Please use this check list to confirm you have read, completed and submitted the appropriate pre-requisite reading materials and forms:

☐ Read policies on “Appropriate Use of Clinical Looking Glass”

o JC07.1 - Administrative Policy and Procedure

o JC07.1a - Practical Guidance in the use of Clinical Looking Glass

☐ Read Pathway to Clinical Looking Glass UseV30

☐ Purchase book: Eran Bellin, M.D. Riddles in Accountable Healthcare: A primer to develop analytic intuition for medical homes and population health (available on www.amazon.com as paperback or kindle) Read: Introduction and Chapters 1,3,4,5,8,11,19,21. Chapters are short and are a quick read, but necessary for training. ($22 a copy or share with a friend)

☐ Review and complete the Data Use Agreement Form

☐ Review and complete the Supervisor Permission Form
(Montefiore Department Chairman or Chief signature is required)
* Non-Montefiore employees must also obtain an email from Dr. Brian Currie () approving their access to CLG

☐ Take the CLG Appropriate Use Exam. The exam can be found in Talent Management, Montefiore’s learning system:

· Montefiore Associates - Click on the following link https://performancemanager4.successfactors.com/login?company=Montefiore&isSessionTimeout=true&_s.crb=kFxbO58jGK%2fS9uBUNRfDW95lAYw%3d

· Enter your User ID (this is your EZ ID# which can be found on your paystub or on the back of your Montefiore I.D.). The first time you login – your password will be your EZ ID# as well. You will have to change this. Once you are logged in, click on “My Learning,” then type Clinical Looking Glass in the search box. Choose Clinical Looking Glass Appropriate Use Exam.

☐ Purchase File Warden 3 from PC Magazine ($7.95) http://www.pcmag.com/article2/0,2817,2400168,00.asp

Once you complete the exam, please email the completion certificate and registration forms to . Please type “Clinical Looking Glass Registration” in the subject line.

*Note: Your reservation for instructor-led training will not be confirmed until we are in receipt of all documentation. If you have sent in your forms and your Certificate of Completion for the Appropriate Use exam and have not received a confirmation/calendar invitation 2 weeks prior to your training series is scheduled to begin, please contact the CLG Administrator.