Primary Care Virtual Community

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* 1. What is your name? (First, Last)

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* 2. What is your email address?

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* 3. What organization do you work with?

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* 4. What is your role?

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* 5. Tell us what topics you are interested in?

System Leadership

Leading Change

Integration

Data and Measurement

Quality Improvement

Team Based Care and Interprofessional Teams

Collaboration with Specialists

Population Health

Health Equity

E-health and technology

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* 6. Are there any other topics that you are interested in?

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* 7. Please share any additional comments or questions