Developing

Establishing Your Charitable Clinic

The second module of ECHO’s curriculum is designed to get your charitable clinic open and serving patients. In addition to our consultants, this information can serve as a checklist for everything that needs to happen to start your healthcare practice.

Contact John Mills or fill out our Initial Interest Questionnaire below to request a log-in for our curriculum.

Module 2: Developing

Team Management

Network Building and Best Practices

Managing Medications

Volunteer Management

Patient Care

Resources

Marketing

Interest/Expansion/Contact Form

Are you looking to start or expand a clinic, or do you have a general inquiry?*
You are filling out the "Initial Interest Questionnaire" which is most helpful if you're looking to start a new clinic.
You are filling out the "Clinic Self-Assessment" which is most helpful if you're looking to expand an existing clinic.
Contact Information
Name/Title of Key Contact*
Email*
Phone*
Comments / Questions
How did you hear about ECHO?
Clinic Information
Name Of Clinic*
Website*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Clinic Details
What is the name of your clinic?
What is the vision for your clinic? (i.e. population you want to serve, services you want to provide, outcomes you want to achieve, etc.)
Have you started the planning for your clinic? If yes, please describe your progress to date.
Have you assembled a planning group for your clinic? If so briefly describe its history, current composition, leadership, and meeting frequency.
How many doctors, nurses, and other health professionals belong to your church(es) and/or have expressed interest in volunteering for your clinic?
Have you identified a space for your clinic? If yes or maybe, please describe.
Are there other free or charitable clinics in your community? If so, have you had any initial discussions with them?
How soon could your planning group meet with ECHO for a clinic planning workshop?
How did you hear about ECHO?
When did the clinic open?
How many members are on your Board?
How frequently does the Board meet?
Does the organization currently have a Strategic Plan? If so, what is the date of the Plan?
How long has the Executive Director been in place? Is the position paid or volunteer?
How many unduplicated patients were seen in 2017?
What was the operating budget for 2018?
What is the long-term vision for the organization?
Clinic Assessment
Using a scale of 1 to 5, with 1 being the lowest and 5 being the highest, please rate the effectiveness of your Board in the following areas:
Establishing overall policies:
Assuring funds to carryout annual plan:
Providing oversight/evaluation of the Executive Director:
How did you hear about ECHO?

Establishing Your Charitable Clinic

Module 2: Developing

Team Management

Network Building and Best Practices

Managing Medications

Volunteer Management

Patient Care

Resources

Marketing

Interest/Expansion/Contact Form

Contact Information

Clinic Information

Clinic Details

Clinic Assessment

Expand a clinic

Start a clinic

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