Name of Organization Location Type of site You may include other info as desired (such as mission)
Who we serve Show us the people you serve! Photos (with permission) Description of the population % Medicaid Other information as desired (languages spoken, special characteristics)
Our people Show us your leaders and staff! (photos encouraged!) Identify members of the team attending the kick-off, by name and role
Our facilities Include photos of your facility/facilities. Give us a virtual tour!
Our community Show us the community where your facility/facilities are located (photos encouraged) Tell us about the broader community you serve
Strategic Priorities
Prior Experience in Quality Improvement Initiatives or Collaboratives
PCMH-A or MeHAF Paste recent PCMH-A or MeHAF results here
What we learned from the PCMH-A or MeHAF
Something we are proud of Tell a brief story of something your organization has done to promote Whole Person Care that you are proud of.
Something we’d like to achieve Describe something your organization is keen to improve towards improving Whole Person Care
Impact Story Share a story of the impact that making changes in Whole Person Care have had (confidentially or with permission) or could have on your patient(s), families, staff, organization or community.