gtmr.org
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Submitted URL: https://r20.rs6.net/tn.jsp?f=001HzwUliDnNzPNSA7ZWQOZv4UoXtoh1MvCcsJC5bWOThcDJ-kJ03KNWW5UtHqhvuJSxKz0cbj1ySjG35GSExfh...
Effective URL: https://gtmr.org/employer-toolkit-resources/
Submission: On November 17 via manual from US — Scanned from DE
Effective URL: https://gtmr.org/employer-toolkit-resources/
Submission: On November 17 via manual from US — Scanned from DE
Form analysis 4 forms found in the DOM
GET https://gtmr.org/
<form method="get" action="https://gtmr.org/" class="mobile-menu-searchform">
<input type="search" name="s" autocomplete="off" placeholder="Search" aria-label="Search">
<button type="submit" class="searchform-submit" aria-label="Submit search"><span class="ticon ticon-search"></span></button>
</form>GET https://gtmr.org/
<form method="get" class="searchform" action="https://gtmr.org/">
<label>
<span class="screen-reader-text">Search</span>
<input type="search" class="field" name="s" placeholder="Search">
</label>
<button type="submit" class="searchform-submit"><span class="ticon ticon-search" aria-hidden="true"></span><span class="screen-reader-text">Submit</span></button>
</form><form>
<div>
<div class="nf-before-form-content"><nf-section>
<div class="nf-form-fields-required">Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required</div>
</nf-section></div>
<div class="nf-form-content "><nf-rows-wrap>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-15-container" class="nf-field-container firstname-container label-above one-half first ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-15-wrap" class="field-wrap firstname-wrap" data-field-id="15">
<div class="nf-field-label"><label for="nf-field-15" id="nf-label-field-15" class="">First Name <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-15" name="fname" autocomplete="given-name" aria-invalid="false" aria-describedby="nf-error-15" aria-labelledby="nf-label-field-15" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-15" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-16-container" class="nf-field-container lastname-container label-above one-half ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-16-wrap" class="field-wrap lastname-wrap" data-field-id="16">
<div class="nf-field-label"><label for="nf-field-16" id="nf-label-field-16" class="">Last Name <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-16" name="lname" autocomplete="family-name" aria-invalid="false" aria-describedby="nf-error-16" aria-labelledby="nf-label-field-16" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-16" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-17-container" class="nf-field-container textbox-container label-above one-half first ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-17-wrap" class="field-wrap textbox-wrap" data-field-id="17">
<div class="nf-field-label"><label for="nf-field-17" id="nf-label-field-17" class="">Job Title <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" maxlength="50" id="nf-field-17" name="nf-field-17" aria-invalid="false" aria-describedby="nf-error-17" aria-labelledby="nf-label-field-17" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"> 50 of 50 Character(s) left </div>
<div id="nf-error-17" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-18-container" class="nf-field-container textbox-container label-above one-half ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-18-wrap" class="field-wrap textbox-wrap" data-field-id="18">
<div class="nf-field-label"><label for="nf-field-18" id="nf-label-field-18" class="">Degree/Credential(s) <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-18" name="nf-field-18" aria-invalid="false" aria-describedby="nf-error-18" aria-labelledby="nf-label-field-18" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-18" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-19-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-19-wrap" class="field-wrap textbox-wrap" data-field-id="19">
<div class="nf-field-label"><label for="nf-field-19" id="nf-label-field-19" class="">Organization <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" maxlength="50" id="nf-field-19" name="nf-field-19" aria-invalid="false" aria-describedby="nf-error-19" aria-labelledby="nf-label-field-19" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"> 50 of 50 Character(s) left </div>
<div id="nf-error-19" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-20-container" class="nf-field-container email-container label-above one-half first ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-20-wrap" class="field-wrap email-wrap" data-field-id="20">
<div class="nf-field-label"><label for="nf-field-20" id="nf-label-field-20" class="">Email <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="email" value="" class="ninja-forms-field nf-element" id="nf-field-20" name="email" autocomplete="email" aria-invalid="false" aria-describedby="nf-error-20" aria-labelledby="nf-label-field-20" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-20" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-31-container" class="nf-field-container phone-container label-above one-half textbox-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-31-wrap" class="field-wrap phone-wrap textbox-wrap" data-field-id="31">
<div class="nf-field-label"><label for="nf-field-31" id="nf-label-field-31" class="">Phone <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="tel" value="" class="ninja-forms-field nf-element" id="nf-field-31" name="phone" autocomplete="tel" aria-invalid="false" aria-describedby="nf-error-31" aria-labelledby="nf-label-field-31" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-31" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-22-container" class="nf-field-container address-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-22-wrap" class="field-wrap address-wrap" data-field-id="22">
<div class="nf-field-label"><label for="nf-field-22" id="nf-label-field-22" class="">Address <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-22" name="address" autocomplete="address-line1" aria-invalid="false" aria-describedby="nf-error-22" aria-labelledby="nf-label-field-22"
required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-22" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-23-container" class="nf-field-container city-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-23-wrap" class="field-wrap city-wrap" data-field-id="23">
<div class="nf-field-label"><label for="nf-field-23" id="nf-label-field-23" class="">City <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-23" name="city" autocomplete="address-level2" aria-invalid="false" aria-describedby="nf-error-23" aria-labelledby="nf-label-field-23" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-23" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-24-container" class="nf-field-container liststate-container label-above one-half first list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-24-wrap" class="field-wrap liststate-wrap list-wrap list-select-wrap" data-field-id="24">
<div class="nf-field-label"><label for="nf-field-24" id="nf-label-field-24" class="">State <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<select id="nf-field-24" name="nf-field-24" aria-invalid="false" aria-describedby="nf-error-24" class="ninja-forms-field nf-element" aria-labelledby="nf-label-field-24" required="">
<option value="" selected="selected">- Select State -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="DC">Washington DC</option>
<option value="AE">ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST</option>
<option value="AA">ARMED FORCES AMERICA (EXCEPT CANADA)</option>
<option value="AP">ARMED FORCES PACIFIC</option>
<option value="american-samoa">American Samoa</option>
<option value="guam">Guam</option>
<option value="northern-mariana-islands">Northern Mariana Islands</option>
<option value="puerto-rico">Puerto Rico</option>
<option value="u-s-virgin-islands">U.S. Virgin Islands</option>
</select>
<div for="nf-field-24"></div>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-24" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-25-container" class="nf-field-container zip-container label-above one-half ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-25-wrap" class="field-wrap zip-wrap" data-field-id="25">
<div class="nf-field-label"><label for="nf-field-25" id="nf-label-field-25" class="">Zip <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-25" name="zip" autocomplete="postal-code" aria-invalid="false" aria-describedby="nf-error-25" aria-labelledby="nf-label-field-25" required="">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-25" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-30-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-30-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="30">
<div class="nf-field-label"><label for="nf-field-30" id="nf-label-field-30" class="">I give permission for the GTMR Institute to list my name and my organization publicly. <span class="ninja-forms-req-symbol">*</span> </label>
</div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-30">
<li>
<input type="radio" id="nf-field-30-0" name="nf-field-30" class="ninja-forms-field nf-element " value="Yes" aria-labelledby="nf-label-class-field-30-0" required="">
<label for="nf-field-30-0" id="nf-label-class-field-30-0" class="">Yes, GTMR may use my name & organization in member materials publicly.</label>
</li>
<li>
<input type="radio" id="nf-field-30-1" name="nf-field-30" class="ninja-forms-field nf-element " value="No" aria-labelledby="nf-label-class-field-30-1" required="">
<label for="nf-field-30-1" id="nf-label-class-field-30-1" class="">No, I wish to sign, but don`t use my name or my organization`s name.</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-30" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-159-container" class="nf-field-container listradio-container label-above list-container">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-159-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="159">
<div class="nf-field-label"><label for="nf-field-159" id="nf-label-field-159" class="">Please select the highest level of education currently utilized. <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-159">
<li>
<input type="radio" id="nf-field-159-0" name="nf-field-159" class="ninja-forms-field nf-element " value="baccalaureate" aria-labelledby="nf-label-class-field-159-0" required="">
<label for="nf-field-159-0" id="nf-label-class-field-159-0" class="">Baccalaureate</label>
</li>
<li>
<input type="radio" id="nf-field-159-1" name="nf-field-159" class="ninja-forms-field nf-element " value="jd" aria-labelledby="nf-label-class-field-159-1" required="">
<label for="nf-field-159-1" id="nf-label-class-field-159-1" class="">JD</label>
</li>
<li>
<input type="radio" id="nf-field-159-2" name="nf-field-159" class="ninja-forms-field nf-element " value="masters-mba-mph-etc" aria-labelledby="nf-label-class-field-159-2" required="">
<label for="nf-field-159-2" id="nf-label-class-field-159-2" class="">Masters (MBA, MPH, etc.)</label>
</li>
<li>
<input type="radio" id="nf-field-159-3" name="nf-field-159" class="ninja-forms-field nf-element " value="md-do" aria-labelledby="nf-label-class-field-159-3" required="">
<label for="nf-field-159-3" id="nf-label-class-field-159-3" class="">MD/DO</label>
</li>
<li>
<input type="radio" id="nf-field-159-4" name="nf-field-159" class="ninja-forms-field nf-element " value="pharmd-bpharm-rph-etc" aria-labelledby="nf-label-class-field-159-4" required="">
<label for="nf-field-159-4" id="nf-label-class-field-159-4" class="">PharmD, BPharm, RPh, etc.</label>
</li>
<li>
<input type="radio" id="nf-field-159-5" name="nf-field-159" class="ninja-forms-field nf-element " value="phd" aria-labelledby="nf-label-class-field-159-5" required="">
<label for="nf-field-159-5" id="nf-label-class-field-159-5" class="">PhD</label>
</li>
<li>
<input type="radio" id="nf-field-159-6" name="nf-field-159" class="ninja-forms-field nf-element " value="rn-bsn-etc" aria-labelledby="nf-label-class-field-159-6" required="">
<label for="nf-field-159-6" id="nf-label-class-field-159-6" class="">RN, BSN, etc.</label>
</li>
<li>
<input type="radio" id="nf-field-159-7" name="nf-field-159" class="ninja-forms-field nf-element " value="other" aria-labelledby="nf-label-class-field-159-7" required="">
<label for="nf-field-159-7" id="nf-label-class-field-159-7" class="">Other</label>
</li>
</ul>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-159" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
<nf-fields><nf-field>
<div id="nf-field-161-container" class="nf-field-container textbox-container label-above ">
<div class="nf-before-field"><nf-section>
</nf-section></div>
<div class="nf-field">
<div id="nf-field-161-wrap" class="field-wrap textbox-wrap" data-field-id="161">
<div class="nf-field-label"><label for="nf-field-161" id="nf-label-field-161" class="">If you selected "Other" for the previous question, please provide additional details below. </label></div>
<div class="nf-field-element">
<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-161" name="nf-field-161" aria-invalid="false" aria-describedby="nf-error-161" aria-labelledby="nf-label-field-161">
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-161" class="nf-error-wrap nf-error" role="alert"></div>
</nf-section></div>
</div>
</nf-field></nf-fields>
</div>
</nf-cells>
</div>
<div class="nf-row">
<nf-cells>
<div class="nf-cell" style="width: 100%;">
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<div id="nf-field-160-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="160">
<div class="nf-field-label"><label for="nf-field-160" id="nf-label-field-160" class="">Please select the option that best represents your current primary role. <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-160">
<li>
<input type="radio" id="nf-field-160-0" name="nf-field-160" class="ninja-forms-field nf-element " value="AcademiaAdvisorDeanProfessor" aria-labelledby="nf-label-class-field-160-0" required="">
<label for="nf-field-160-0" id="nf-label-class-field-160-0" class="">Academia/Advisor/Dean/Professor</label>
</li>
<li>
<input type="radio" id="nf-field-160-1" name="nf-field-160" class="ninja-forms-field nf-element " value="Chief Officer" aria-labelledby="nf-label-class-field-160-1" required="">
<label for="nf-field-160-1" id="nf-label-class-field-160-1" class="">Chief Officer (Financial, Medical, Executive, etc.)</label>
</li>
<li>
<input type="radio" id="nf-field-160-2" name="nf-field-160" class="ninja-forms-field nf-element " value="Consultant" aria-labelledby="nf-label-class-field-160-2" required="">
<label for="nf-field-160-2" id="nf-label-class-field-160-2" class="">Consultant</label>
</li>
<li>
<input type="radio" id="nf-field-160-3" name="nf-field-160" class="ninja-forms-field nf-element " value="Executive DirectorDirector" aria-labelledby="nf-label-class-field-160-3" required="">
<label for="nf-field-160-3" id="nf-label-class-field-160-3" class="">Executive Director/Director</label>
</li>
<li>
<input type="radio" id="nf-field-160-4" name="nf-field-160" class="ninja-forms-field nf-element " value="Founder Co-Founder Owner" aria-labelledby="nf-label-class-field-160-4" required="">
<label for="nf-field-160-4" id="nf-label-class-field-160-4" class="">Founder/ Co-Founder/Owner</label>
</li>
<li>
<input type="radio" id="nf-field-160-5" name="nf-field-160" class="ninja-forms-field nf-element " value="Manager" aria-labelledby="nf-label-class-field-160-5" required="">
<label for="nf-field-160-5" id="nf-label-class-field-160-5" class="">Manager</label>
</li>
<li>
<input type="radio" id="nf-field-160-6" name="nf-field-160" class="ninja-forms-field nf-element " value="Practicing Nurse" aria-labelledby="nf-label-class-field-160-6" required="">
<label for="nf-field-160-6" id="nf-label-class-field-160-6" class="">Practicing Nurse</label>
</li>
<li>
<input type="radio" id="nf-field-160-7" name="nf-field-160" class="ninja-forms-field nf-element " value="Practicing Pharmacist" aria-labelledby="nf-label-class-field-160-7" required="">
<label for="nf-field-160-7" id="nf-label-class-field-160-7" class="">Practicing Pharmacist</label>
</li>
<li>
<input type="radio" id="nf-field-160-8" name="nf-field-160" class="ninja-forms-field nf-element " value="Practicing Physician" aria-labelledby="nf-label-class-field-160-8" required="">
<label for="nf-field-160-8" id="nf-label-class-field-160-8" class="">Practicing Physician</label>
</li>
<li>
<input type="radio" id="nf-field-160-9" name="nf-field-160" class="ninja-forms-field nf-element " value="President Vice President Senior Vice President etc." aria-labelledby="nf-label-class-field-160-9" required="">
<label for="nf-field-160-9" id="nf-label-class-field-160-9" class="">President, Vice President, Senior Vice President, etc.</label>
</li>
<li>
<input type="radio" id="nf-field-160-10" name="nf-field-160" class="ninja-forms-field nf-element " value="Research" aria-labelledby="nf-label-class-field-160-10" required="">
<label for="nf-field-160-10" id="nf-label-class-field-160-10" class="">Research</label>
</li>
<li>
<input type="radio" id="nf-field-160-11" name="nf-field-160" class="ninja-forms-field nf-element " value="Other" aria-labelledby="nf-label-class-field-160-11" required="">
<label for="nf-field-160-11" id="nf-label-class-field-160-11" class="">Other</label>
</li>
</ul>
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</div>
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<div class="nf-field-label"><label for="nf-field-163" id="nf-label-field-163" class="">If you selected "Other" for the previous question, please provide additional details below. </label></div>
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<div id="nf-field-52-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="52">
<div class="nf-field-label"><label for="nf-field-52" id="nf-label-field-52" class="">How would you best describe your company or employer? <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-52">
<li>
<input type="radio" id="nf-field-52-0" name="nf-field-52" class="ninja-forms-field nf-element " value="Academia" aria-labelledby="nf-label-class-field-52-0" required="">
<label for="nf-field-52-0" id="nf-label-class-field-52-0" class="">Academia (colleges and universities)</label>
</li>
<li>
<input type="radio" id="nf-field-52-1" name="nf-field-52" class="ninja-forms-field nf-element " value="Consultant" aria-labelledby="nf-label-class-field-52-1" required="">
<label for="nf-field-52-1" id="nf-label-class-field-52-1" class="">Consultant</label>
</li>
<li>
<input type="radio" id="nf-field-52-2" name="nf-field-52" class="ninja-forms-field nf-element " value="Consumer And Consumer Advocacy Groups" aria-labelledby="nf-label-class-field-52-2" required="">
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</li>
<li>
<input type="radio" id="nf-field-52-3" name="nf-field-52" class="ninja-forms-field nf-element " value="HospitalHealth System" aria-labelledby="nf-label-class-field-52-3" required="">
<label for="nf-field-52-3" id="nf-label-class-field-52-3" class="">Hospital/Health System</label>
</li>
<li>
<input type="radio" id="nf-field-52-4" name="nf-field-52" class="ninja-forms-field nf-element " value="ProfessionalProviderOrg" aria-labelledby="nf-label-class-field-52-4" required="">
<label for="nf-field-52-4" id="nf-label-class-field-52-4" class="">Professional and/or Provider Organization (e.g., ACCP, ASHP, AMA, ANA, etc.)</label>
</li>
<li>
<input type="radio" id="nf-field-52-5" name="nf-field-52" class="ninja-forms-field nf-element " value="Provider of Care" aria-labelledby="nf-label-class-field-52-5" required="">
<label for="nf-field-52-5" id="nf-label-class-field-52-5" class="">Provider of Care</label>
</li>
<li>
<input type="radio" id="nf-field-52-6" name="nf-field-52" class="ninja-forms-field nf-element " value="Public or Private Payors" aria-labelledby="nf-label-class-field-52-6" required="">
<label for="nf-field-52-6" id="nf-label-class-field-52-6" class="">Public or Private Payor (employers, Medicare, Medicaid, health insurance companies, etc.)</label>
</li>
<li>
<input type="radio" id="nf-field-52-7" name="nf-field-52" class="ninja-forms-field nf-element " value="Solution Provider" aria-labelledby="nf-label-class-field-52-7" required="">
<label for="nf-field-52-7" id="nf-label-class-field-52-7" class="">Solution Provider (diagnostic labs, IT companies)</label>
</li>
<li>
<input type="radio" id="nf-field-52-8" name="nf-field-52" class="ninja-forms-field nf-element " value="Other" aria-labelledby="nf-label-class-field-52-8" required="">
<label for="nf-field-52-8" id="nf-label-class-field-52-8" class="">Other</label>
</li>
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<div class="nf-before-field"><nf-section>
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<div id="nf-field-162-wrap" class="field-wrap textbox-wrap" data-field-id="162">
<div class="nf-field-label"><label for="nf-field-162" id="nf-label-field-162" class="">If you selected "Other" for the previous question, please provide additional details below. </label></div>
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<input type="text" value="" class="ninja-forms-field nf-element" id="nf-field-162" name="nf-field-162" aria-invalid="false" aria-describedby="nf-error-162" aria-labelledby="nf-label-field-162">
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<div id="nf-field-53-wrap" class="field-wrap listradio-wrap list-wrap list-radio-wrap" data-field-id="53">
<div class="nf-field-label"><label for="nf-field-53" id="nf-label-field-53" class="">May we contact you about participating in a workgroup? <span class="ninja-forms-req-symbol">*</span> </label></div>
<div class="nf-field-element">
<ul aria-describedby="nf-error-53">
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<input type="radio" id="nf-field-53-0" name="nf-field-53" class="ninja-forms-field nf-element " value="yes" aria-labelledby="nf-label-class-field-53-0" required="">
<label for="nf-field-53-0" id="nf-label-class-field-53-0" class="">Yes</label>
</li>
<li>
<input type="radio" id="nf-field-53-1" name="nf-field-53" class="ninja-forms-field nf-element " value="no" aria-labelledby="nf-label-class-field-53-1" required="">
<label for="nf-field-53-1" id="nf-label-class-field-53-1" class="">No</label>
</li>
</ul>
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<div id="nf-error-53" class="nf-error-wrap nf-error" role="alert"></div>
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<div id="nf-field-155-wrap" class="field-wrap listselect-wrap list-wrap list-select-wrap" data-field-id="155">
<div class="nf-field-label"><label for="nf-field-155" id="nf-label-field-155" class="">Which workgroup are you MOST interested in VOLUNTEERING for? </label></div>
<div class="nf-field-element">
<select id="nf-field-155" name="nf-field-155" aria-invalid="false" aria-describedby="nf-error-155" class="ninja-forms-field nf-element" aria-labelledby="nf-label-field-155">
<option value="None of the above" selected="selected">None of the above</option>
<option value="Practice and Care Delivery Transformation">Practice and Care Delivery Transformation</option>
<option value="Precision Medicine Enablement via Advanced Diagnostics">Precision Medicine Enablement via Advanced Diagnostics</option>
<option value="Payment and Policy Solutions">Payment and Policy Solutions</option>
<option value="HIT and AI to Support Optimized Medication Use ">HIT and AI to Support Optimized Medication Use </option>
</select>
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<div id="nf-field-156-container" class="nf-field-container listselect-container label-above list-container">
<div class="nf-before-field"><nf-section>
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<div class="nf-field">
<div id="nf-field-156-wrap" class="field-wrap listselect-wrap list-wrap list-select-wrap" data-field-id="156">
<div class="nf-field-label"><label for="nf-field-156" id="nf-label-field-156" class="">Which workgroup are you MOST interested in FOLLOWING so you receive updates? </label></div>
<div class="nf-field-element">
<select id="nf-field-156" name="nf-field-156" aria-invalid="false" aria-describedby="nf-error-156" class="ninja-forms-field nf-element" aria-labelledby="nf-label-field-156">
<option value="None of the above" selected="selected">None of the above</option>
<option value="Practice and Care Delivery Transformation">Practice and Care Delivery Transformation</option>
<option value="Precision Medicine Enablement via Advanced Diagnostics">Precision Medicine Enablement via Advanced Diagnostics</option>
<option value="Payment and Policy Solutions">Payment and Policy Solutions</option>
<option value="HIT and AI to Support Optimized Medication Use ">HIT and AI to Support Optimized Medication Use </option>
</select>
<div for="nf-field-156"></div>
</div>
</div>
</div>
<div class="nf-after-field"><nf-section>
<div class="nf-input-limit"></div>
<div id="nf-error-156" class="nf-error-wrap nf-error" role="alert"></div>
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<div id="nf-field-27-wrap" class="field-wrap textarea-wrap" data-field-id="27">
<div class="nf-field-label"><label for="nf-field-27" id="nf-label-field-27" class="">Tell us about your organization. </label></div>
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<textarea id="nf-field-27" name="nf-field-27" aria-invalid="false" aria-describedby="nf-error-27" class="ninja-forms-field nf-element" aria-labelledby="nf-label-field-27"></textarea>
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<div id="nf-field-28-wrap" class="field-wrap textbox-wrap" data-field-id="28">
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<p>Enter conference code in the box below.</p>
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* About
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Success | April 13, 2022, from 10:30 a.m. – 1:30 p.m. ET
* Executive Roundtable—Payment, Policy & Practice: Supporting Medication
Management Reform | June 24, 2021 from 2:00 to 5:00 EDT
* Executive Roundtable—Paying for Value: Opportunities in the Medical
Neighborhood to Get the Medications Right | October 9, 2020 from 10:00 am
– 2:30 pm EST
* GTMRx and Bipartisan Policy Center (BPC) National Event | Building
Vaccine Confidence During COVID-19: The Role of the Medical Neighborhood
* Get the Medications Right: Innovations in Team-Based Care | February 6,
2020
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Welcome to the GTMRx Employer Toolkit Resource Center!
The 175+ GTMRx Institute workgroup and taskforce leaders and participants have
been hard at work over the past year creating an impressive set of tools for
presenting the case around the value of optimized medication use through
comprehensive medication management (CMM) in practice.
The GTMRx Institute recognizes that employers as health plan sponsors manage the
health benefits for 49% of this country’s total population. We also know
because they sign the check, they have much to gain from optimizing the
medications involved in 80% of all medical treatments. Research published in
March 2018 highlights an eye-popping $528 billion was spent in just one year on
unnecessary medical resources needed to resolve problems attributed to
medication therapy problems.
The time is right to create plan designs and benefit strategies designed to get
the medications right.
We invite you to read more, share these documents and join us to ensure
appropriate use of medications. You can read the press release announcing the
release of the Employer Toolkit here. Don’t waste another day!
This toolkit was developed with guidance and support from the GTMRx Employer
Toolkit Taskforce.
EMPLOYER TOOLKIT DOCUMENT
FAQS FOR EMPLOYERS
INFOGRAPHIC: DRUG SPEND
USING PGX & DIAGNOSTICS
CONTRACTING FOR CMM
SHOW ME THE EVIDENCE
USE CASES: CMM IN PRACTICE
PAYMENT METHODS (COMING SOON)
CONSUMER EDUCATION TOOLS
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Which workgroup are you MOST interested in VOLUNTEERING for?
None of the above Practice and Care Delivery Transformation Precision Medicine
Enablement via Advanced Diagnostics Payment and Policy Solutions HIT and AI to
Support Optimized Medication Use
Which workgroup are you MOST interested in FOLLOWING so you receive updates?
None of the above Practice and Care Delivery Transformation Precision Medicine
Enablement via Advanced Diagnostics Payment and Policy Solutions HIT and AI to
Support Optimized Medication Use
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Latest
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