WISHIN Summit 2017 Interest Survey

The date has officially been set for the 2017 Wisconsin HIE Summit and we want to make sure we're giving our attendees the best experience possible by presenting the topics they are most interested in. Please answer the following questions to the best of your ability. At the end of the survey there will be an option to share your contact information so that we could get in touch to discuss your interests more in-depth.

Question Title

* 1. Please indicate your interest in the following topics so that we can plan our Summit to best suit the needs of our attendees.

	Not interested at all				Extremely Interested	N/A
Onboarding Process (requirements/timeline)	Onboarding Process (requirements/timeline) Not interested at all	Onboarding Process (requirements/timeline)	Onboarding Process (requirements/timeline)	Onboarding Process (requirements/timeline)	Onboarding Process (requirements/timeline) Extremely Interested	Onboarding Process (requirements/timeline) N/A
MACRA/MIPS	MACRA/MIPS Not interested at all	MACRA/MIPS	MACRA/MIPS	MACRA/MIPS	MACRA/MIPS Extremely Interested	MACRA/MIPS N/A
Demo of WISHIN Pulse	Demo of WISHIN Pulse Not interested at all	Demo of WISHIN Pulse	Demo of WISHIN Pulse	Demo of WISHIN Pulse	Demo of WISHIN Pulse Extremely Interested	Demo of WISHIN Pulse N/A
PDMP Integration with WISHIN	PDMP Integration with WISHIN Not interested at all	PDMP Integration with WISHIN	PDMP Integration with WISHIN	PDMP Integration with WISHIN	PDMP Integration with WISHIN Extremely Interested	PDMP Integration with WISHIN N/A
Successes of HIEs around the Nation	Successes of HIEs around the Nation Not interested at all	Successes of HIEs around the Nation	Successes of HIEs around the Nation	Successes of HIEs around the Nation	Successes of HIEs around the Nation Extremely Interested	Successes of HIEs around the Nation N/A
Telemedicine	Telemedicine Not interested at all	Telemedicine	Telemedicine	Telemedicine	Telemedicine Extremely Interested	Telemedicine N/A
WISHIN for Care Coordination and Intervention	WISHIN for Care Coordination and Intervention Not interested at all	WISHIN for Care Coordination and Intervention	WISHIN for Care Coordination and Intervention	WISHIN for Care Coordination and Intervention	WISHIN for Care Coordination and Intervention Extremely Interested	WISHIN for Care Coordination and Intervention N/A
Notification Functionality/Patient Activity Reports (PAR)	Notification Functionality/Patient Activity Reports (PAR) Not interested at all	Notification Functionality/Patient Activity Reports (PAR)	Notification Functionality/Patient Activity Reports (PAR)	Notification Functionality/Patient Activity Reports (PAR)	Notification Functionality/Patient Activity Reports (PAR) Extremely Interested	Notification Functionality/Patient Activity Reports (PAR) N/A
Revenue Cycle/Reimbursement	Revenue Cycle/Reimbursement Not interested at all	Revenue Cycle/Reimbursement	Revenue Cycle/Reimbursement	Revenue Cycle/Reimbursement	Revenue Cycle/Reimbursement Extremely Interested	Revenue Cycle/Reimbursement N/A
Workflow Integration of WISHIN	Workflow Integration of WISHIN Not interested at all	Workflow Integration of WISHIN	Workflow Integration of WISHIN	Workflow Integration of WISHIN	Workflow Integration of WISHIN Extremely Interested	Workflow Integration of WISHIN N/A
HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere)	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere) Not interested at all	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere)	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere)	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere)	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere) Extremely Interested	HIE Comparisons (WISHIN/Carequality/CommonWell/eHealth Exchange/Epic CareEverywhere) N/A
Single Sign On (requirements/timeline)	Single Sign On (requirements/timeline) Not interested at all	Single Sign On (requirements/timeline)	Single Sign On (requirements/timeline)	Single Sign On (requirements/timeline)	Single Sign On (requirements/timeline) Extremely Interested	Single Sign On (requirements/timeline) N/A
Hear from my peers using WISHIN	Hear from my peers using WISHIN Not interested at all	Hear from my peers using WISHIN	Hear from my peers using WISHIN	Hear from my peers using WISHIN	Hear from my peers using WISHIN Extremely Interested	Hear from my peers using WISHIN N/A

Other (please specify)

Question Title

* 2. I would be interested in having time to meet with others based on:

The type of provider I represent (Hospital, SNF/LTC, Independent, etc)

My geographical area

I don't think there's a need to break out into these groups.

I don't have a preference.

Other (please specify)

Question Title

* 3. Contact Info (optional)

Name

Company

Email Address

Phone Number

Question Title

* 4. Please contact me:

To discuss my 2017 Summit interests and ideas further

To hear my WISHIN success story

Other (please specify)