Hospital Quality Reporting Feedback Sign-up
Thank you for your interest in making Hospital Quality Reporting better for everyone!

Sign up here if you are interested in being contacted in the future for: focus groups, usability testing, feedback sessions, or opinion sharing.

We want to hear your feedback so we can improve your experience. Please share a little about yourself so we can talk to you about parts of Hospital Quality Reporting that are relevant to you.

We might not contact you until the team starts working on parts of the system that you use.

Thank you again for taking the time!
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Full name
What is your job title, and what are your responsibilities at your organization?
What kind of an organization do you represent (e.g., "Hospital," "Healthcare System," "ASC," "Vendor," etc.)?
What type of Quality Reporting Program(s) do you report for (e.g. IQR, OQR, ASCQR, etc.)?
How often do you log in to QualityNet Secure Portal / Hospital Quality Reporting?
What are the key activities you conduct on QualityNet Secure Portal / Hospital Quality Reporting?
What is the best email address to reach you? *
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