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COACHINGYOUR TEAM FORPERFORMANCEEXCELLENCE
MI-NADONA/LTC ANNUAL CONVOCATION & EXPOFIREKEEPER’S HOTEL & CASINO, BATTLE CREEKWEDNESDAY, OCT. 22 - FRIDAY, OCT. 24, 2014
A CO-PROVIDED EVENT WITH THE HEALTH CARE ASSOCIATION OF MICHIGAN
C OAC H I N GYOUR TEAM FORPERFORMANCEE XC E L L E N C E
No coach has ever won a game by what he knows; it’s what his players know that counts.
A good coach will make his players see what they can be rather than what they are.
Coaching is a profession of love. You can not coach people unless you love them.
Individually, we are one drop. Together, we are an ocean.
A true coach can invoke the best effort from others not by lighting a fire beneath them but by building a fire within them.
Manager is a title, it does not guarantee success. Coaching is an action, not a title, and actions will result in success.
MiNADONAHealth Care Association of Michigan
Promoting Excellence in Senior Care
The 2014 MI-NADONA/LTC ANNuAL CONvOCATION & expO Is CO-prOvIDeD bY The heALTh CAre AssOCIATION Of MIChIgAN AND The MIChIgAN ChApTer NATIONAL AssOCIATION Of DIreCTOrs Of NursINg IN LONg TerM CAre.
education highlights• Msu Women’s volleyball Coach Cathy george to present opening keynote “Coaching Teamwork: Leading Your Team to performance excellence” • Motivational sessions focused on leadership, coaching and teamwork • Intermediate to advanced level clinical, regulatory and financial nurse-focused & progressive educational sessions
MI-NADONA/LTC MembershipIf you are not already a member of NADONA/LTC, please be sure to visit:
www.NADONA.org sign-up for membership now to receive the discounted NADONA member registration rate and many other benefits!
purposeparticipation in this year’s MI-NADONA/LTC Annual Convocation will result in enhanced implementation of clinical standards of practice and care performance excellence in the skilled nursing environment.
Target AudienceThis convocation is appropriate for directors of nursing, assistant directors of nursing, nurse managers and other clinical partners with intermediate to advanced levels of nursing expertise. Corporate consultants, administrators and other health care partners with direct resident care responsibilities are encouraged to participate as well.
Continuing educationThis year’s MI-NADONA/LTC Convocation & expo will provide participants the opportunity to earn up to 12.5 nurse contact hours. HCAM is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
participants may also earn up to 12.5 licensed nursing home administrator contact hours.
Networking highlights• Awards & recognition Luncheon• partner Tailgate Celebration featuring The Killer flamingos, an American pop rock band from Detroit• Annual vendor expo
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WEDNESDAY, OCTOBER 228:30 am regIsTrATION
8:30 - 9:30 am breAKfAsT
9:00 - 9:30 am WeLCOMe & OpeNINg reMArKs
9:30 - 10:30 am OpeNINg KeYNOTe preseNTATION:K1: Coaching Teamwork: Leading Your Team to
Performance Excellence
10:45 - 11:45 am CONCurreNT sessIONs:
W1: Not Necessarily a Penny Earned…The Changing World of Financials for DONs
W2: Communicating Performance Excellence: The Integral Link within the Care Process
W3: Coaching the Coach: How to Avoid Claims & Working with Challenging Resident Families
11:45 - 1:00 pm AWArDs & reCOgNITION LuNCheON
1:00 - 2:00 pm CONCurreNT sessIONs:
W4: Sleeplessness in LTC: Strategies for Improving Sleep in Residents
W5: Documentation: Sword and Shield
W6: Fufilling a Promise to Residents... Finding & Keeping Great Team Members
2:15 - 3:45 pm CONCurreNT sessIONs:
W7: The Identification & Management of Post-Procedural Wound Infections
W8: Pain Can be Wicked
W9: A Changing Approach: Reducing Anti-Psychotic Medication Use in Dementia Residents
4:00 - 5:00 pm geNerAL sessION:W10: Lessons Learned as a Resident at My Own Facility
5:00 pm eveNINg ON YOur OWN
THURSDAY, OCTOBER 238:00 am regIsTrATION
8:00 - 8:30 am breAKfAsT & geNerAL AsseMbLY MeeTINg
8:30 - 10:00 am geNerAL sessION:T1: The Leadership Challenge: Turning Staff into Care-Givers
10:15 - 11:45 am geNerAL sessION: T2: Building the Bridge to Healing: Side Effects of War
11:45 - 1:00 pm fIreKeeper’s hOTeL & CAsINO vOuChers fOr LuNCh Of YOur ChOICe:
sMOKe N’ fIreNIbI
MIJeM buffeTCAfe 24/7
ChI MON-ee’sAMAZeN bLAZeN
1:00 - 2:00 pm geNerAL sessION: T3: CPR: Are Your Systems In Order?
2:00 - 5:00 pm ANNuAL veNDOr expO shOW
5:00 - 7:00 pm DINNer ON YOur OWN
7:00 - 10:00 pm pArTNer TAILgATe CeLebrATION
FRIDAY, OCTOBER 248:00 am regIsTrATION
8:00 - 9:00 am breAKfAsT
8:00 - 8:30 am CLOsINg reMArKs / ANNOuNCeMeNTs
8:30 - 9:30 am geNerAL sessION:f1: Resident Weight Loss: Risk to Management
9:45 - 10:45 am geNerAL sessION: f2: 2014 Regulatory & QAPI Update: How to Play to Win
11:00 - 12:00 pm geNerAL sessION: f3: Managed Care Ready? How Nurses Can Thrive & Grow
in the Changing World of Health Care
12:00 pm CONvOCATION CONCLuDes
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8:00 am Registration, Check-In & Breakfast
9:00-9:30 Welcome & Opening Remarks
9:30-10:30 Opening Keynote Session K1: Coaching Teamwork: Leading Your Team to Performance Excellence
10:45-11:45 Concurrent Breakout Sessions W1: Not Necessarily a Penny Earned…The Changing World of Financials for DONs
W2: Communicating Performance Excellence: The Integral Link within the Care Process
W3: Coaching the Coach: How to Avoid Claims & Working with Challenging Resident Families
11:45-1:00 Awards & Recognition Luncheon
1:00-2:00 Concurrent Breakout SessionsW4: Sleeplessness in LTC: Strategies for Improving Sleep in Residents
W5: Documentation: Sword and Shield
W6: Fufilling a Promise to Residents... Finding & Keeping Great Team Members
2:15-3:45 Concurrent Breakout SessionsW7: The Identification & Management of Post-Procedural Wound Infections
W8: Pain Can be Wicked
W9: A Changing Approach: Reducing Anti-Psychotic Medication Use in Dementia Residents
4:00-5:00 General SessionW10: Lessons Learned as a Resident at My Own Facility
5:00 pm Evening on Your Own
Agenda at a GlanceWEDNESDAY, OCTOBER 22, 2014
EARN UP TO 5.5 NURSE CONTACT HOURS
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K1 Coaching Teamwork: Leading Your Team to Performance Excellence
CAThY geOrge, MA | Msu WOMeN’s vOLLeYbALL COAChNurses, get fired up! Michigan State University women’s volleyball head coach, Cathy George, will motivate nurse participants to lead their resident care team to optimal performance excellence. Coach George will share her experiences as a Big Ten coach, leader and motivator and how she has mentored winning team after winning team. Coach George will also provide helpful strategies on how to be a successful coach, a leader and how to promote the best in and out of your players.
W1 Not Necessarily a Penny Earned…The Changing World of Financials for DONs
breNDA sOWAsh, bsN, rN, rAC-CT | rOLf CONsuLTINg LLCbeTh suLLIvAN, bA | pLANTe & MOrAN“But that’s the way we always have done it…” how many times have we heard it and/or said it? Or the dreaded “It has always worked for us before”. The reality is, the long-term care world is changing and with it the way we do business and manage our facilities. This session is designed to help DONs and nursing administration identify financial metrics that will be essential to manage and monitor going forward to be successful in the future.
W2 Communicating Performance Excellence: The Integral Link within the Care Process
gAIL KOeppe hALL, MbA, bAN, rN, LNhA | pArADIgM CONsOrTIuM, LLCvICKIe burLeW, ADN, rN, LNhA, CDp, CADDCT | LebeNbOM & rOThMANMeLANIe fLAChs, rN | The pepLINsKI grOup(Please sing along in your head … ) The initial assessment (bone) is connected to the resident’s needs (bone). The resident’s needs (bone) are connected to their SMART goals (bones). The SMART goals (bones) are connected to … You have the idea. The muscles and cartilage connecting the bones of our clinical systems and move them as one “body” is communication through documentation. In this session we integrate the principles of QAPI identifying Quality Assurance measures that should remain in place with one Performance Improvement methodology – gap analysis from a systems perspective. Throughout the interactive session you will have “hands on” experience with this methodology using a few of the QAPI tools.
W3 Coaching the Coach: How to Avoid Claims & Working with Challenging Resident Families
erICA hOLMAN, LMsW, bA, LNhA | heALThCApANgIe sZuMLINsKI, bs, ADN, LNhA, rN-bC, rAC-CT | heALThCApHave you ever worked with the family that cannot be satisfied? The family or regular visitor that makes everyone worry? How you assist these families and visitors is critical to your home’s success and your residents’ happiness. Join the discussion and hear what others have done to work well with challenging families!
W4 Sleeplessness in LTC: Strategies for Improving Sleep in Residents
pATrICIA sChMIDT, DO, bs | TrILLIuMheArT phYsICIAN CAre & CONsuLTANTs Lack of sleep can contribute to a decreased sense of well-being. When night time sleep is disrupted, changes in behavior, mood and activity will present during the waking time. Some common findings include: appetite changes, increase fall risk, pain, irritability, daytime somnolence. This is challenging in congregate and aggregate living settings due to the disruption it can cause for other residents. This session will explore normal sleep patterns for aging individuals, disorders of sleep and strategies to cope with the sleep changes. Strategies will include pharmacologic and non pharmacologic modalities.
W5 Documentation: Sword and ShieldMArgAreT ChAMberLAIN, JD, bA | The KITCh fIrM Nurse participants will learn about the risks, pitfalls and strategies for ensuring sufficient documentation. Documentation can help providers improve care for residents but it can also be used against them with civil, criminal and regulatory repercussions. Real life examples will help nurse participants learn how to tailor their documentation so that it serves its intended purpose without putting them or the facility at risk.
W6 Fufilling a Promise to Residents... Finding & Keeping Great Team Members
CeAN eppeLheIMer, bs | phIANNA OrTIgArA, Ms, bsN, rN, fAAN | phIAttracting and retaining nurses and nursing assistants is a high priority for all nurse leaders in long term care settings. But it goes beyond finding ‘nice’ and qualified people! This session will explore the role of Nurse Leaders as Coaches and Team Builders to achieve person-centered care settings. Residents have told us what they want: to know those who care for them, to trust them and be known in return, they want relationships. There is evidence-based information telling us what staff want: to understand what is expected of them, to have the knowledge and skills to do their job well and to be respected and known by their leaders. Come and explore aspects of building a workforce around using a coaching approach to achieve this vision.
W7 The Identification & Management of Post-Procedural Wound Infections
Dr. peTer sAITTA, DO, bA | beDsIDe DerMATOLOgYThis presentation will address the identification and management of post-procedural wound infections. From photographic examples, learn how to differentiate the normal stages of wound healing from wound infections. Discover the current topical therapies for sterile wound healing, both antibacterial and non-antibacterial (preferred). Finally, in detail, learn how to the choose the proper topical antibacterial medication to treat infections to promote optimal resident health outcomes.
W8 Pain Can be WickedIrIs ZINK, MsN, bsN, Np | beALs INsTITuTeThis interactive, engaging and humorous session will provide nurse participants with a better understanding of chronic pain. Behaviors that can be used to improve functional capacity, the importance of touch and risk factors will be addressed. Nurse participants won’t want to miss this session to experience pain-education like never before!
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W9 A Changing Approach: Reducing Anti-Psychotic Medication Use in Dementia Residents
TOM CONrAD, OTA/L, CDp | heALThprO rehAbILITATIONThis session offers several benefits of CMS’s partnership to improve Dementia care in nursing homes. Four basic components to utilizing alternatives to chemical restraints with this unique population are: understanding, communication, attitude, and willingness to achieve positive outcomes; each needs to be addressed. Understanding of diagnosis triggers for behavior, and utilizing intervention strategies. Communication needs to be resident centered and interdisciplinary, empowering staff to take ownership and share strategies. A “can-do” attitude is critical to successfully modifying the approach. Willingness to identify the cause of the behavior first, and then determine how to proceed is key.
W10 Lessons Learned as a Resident at My Own FacilitysherrIe DOrNberger, rN, CDp, CADDCT, gDCN, CDONA, fACDONA | NATIONAL AssOCIATION Of DIreCTOrs Of NursINg ADMINIsTrATION/LONg TerM CAre (NADONA/LTC)In this moving session, experience how a DON of many many years, became quite ill, was admitted to the hospital where Murphy’s law took over, and everything that could have gone wrong...went wrong. The DON was in a coma for 18 days, had 4 surgeries in which 19 feet of intestine were removed. Being on a ventilator and in a coma, the hospital thought DON was going to die, so no preventive care was administered. After 10 months in the hospital, the DON lost the back of her head, ends of both feet, 19 feet of intestines, had 13 pressure ulcers, a large leg wound, and a 13 inch abdominal opening where her intestines were exposed and had three ostomies (rectal stump, ilieostomy, colostomy). To say the least, the DON needed the quality care and service of a skilled care facility where she spent 7 months as a resident in her own facility. Experience the lessons learned from the other side of the bed…
promoting the professional Development of LTC NursesMI-NADONA/LTC, with support from our sponsor partners, will continue to raise money to promote the professional development of LTC nurse professionals in Michigan. We kindly ask that all participants and vendors give back to the profession and fellow/future LTC nurse professionals by contributing to the MI-NADONA/LTC Margaret godfrey scholarship fund at this year’s Convocation & expo. Thank you.
even greater than the ability to inspire others with hope is the power to motivate them to give as much to the lives of others as they would give to their own; and to empower them to confront the worst in themselves in order to discover and claim the best in themselves.
8:00 am Registration, Check-In & Breakfast
8:00-8:30 General Assembly Meeting
8:30-10:00 General SessionT1: The Leadership Challenge: Turning Staff into Care-Givers
10:15-11:45 General SessionT2: Building the Bridge to Healing: Side Effects of War
11:45-1:00 FireKeeper’s Hotel & Casino Vouchers for Lunch on Your Own
1:00-2:00 General SessionT3: CPR: Are Your Systems In Order?
2:00-5:00 Expo
5:00-7:00 Dinner on Your Own
7:00-10:00 Partner Tailgate Celebration
T1 The Leadership Challenge: Turning Staff into Care-Givers
MArY TeLLIs-NAYAK, Mph, MsN, bsN, bA, rN | MY INNervIeWThe ground zero for administrators and directors of nursing/health care services is the relationship between the caregiver and the elder. This point of contact is where quality occurs – quality of life and quality of care. This is where staff are differentiated from caregivers. It is the leadership in our long-term care homes that ensure a culture where the care-givers thrive and are able to establish relationships with their elders, relationships that help to create their quality of life. But how does this miracle occur – this transformation from staff to giver of care? This session will focus on ways in which leaders can attract and preserve staffs that have a passion for person-centered care. We will explore ways in which leaders lead organizations where staff are listened to and their needs and their challenges are just as important as those of the elders.
T2 Building the Bridge to Healing: Side Effects of WarrhONDA COpeLAND, MsA, bsN, rN | hOspICe Of heLpINg hANDs, INC.The purpose of this presentation is to enable nurse participants to have a better understanding of the veteran population and effects the war could have on the veteran at end-of-life. The presentation will identify each war period and the most common side effect documented from that period. A focus will center on PTSD and how that could manifest at EOL. A focus on best practice for care of these veterans in the long-term setting will be addressed.
T3 CPR: Are Your Systems In Order?COLLeeN TOebe, MsN, bs, rN | pAThWAY heALThIs your staff ready for the next emergency? This session will provide insight into the clarification memo on CPR Ref: S&C: 14-01-NH, best practices for documentation and the risks of non-compliance.
EARN UP TO 4 NURSE CONTACT HOURS
Agenda at a GlanceTHURSDAY
OCTOBER 23, 2014
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8:00 am Registration, Check-In & Breakfast
8:00-8:30 Closing Remarks
8:30-9:30 General SessionF1: Resident Weight Loss: Risk to Management
9:45-10:45 General SessionF2: 2014 Regulatory & QAPI Update: How to Play to Win
11:00-12:00 General SessionF3: Managed Care Ready? How Nurses Can Thrive & Grow in the Changing World of Health Care
12:00 pm Conference Concludes
Agenda at a GlanceFRIDAY
OCTOBER 24, 2014
F1 State of the Art: Managing Weight Loss in the ECF Resident
Dr. MArK JACKsON, MD, CMD | MArK A JACKsON MD pLCIn this presentation, Dr Jackson reviews state of the art understanding of weight loss and its evaluation. He will discuss the role of medically restricted diets and dysphagia diets in the geriatric population, discuss risks and benefits of tube feeding, and discuss the role of orixogenic medications, such as Megace (megestrol acetate). At completion, participants will better understand management of weight loss.
F2 2014 Regulatory & QAPI Update: How to Play to WinvICKIe burLeW, ADN, rN, LNhA, CDp, CADDCT | LebeNbOM & rOThMANAs a profession, we see alarming trends related to the public posting of the 2567 and plans of correction. We experience a sharp increase in the number of complaints against licensed staff, especially the licensed nurses. We receive lawsuits from unexpected sources. Our best defense is a good offense. In this session, we will identify the trends in actions against homes and individuals, and then apprise you of the revised requirements and how to be compliant – learn how to play to win in an ever-changing, quality-focused environment!
F3 Managed Care Ready? How Nurses Can Thrive & Grow in the Changing World of Health Care
susIe MIx, MbA, bs | MIx sOLuTIONs INC. & COMs INTerACTIveThis interactive lecture will provide nurse participants essential tools to not only navigate health care reforms but to provide fiscal profitability. Discussion on the Financial Alignment Demonstration, the Health Benefit Exchanges, and the Medicaid Expansion will give participants a basic understanding of critical information needed to properly prepare operationally and functionally. Knowledge of the nuts and bolts of how to financially prepare and work with Managed Care on a day to day basis will be given primarily through discussion on the flow of patients from pre-admission to billing tracking to follow-up in order to highlight fiscal implications. We will then take this knowledge and expand to individual roles in the context of Cash Flow, demonstrating how this change will affect the team as individuals and as a whole. Concluding the presentation, we will springboard into ensuring nurses leave with significant tools on how to increase census resulting in continuous financial viability.
EARN UP TO 3 NURSE CONTACT HOURS
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Nurse SpecialistsHealth Care StaffingICQ
Grand Rapid Office2805 Coit NE
Grand Rapids, MI 49505ph:616-365-9290fx:616-365-5294
Livonia Office32401 8 Mile Rd
Livonia, MI 48152ph:248-888-9030fx:248-888-9003
Kalamazoo Office5955 West Main
Kalamazoo, MI 49009ph:269-353-3327
616-365-9254
AreA I: etta brown & Daniel [email protected] / [email protected], Oakland & Wayne counties
AreA II: Lynae [email protected], gratiot, Isabella, Midland & saginaw counties
AreA III: Judi [email protected], Kent, Mecosta, Montcalm, Muskegon, Newago, Oceana & Ottawa counties
AreA Iv: beth [email protected], barry, berrien, branch, Calhoun, Cass, Kalamazoo, st. Joseph & van buren counties
AreA v: renee [email protected], Alpena, Arenac, Crawford, gladwin, Iosco, Montmorency, Ogemaw, Oscoda, Otsego & roscommon counties
AreA vI: Tammy [email protected], gogebic, houghton, Iron, Keweenaw & Ontonagon counties
AreA vII: brenda [email protected], eaton, Ingham, Livingston & shiawassee counties
AreA vIII: Kim [email protected], Jackson, Lenawee, Monroe & Washtenaw counties
AreA Ix: Tammy [email protected], Delta, Dickinson, Marquette, Menominee & schoolcraft counties
AreA x: patty [email protected], Cheboygan, Chippewa, emmet, Luce, Mackinac & presque Isle counties
AreA xI: bonnie [email protected], Lapeer, sanilac, st. Clair & Tuscola counties
AreA xII: Cheryl [email protected], benzie, Clare, grand Traverse, Kalkaska, Lake, Leelanau, Manistee, Mason, Missaukee, Osceola & Wexford counties
AreA xIII: Lisa Chudzinski Walters (517) 861-9608genesee county
fOuNDer: peggy [email protected]
AREA COORDINATORS
presIDeNTshari [email protected]
vICe presIDeNTbonnie [email protected]
TreAsurerMichele [email protected]
COrrespONDINg/reCOrDINg seCreTArYvacant
sChOLArshIpDonna [email protected]
NOMINATINgJulie [email protected]
bYLAWsLinda [email protected]
MeMbershIpellie [email protected]
prOgrAMsshari [email protected]
MeDIAMary [email protected]
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Vendors in alphabetical order at the time of print:Advanced TissueAll Med Medical supplyApollo CorporationAvanirbeaumont Mobile Imagingbedside DermatologyCalmoseptine, Inc.CareLinc Medical Long Term CareChampion Disability AdvocatesClorox professionalCOMs Interactive, LLCCubist pharmaceuticalsencore rehabilitation servicesfitzsimmons hospital servicesgreat Lakes CaringhomeTown pharmacyhpsI purchasing services In Touch pharmaceuticalsIntegra healthcare equipmentIntegrated pharmacy NetworkInvacare Continuing CareKalamazoo LTC pharmacyMcKessonMedline Industries Inc.Mobile Care groupMobile Medical supportMobilexusAMy Innerview by National research Corp.NicholsNovo NordiskOakMed productsOmnicare pharmacies of MichiganOnhealthcarepathway healthpCA Curo pharmacypharMericapine rest Christian Mental health servicesprimesource
MI-NADONA/LTC Annual Vendor Expo ShowOct. 23 | 2:00-5:00 PM
Welcome 2014 Vendors! QCI healthcareremedi senior Careresidential hospicerxperTs pharmacyscrubs on Wheelsseasons hospice & palliative Caresecure Care systemsseneca Medical, Inc.skil-Care Corpsymmetry hand hygieneTandus/Centiva flooring, A Tarkelt CompanyTherapy Management Tri Medical salesvph pharmacyWound Kair ManagementWound rounds
MI-NADONA/LTC ANNUAL CONVOCATION & EXPO
HEADING BACK TO DETROIT IN 2015!
SAVE THE DATESMI-NADONA/LTC Alzheimer’s Disease & Dementia Care seminar: preparation for CDP Certificationfriday, february 20, 2015east Lansing, MI
MI-NADONA/LTC rN boot Camppart 1: March 18-19, 2015part 2: April 15-16, 2015east Lansing, MI
MI-NADONA/LTC Alzheimer’s Disease & Dementia Care seminar: preparation for CDP Certificationfriday, August 07, 2015grand rapids, MI
MI-NADONA/LTC Alzheimer’s Disease & Dementia Care seminar: preparation for CDP Certificationfriday, August 14, 2015Marquette, MI
25th AnniversAry! MI-NADONA/LTC Annual Convocation & expoOctober 21-23, 2015Detroit, MI
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JOIN US FOR THE PARTNER TAILGATE CELEBRATION!THURSDAY, OCTOBER 23 7-10 PM
2014 registration policiesearly registration Deadline
The discounted early registration rate is available to current NADONA members only, whose registration is received by HCAM by Friday, August 22, 2014.
registration ConfirmationAfter your registration form has been processed, an event confirmation will be emailed to your attention from [email protected]. Please be sure to include a current email address on this form.
payment & Applicable rateMembership will be verified for all registrations indicating NADONA membership status. All registration fees are due at the time of registration.
Cancellation & refund policyAll refund requests must be made in writing by e-mail to [email protected]. Telephone cancellations will NOT be accepted. Individual registration fees, less a 25% processing fee, will be refunded for cancellations received in writing prior to Sept. 5, 2014. Cancellations received after Sept. 5, 2014 and “no-show registrants,” will NOT receive a refund nor a credit to a future program.
substitutionsIndividuals registered to attend this program, but unable to participate, may send an alternate in their place. Please contact HCAM by email to [email protected] with the first and last name, title and facility/company of both you and your substitute to process this request.
Dietary restrictionsShould you have a dietary restriction, please contact HCAM by email to [email protected] no later than Sept. 5, 2014 detailing your need.
Consent to use of photographic ImagesRegistration and attendance at, or participating in, MI-NADONA/LTC’s events and/or activities constitutes an agreement by the registrant to MI-NADONA/LTC’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities.
QuestionsShould you have questions, please contact Bethany Rademacher by phone at (517) 622-6193 or by e-mail at [email protected].
hotel AccommodationsThis year’s MI-NADONA/LTC Annual Convocation & expo will be held at the fireKeeper’s hotel & Casino located at 11177 Michigan Avenue, battle Creek, MI 49014.
should you need overnight lodging, please secure your hotel reservation directly with fireKeeper’s hotel & Casino by calling (877) 352-8777 by september 21.
please be sure to reference group code “101514hCAM” at the time of reservation to receive the discounted group rate of $109 per night plus applicable taxes.
please make your reservation now, as rooms are limited and not guaranteed.
valet & self-parkingboth valet and self-parking at fireKeeper’s hotel & Casino are complimentary.
Conference Attirebusiness casual attire is appropriate for this conference. please remember that conference room temperatures are difficult to regulate, please dress in layers for your comfort.
for the partner Tailgate Celebration, be sure to proudly wear/promote your favorite team!
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M I - N A D O N A / L T CCONVOCATION OCTOBER 22-24, 2014FIREKEEPER’S HOTEL & CASINOBATTLE CREEK, MICHIGAN
Address: _________________________________________________City: ______________________________________________________ state: _____________________ Zip: _______________________
registration confirmation & other important conference info. will be sent to you by email.
Name: ____________________________________________________Title: ______________________________________________________ facility: __________________________________________________
phone: ___________________________________________________fax: _______________________________________________________ email: ____________________________________________________
Check One: _________Check payable to “hCAM”___visa ___MasterCard ___American express ____DiscoverCredit Card Number: ___________________________________
expiration Date (Month/Year): _________________________ 3-Digit security Code on back of Card: ________________ billing Zip Code: _______________________________________
Cardholder Name: ______________________________________ Cardholder signature: __________________________________ Today’s Date: ___________________________________________
To register now, submit this completed form with payment by fax to (517)627-3016 or mail to:hCAM • 7413 Westshire Drive • Lansing, Mi 48917
Package & Inclusions Early Bird NADONA Member
Rate By Aug. 22
NADONAMember
Rate
Prospective NADONAMember
Rate
A) full package: Includes all education, contact hours, breakfasts, luncheons, breaks, expo and Tailgate Celebration from Oct. 22-24.
$385 $435 $560
b) Oct. 22 only: Includes education, contact hours, breakfast and luncheon on Oct. 22 only.
$285 $335 $410C) Oct. 23 only: Includes education, contact hours, breakfast, luncheon, expo and Tailgate Celebration on Oct. 23 only.
$310 $360 $435
D) Oct. 24 only: Includes education, contact hours and breakfast on Oct. 24 only.
$210 $260 $3352014 participating
exhibitors/sponsors Only e) expo & Tailgate Celebration only: Includes a ticket for the expo and Tailgate celebration on Oct. 23 for 2014 participating exhibitors/sponsors only. Any vendor who is NOT exhibiting or sponsoring will need to register for Package C.
$125
regIsTrANT INfOrMATION
pAYMeNT INfOrMATION