AEHIT Membership Application - Healthcare Technology - AEHIT : Healthcare Technology

Personal Information

Pronoun

Name*

First Middle Last Designation

Date of Birth

Graduate Degree(s)

Organization Name*

Organization's Website

Job Title*

Start Date

To whom do you report? (CEO, COO, etc.)

What is the name of your organization's CIO?*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone Number*

Alternate Phone Number

Mobile Phone Number

Primary Email*

Alternate Email

Association Membership(s)

Please Specify

What are your areas of expertise?*

Which best describes your facility/organization?*

Please Specify

Number of staffed inpatient beds

How did you hear about AEHIT?

Would you be interested in participating in any of the following AEHIT committees?

(Select all that apply)

Communications
The purpose of the Committee is to provide strategic planning support and policy oversight to ensure focus and direction of Communications (messaging, formats, cadence, and content, including website) and is charged with assisting in developing and executing the strategic communications plan for AEHIT and its members.
Innovation
The purpose of the Committee shall be to review the overall capabilities and strategic direction in matters related to technology and technology operations in the Healthcare sector of technology, science, operations (people and process) and innovation. This will focus on identifying technology, science and innovation related risks that could have a significant impact on the sectors’ technology and technology operations and its pursuit of its short, mid-, and long-term strategic goals.
Membership Outreach
The purpose of the Committee is to provide direction and guidance to the Board to establish new and enhance existing relationships and partnerships with individuals and Foundation Firms within AEHIT’s target audience of organizations and individuals to evaluate membership opportunities; monitoring and examining existing programs and facilitating discussions about innovative programs and program priorities.

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