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  • About Us
    • Our Members
      • Full Members
      • Affiliate Members
    • Membership
      • Application Form
    • Impact Report
    • Partner with Us
    • Board of Directors
    • Team
  • NRHI Member Work
    • Payment & Delivery Reform
      • Quality Payment Program
      • Support & Alignment Network
      • Healthcare Delivery System Analysis
    • Performance Measurement & Improvement
    • Healthcare Affordability
    • Patient & Community Engagement
      • Choosing Wisely
      • HealthDoers Online Community Platform
      • Pathways to Population Health
    • Health Equity
    • COVID-19
      • Mental Health of Healthcare Workers
    • Off-Site COVID-19 Testing Project Hub
      • Off-Site COVID-19 Testing Toolkit
  • News
  • Resources
    • Publications
    • SAN Resources
    • Getting to Affordability (G2A) Resources
    • MACRA
      • More About MACRA
      • MACRA Viewpoints
      • MACRA Events

Test Application Form

Test Application Form
  • NOTE:
    The length of this application varies based on the type of membership you're seeking. The form does NOT allow you to save it before submitting, so please gather all the information you need before beginning. Select the type of membership from below to see all the fields that will need to be completed.

    Please select the type of membership you wish to apply for. More questions will appear below after you select a type of membership, and the questions you will see will depend on the type of membership you are seeking.
  • Membership Description

    Membership in the Network for Regional Healthcare Improvement (NRHI) is open to Regional Health Improvement Collaboratives (RHICs) that meet the criteria established by the NRHI Board of Directors. To qualify for full NRHI membership, an organization must meet the following requirements.

    The organization must be a Regional Health Improvement Collaborative, defined as:

    • A non-profit organization;
    • Which is working to improve healthcare quality and value through an active program of quality measurement and public reporting or an active program of quality improvement, or both;
    • In a specific geographic region of the country (typically either a metropolitan region or state);
    • Through a collaborative effort of healthcare providers and other stakeholders.

    The organization must have representation from four types of stakeholders on its governing board:

    • Healthcare providers (hospitals, physician groups, physicians, home health agencies, nursing homes, clinics, etc.);
    • Healthcare purchasers (employers who purchase health insurance for their employees, state Medicaid agencies who contract with health plans for care, etc.);
    • Healthcare payers (private health insurance plans, state Medicaid agencies that directly pay for care, etc.); and
    • Healthcare consumers or consumer organizations.

    An organization that meets the criteria above may apply for full NRHI membership by submitting a membership application, a signed letter of recommendation from an NRHI member RHIC operating in your state (or a letter from an NRHI member RHIC in another nearby region if there are currently no NRHI members in your state), signing the NRHI Conflict of Interest policy, and abiding by NRHI Guiding Principles.

    A Full Member shall contribute annual dues (which vary based on the size of organization) established by the NRHI Board of Directors and shall have the rights and benefits of full membership.

  • Membership Description

    Organizations that do not qualify for full membership in NRHI may apply to become an Affiliate Member. To qualify as an Affiliate Member an organization must meet the following eligibility requirements:

    • Be committed to improving health and health care in the US through multi stakeholder collaboration.
    • Be a national/regional/state partner (examples include but are not limited to vendors, philanthropies, employers, industry or trade association, local or state/federal governments).

    An entity that meets the criteria above may elect to join NRHI as an Affiliate Member by submitting this application, signing NRHI’s Conflict of Interest policy, and abiding by NRHI Guiding Principles.

  • Organization Information

  • Please indicate your corporate and IRS tax status:
  • Please select your organization's annual revenue:
  • Please describe the area your organization supports.
  • Provide a brief description of your entity, including your vested interest and role in improving health and health care in the US.
  • Upon confirming your submission, you will be redirected to a short form that will ask you a few questions about your organization's strategic goals. Your responses will help inform NRHI strategic member programming and funding opportunities. Your application will be complete upon submitting your replies to the form. Thank you!

  • Application Requirement: Governance

  • Please attach a copy of the relevant section of your corporate or organizational bylaws describing the requirements for composition of your governing body.
    Drop files here or
    Accepted file types: pdf, doc.
  • Please attach a list of the current members of your governing body.
    Drop files here or
    Accepted file types: pdf, doc, xls.
  • A signed letter of recommendation from an NRHI full-member RHIC operating in your state or a letter from an NRHI full-member RHIC in another nearby region if there are currently no NRHI members in your state. If you are still expecting to receive the letter of recommendation at the time of your application submission, please, indicate this in a note at the end of the form.
    Drop files here or
    Accepted file types: pdf, doc.
  • Attach a signed copy of NRHI's Conflict of Interest policy. Click here to open and download the file, then upload it here once it has been completed.
    Drop files here or
    Accepted file types: pdf.
  • Relevant supporting documentation if applicable.
    Drop files here or
    Accepted file types: pdf, doc, xls.
  • Please describe the current members of your governing body. How many members of the governing body are:

  • Number of practicing physicians
  • Number of individuals employed by or representing physicians or physician practices, but not practicing physicians:
  • Number of individuals employed by or representing hospitals:
  • Number of individuals employed by or representing private (non-healthcare provider) purchasers (i.e., private businesses that do not deliver healthcare services or manufacture healthcare products or medications, and that offer health insurance to their employees):
  • Number of individuals employed by or representing public purchasers (i.e., government agencies that purchase health insurance for the government's employees or state Medicaid agencies):
  • Number of healthcare consumers (individuals who do not meet the criteria for any of the above categories and whose presence is intended to represent consumer and patient interests):
  • Number of others (that do not fit any previous category):
  • Please add up the total number of members and enter it here.
  • Application Requirement: Programming

  • Do you have a program for quality/cost measurement and reporting?
  • Please include a brief description of your quality/cost measurement and reporting programming:
  • Do you have an active program for improving quality and/or reducing costs of healthcare services in the community you serve (other than measuring and reporting on quality and costs)?
  • Complete Application

    I have included the following attachments to complete my application:
  • If any documentation is missing, please explain why here:
  • Upon confirming your submission, you will be redirected to a short form that will ask you a few questions about your organization's strategic goals. Your responses will help inform NRHI strategic member programming and funding opportunities. Your application will be complete upon submitting your replies to the form. Thank you!

  • This field is for validation purposes and should be left unchanged.
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Network for Regional Healthcare Improvement

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As a convening organization, you know how important it is to bring key stakeholders together to influence change in health and healthcare. Explore NRHI membership to learn from others doing similar work in 2021

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