Medical Construction & Design
  Medical Construction & Design is free to qualified professionals. Summary Description
  To apply for a FREE subscription to Medical Construction & Design, please answer ALL of the questions on the form below.
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  What is the approximate number of employees in your company? (select only one)
 
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2. Please indicate your primary business/industry: (select only one)
Construction/General Contractor Supplier/Manufacturer
Engineering Government
Architecture Education
Interior Design Other (please specify)
Hospital/Health Care Facility


3. Please indicate which best describes your title: (select only one)
Architect CFO, COO
Engineer Facility Manager
Interior Designer Vice President/Director
Project Manager Other (please specify)
Owner, President, CEO


4. Which types of facilities do you or your firm work with? (select all that apply)
Hospitals University/Medical Schools
Surgery Centers Other (please specify)
Medical Office Buildings
Nursing Homes


5. How much will your organization spend on renovation/construction projects in the next 12 months? (select only one)
Up to $1,000,000 $10 million - $24,999,999
$1 million - $4,999,999 $25 million - $100 million
$5 million - $9,999,999 More than $100 million


6. In order to verify your request for this publication, without the availability of a signature our audit bureau requires that we ask a personal identifying question. This information is used solely for the purpose of auditing your request. Enter the last digit of the year you were born.


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  Net Worth: (select only one)
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$100,000 to $500,000 > $1,000,000
  Capital To Invest: (select only one)
< $20,000 $50,000 to $100,000
$20,000 to $50,000 > $100,000
  When would you like to start? (select only one)
Now 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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  Which of the following best describes your industry? (select only one)
Agriculture Healthcare Service Provider
Apparel Healthcare
Banking Hospital
Biotech Insurance
Chemical Manufacturing
Communication Media
Construction Not for Profit
Consulting Pharmaceutical
Education Retail
Electronics Shipping
Energy Technology
Engineering Telecommunications
Entertainment Transportation
Environmental Utilities
Finance Other (please specify)
Food and Beverage
. 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
50-99 5,000-9,999
100-499 10,000-19,999
500-999 20,000+


     

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