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2. In lieu of a signature, HealthLeaders Media requires a unique identifier used only for subscription verification purposes. What is your month of birth?


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Hospital Government, Education/Academic
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4. Which of the following titles most closely describes your position/title? (select only one)
SENIOR MANAGEMENT CLINICAL MANAGEMENT cont.
Administrator Dir. of Ambulatory Services
Chief Compliance Officer Dir. of Clinical Services
Chief Executive Officer Dir. of Emergency Services
Chief Financial Officer Dir. of Inpatient Services
Chief Information Officer Dir. of Intensive Care Services
Chief Medical Officer Dir. of Nursing
Chief of Staff Dir. of Rehabilitation Services
Chief Operations Officer Dir. of Surgical/Perioperative Services
Chief Purchasing Officer Medical Director
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Principal Owner VP Clinical Services
OPERATIONS MANAGEMENT VP Medical Affairs (Physician Mgmt /MD)
Asst. Administrator VP Nursing
Chief Counsel FINANCIAL MANAGEMENT
Dir. of Patient Safety VP/Dir. Finance
Dir. of Purchasing INFORMATION MANAGEMENT
Dir. of Quality Chief Medical Information Officer
Dir. of Safety Chief Technology Officer
VP/Dir. Compliance VP/Dir. Technology/MIS/IT
VP/Dir. Human Resources MARKETING MANAGEMENT
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CLINICAL MANAGEMENT VP/Dir. Media Relations
Chief of Cardiology MEMBER of CONGRESS
Chief of Neurology U.S. House Representative
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Chief Nursing Officer


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1–5 50+
6–20 Not classified by number of sites
21–49


7. Which best classifies your place of employment by the number of physicians? (select only one)
1–2 50–99
3–9 100+
10–25 Not classified by number of physicians
26–49


8. Which best classifies your place of employment by the number of enrollees? (select only one)
1–49,999 250,000–499,999
50,000–99,999 500,000+
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