Skip to content

Interested in Quality Improvement? So are we! Please share your thoughts with us.

Treatment Advances for HER2-Positive Metastatic Breast Cancer

We are looking to field QI initiatives over the next 24 months and are looking for healthcare professionals and clinical practices interested in QI and being part of an educational initiative in several therapeutic areas within the general practice setting. We would like to know more about you as we plan and develop these initiatives.


Please provide your information and denote your areas of interest respective to QI initiatives.
1.First name(Required.)
2.Last name(Required.)
3.Email address(Required.)
4.NPI
5.Name of clinical practice(Required.)
6.Clinical practice state(Required.)
7.Clinical practice city(Required.)
8.Phone
Please indicate all therapeutic areas for which you would be interested in participating in a QI initiative.
9.Type 2 diabetes
10.How many patients per month do you see with this condition?
11.Obesity/overweight
12.How many patients per month do you see with this condition?
13.Obstructive sleep apnea
14.How many patients per month do you see with this condition?
15.Acid reflux/gastroesophageal reflux disease (GERD)
16.How many patients per month do you see with this condition?
17.Chronic obstructive pulmonary disease (COPD)
18.How many patients per month do you see with this condition?
19.Asthma
20.How many patients per month do you see with this condition?
21.Inflammatory bowel disease (IBD)/irritable bowel syndrome (IBS)
22.How many patients per month do you see with this condition?
23.Heart failure
24.How many patients per month do you see with this condition?
25.Chronic kidney disease (CKD)
26.How many patients per month do you see with this condition?
27.Hyperlipidemia
28.How many patients per month do you see with this condition?
29.Atopic dermatitis
30.How many patients per month do you see with this condition?
31.Psoriasis
32.How many patients per month do you see with this condition?
33.Eosinophilic esophagitis (EoE)
34.How many patients per month do you see with this condition?
35.Hereditary angioedema (HAE)
36.How many patients per month do you see with this condition?
We would like to know a little more about your clinical setting.
37.Have you or your practice been involved in a QI initiative previously?
38.Does your practice use electronic medical records (EMRs)?
39.If you are part of a clinic/practice, does that practice share EMRs?
40.Are you federally funded only (eg, VA)?
41.Are you or your practice able to aggregate de-identified patient data to measure metrics?
42.What else would you like us to know about you and your interest in QI initiatives?
Thank you for taking the time to tell us more about you, your practice, and your interest in QI.
Privacy & Cookie Notice