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Please complete this brief survey to enroll with the Colorado AIM: Substance Use Disorder Learning Collaborative in 2022!

If you have any questions, please reach out to info@cpcqc.org.

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* 1. What is your email address? (We collect this so we know with whom to follow up if we have any questions related to your entries.)

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* 2. Organization

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* 3. My organization is a...

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* 4. What Electronic Medical Record (EMR) system do your MDs use? (e.g. Epic, Cerner, Meditech)

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* 5. If different from above, what EMR or charting system do your nurses use? (Feel free to explain or provide details as needed).

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* 6. Is your facility owned by a larger health/hospital system? If so, which? (e.g. UC Health, Centura, SCL)

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