Thank you for your interest in the SHM MARQUIS Med Rec Collaborative program. This survey serves as your application for participation in the program. Applications will be reviewed on a rolling basis. The next cohort will begin in February 2018.
This application is to make sure that participating sites have the commitment and ability to implement the program and make iterative refinements throughout. The MARQUIS Med Rec Collaborative starts with a two-month introductory phase to help get acquainted and up and running with the program followed by a 12-month Collaborative Program.
This program is only open to adult hospitals, and there is a fee of $4,700 to participate in the program.
Again, thank you for your interest! If you have any questions, please email Meghan Mallouk, Manager of the Center for Quality Improvement, at firstname.lastname@example.org.
Instructions for completing application:
Please answer the following questions completely but succinctly. Your entire team should assist in this process. “Unknown”, “None”, or “Not Applicable” responses are permissible – but be certain your entire team is in agreement before resorting to one of these responses.
**PLEASE NOTE: It is not possible to save work in progress on this application. Please make sure to have all responses prepared, and necessary information available prior to initiating your application submission. You can find the application questions under the "Apply" tab at www.hospitalmedicine.org/MARQUIScollab to help you prepare.