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First name
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Last name
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Email Address
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Content Format Type
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Which of the following formats do you think would be most helpful/effective to cover your topic? (Choose all that apply.)
Standards & Updates newsletter article: Best for topics that are related to specific to QUAD A program standards
Blog article: Best for topics that are broadly applicable to practitioners and/or patients
Podcast: Best for broad healthcare topics that benefit from live discussion
Education/CME module: Best for content that presents an important learning opportunity for facilities or practitioners, where more information is needed in an on-demand, live format
Topic Category
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Which of the following best describes your topic? (Choose all that apply.)
Facility success story or case study
Facility challenge or pain point
Accreditation process or standard
Patient safety competency
Patient education or advocacy
Leadership in healthcare
General healthcare discussion
Other
To which program(s) does your content suggestion apply?
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Select all that apply
Ambulatory Surgery Center (ASC) - Medicare
Office-Based Surgery (OBS)
Office-Based Procedural (OBP)
Rural Health Clinic (RHC) - Medicare
Outpatient Physical Therapy - Medicare
Pediatric Dentistry
Oral Maxillofacial (OMS)
International Surgical
International Dental
International Physical Therapy
Which standard ID number(s) does your topic relate to?
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Enter all that apply
Education, Article, Podcast, or Other Content Suggestion
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Please give a brief description of your topic idea, including the aspects you think are most important to cover. Will you act as writer/guest/faculty, or would you like to suggest another subject matter expert? Thank you for including all relevant information!
If you are suggesting a guest and have their contact information, please provide it as well.
Upload draft article or other relevant information.
If you have written an article or have an outline, or if you have other resources relevant to your content suggestion, you can upload them here.
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