practitioner

certified nurse midwife

physician assistant

behavioral health provider

Other (please specify)

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* 4. How many locations does your organization have?

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* 5. What is the zip code of your primary location?

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* 6. Do you consider your locations to be

Rural

Urban/Suburban

Both Rural and Urban/Suburban