2015 Rural Health Clinic
Conference Call for Presentations
RHC Conference: September 29-30, 2015
Kansas City, MO
Submissions Open: February 16, 2015
Submission Deadline: May 18, 2015
Submission and General
Information
* Please check all boxes below to confirm your acceptance of NRHA requirements: X I understand that all presenters will be required to pay a registration fee.
X I understand that I must provide my own computer the day of the conference, with my presentation loaded.
X I understand no honoraria or travel expense reimbursement will be provided, and that I must make my own travel and hotel arrangements.
X I have read the submission requirements, general information and terms of agreement sections located at the end of this document and agree to comply with all guidelines contained therein.
Proposed Session Information
* Session title (8 words or less)Survival strategies for RHCs under health care reform
* Is this topic broad enough to appeal to attendees of the CAH Conference, as well? (Please note that your answer will not affect the probability of being selected for presentation).
Yes X No
* Session Description
Provide a brief overview in 50 words or less. Please indicate how your session will impact rural populations. NRHA reserves the right to edit session descriptions for size, clarity, and marketing purposes.
Relieve financial pressure on your critical access hospital (CAH). This discussion covers survival strategies for stronger stability and fiancial performance in the current regulatory and legislative environment.
* Learning Objectives: Please list three and express them in behavioral terms: At the end of this session, attendees will be able to...
1. Identify opportunities and strategies that will result in increased financial stability 2 Evaluate the Medicare profitability of existing service lines
3 Develop financial and revenue cycle performance measures
* This session is geared for the following types of RHC: Freestanding
Provider-based X Can be useful to both
* Learning Level:
Intermediate [other choices will be “introductory” and “advanced”] * Session Format:
Panel Presentation Hands-on Workshop Roundtable
X Didactic Lecture
Primary Contact Information
The primary contact is not necessarily a speaker, but will be the person that NRHAcoordinates with regarding speaking times and logistical information. A full slate of speakers is required at the time of submission.
* First Name Steve
* Last Name Parsons
Credentials (doctorates only) JD
* Title
Senior Managing Consultant * Organization
* Street Address 55 Williams Street Address Line 2 Suite 150 * City Olathe * State KS * Zip Code 66061 * Phone Number 913-555-1212 * Email Address [email protected]
* Will the primary contact be speaking as well? X Yes
No
Speaker Information
If the primary contact is also a speaker, there is no need to re-submit contact information. However, please make sure to include the brief speaker biography below. In addition, please include complete information for all other speakers below.
Speaker 1:
* First Name* Last Name
Credentials (doctorates only) * Title * Organization * Street Address Address Line 2 * City * State * Zip Code * Phone Number
* Email Address
* Brief Speaker Biography
Please limit biography to 150 words or less. If selected, this will serve as your speaker introduction. Briefly describe your professional experience or areas of exptertise which contribute to this continuing education activity. PLEASE SPELL OUT ALL ACRONYMS. NRHA reserves the right to edit biographies for size, clarity, and marketing purposes.
Steve has more than 14 years of experience assisting health care organizations with
Medicare and Medicaid reimbursement, cost report prepareation and consulting on complex reimbursement issues. Steve is also experienced in hosptial pricing strategy,
disproportionate share recovery, wage index reviews and health care compliance projects. Before joining Fossie and Hearns, he worked for several years with a Medicare fiscal
intermediary.
Speaker 2:
* First Name Joe * Last Name WilsonCredentials (doctorates only) n/a
* Title Partner
* Organization
Fossie and Hearns, LLP * Street Address 55 Williams Street Address Line 2 Suite 150 * City Olathe * State KS * Zip Code 66061 * Phone Number 913-555-1212 * Email Address [email protected]
* Brief Speaker Biography
Please limit biography to 150 words or less. If selected, this will serve as your speaker introduction. Briefly describe your professional experience or areas of exptertise which contribute to this continuing education activity. PLEASE SPELL OUT ALL ACRONYMS. NRHA reserves the right to edit biographies for size, clarity, and marketing purposes.
Joe has served the health care industry since 1991. He is chief recruiting partner in Fossie and Hearns’ Olathe, Kansas office. Joe serves as the engagement executive for a large practice of hospital, physician and long-term care clients and provides financial statement audit services, Medicare and Medicaid consulting services and corporate integrity services. Joe is a nationally know author whose articles have been published in national magazines and is the past president of the Sunflower Chapter of the Health Care Management Association (HFMA).
Speaker 3:
Speaker 4:
Submission Requirements,
General Information and Terms of
Agreement
1. Incomplete submissions will not be reviewed. This includes a full slate of speakers with complete
contact information.
2. A letter of acceptance will be emailed in late June or early July 2015.
3. Presenters may not use any conference presentation to market products or services; exhibit space
is available to NRHA services corporation partners for that purpose.
4. If accepted, presenters must register for the conference and pay the appropriate registration
fee. As a small gesture of our appreciation for the labor in preparing your presentation, NRHA will offer a limited-time 50% discount on the speaker registration fee if received by Aug. 25, 2015.
To receive the speaker discount, contracted speakers will be sent a special link by Donna Douglas.
This link is non-transferable. NRHA speakers are contracted through Donna Douglas, and no one
other than the selected speakers will receive a registration discount. If a speaker must cancel,
registration penalties apply. Cancellations made at least three weeks prior to the event will be charged a 30% administrative fee. No refunds for cancellations are possible after this date.
5. A complete slate of speakers is requested at the time an abstract is submitted. No speaker changes
may be made after Aug. 1, 2015, and no speakers will be contracted through NRHA after that date. If a contracted speaker wishes to add personnel to contribute to his/her session, they must be enlisted as panelists, and will not receive any registration discounts or other benefits of speakers. Personnel enlisted at the pleasure of speakers and not contracted through NRHA by Aug. 1, 2015, will not be listed in the printed or mobile application programs and must register for the conference through the NRHA website.
6. No honoraria or travel expense reimbursement will be provided for any presenter submitting
through the "Call for Presentations." It is the presenter's responsibility to make hotel arrangements. NRHA encourages presenters to do so by the NRHA hotel reservation deadline of Aug. 25 to secure discount rates and best availability.
7. Speaker Duties: In connection with the performance of work under this agreement, the speaker
agrees not to discriminate against any person because of age, race, religion, gender, color, handicap, sex, physical condition, disability, sexual orientation, or national origin.
The speaker, his/her officers, agents and employees (if applicable) in the performance of this agreement shall act in the capacity of an independent speaker and not as an officer, employee or
agent of the National Rural Health Association. As such, the parties will each be responsible for their own acts and negligence as determined by law.
The National Rural Health Association agrees to hold harmless the speaker, and the speaker agrees to hold harmless the NRHA, their respective officers, agents and employees from any loss, claim,
damage or liability of any kind arising out of or in connection with or occurring during the course of this agreement where such liability is founded upon or grows out of the acts or omissions of any of the officers, employees or agents of either party.
Speakers who intend to use PowerPoint presentations must adhere to the following:
• The speaker agrees to provide NRHA an electronic version of their presentation for online attendee access, in either Microsoft PowerPoint or Adobe PDF version, by close of business
Sept. 15, 2015. Presentations are to be sent to Donna Douglas ([email protected]). NRHA is not responsible for any e-mails received after Sept. 15, 2015.
• Edits to submitted presentations may be made after the conference by e-mailing Donna Douglas. Edited presentations will be accepted only between Oct. 5 and Oct. 9.
• Concurrent session speakers must bring their presentations loaded on a personal laptop computer along with a back-up copy on a flash drive. Make sure your laptop has a VGA or
HDMI output port. If your presentation includes an embedded video, be sure to include the
files on your back-up flash drive copy. If your presentation includes an embedded video from an online source, we recommend downloading the video to your computer prior to the conference and following the directions above to ensure it is available during your presentation.
• A computer will be provided for general session speakers, who also must bring a back-up flash drive copy. If your presentation includes an embedded video, be sure to send the video files to NRHA when you send your presentation and include the files on your back-up flash drive copy. If your presentation includes an embedded video from an online source, we recommend downloading the video to your computer prior to the conference and following the directions above to ensure it is available during your general session presentation.
• Speakers are encouraged to bring printed handouts for their presentations. NRHA will not be responsible for any copies made.
• If speakers bring books or materials to distribute, they must make provision for the collection and return shipping of any remaining books or materials. Anything left in the meeting room will be discarded.
• Bios received after Aug. 25 for any additional panelists added to a session will be the responsibility of the other speakers in the session to obtain and bring to the session. The National Rural Health Association reserves the right to publish PowerPoint slides from any presentation that uses PowerPoint at the Rural Health Clinic and Critical Access Hospital conferences. Speakers are required to be at the place of performance 30 minutes prior to the scheduled time of commencement.
8. Sessions are 75 minutes in length, unless otherwise indicated.
9. Wi-Fi may or may not be available in concurrent session rooms. Wi-Fi must be requested by the
presenter directly to the host hotel. Fees may apply.
10. Publicity Clearance, Permission to Print, Disclosure of Financial Relationships and Authorizations.
Type of consent: Speakers authorize NRHA and/or any organization cleared and approved by the
National Rural Health Association to take and use names, interviews, quotations, stories, photographs, video recordings and voice recordings in any way deemed as appropriate by NRHA.
Purpose of consent:Speakers surrender and waive all claims against NRHA and against any such
cleared and approved purposes including publications, internet, electronic and social media, television, newspapers, radio, lectures and display boards.
Speakers grant permission royalty free to the NRHA to reproduce for sale, separately or as a part of a booklet or CD, edited, or verbatim, the presentation delivered by speakers no later than Sept. 15, 2015.
Speakers understand that if NRHA decides to publish manuscripts, the speaker will be responsible for obtaining permission to use excerpts from other published material quoted in the manuscript.
The National Rural Health Association (NRHA) requires the following disclosures for all NRHA Continuing Medical Education activities:
The existence of any significant financial interest or other relationship a speaker has with the manufacturer(s) of any commercial product(s) and/or providers of commercial services discussed in this educational presentation shall be disclosed in brief statements or in conference materials such as brochures, syllabi, exhibits, poster sessions, and in post meeting publications.
Disclosure when an unlabeled use of a commercial product, or an investigational use not yet approved for any purpose, is discussed during an educational activity. Failure to disclose or false disclosure by the speaker may require the NRHA to identify a replacement for participation.
The media authorization will remain in effect in perpetuity. News stories may be rebroadcast or reprinted by other media outlets. All rights, interest or claims for payment in connection with any exhibition or release of this information will be waived. Your submission of an abstract indicates your understanding of all information included on this form and constitutes release of National Rural Health Association and its employees from any and all liability connected with use or disclosure of this information. This agreement will be construed according to the laws of the state of Kansas. This speaker agreement constitutes the entire agreement between the parties. This agreement may be modified or amended only in writing signed by the parties hereto. This agreement shall be binding upon the parties hereto, their successors and assigns.
Speakers agree to comply with National Rural Health Association’s policy on products or services, printing, publicity, presentation submissions and full disclosure for the Rural Health Clinic and/or Critical Access Hospital conferences.
