TIARA Web-Enabled Interactive Demo

To view an live interactive version of the new TIARA Web-Enabled Diabetes Education Tracking software, please complete the following form and click on the "submit" button.  

 

We will then email a password and (url) internet address that will enable you to log on and access the demonstration.

 

* Indicates Required Fields


Institution Name*
Institution Billing Address*
City*
State*
Zip*

Please Check the appropriate affiliation:*
     Hospital          Pharmacy          Outpatient Clinic
Principal Contact Name*
Telephone
Fax
Email*

Is your program recognized by the American Diabetes Association (ADA)?
Currently recognized     Yes              No
Application pending     Yes              No
Gathering data for application     Yes              No

Number of computers from which data will be entered (approximately)

Will you be importing data from another database?     Yes              No
If yes, how many patients?

How did you learn about TIARA?
AADE meeting    ADA website     Colleague   Advertisement
If an advertisement, which publication?

Have you evaluated other diabetes education tracking programs?      Yes              No
If yes, which others have you considered? 

Will you be using TIARA for: (check all that apply)
  ADA recognition               Other recognition     
  Educational tracking         Clinical care tracking     
  Research                         Continuous Quality Improvement
  JCAHO certification

What kind of computer are you using?    PC               Mac
Operating system
Web browser
Are you on a LAN?     Yes              No
Who is your Internet service provider?
Are you using a phone modem?     Yes              No

            


P.O. Box 3106, Charlottesville, VA 22903
Tel: 434-244-0055  Fax: 209-828-2819

This website is hosted by LabScheduler, LLC Last updated: 07/15/2007
Questions or corrections: Tiara Info © 2007 LabScheduler, LLC
Legal Notice.

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