HIU Registration Form

The Royal College of Physicians Health Informatics Unit was established in 2001 to set and improve professional standards, develop educational resources, influence policy and practice and involve clinicians and patients in improving healthcare information management to ultimately benefit patient care.

We are keen to inform and involve as many people as possible in our activities and want to ensure that our work is appropriate across different professions and specialties. To help us to do this we would like you to register your interests using this form. We will tailor our communications to your needs and invite you to participate in the work that we are doing in those areas you have indicated.

Data Protection - Please Read This

  1. The purpose of our retaining this information is to enable us to provide you with information specific to your needs and to enable us to invite you to become involved in projects in subject areas that you are interested in.
  2. The information will not be used for any other purpose without your permission.
  3. Only persons employed by the Royal College of Physicians (RCP) and those working directly for the RCP Health Informatics Unit (but may work remotely and be employed by other organisations) will be able to view the data.
  4. Your personal details will not be passed to any third party.
  5. The information on this registration form is the only information we will be retaining about you.
  6. By submitting this registration form, you are agreeing to the use of the information you have submitted in the manner described.

Your Contact Details

Surname
Forename

Title

Email
Daytime phone number
Organisation Name
Work Address
Post Code

Your Work

We need this information to enable us to analyse the professional make-up of our registrants.

Which setting is your main place of work?

Other:

What is your profession?

Other:

Do you hold any other roles?

What is your main specialty?
(if applicable)

What is your grade?
(if applicable)

(e.g. Consultant, SpR, S1, S2, S3, S4)

What is the date of your qualification?
(if applicable)

Your Interests

We would like to know which areas of clinical information management you are interested in.

Please indicate the areas you are interested in:

Medical record keeping standards
Electronic records functionality
Use of Data
Summaries of care
Data quality
Performance monitoring
Research
Hospital activity data

Other:

Level of Involvement

We would like to know what information you would like to receive from or via the Health Informatics Unit at the RCP. We would also like to know which areas of work you would like to be directly involved in and which organisations you would like to be involved with.

Please indicate who you would like to be INFORMED about the work of:  
Receive updates only
Test/Pilot of online questionnaire
Attend workshops
Participate/Coordinate hospital pilots
Provide online feedback on documents being produced
Participation in testing electronic system
    

Please use this box to add any other comments you may wish to make


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Updated 5 March, 2009