€2,419.00
Salutation - Dr/Sir/Dame/Mr/Mrs/Ms/Miss *
First Name *
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Any dietary requirements that we should be aware of?
From time to time, ICHOM may wish to contact you regarding products and services from other organizations which we think may be of interest to you. Do you wish to be contacted? Yes No
May ICHOM send you information via email to share how ICHOM is collaborating with people across the globe to advance healthcare to outcomes most valued by patients? Yes No
From time to time, ICHOM may use your name, job title and organization for networking purposes. Please tick this box if you do not wish for us to do so. Yes No
Do you wish to find out more about becoming a sponsor of the ICHOM Conference Series? Yes No
What other events do you attend throughout the year? (If none, put none)
Are you a member of a healthcare association? Please list all memberships
Where is your organization on the journey to success as a value-based healthcare system? Choose an option We have not started, but we are interested in starting the journey We do not have any plans to pursue a value-based care strategy at this time We are implementing a value-based approach in one or more of our locations (e.g., clinics), but a value-based model is not part of our strategic plan Our strategic plan states our commitment to value-based healthcare and we have an action plan in place to achieve our strategy
Your familiarity with value-based healthcare:* Choose an option * I am new to VBHC and want to learn key principles I understand what VBHC is but haven’t started implementing I started implementing I have implemented and working on care improvement
Please choose what best describes your expertise / interest* Choose an option * Oncology Muskoskeletal Cardiometabolic Maternal - Child Health Mental Health Ophthalmology Life-course Other
Has your organization implemented ICHOM Sets of Patient-Centered Outcome Measures? Choose an option * Yes, we have implemented one or more ICHOM set(s) We are in the process of implementing No, we have not implemented ICHOM Sets
How did you hear about the ICHOM Value-Based Healthcare Conference Series?* Choose an option * I recevied an email I saw a post on social media I saw an online advert A collegue recommended ICHOM to me I read an ICHOM publication
Which Category best Describes your organization* Choose an option * Provider of Healthcare Industry (Other) Industry (Pharma) Industry (MedTech) Charity Academic Patient / Patient Group Government Regulatory Body / Professional Bodies / Associations Consultancy Private Equity Insurance
My objective for attending the conference is: Choose an option Specific Speaker Content Meeting exhibitors Networking
What resources do you find most valuable for your journey to achieving high-value outcomes?* Choose an option * Published journals Webinars Podcasts Conferences Healthcare collaboratives Other
