New Facility Request

Procedure centers, ambulatory surgery centers and ancillary facilities are eligible to join CHI Health Partners clinically integrated network.

Facilities must meet the following criteria, which will apply to value-based contracts only:

  • 100% owned by physicians(s) or joint venture with CHI Health Partners hospital
  • All physician owners must be in CHI Health Partners
  • Agree to share data (Triple Aim) with CHI Health Partners
  • Participate in clinical initiatives developed by local chapter
  • Pass credentialing
  • Physician owners and the ancillary participate in the same contract
  • Fulfills a need for the ancillary service within CHI Health Partners clinically integrated network
  • Pay a membership fee

To join, please complete the following form. CHI Health Partners staff will contact you with required paperwork and next steps. If you have questions while completing this form, please call CHI Health Partners credentialing coordinators at 402-717-7241 or 402-717-7253.

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