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Hospital Transformation Program Stakeholder Engagement Forum
1.
Would you be interested in participating in a public, stakeholder engagement forum regarding the Hospital Transformation Program (HTP)?
Yes.
No.
2.
What aspects of the HTP would you be interested in discussing? Please check all that apply.
Program goals
Quality measures and performance measurement
Program evaluation and reporting
Financing of program
Continued Community and Health Neighborhood Engagement (CHNE)
Sustainability
Other (please specify)
3.
If you are interested in participating, please provide your contact information (name and email) and your relationship with the HTP (provider, community organization, patient advocate, etc.).
Contact information/ relationship to HTP
4.
Additional comments