Form 2

QHIN Application

Part II - Organizational Requirements
The questions in this Part correspond to Part 4, Section I.1 of the QHIN Onboarding and Designation SOP.

Part I – Basic Applicant Information

Part II – Organizational Requirements

Part III – Exchange of Required Information and Ability to Perform Functions of a QHIN

Part IV – Organizational Infrastructure and Legal Authority

Part V – QHIN Privacy and Security Requirements

Part VI – Project Plan

Part VII - Background References

Part VIII - Attestation

Question 3.

Please submit the Means to Demonstrate U.S. Ownership and Control of a QHIN SOP Questionnaire, available at:  https://rce.sequoiaproject.org/tefca-and-rce-resources/

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