Medical Laboratory Observer
  Medical Laboratory Observer is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Medical Laboratory Observer, please answer ALL of the questions on the form below.
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Yes, I would like to receive MLO's monthly email newsletter, LABLINE.

  What is the approximate number of employees in your company? (select only one)
 
Yes, please auto-fill my contact information for other publication qualification forms.


2. For auditing purposes, please enter the high school you last attended: (Provide last school attended if high school does not apply.)


3. Please select the type of laboratory and/or facility: (select only one)
Hospital Lab - Private Blood Bank
Hospital Lab - VA Medical School/Med Tech/CLS Ed Programs
Hospital Lab - Military Biomedical Industrial Lab
Hospital Lab - Public Health Free Standing Emergency Ctr/Ambulatory Care Ctr
Hospital Lab - State/County/City Group Purchasing Organization
Hospital Lab - University/Teaching HMO/PPO
Hospital Lab - Other Physicians Office Laboratory
Independent Lab Other (please specify)
Group Practice Lab
Gov't/Public Health Lab (non-hospital)


4. Please select your primary job function: (select only one)
Pathologist Group Practice Mgr/Administrator
Lab Director Lab Info Systems Manager
Lab Manager/Administrator/Supervisor Education Coordinator
Chief Medical Technologist Nurse Laboratorian
Assist Chief Medical Technologist Owner/Officer/Purchasing
Hospital Administrator Clinical Researcher
Clinical Chemist POL Director
Microbiologist Other(please specify)
Physician


5. Number of beds in your organization: (select only one)
0 - 25 200 - 299
26 - 49 300 - 399
50 - 99 400 - 499
100 - 199 500+


6. Please indicate the annual volume of testing performed by your lab: (select only one)
Less than 2,000 50,001 - 75,000
2,000 - 10,000 75,001 - 100,000
10,001 - 25,000 100,001 - 500,000
25,001 - 50,000 500,001 - 1,000,000


7. Please check all areas for which you have purchasing involvement: (select all that apply)
Barcode/Patient ID Systems Centrifuges
Blood Collection Devices Chemistry Analyzers/Instruments
Certification and Education Programs Coagulation Analyzers
Chemistry, Reagents and Test Kits Cytology/Histology, Tests and Instruments
Coagulation, Reagents and Test Kits Diagnostic Testing Services
Diagnostic Equipment and Instruments Employment/Staffing Services
Disinfectants and Sterilants Genetic Testing, Reagents, Test Kits, and Instruments
Flow Cytometry Instruments and Test Kits Hematology, Reagents, Test Kits, and Controls
Hematology Analyzers Infectious Disease, Test Kits
Imaging Systems Lab Furniture and Lighting
Lab Automation Systems (Software) Microbiology, Media, Reagents, Test Kits/Instruments
Laboratory Info Systems Molecular Biology, Reagents, Test Kits/Instruments
Microscopes/Digital Cameras Protective Apparel/Gloves
Point-Of-Care Testing Reference Lab Testing Services
Rapid Tests Safety Products
Refrigerators/Chillers Specimen Collection Needles/Tubes/Containers/Identification Products
Slide Markers and Strainers Urinalysis,
Specimen Transport Water Purification Systems
Waste Management and Disposal Products None of the Above
Blood Bank Supplies


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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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Copyright © 2008 Medical Laboratory Observer, All Rights Reserved.