New Hampshire Lead Quality Improvement ECHO® Project

Offering 25 MOC Part 4 credits and CME/CNE

A second cohort of the NH Lead Quality Improvement Project using the ECHO Model will begin in January 2026. Individual practice onboarding orientation sessions will be scheduled in September and October 2025.

Fill out the information below to signal your interest in participating.

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Name and Address of Medical Practice (must be in NH)

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* 5. I understand that I must enroll with a practice team, to include at least one physician or physician assistant and at least one other clinical staff member.

In the boxes below, please provide the name(s) and credential/title of other team members that you expect will want to participate.

Teammate

Question Title

* 6. Which of the following best describes you?

Pediatrician

Family Medicine Physician

Advanced Practice Provider-Pediatrics

Advanced Practice Provider-Family Medicine

RN-Pediatrics

RN-Family Medicine

Other (please specify your title and whether you work in a pediatric practice or a family medicine practice)

Question Title

* 7. Have you participated in a Project ECHO program previously?

Yes

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* 8. Have you participated in a team-based Quality Improvement project previously?

Yes

New Hampshire Lead Quality Improvement ECHO® Project

Offering 25 MOC Part 4 credits and CME/CNE

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Phone

Question Title

* 4. Name and Address of Medical Practice (must be in NH)

Question Title

* 5. I understand that I must enroll with a practice team, to include at least one physician or physician assistant and at least one other clinical staff member. In the boxes below, please provide the name(s) and credential/title of other team members that you expect will want to participate.

Question Title

* 6. Which of the following best describes you?

Question Title

* 7. Have you participated in a Project ECHO program previously?

Question Title

* 8. Have you participated in a team-based Quality Improvement project previously?

Question Title

* 9. Do you have any questions about participation?

* 5. I understand that I must enroll with a practice team, to include at least one physician or physician assistant and at least one other clinical staff member.

In the boxes below, please provide the name(s) and credential/title of other team members that you expect will want to participate.