Virtual Care Innovation Network

APPLIED PROJECT TRACK

1. Application Submission Form – Complete this form and upload/submit items II through V here.
2. Application Narrative – Respond to the 5 questions below. Please limit your entire response to a maximum of five pages, using at least 11-point font, single spacing, and 1-inch margins.
   1. Overall Goals: Why is your organization interested in participating in this program?
   2. Virtual Care Delivery Experience: Please describe your experience with virtual care including modalities of care, whether you are using other virtual tools (portals, texting, phone apps), and what you learned about the challenges and opportunities for implementing virtual care in your organization. Please also feel free to share any successful shifts to virtual care.
   3. QI Experience: Please describe a clinical or operational improvement project you implemented in your organization. What data (outcome measure, process measures, qualitative measures) did you collect and how often? What is an example of one change you made based on what you learned from the tests and/or data?
   4. Data Reporting Capabilities: Please describe your current ability to collect and report on patient-level data regarding visit modality (i.e., in-person, phone, video). Please describe if you could report this data by payer.
   5. Applied Project: Please describe which population is most relevant for you to engage in a deeper project (i.e., people experiencing homelessness, seniors, people with low English proficiency, low technology literacy, etc.) and what you hope to accomplish with an applied project.
3. Budget – Download Template (.xlsx)
4. Tax Status Documentation Letter
5. Leadership Support Letter – This letter should demonstrate organizational commitment to implement or expand upon virtual care capabilities and collect data as needed. This includes dedicated time for the core team to fully participate in program activities and implement changes at the clinical and organizational level. The letter should be submitted by either the Chief Medical Officer, Chief Operating Officer, or Chief Executive Officer.

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CLINIC CONNECTION TRACK

1. Application Submission Form – Complete this form and upload/submit items II through IV here.
2. Application Narrative – Respond to the 4 questions below. Please limit your entire response to a maximum of three pages, using at least 11-point font, single spacing, and 1-inch margins.
   1. Overall Goals: Why is your organization interested in participating in this program?
   2. Virtual Care Delivery Experience: What virtual care delivery tools have you started using since the beginning of the COVID-19 pandemic (i.e., phone visits, video visits, patient portal, text messaging, etc.)?
   3. Virtual Care Challenges: What are the three biggest challenges your organization is facing with virtual care? What are the biggest challenges you hope this program focuses on?
   4. Data Reporting Capabilities: Please describe your current ability to collect and report on patient-level data regarding visit modality (i.e., in-person, phone, video).
3. Budget – Download Template (.xlsx)
4. Tax Status Documentation Letter

Apply Now

It’s not too late to start learning with us!

Did you miss the deadline to apply to the network? Are you still interested in getting involved in this community?

The Learning Hub is open to all safety net health care organizations or primary care organizations who serve people experiencing homelessness, or individuals affiliated with these types of organizations. Hub members can access online courses, interactive forums for peer learning, and other online resources. Individuals can join this track at any point during this 15-month program.