2010 SDAHQ Membership Brochure

1. 2010
SDAHQ Membership Application
CMS
Questions?
Contact Membership Committee Chair
Julie Girard
Phone: 605-624-2611
E-mail: Gerardj@sanfordhealth.org
PLEASE RETURN APPLICATION AND
$40.00 ANNUAL MEMVERSHIP DUES
(JANUARY—DECEMBER) DUE
PAYABLE TO SDAHQ TO THE
FOLLOWING ADDRESS:
SDAHO
ATTN: RHONDA CHRISTENSON
3708 BROOKS PLACE
SIOUX FALLS, SD 57106
Name:
___________________________
Title:
___________________________
Organization:
__________________________
Org. Address:
___________________________
___________________________
____________
Work Phone:________________
Fax:________________________
E-Mail: * Required
___________________________
Membership Application

2. The South Dakota Association
for Healthcare Quality (SDAHQ)
is an organization dedicated to
healthcare quality in all settings.
SDAHQ is affiliated with the
National Association for
Healthcare Quality (NAHQ) and
the South Dakota Association of
Healthcare Organizations
(SDAHO).
SDAHQ members include
professionals in acute care,
managed care, long-term care,
community and home health,
ambulatory care as well as
consultants and educators.
EDUCATION
SDAHQ offers educational opportunities during our Spring
Conference each May and at the Fall Annual Meeting which
coincides with the SDAHO Annual Convention. The
educational committee is offering educational opportunities
throughout the year.
NEWSLETTER
The newsletter provides members with updates and articles
of interest as well as upcoming programs. This is published
seasonally, or 4 times a year
DIRECTORY
Compiled annually and distributed to all members, this
important resource contains a current listing of members
including contact information to promote networking.
SDAHQ Objectives
1. To establish a formal communication network for
professionals throughout the state in order to share
information of common interest
2. To provide a mechanism for supplying education
opportunities that is specific to the unique needs of the
membership of this state
3. To provide a support group for the individual members in
their endeavors to meet the ever evolving and more complex
requirements of their professional
responsibilities.
4. To create professional standards for hospitals for use as
guidelines when developing standards of practice at the
local level.
5. To increase the perception of professionalism in healthcare
quality providers within the state of South Dakota
National Affiliation
SDAHQ is an affiliated state organization of NAHQ the
nation’s leading organization for healthcare quality
professionals. Its mission is to improve the quality of
healthcare and to support the development of professionals in
healthcare quality.
FOR ADDITIONAL INFORMATION PLEASE CALL
TOLL FREE 1-800-966-9392 OR VISIT www.nahq.org
PLEASE RETURN APPLICATION AND
$40.00 ANNUAL MEMBERSHIP DUES
(JANUARY- DECEMBER) DUE
PAYABLE TO SDAQM TO THE
FOLLOWING ADDRESS:
SDAHO
Attn: Rhonda Christenson
3708 Brooks Place
Sioux Falls, SD 57106
Education: check all that apply
___RN ___LPN ___BSN ___BS/BA/Other
___MD___Masters ___RHIT ___RHIA _
___MSW ___JD ___PhD
___Other:____________
Employer/Organization/Facility Type:
Select ONE
__Gen/Acute __Psych/Substance __Peds
__Rehab/SNF __Mang. Care/Insurance
__Chronic/Long Term __VA __Education
__Ambulatory/Office __Consulting/Service
__Home Health __Military __Other:_________
Position regardless of title: Select ONE
__Administrator __Analyst/Coordinator
__Consultant __Director/Manager
__Supervisor __Staff Nurse __Physician
__Staff Assistant __Other:____________
Primary area of responsibility/interest:
Select ONE
__PI/CQI/TQM __QA/UR __Case Mang.
__UR/UM __Risk Mang. __Infection Cntrl
__Health Info __Med Staff Services
__Other:_______________
Are you a Certified Professional in Healthcare
Quality? (CPHQ) ____yes ___no
Are you a NAHQ Member? ___yes ___no
Is this your first SDAHQ Application? ___yes
___no
South Dakota Association for
Healthcare Quality
Benefits of Membership PLEASE COMPLETE: