How many hospitals are in your system? *

1

2-5

6-15

16+

Which best describes your role? *

I run IT, or a major function of it

I'm the CIO or CTO

I work in IT but don't own the platform

Finance or operations leadership

What ITSM platform do you run? *

ServiceNow

Jira

Fresh Service

ManageEngine

Zendesk

Halo

Other

We don't have one

Has your system acquired or merged facilities in the last 10 years? *

Yes

No

Not sure

The last major incident — were you able to explain to leadership why it happened? *

Yes

No

We don't formally track root cause

Full Name *

Organization *

Phone *

Email *