First Name

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Company

Facility Type Short-term Acute Care Hospital Correctional Facilities Children's Hospital Critical Access Department of Defense Federally Qualified Health Center Health System Home Health Hospice Long Term Acute Care Hospital Other Pharmacy Psychiatric Hospital Rehabilitation Hospital Religious Non-Medical Health Care Institution Renal Dialysis Clinic Retail Clinic Rural Health Clinic Skilled Nursing Facility Urgent Care Clinic VA Hospital GPO Distributor Ambulatory Surgical Center Institutional Pharmacy Oncology Clinic Non Acute International Hospital

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State/Province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon

City

Practice Area Pharmacy Anesthesiology Nursing Medicine Information Technology Finance Supply Chain Operations Other

Role Executive/C-Suite Director Manager Staff Other Physician Fellows Resident Student

Job Title

What steps are you taking from a staffing, supply chain and resources standpoint?

What’s working well?

What challenges do you face?

Where do you need help?

Any other insights you’d like to share?

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