Hospitals & Health Networks
  Hospitals & Health Networks is free to qualified professionals. Summary Description
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  What is the approximate number of employees in your company? (select only one)


2. Please indicate your primary type of institution/firm: (select only one)
Multihospital System/IDN Laboratory/Imaging Center/Dialysis
Multihospital System/IDN Corporate Headquarters HMO/PPO/Managed Care
Hospital—Stand Alone (for profit, nonprofit, government) Long-Term Care
Hospital—Children's Architect/Construction/Design Firm
Hospital—General/Acute IT Vendor/Software Developer
Hospital—Psychiatric/Behavioral Hospital Group Purchasing Organization or Alliance
Hospital—Rehabilitation Government/Voluntary Health Org/Nonprofit
Hospital—Specialized Government Purchasing Agencies
Hospital—Women's/Maternity Consulting Firm
Academic Medical Center Manufacturers of Hospital Equipment & Services
Emergency Department Other (please specify)
Surgi-Center/Ambulatory Care Center
Medical Clinic/Group Practice


3. Please check the one category that best describes your title: (select only one)
CEO/President Security—VP/Director/Manager
Administrator Safety—Officer/Director/Manager
CFO Patient Care Services—VP/Director/Manager
CIO/CMIO Nursing—Director/Manager
CMO/Medical Director/Chief of Staff/VP Medical Affairs Registered Nurse
CNO/CNE/VP of Nursing Surgical Services—VP/Director/Manager
COO Operating Room—VP/Director/Manager
CPO/VP/Director of Materials Management/Purchasing Pharmacist/Pharmacy—VP/Director/Manager
Executive VP/Executive Director/Administrative Director Radiology & Imaging—Administrator/Director/Manager
Board Chairman/Member Laboratory—Director/Manager
Assistant Administrator/Assistant Executive Director Cardiology—Chief/VP/Director
Controller/Chief Accountant Emergency Dept—VP/Director/Manager
Finance & Accounting—VP/Director ICU/Critical Care—Director/Manager
Business Manager/Accounting Manager Respiratory Care—Director/Manager
IS/IT/MIS—VP/Director/Manager Ambulatory Care—VP/Director
HIM—Director/Manager Clinical Svcs—VP/Director/Manager
HIS—Director/Manager Case Mgmt—Director/Manager
Human Resources—VP/Director/Manager Utilization Review—Director/Manager
Compliance—Officer/VP/Director Managed Care—VP/Director
Risk Mgmt—VP/Director/Manager Materials Mgmt/Purchasing—Manager/Coordinator
Marketing—VP/Director/Manager Facilities Management/Operations/Engineering—VP/Director
Sales—VP/Director/Manager Legal Affairs/Counsel
Telecommunications—VP/Director/Manager Program—VP/Director/Manager
Public Relations—VP/Director/Manager Professional Services—VP/Director
Planning & Development—VP/Director Health Care/Services—VP/Director/Manager
Corporate Communications—VP/Director/Manager Home Health Care—VP/Director/Manager
Medical Records—Administrator/Director/Manager Consultant
Quality Management—VP/Director/Manager Other (please specify)
Quality & Patient Safety—VP/Director


4. Number of beds in your organization: (select only one)
500-over 100-199
400-499 50-99
300-399 26-49
200-299 1-25


5. H&HN is an audited circulation magazine. In order to verify request without availability of a signature, Health Forum's auditors require that we ask for one piece of personal information from you. This information is solely for the purpose of audit requirements. What is the city of your birth?


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  What is the number of employees in your entire organization? (select only one)
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500-999 20,000+
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  Job Title/Function: (select only one)
Chairman/Vice Chairman/President/CEO VP/Director of Finance/Treasurer/Controller
CTO/CIO/Information Technology Officer VP/Director of Sales/Marketing/PR/Business Dev
CFO/Chief Investment Officer VP/Director of Strategy/Corporate Development/Planning
COO/CAO/CBO Risk Management/Market Data/Data Management
Chief Compliance Officer/Chief Government Affairs Officer Other Executive VP/Senior VP/Vice President
Chief Credit Officer/Chief Risk Officer General/Corp Counsel/Company Secretary
Chief Legal Officer Market Analyst
Managing/Sr/Ex Director/Gen Mgr/Director/Principal Broker/Trader
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  Number of beds in your organization: (select only one)
500 and up 100 - 199
200 - 499 1 - 99
  Please indicate type of Facility / Service / Firm: (select only one)
Hospital/Multi-Hospital System Managed Care Organization (HMO, PPO, Healthplans)
Integrated Delivery System/Health Network Insurance Company
University/Teaching Medical Center/Hospital Third Party Administrators (TPA)/Self-Insured Employer
Military/Government Medical Center/Hospital Pharmacy/Independent Lab
Clinical/Group Practice IT Consulting/Systems Integration
Physician Organization (IPA/PHO) Consulting Firm
Ambulatory Care Center VAR/Vendor of Systems
Long-Term/Sub Acute Care Facility/Nursing Home/Rehab Other (please specify)
Home Health Care Agency
  Please select the category that best describes your title: (select only one)
General and Financial Management Information Management cont.
CEO, President, Executive Director, Administrator Other IT Personnel (please specify)
CFO, Finance Director/Manager
CSO/Security Officer/Director Network/MIS/Data Processing Director/Manager
Planning Officer/Director Health Information Director/Manager
Marketing Officer/Director Coding/DRG Director/Manager
COO, VP, Assistant Administrator Systems Administrator/Analyst/Network Specialist/Project Manager
CCO, Compliance Director/Manager Clinical Management
CPO/Purchasing/Materials Management Director/Manager Chief of Staff/Medical Director/VP of Medical Affairs
Quality Officer/Director Chief of Pathology/Pathologist
Other Administrative Title (please specify) Chief of Radiology/Radiologist
Other Clinical Administration (please specify)
Information Management
CIO, VP of Information Systems, Tech Officer Chief of Laboratory Services/Lab Administrator
Chief of Medical Records/Medical Records Manager Chief of Pharmacy/Pharmacist
Director/Manager of Medical Informatics Chief/VP of Nursing Services/Asst Director/Case Manager
Director/Manager of Telecommunications/Call Center Director/Manager Other Title (please specify)
  What is the number of employees in your entire organization? (select only one)
less than 50 1,000 - 4,999
50 - 450 5,000 - 9,999
451 - 750 10,000 - 19,999
751 - 999 20,000+

     

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