NHII-Related Activities Submit Form

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Required field * 
Please tell us about your NHII-related activity.
An activity or project that supports the NHII intiative is one that would:

 Use Information technology in support of personal health, provider health, population health or health research

 Enhance connectivity and knowledge sharing through an appropriate system archituture and use of data standards

 Seek to gather evidence for measuring it's effectivenss (e.g. patient safety, costs, quality of care, etc)
Name of project or activity *
Category that best fits this project
If not listed above, suggest another category
Description of activity (limit to 100 words) *
URL for project:
Affiliations: 
(partners, foundations, vendors, universities, etc)
Person submitting information: *
Relationship to project (e.g. Chair, VP, member, etc):
Your email address: *
Can we post this information on the website? (i.e Name and Email address) Yes
No
Other information you would like us to know:
Todays Date:
   Click the Submit button to send your information. It may take a couple of seconds.