KHC HIIN PFA/PFAC Collaborative - 2018-19 SignUp

Cohort 4 Extension Sign Up

Use this online form to sign up for one or both tracks of the 2018-19 KHC HIIN PFA/PFAC Collaborative. Eligible participants are Kansas hospitals participating in the KHC Hospital Improvement Innovation Network.

Track 1: Back-to-Basics or “Reboot”
For staff/leaders new to working with PFAs or needing a refresher

Track 2: Mini-fellowship
For hospital teams already working with PFAs

Link to Informational Flyer (pdf)

Question Title

1. Indicate the track(s) you would like to join

Track 1 (back-to-basics)

Track 2 (mini-fellowship)

Question Title

2. Please provide your contact information.

Name

Title

Hospital Name

City/Town

Email Address

Phone Number