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The Power of Community: Translating Innovations into Care in NHL and HL
Community Collective: Obesity
Obstructive Sleep Apnea Series
Shedding Light on T2D
The Evolution of HCT: NMPD Series
TikToktivity series for LR-MDS
Vaccines in Older Adults Series
A Quick Dose of CE
Contact Us
Home
About Us
Menu Toggle
About MLI
Societies and Partners
CE Coordinator Incentive Program (CECIP)
Accreditation
Menu Toggle
About MLI Accreditation
Joint Providership Request
Activities
Menu Toggle
Upcoming Events
On-Demand Activities
Educational Series
Menu Toggle
Featured Educational Series
Menu Toggle
The Power of Community: Translating Innovations into Care in NHL and HL
Community Collective: Obesity
Obstructive Sleep Apnea Series
Shedding Light on T2D
The Evolution of HCT: NMPD Series
TikToktivity series for LR-MDS
Vaccines in Older Adults Series
A Quick Dose of CE
Contact Us
Medical Learning Institute Inc
Main Menu
Home
About Us
Menu Toggle
About MLI
Societies and Partners
CE Coordinator Incentive Program (CECIP)
Accreditation
Menu Toggle
About MLI Accreditation
Joint Providership Request
Activities
Menu Toggle
Upcoming Events
On-Demand Activities
Educational Series
Menu Toggle
Featured Educational Series
Menu Toggle
The Power of Community: Translating Innovations into Care in NHL and HL
Community Collective: Obesity
Obstructive Sleep Apnea Series
Shedding Light on T2D
The Evolution of HCT: NMPD Series
TikToktivity series for LR-MDS
Vaccines in Older Adults Series
A Quick Dose of CE
Contact Us
MLI QI Project in TED Eligibility Submission Form
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 3
Please provide us your contact information
Name
*
First
Last
Email
*
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Please tell us about your patient population and their health status
What is the average age of your patient population?
Please provide any descriptive information.
Is your practice gender oriented? (e.g., women's health)
Please provide any descriptive information.
Ethnicity and socioeconomic status of your patients
Please provide any descriptive information.
Total number of patients
Please provide any descriptive information.
Patients suffering from T2D
Please provide any descriptive information.
Current control rates for diabetes
e.g., percentage of patients with HbA1c under 7%
Patients with BMI above target
Please provide any descriptive information.
Prevalence of comorbid conditions (e.g., hypertension, cardiovascular disease)
Please provide any descriptive information.
Next
Please tell us about your clinical practice and work setting
Enter the Website / URL for your practice.
Tell us about the providers and your staff?
Tell us about your geographic location:
Urban
Suburban
Rural
Other
Other demographic considerations
Type of Practice
Family Practice
Internal Medicine
Private Practice
Clinic
Obesity management metrics
Percentage of patients receiving counseling for diet and exercise
e.g., percentage of patients and option details
Percentage of patients with documented BMI and follow-up plans
e.g., percentage of patients and option details
Rates of complications associated with diabetes and obesity
Incidence of diabetic neuropathy
e.g., rate of incidence and optional details
Hospital admissions for diabetes-related issues
e.g., rate of admissions and optional details
Standard protocols for diabetes and obesity management
e.g., details on standard protocols
Medication management practices (types of medications prescribed, adherence rates)
e.g., details medication management practices
Submit
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