PopHealth Analytics

Reports and Enhancements User Request Form

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Please provide a detailed description of the report request, including the specific features or enhancements you would like to see implemented.
Explain the intended purpose or use case for the requested report. How will it benefit your organization or workflow?
Outline any specific data elements or criteria that should be included in the report.
Indicate if there is a specific deadline for the completion of this request.
Include any additional comments, suggestions, or attachments that may be relevant to the request.
By submitting this form, I acknowledge that the information provided is accurate, and I understand that the implementation of this report request is subject to review and approval by the PopHealth Project team, DHCF, CRISP DC, and hMetrix. 
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