LTC Trend Tracker

Initial registration for LTC Trend Tracker℠ (LTCTT) can be completed in just 3 easy steps. For additional information about LTC Trend Tracker℠ or assistance in completing the registration process, contact LTC Trend Tracker℠ by email at: join@LTCTrendTracker.com or by phone at: 202-454-1283.

Step 1.

Designate Your Facility's Account Administrator For LTC Trend Tracker℠.

The account administrator will manage the administrative functions of LTC Trend Tracker℠ on behalf of your facility. LTC Trend Tracker℠ representatives will contact your designated account administrator to complete the registration process to get your facility online, regularly submit data to LTCTT, manage LTCTT access for you, and undertake other administrative functions as needed. For more information on the duties and role of the account administrator see our FAQ.

(* indicates a required field.)

Account Administrator Contact Information:

Salutation
First name *
Last name *
Title *
Organization *
Street Address *
City *
State *
Zip *
Telephone Number *
Fax Number
Email Address *

Step 2.

Authorization.

The following section is to be completed by the owner/operator of this facility who has the authority to review and accept the following LTC Trend Tracker℠ acceptance agreement for your facility.

Representative Contact Information:

Use Account Administrator Contact Information
Salutation
First name *
Last name *
Title *
Organization *
Street Address *
City *
State *
Zip *
Telephone Number *
Fax Number
Email Address *
Organization Website

Step 3.

Provide Federal Provider Number/Medicare Number (FPN) and National Provider Identifier (NPI) for your facility.

FPN *
NPI *

Step 4.

Review and Accept the LTC Trend Tracker℠ Acceptance Agreement.

 
I have read and accept the LTC Trend Tracker ℠ Acceptance Agreement

Tracking and Utilizing Key Metrics to Improve Performance

© 2008 American Health Care Association