HealthLeaders
  HealthLeaders is free to qualified professionals. Summary Description
  To apply for a FREE subscription to HealthLeaders, please answer ALL of the questions on the form below.
  The publisher determines qualification and reserves the right to limit the number of free subscriptions.
  Geographic Eligibility: USA


 
1. Do you wish to receive a FREE subscription to HealthLeaders?
Yes     No


First Name:
Last Name:
Job Title:
(Ex: Director, Vice President, Project Manager, etc.)
Company:
(Please provide your Company Name in full: abbreviations could disqualify you)
Address:
Dept/Mail Stop/Suite:
City:
State/Province:
Zip Code/Postal Code:
Country:
(Note: If your country is not listed above, subscriptions are not currently available at your location.)
Business Phone:
Business Fax:
Email Address:
 
Yes, please auto-fill my contact information for other publication qualification forms.

  What is the approximate number of employees in your company? (select only one)


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


3. Which of the following best describes your place of employment? (select only one)
Hospital Government, Education/Academic
Health System (IDN/IDS) Vendor/Supplier (Technology, Pharmaceutical, GPO)
Physician Org (MSO, IPA, PHO, Clinic) Professional Services (Consulting/Law/Financial Services)
Health Plan/Insurer (HMO/PPO/MCO/PBM) Other (please specify)
Ancillary, Allied Provider (Home Health, SNF, Lab, Rehab Post-Acute, etc.)


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
Executive Dir., Partner, Board Member VP Clinical Informatics
President VP Clinical Quality
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
VP Dir. Operations/Administration VP/Dir. Marketing/Sales
CLINICAL MANAGEMENT VP/Dir. Media Relations
Chief of Cardiology MEMBER of CONGRESS
Chief of Neurology U.S. House Representative
Chief of Oncology U.S. Senator
Chief of Orthopedics OTHER
Chief of Radiology Other (please specify)
Chief Nursing Officer


5. Which best classifies your place of employment by the number of beds? (select only one)
1–50 beds 500–999 beds
51–199 beds 1,000+ beds
200–499 beds Not classified by number of beds


6. Which best classifies your place of employment by the number of sites within your organization? (select only one)
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+
100,000–249,999 Not classified by number of enrollees


  Would you like to receive EMAIL notices of other print or online publications, and other relevant offers from TradePub.com?
Yes     No
  Sign up for special offer alerts from select partners featuring the latest products and services you are interested in.
Yes     No
Related FREE Offers from TradePub.com: Check those you wish to receive.
c_msf20 Receive Your Complimentary White Paper NOW: Improving Sales Productivity: An Opportunity for Sales and IT Leadership. This white paper reveals key factors in sales rep productivity, including what helps improve their efficiency (increasing selling time) and effectiveness (getting better results from the available selling time). In this economy, insurance organizations are looking for ways to drive more connected experiences with customers by focusing on increasing sales productivity. The white paper, based on key findings from a 2008 CustomerThink survey of sales professionals and business managers, outlines the key factors that thought leaders say contribute the most to sales productivity. It addresses the critical role technology plays in the process, and outlines best practices for sales and IT leaders to use to drive value, realize efficiencies, and ultimately improve their bottom line. Note: Offer Valid in the United States Only.
  Company Employee Size:
  Job Role/Title:
Microsoft may send me pertinent security, product, and event information via: (select all that apply)
Work Address
Email Address
Business Phone Number
Microsoft Partners may contact me with information about their products, services, and events.
c_hnhn I wish to receive a FREE subscription to Hospitals & Health Networks. For eight decades, Hospitals & Health Networks has continually provided hospital and health care business executives with direction, perspective and information essential to their life's work. Hospitals & Health Networks chronicles the values and ideas that drive the new era in health care. H&HN is the place leaders turn for new insights and to recharge their imagination. H&HN stands for stewardship, creativity and results. It delivers short, high-impact reporting and analyses on trends and issues that interest health care executives and emerging leaders. H&HN covers the trends that drive strategic decision-making in health care provider and payer institutions across the country. Note: Offer Valid in USA Only.
  Please check your preferred format. Both Print and Digital     Digital
  Do you wish to receive Health Forum's e-newsletter H&HN Weekly for FREE? Yes     No
  Please indicate your primary type of institution/firm:
Please Specify for Other:
  Please check the one category that best describes your title:
Please Specify for Other:
  Number of beds in your organization:
  Other than subscription notices, would you like to receive additional industry-related information for Health Forum and the AHA? Yes     No
  Hospitals & Health Networks is an audited circulation magazine. In order to verify request in lieu of a signature, Health Forum's auditors require that they ask for one piece of personal information from you. This information is solely for the purpose of audit requirements. What was the last high school you attended?
c_hfmg I wish to receive a FREE subscription to Health Facilities Management - an American Hospital Association publication, is the nation's leading and most trusted magazine for those passionate about designing, building and maintaining safe, efficient and sustainable health care environments. Leading the field for more than 20 years, HFM brings a multidisciplinary approach to coverage, focusing on architects, designers and facilities managers are collaborating to shape today's new construction and renovation projects. HFM delivers the most decision-makers in the hospital design, construction, facilities management and environmental services fields (27,000). HFM is a must-read for:
  • Directors of Engineering
  • Facilities Managers
  • Plant Operations Directors
  • Directors of Planning and Development
  • Architects
  • Interior Designers
  • Infection Control Specialists
  • Directors of Safety/Security
  • Biomedical Equipment Managers
HFM is published 12 times a year and the publication has strategic content alliances with industry-leading groups like the American Society for Healthcare Engineering, the American Society for Healthcare Environmental Services and the American College of Healthcare Architects. In addition, HFM publishes exclusive surveys each year on hospital construction and other topics. Note: Offer Valid in USA Only.
  Please check your preferred format. Both Print and Digital     Digital
  Do you wish to receive Health Forum's e-newsletter Health Facilities Management Online for FREE? Yes     No
  Please indicate your PRIMARY type of institution/firm:
Please Specify for Other:
  Please check the one category that best describes your title:
Please Specify for Other:
  Number of beds in your organization:
  Are you directly involved in any renovation/construction projects for your organization? Yes     No
  How much will your organization spend on renovation/construction projects in the next 12 months?
In the performance of my job, I buy, specify and/or influence the purchase of the following products: (select all that apply)
SERVICES FURNITURE/FINISHES cont.
Engineering Services Wayfinding/Signage
Design/Construction Products & Services Furnishings
  ENVIRONMENTAL SERVICES
BUILDING INFRASTRUCTURE Cleaning Supplies/Equipment
HVAC Waste Handling/Products/Services
Boilers/Chillers Hazardous/Regulated Waste Products/Services
Building Controls Laundry Equipment/Supplies
Electrical Systems Patient Transportation
Generators/Power Systems  
Fire Safety Equipment TECHNOLOGY
Security/Safety/Fire Protection Computer Equipment/Services/Software
Roofing Materials Medical Equipment
Plumbing Fixtures Asset Tracking Systems
  Clinical/Biomedical Equipment
FURNITURE/FINISHES Telecom/Communications Equipment
Flooring/Ceiling Products Patient Entertainment/Education Systems
Lighting Products  
Wall Coverings None of the Above
  Other than subscription notices, would you like to receive additional industry-related information for Health Forum and the AHA? Yes     No
  Health Facilities Management is an audited circulation magazine. In order to verify request in lieu of a signature, Health Forum's auditors require that they ask for one piece of personal information from you. This information is solely for the purpose of audit requirements. What was the last high school you attended?
Request Your Complimentary White Paper NOW - Synchronizing the Distribution Supply Chain with Mobility. Mobile technologies give you the visibility you need to improve the velocity and value of your entire supply chain. Thanks to growing customer demands and shrinking profit margins, there's simply no room for a sluggish supply chain. That's where mobile and wireless technologies are making a difference. From the production line to the checkout line, from the warehouse to the delivery truck, mobile solutions are replacing old-fashioned manual processes. By putting wireless computers into the hands of your work force, you eliminate time-consuming and error-prone paper processes. This increases accuracy, raises productivity, and improves collaboration up and down the supply chain. Note: Offer Valid in USA, Canada Only.
  Which of the following best describes your industry?
Please Specify for Other:
  Which of the following is closest to your job function?
Please Specify for Other:
  What is the number of employees in your entire organization?


 
Security Check: Enter both words below, separated by a space.

     

* Note that a valid email address is required to fulfill your request. Please verify that the email and mailing address you provided are accurate before hitting the submit button.
* The publisher reserves the right to limit the number of free subscriptions and/or reject requests based on information provided.
Problems with the form? Webmaster@TradePub.com
Copyright © 2009 NetLine Corporation, All Rights Reserved.
Copyright © 2009 HealthLeaders, All Rights Reserved.
By submitting this form, your information is subject to TradePub.com's privacy policy.