University Health Care, Inc.

Passport Health Plan's Improved Health Outcomes Program (iHOP)
LETTER OF INTENT

Name of Principal Investigator:	Name and Address for Correspondence Purposes:
Other Investigators:
Amount Requested:	Phone: Fax: Email:
Title of Project:

Objective(s) of the study and related hypothesis:

Significance of the proposed study (Why should it be done? What are the benefits for patients, organizations,policy development?):

Relevance of the study related to the objectives of the RFP:

Expertise of the Investigator and team members related to this project:

Basic Study Design and Methodology:

Brief Budget Summary:

Feasibility and Potential Pitfalls:

Future Directions: