Materials Management in Health Care
  Materials Management in Health Care 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 check the one category that best describes your title: (select only one)
CFO Registered Nurse
CPO/VP/Director of Materials Management/Purchasing Infection Control—Officer/Director/Manager
Materials Management/Purchasing—Manager/Coordinator Infection Control—Specialist/Nurse/Coordinator
Buyer/Purchasing Agent CS/Sterile Processing—Chief/Director/Manager
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Administrator Support Services—VP/Director/Manager
COO Clinical Svcs—VP/Director/Manager
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Contract—Administrator/Director/Manager Finance & Accounting—VP/Director
Logistics—Officer/Director/Manager Revenue Cycle—VP/Director/Manager
Value Analysis—VP/Director/Manager Inventory/Distribution/Storeroom Manager
Operating Room—VP/Director/Manager Safety—Officer/Director/Manager
Surgical Services—VP/Director/Manager Business Manager/Accounting Manager
Surgical Services/Operating Room—Nurse Manager Laboratory—Director/Manager
Perioperative Svcs—VP/Director/Manager Consultant
CNO/CNE/VP of Nursing Other (please specify)
Nursing—Director/Manager


3. 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—General/Acute Hospital Group Purchasing Organization or Alliance
Hospital—Specialized Government Purchasing Agencies
Academic Medical Center Consulting Firm
Emergency Department Manufacturers of Hospital Equipment & Services
Surgi-Center/Ambulatory Care Center Other (please specify)
Medical Clinic/Group Practice


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. I am a member of the Product Evaluation Committee:
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6. I am a member of the Safety Committee:
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7. Please check the area(s) for which you have purchasing involvement: (select all that apply)
Operating Room Products/Equipment Monitoring & Diagnostic Equipment
Central Service Products/Equipment Business Equipment/Supplies
Infection Control Products/Equipment


8. Which of the following products/services do you recommend, specify or buy? (select all that apply)
INVENTORY CONTROL OPERATING ROOM (cont.)
Asset Management Products/Services Surgical Gloves
Forms Custom Procedure Trays/Kits/Packs
Bar Coding/Labeling Systems Surgical Lights/Lighting Systems
Handheld/Point of Use Products Drapes
Cabinets Tables & Stretchers
Instrument Tracking Systems Endoscopy/Endoscopic Products
Carts Materials Management Wound Care/Hypothermia Products
Supply Chain Info Systems Gowns & Protective Wear
Computer Hardware Instruments
Printers/Scanners/Copiers/Multifunction Other OR Products
Contract Management Systems  
Storage Systems INFECTION CONTROL
File/Retrieval Systems Air Purification Systems
Other Inventory Control Products Hand Hygiene Products & Dispensers
  Cleaning Equipment & Supplies
PATIENT CARE Protective Wear
Bariatric Specialty Equipment/Supplies Disaster Preparedness Products
Patient Warming/Positioning Products Sharps Safety Products
Diagnostic Equipment Disinfectants & Sterilants
Respiratory Care & Monitoring Sterilization Supplies & Equipment
ID/Security/Alert Systems EtO Monitoring Devices
Scales Sterilization Wraps & Containers
IV Systems/Syringes Gloves
Temperature/Blood Pressure Monitoring Other Infection Control Products
Linens  
Wound Management/Bandages/Wraps OTHER PURCHASING & SERVICES
Patient Beds/Furniture Business Equipment & Supplies
Other Patient Care Products Equipment Imaging Supplies & Equipment
Patient Transport/Lifts Communications Equipment
  Laundry Supplies & Equipment
OPERATING ROOM Laboratory Equipment/Supplies
Cardiac Equipment and Supplies Environmental Services Products
Orthopedics Shipping and Transport
Catheters/Needles Facility Equipment & Maintenance
Scheduling Systems Waste Management
Critical Care  
None of the Above


9. MMHC 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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  Which of the following best describes your industry? (select only one)
Agriculture Healthcare
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  Which of the following is closest to your job function? (select only one)
President/C-level Manager Manager/Director - Commissions
VP Marketing/Sales/Operations/Business Development IT Staff
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  What is the number of employees in your entire organization? (select only one)
Less than 50 1,000-4,999
50-99 5,000-9,999
100-499 10,000-19,999
500-999 20,000+

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  What is the number of employees in your entire organization? (select only one)
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0-3 months 6-9 months
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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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