AHA Dallas Caruth Initiative Subcommittee Minutes: Conference Planning March 14, 2011

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1 Subcommittee Conference Planning March 14, 2011 Dallas Office 8200 Brookriver, Classroom A Conference Call Number , Participant Pass code # Co-Chairs: Jennifer Ledbetter, Jon Gardner, and Tami Kayea Staff Liaison: Dawn Kregel Attendees Andres Sisneros Elysse Denton Laura Hillary Tami Kayea Tammy Chung Todd Gray Dawn Kregel Diana Ramirez Leilani Stuart Russell Griffin Wendy Segrest Organization Baylor Heart and Vascular Hospital Lancaster Fire Department Dallas Fire Rescue Texas Health Presbyterian Dallas Denton Regional Medical Center 1. 7:30 Welcome Jennifer Exhibit 1A Conference Planning Roster Exhibit 1B February 21 meeting Minutes Goal of this subcommittee is to plan the content, format, and speakers for a regional professional education conference on the latest treatment and system initiatives for the management of patients with AMI. Review Roster and Vote and approve minutes from January 24, 2011 Roster Information Only Minutes Approved 2. 7:35 Schedule/Speakers Jennifer Exhibit 2A Agenda sample Page 1 of 5

2 Subcommittee Conference Planning March 14, 2011 Members of the AHA Caruth Volunteer Advisory Board (CVAB) and other regional speakers are available as presenters. Date include June 3-4 Location: Westin Park Central, Merit Drive, Dallas, Texas Time: Hotel is reserved from Friday 8:00 am to Saturday 5:00 pm Review Agenda and come up with learning objectives that will fulfill the content for the June 2011 Conference Reviewed sample agenda o Russell and Dawn to fill in gaps in agenda if needed o ECC to send update slides on ACLS and may have it for a Friday session, ECC staff looking for a speaker for this topic and EKG o Panel discuss will be all locate speakers Will have to ask Steve if this will be available for CME credit and if so do we need to have the speakers finalized for CME application Have each speaker state in a 3-5 minutes speech what they would like to address in their area of work (i.e. Cath lab asking to have clothing removed before they arrive at the cath lab) Afterward open it up for Q&A o Anticoagulation speaker Henry I. Bussey, faculty member of UT Austin pharmacy and UT Health Science in San Antonio he s nationally know and anticoagulation expert establish the website for clotcare.org and is a FAHA, to speak about the post-ami care o Suggested: Change to 2 nd day agenda move Evidence Base Meds post MI topic right after break after Anticoagulation topic remove Preactivation from the Field topic from Saturday if already have it for Friday, start sessions at :45 Registration Jennifer Exhibit 3A Sample Registration Members may choose which section they want on the registration items. This is a private company called CDS. Date include June 3-4 Page 2 of 5

3 Subcommittee Conference Planning March 14, 2011 Location: Westin Park Central, Merit Drive, Dallas, Texas Time: Hotel is reserved from Friday 8:00 am to Saturday 5:00 pm See the sample registration that will be available to attendees March 15 Stephanie or Claire will submit the jpg format of Caruth and AHA log to Elysse Elysse to work on adding each session to the registration for a head count to decide room size for each session Also add link to register to website Add if attendee will be attending the dinner Dawn will call Elysse offline regarding AV questions and exhibitors 4. 7:50 CME/CE Jennifer Exhibit 4A Checklist Exhibit 4B Planning Document Exhibit 4C Planning Document with Instructions To complete the document and submit by the end of March. Deadline is end of March to submit Planning Document Dawn to send out an today regarding which items on the CME/CE Planning Document she needs Conference Planning subcommittee to complete o Will need back by COB Thursday Recommendation: Step 3: Target Audience include as Other the RCIS and ART and Cath lab population 5. 8:30 Marketing Jennifer Exhibit 5A Sample Website information Marketing the conference with the use of the AHA s resources. Page 3 of 5

4 Subcommittee Conference Planning March 14, 2011 Located on the website for guest to review. Postcards have been mailed out regarding o Over 3000 mailed, sent to anyone that participated in an AHA conference or AHA CME/CE course in the past year o Additional postcards have been printed to be distributed in each meeting Registration link will be added to our website Registration information will also be sent out via o Over 5000 will be sent out this month o It will be sent out again in April and May Will provide a brochure of the conference Suggestion: Using gator boards to place around town inside Hospitals and EMS agencies and attach tear off sheets with information regarding the conference Suggestion: If using gator boards place them in the ER for paramedics to see Suggestion: Send to group to check if anyone would be interested in having one in their facility to get a count of h0w many to make Suggestion: Ask Claire to add our conference information to AHA s Facebook and twitter page Suggestion: Expanding conference to include stroke, may consider it for the 2 nd conference Suggestion: PowerPoint presentation should be placed online Suggestion: Do make some type of booklet with speakers bio and participating exhibitors and blank pages for notes Suggestion: Send save the date after the conference but wait about announcing the hotel room until receive feedback about hotel Suggestion: Put together a simple to send to committee members to forward within their respective groups in the hospitals and EMS agencies 6. 8:35 Exhibitors Jennifer Subcommittee will invite exhibitors from the various services with regards to the Cardiac patient Page 4 of 5

5 Subcommittee Conference Planning March 14, 2011 List of exhibitors to participate at the conference Template to be completed once schedule/agenda is selected. Ask Laura to provide a list of the letters that have gone out to exhibitors, include a deadline to present on next meeting Items discussed in meeting that were not part of the agenda: D2B and Beyond conference will be held in late August in Dallas with two full days with concurrent sessions there were no concerns from the committee regarding this conference being so close to ours Worked on Planning Document for the reminding time of the meeting 7. 8:45 Review Action Steps and Next Meeting Jennifer Summarize a list of action steps from today s agenda Next meeting March 28, :00 Adjourn Jennifer Adjourned 8:45 am Page 5 of 5

6 AHA Dallas Caruth Inititative Subcommittee Roster: Conference Planning March 2011 Elysse Denton Baylor Heart and Vascular Hospital Andres Sisneros Baylor Heart and Vascular Hospital Annabelle Zakarian Baylor Heart and Vascular Hospital Art Signo Dallas Fire Rescue Tami Kayea Denton Regional Medical Center Todd Gray Irving Fire Department Steve Deutsch Lancaster Fire Department Laura Hillary Medical City Dallas Hospital Jennifer Ledbetter Parkland Hospital Thomas Tierney Richardson Fire Department Curtis Poovey Texas Health Presbyterian Dallas Jon Gardner Texas Health Presbyterian Dallas Tammy Chung

7 Subcommittee Conference Planning February 21, 2011 Westin Park Central Hotel Merit Drive Conference Call Number , Participant Pass code # Co-Chairs: Jennifer Ledbetter, Jon Gardner, and Tami Kayea Staff Liaison: Dawn Kregel Attendees Andres Sisneros Jennifer Ledbetter Curtis Poovey Dawn Kregel Diana Ramirez Leilani Stuart Russell Griffin Wendy Segrest Organization Baylor Heart and Vascular Hospital Medical City Dallas Hospital Richardson Fire Department 1. 7:30 Welcome Jennifer Exhibit 1A Conference Planning Roster Exhibit 1B February 7, 2011 meeting Minutes Goal of this subcommittee is to plan the content, format, and speakers for a regional professional education conference on the latest treatment and system initiatives for the management of patients with AMI. Review Roster and Vote and approve minutes from January 24, 2011 Conference Planning roster information only February 7, 2011 meeting minutes approved 2. 8:00 Community Education at Symposium Jennifer Community Education is one of the task with which the Subcommittee is requested to accomplish. Whether to have at the Symposium are not. Page 1 of 4

8 Subcommittee Conference Planning February 21, 2011 Dawn suggested doing public community service for the conference in 2012 Everyone agreed 3. 8:15 Marketing Jennifer Marketing the conference with the use of the AHA s resources. Karin Reed (Marketing director) is advising with this portion of the conference planning. Karen Reed has been helping put together the marketing piece of our conference Postcards ready for review o Once approved will be printing 1000 o Available to hand out on March 3 rd Stakeholder meeting Web page will have the information regarding save the date Registration will begin March 15 th Posters o Application online and handouts o Caruth may present a poster on grant applications o AHA may post some upcoming events (i.e. Go Red Luncheons) 4. 8:25 Exhibitors Jennifer Subcommittee will invite exhibitors from the various services with regards to the Cardiac patient List of exhibitors to participate at the conference Template to be completed once schedule/agenda is selected. Laura Gossett has been helping with the exhibitors piece of our conference o She has stated from what they have viewed from our sample agenda they are excited to participate Page 2 of 4

9 Subcommittee Conference Planning February 21, 2011 o She has stated it s a day turnaround time when our marketing piece is complete with regards to the template o Invite exhibitors to dinner, add $10 more to their meal Able to setup Friday night More time networking 5. 8:35 Review Action Steps and Next Meeting Jennifer Summarize a list of action steps from today s agenda March 3 rd Items o Postcards Hand out on March 3 rd meeting o Posters Announce application online and handouts Recommendation for March 3 rd o Postpone community service for June conference until year two o Show sample agenda o List of exhibitors Panel Discussion o Tammy looking to get a pharmacist and maybe others o Look at speakers on Saturday to participate on panel AHA offering how to do a poster presentation o Put it out there for anyone who wants to participate o While some EMS agencies may not want to participate, hospitals may want to team up with an EMS agency to show best practice from field, to ask Liz Fagon also bring it up in hospital board meetings and QI meetings if they would like to do this o Send a PowerPoint with information to help EMS agencies show a poster and what information to place on poster (i.e. who are you, share a story) 6. 8:45 Adjourn Adjourned at 7:45 am Jennifer 7. 8:00 Meeting with hotel agent, Phyllis Sneed Exhibitors o Talk to Elysse about fee for power and data outlets for exhibitors, it is available but there is a Page 3 of 4

10 Subcommittee Conference Planning February 21, 2011 fee involved o Exhibitors and conference planning committee will be given access to conference area prior to time of conference o Hotel will charge $55 per booth if exhibitors request hotel to shipped their supplies back, hotel take care of labels and such o They may send their supplies 3 days prior to conference Hotel features/services o Easel sign in lobby regarding conference during conference o Parking - $10 valet, $5.00 garage, free parking available across and adjacent to hotel o Ballrooms E & F for meal/exhibitor area o Ballrooms A, B, C for general sessions o Speaker prep room available o Stage/Podium complimentary, event presentation extra o Map of floor area sent to AHA o Will post conference information on video screens around floor, if given to hotel for upload Agenda, can be given in any format send in word format Include company logo, if given in jpg format to upload o Can change the layout of buffet on day of conference if attendance increases Items AHA to research o Supply a standing microphone for attendees to ask questions o Ask for volunteers from Dallas office to attend conference o Ask Steve Hurdle about CME/CE Allow individual day registration (i.e. EMS agencies may send two people one person each day of conference) o Ask if we can register per session, so we can give hotel a head count o Ask Elysse how hotel registration is sent or done Page 4 of 4

11 AHA Dallas Caruth Inititative Subcommittee Roster: Conference Planning January 2011 Baylor Heart and Vascular Hospital Andres Sisneros Baylor Heart and Vascular Hospital Annabelle Zakarian Baylor Heart and Vascular Hospital Art Signo Dallas Fire Rescue Tami Kayea Denton Regional Medical Center Todd Gray Irving Fire Department Steve Deutsch Lancaster Fire Department Laura Hillary Medical City Dallas Hospital Craig White Medical City Dallas Hospital Jennifer Ledbetter Methodist Richardson Medical Center Tarah Grooms Parkland Hospital Thomas Tierney Richardson Fire Department Curtis Poovey Texas Health Presbyterian Dallas Jon Gardner Texas Health Presbyterian Dallas Tammy Chung

12 Subcommittee Conference Planning February 7, 2011 Dallas Office 8200 Brookriver, Classroom A Conference Call Number , Participant Pass code # Co-Chairs: Jennifer Ledbetter, Jon Gardner, and Tami Kayea Staff Liaison: Dawn Kregel Attendees Organization Andres Sisneros Baylor Heart and Vascular Hospital Steve Deutsch Irving Fire Department Jennifer Ledbetter Medical City Dallas Hospital Curtis Poovey (teleconference) Richardson Fire Department Tammy Chung Texas Health Presbyterian Dallas Dawn Kregel Diana Ramirez Leilani Stuart Wendy Segrest 1. 7:30 Welcome Jennifer Exhibit 1A Conference Planning Roster Exhibit 1B January 24 th meeting Minutes Goal of this subcommittee is to plan the content, format, and speakers for a regional professional education conference on the latest treatment and system initiatives for the management of patients with AMI. Review Roster and Vote and approve minutes from January 24, 2011 Roster - Information Only, no updates Review and minutes approved at the end of meeting 2. 7:35 Schedule/Speakers Jennifer Exhibit 2A Agenda sample Members of the AHA Caruth Volunteer Advisory Board (CVAB) and other regional speakers are available as presenters. Date include June 3-4 Location: Westin Park Central, Merit Drive, Dallas, Texas Page 1 of 9

13 Subcommittee Conference Planning February 7, 2011 Time: Hotel is reserved from Friday 8:00 am to Saturday 5:00 pm Review Agenda and come up with learning objectives that will fulfill the content for the June 2011 Conference Our conference will be June 3-4 o HCA conflicting conference dates has been resolved Given an agenda sample to review o Change start time to 1:00 pm on Friday Dawn and Wendy worked on the agenda with regards to the time, when going into the dinner piece of it that would mean those that started at 1:00 would already be there 8 hours, it would be even longer if we start it earlier Break out for EMS stuff EKG refresher, tough calls, etc. Get with the Guidelines for hospitals At 5:00 Networking reception Keynote speakers with Dr. Cook and Monica, RACE or Lessons from the East and West o On Saturday starting at 7:30 with registration and continental breakfast Dr. Gray and Dr. Fowler doing the welcome Are we repeating the RACE, we are not sure if we are doing North and South regarding LA county vs. Boston and seeing what they did but that more East and West After keynote start at 9:00 for the subcommittee reports Break for snacks to view exhibits and posters Baseline Dallas Data possibly to be discussed Break out to varies sections Multiple times to view exhibits and posters Panel discussion Closing remarks o This is a draft This was made for the exhibitors to sale them on the conference, and because it was cut in half on the first day the discussion was whether we need to cut the price from $2500 to $1500 for the exhibitor fee, Page 2 of 9

14 Subcommittee Conference Planning February 7, 2011 because it s not two full days Committee members stated reducing fee was reasonable Asked if it would be easier if EMS and Hospital staff could not come to the whole time they could come to a portion on Friday and a portion on Saturday For EMS it can be hard because of shifts, if they cannot come the full day on either day why pay the full price of one day Have the provision to say if a department wants to send 5 people you may take 5 slots but one of the slots may cover 2 people, registrations may be shared by staff who can t attend a full day We have been discussing a two and one day fee, which was $5.00 more if you did the one day, it was going to be easier to track, We may need to take a look at decreasing that day break Or have a comment section that says (i.e. Steve/Curtis are sharing) But how is it going to work for AHA registry and what about the badges, we want to meet these needs, but maybe it would be easier if AHA setup the registry per day We are not in it to make money, the spirit of the grant is to have as many people as possible Committee members like the registry per day suggestion and make the price $25.00 per day 3. 7:40 Registration Jennifer Exhibit 3A Sample Registration Exhibit 3B Services offered from CDS Members may choose which section they want on the registration items. This is a private company called CDS. Date include June 3-4 Location: Westin Park Central, Merit Drive, Dallas, Texas Time: Hotel is reserved from Friday 8:00 am to Saturday 5:00 pm Review choices and we ll have these submitted as the committee s choices Page 3 of 9

15 Subcommittee Conference Planning February 7, 2011 to CDS. Reviewed a sample registration form the name of the company that will be providing the service is called CDS it s a third party We need to see if we want to include anything else Member Type Dawn has spoken to Elysse who stated we can have this removed Primary Classification Not sure if this is to indicate RN, MD, EMT Customer Segment was in question Nickname for Badge Would like it to read Name for Badge Hospital/Institution Would like it to read Agency/Hospital Elysse did indicate we could make any changes Address 3 Would like that removed Country Would like that removed This address Is a Could indicate whether it s a hospital or agency Fax Ask if fax would be needed, stated it would be if the registry wanted a confirmation and could it not be sent through Statement Please remove my name from the QCOR 2010 mailing lists rented from the AHA Remove Promo Code Example Medical City was given a promo code and they wanted to send 10 people they would use the promo code o We do not have to have this o We wanted to give this to people to use if they wanted to send a group and give a discount of $5.00 o Would this make it harder to keep track o This could keep someone from missing out, for example if we allow a group of 5 a discount and 7 wanted to go we may lose 2 attendees o Will ask to remove Promo Code, unless Elysse states otherwise o Special services ADA rule must have 4. 8:00 CME/CE Jennifer Exhibit 4A Checklist Exhibit 4B Planning Document with Instructions To complete the document and submit by the end of March. Page 4 of 9

16 Subcommittee Conference Planning February 7, 2011 Dawn plans to go through the sample, will look at schedule today to set time to work on it We do not have to have it complete until the end of March, still some time to work on it Tammy has some information regarding pharmacy CE and Annabelle was check on the nursing side We need information regarding EMS, pharmacy, CCI (Jennifer stated she did receive information about that and they will accept nursing CME), CME - for physicians, PA, nurse practitioners, do not have an NP on our panel or a physician s assistant however they do accept CME and Dawn will ask Steven regarding this, we do have a physician and physician it may cover PA and nurse practitioner, With the schedule and everything we have about 9 CEs hours, do the NPs get a different CE hours they can choose CE/CMEs, the PA can use CMEs, will verify it with Steve 5. 8:20 Marketing Jennifer Exhibit 5A Sample postcard Exhibit 5B Sample Website information Marketing the conference with the use of the AHA s resources. Karin Reed (Marketing director) is advising with this portion of the conference planning. It was suggested making the website link bigger Make sure to add CE/CME will be available On the website we have the whole team, but on the post card they did not fit o Stated by marketing to make sure to add your physicians and co-leads Sent post card to internal AHA staff that will be working on it and stated will need it to be mailed out this month It was suggested by Marketing to put a picture of someone that s known in the area, but committee stated the proof is good as is Page 5 of 9

17 Subcommittee Conference Planning February 7, 2011 Are we sending out anything else other then Save the Date o o Tri-fold?, have not work on this o Will put the same information on post card onto the website o Sending it out February is good, but the closer we get to the conference date send something out When would we want to send something out as we get closer to the date of the conference (i.e. two piece or tri-fold), first of May? Yes send something out first of May and for the in-between time the data staff said they will send two to three different s and then the website piece of it Will need to fix on postcard o Section Target Audience take off parentheses from (clinicians, nurses, and pharmacists) o Also physicians are not specifically listed, add to the list o Add paramedics o Remove clinicians and add CVTs Will brochures or some type of hand out be available at the time of the event o Considering providing everything online o How about having something simple with physicians bio, will we provide materials for participants to write on The hotel will provide paper notes How about providing some type of stationary with maybe Caruth as the header, something inexpensively o However providing handouts of presentation is not cost effective We will ask speaker to provide a PDF format of their presentation to upload into our website We will encourage people to visit the website where presentations will be provided for view and printout purposes o So how many do we want to print out of postcards and when do we want to give to distribute Waiting on internal staff that are going to print out, but did state would like it to go out this month Ask to print out 1000 Will start pushing them out through mail and then each one in the committee will receive some to take back to their facility, trying to get them out on March 3 rd at the Stakeholder Committee meeting We will send it out electronically Page 6 of 9

18 Subcommittee Conference Planning February 7, 2011 Also there is a data source from AHA that this will be mailed out too 6. 8:25 Exhibitors Jennifer Subcommittee will invite exhibitors from the various services with regards to the Cardiac patient List of exhibitors to participate at the conference Template to be completed once schedule/agenda is selected. Since we adjusted Friday to have half day and Saturday to full day, we spoke about changing the vendor s price from $2500 to $1500, asked if there were any objections to the change, there were none 7. 8:30 Naming of the Conference Jennifer Name of the conference Group will decide what to name the conference with regards to the Caruth Grant. Caruth should be a part of the title when discussing the ideas with regards to the naming is concerned. Still need to name the conference, the previous suggested name was not approved o The title used on the post card can be used for the name of the conference AHA Dallas Caruth AMI Advisory Symposium o If there are any other suggestions from now until the Stakeholder Committee meeting, Dawn Website has the same information as the post card o Need to change the price o It shows the save the date o It gives some timelines Registration begins Page 7 of 9

19 Subcommittee Conference Planning February 7, 2011 Poster submission deadline Reports for Symposium o Highlights who are target audience is and we need to make the same changes as on post card o Show location of the Symposium o Do we know exactly how many hours of CE/CME in order to post this information We ll be able to update website fairly quickly once we have the information We have to have that number before we open registration, Andres stated do not have to they ve made a statement Pending Approval should not hold up registration just for that o Need to change CE/CME information to include everyone involved o If there are any questions, and phone number is provided o It shows contact person regarding posters is Dawn 8. 8:45 Review Action Steps and Next Meeting Jennifer Summarize a list of action steps from today s agenda Dawn to lead on CE/CME, if any help is need ask committee members Next meeting will be at the Westin Meet at the restaurant it on the ground floor, same time at 7:30 and at 8:15 take tour Jennifer ask about the CPR class, since we wanted to invite the community o Still in the works, may need to wait until next year o Jennifer suggested asking those in her hospitals and maybe Andres can also ask those that teach CPR, to volunteer their time to teach at the conference and place those classes on Saturday Andres did state if AHA could provide CPR cards that would help to ask those in his hospital Maybe if they learn basic CPR where they don t get CPR cards, just learn it and take a kit which is $25 o Dawn to check with someone from ECC to come in next meeting and talk about options Page 8 of 9

20 Subcommittee Conference Planning February 7, 2011 o Either we have it both days, or one big class on Saturday Maybe have the community come out from 3:00 5:00 If we do this how long does a class take, 1 hour but most people just want to learn to do compressions Could we do something with the posters after 1:00, so that we could have that area to do a 20 to 30 minute showcase to the community of how to administer CPR o Dawn to add to agenda to start discussing CPR classes With regards to the Stakeholder meeting are there any recommendations to present to the voting members to vote on o Vendor cost o Name o Sample agenda o Something for the community o Poster, that will be great for them to see and take it back to their organization to start preparing one Also the dinner is estimated to be $45 per plate, so if someone would like to bring a guest we figured we could ask for the one day fee of $25 to cover that If there are any changes to the minutes, send to Dawn 9. 9:00 Adjourn Jennifer Adjourned 8:23 am Page 9 of 9

21 Sample Agenda Subcommittee: Conference Planning February Welcome & intro Todd Gray & Michael Taylor EMS stuff ECG refresher, tough calls, etc break AR-G stuff for hospitals M:L Networking reception Caruth Overview Keynote and dinner Dr Cook & Monica RACE or Lessons from North and South Registration & continental breakfast Welcome & intro Todd Gray & Ray Fowler Keynote RACE or Lessons from North and South Initiative overview & Subcommittee Reports Co-Chairs and Dawn Kregel Break and snack in exhibits & posters Baseline Dallas Data (or could slot with panel Jim Langebeer later) Concurrent Sessions M:L Guidelines Hypothermia Post MI care Lunch in exhibits & posters Concurrent Sessions M:L Guidelines Hypothermia Post MI care Chris Bjerke Dr. Robert Wozinak Dr. David Marks Paul St. Laurent Chris Bjerke Dr. Robert Wozinak Dr. David Marks Paul St. Laurent Panel Discussion Continuum of Care reps by discipline (i.e. MD, RN, EMT, etc) or by pt care area (i.e. dispatch, EMS, ED, Cath lab, etc) Closing remarks Todd Gray/Dawn Kregel 1 P age

22 Proposed Symposium Schedule June 3-4, 2011 Friday, June 3, 2011 (1pm 7pm) Start End Topic Speaker Welcome & Introductions Todd Gray & Ray Fowler EMS education ECG refresher, tough calls, etc Break ACTION Registry-GWTG for hospitals Mission: Lifeline Networking reception Caruth Overview Keynote and dinner Dr Cook & Monica RACE or Lessons from East & West Coasts Saturday, June 4, 2011 (8am 3pm) Start End Topic Speaker Registration & continental breakfast Welcome & intro Todd gray & Ray Fowler Keynote RACE or Lessons from East & West Coasts Initiative overview & Subcommittee Reports: Education EMS Resources Protocols Quality Improvement Co-chairs Symposium Planning Break and snack in exhibits & posters Baseline Dallas Data James Langabeer Concurrent Sessions 1 st presentation M:L Guidelines Hypothermia Post MI care Chris Bjerke Dr Robert Wozniak Dr David Marks Paul St Laurent Lunch in exhibits & posters Concurrent Sessions 2 nd presentation Same Panel Discussion - Continuum of Care reps by discipline (i.e. MD, RN, EMT, etc) or by patient care area (i.e. dispatch, EMS, ED, Cath lab, etc) Closing remarks Todd Gray

23 Sample Registration Subcommittee: Conference Planning January 2011 January 20, 2011 June 3 rd and 4 th, 2011 AHA/Caruth AMI Initiative and Advisory Conference Westin Central Dallas, Texas Name and Address Information There are 112 days until this event Step 1: Step 2: Step 3: Step 4: Step 5: Step 6: Name & Address Registrant Profile Package Selection Review Info Payment Info Thank You Fields in red are required. Membership Information Member Type XX - Nonmember Primary Classification Please Select Customer Segment Please Select Badge Information Nickname for Badge (substituted for your First Name on your badge)

24 Sample Registration Subcommittee: Conference Planning January 2011 Prefix First Name (Example: Mr. / Mrs.) (cannot be changed) Middle Initial Last Name (cannot be changed) Suffix Please Select (Example: Jr. / Sr.) Job Title Hospital / Insititution If this is a Hospital, this is a: Please Select Mailing Address Address 1 Address 2 Address 3

25 Sample Registration Subcommittee: Conference Planning January 2011 Zip/Postal Code (required for US and Canada) City State/Province Please Select (required for US and Canada) Country United States This address is a: Please Select Contact Information Phone (Example: ) (please do not use dashes or spaces) Extension Fax (Example: ) (please do not use dashes or spaces) Emergency Contact Name Emergency Contact Phone (Example: ) (please do not use dashes or spaces)

26 Sample Registration Subcommittee: Conference Planning January 2011 (required to receive confirmation) Confirm Please re-enter your address. Please remove my name from the QCOR 2010 mailing lists rented from the AHA. Promo Code Information Promo Code (please enter NONE if you do not have a promo code) Special Services Check here if you require special services Please describe special services: Continue Registration -> For conference information, please eamil us at heartconferences@xpressreg.net or call or (International). For technical assistance with this web page, please click here for Technical Support

27 Sample Registration Subcommittee: Conference Planning January 2011

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