Thank you for your interest in “A Collective Impact Approach to Implementing Workforce Solutions."  To be added to a contact list and/or to participate in this collective impact effort, please complete this brief survey:

1.Name:

2.Organization:

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5.Which of the six workforce priorities are you currently working on? [Check all that apply]

Regulatory

 Policy

Payment

Clinical Model

Workforce Expansion

Quality & Accountability

6.Do you have interest in participating in future workgroups and/or committees to move to ACTION to address the workforce crisis?

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Not sure yet

7.Would you like to be added to a mailing list to stay informed about this collective impact effort?

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8.Do you have any additional comments or resources you would like to share?