Directions: To formally join the PA PQC as a health plan, please complete this survey to identify the core team from your health plan that will participate in the PA PQC. The health plan teams that join the PA PQC will: (1) participate in the Learning Collaborative sessions and virtual sessions; (2) engage related contracted resources and care management teams in the PA PQC activities to assist PA PQC providers in their network on quality improvement projects; (3) and provide feedback to providers on core metrics that require claims data, such as well-child and postpartum care visits. After  you complete this PA PQC registration form, please go to https://www.whamglobal.org/papqc/get-involved to register for the March 11 1230pm - 2pm Introductory Webinar and for the April 24 830am - 4pm Learning Collaborative session. 

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* 1. Please list individuals from your health plan that will participate in the PA PQC activities that are listed in the above directions. For each team member, please enter contact information using the following syntax: first name, last name, credentials, title, organization, and email.

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* 2. Please suggest community-based organizations outside of your health plan that you would like the PA PQC staff to invite to join the PA PQC to help lower maternal mortality and improve perinatal care for OUD and NAS.

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