Common Health Coalition: Member Submission Form

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Please use this form to share examples of your work that focus on bridging the gap between health care and public health. Your submission may be added to our compendium to help other organizations learn from your success.

Organization name *

Your full name *

Your email address *

State of organization headquarters *

Please select the topics that best reflect the work described in your submission *

Community Health Workers

Data dashboards

Data-sharing agreements

Electronic reporting

Equality metrics

Health care capacity

Hospital preparedness

Interoperability

Multi-sector councils

Payer innovations

Rural health

SDOH

Treatment

Trending health narratives/misinformation

Tribal health

Vaccine access

Value-based care

Other:

Required

Please describe your organization’s work happening at the intersection of health care and public health (max of 300 words). Refer to our compendium for examples from other organizations. *

Add links to relevant sources of related information about the work (e.g. website, articles, research, news, youtube videos, etc.)

Please check the box below to give the Coalition permission to publish your submission. *

I acknowledge that my submission may be featured on the Common Health Coalition website and shared in Coalition communications

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