Hypertrophic Cardiomyopathy Center Certification Interest Form
The American Heart Association is launching the nation’s first hypertrophic cardiomyopathy (HCM) certification. This innovative initiative brings health systems and cardiology teams together to deliver connected, high quality, patient centered care. Built on evidence-based guidelines, real-world data, and a national learning collaborative, this program sets a new standard for excellence in HCM. If you are interested in participating in or applying for HCM center certification, please share your information below.
Primary Contact Name
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Primary Contact Job Title
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Primary Contact Email
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What type of health care organization do you belong to?
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Please Select
Hospital
Federally Qualified Health Center (FQHC)
Outpatient Center
Community Organization
Individual Researcher or Clinician
Other
Organization Name
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What is your site's ZIP code?
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Which electronic health record (EHR) provider does your organization use?
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Please Select
EPIC
Athena
Cerner
Other
Which elements of HCM Certification are you interested in? Check all that apply.
Participating in certification standards testing
Participating in the open comment phase of certification standards testing
Other
By filling out the form below, you agree for AHA to contact you.
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