georgia perinatal association · 31st annual conference – gpa: 40 years strong registration form...
TRANSCRIPT
GeorgiaPerinatalAssociationGPA:40YearsStrong
31stAnnualConference:September20-22,2017
StSimonsIsland,GA
www.kingandprince.com
ProgramAgenda
Wednesday,September20,201711:00-3:00pm ConferenceRegistration King&PrinceLobby
11:00-2:30pm Pre-Conference:ASafeCareCommUNITY
(NatalieGreen,LMSW,WrayanneGlazeParker,LAPC,MAC,CARES,PeggyWalker,Judge,JoelynT.Alfred,MS,NCC,CMOTC,Rev.VonshurriiS.Wrighten,M.Div.,MAC,CACII,CCSSonhowhealthcare,socialservices,legalandrecoveryprogramspartnertosupportfamilieswithinfantsaffectedbyNeonatalAbstinenceSyndromeandFetalAlcoholSpectrumDisorder.
3:45pm ConferenceOpens
Welcome/Announcements
PanelDiscussionDinaHerren,MSN,IBCLC,NP-C,GPAPresident
4:00-5:00pm PerinatalandMaternalMortality LaraJacobson,MD
5:00-6:00pm RiskManagement:Hindsightis20/20 AstridWightman,RN-C,C-
EFM&ChrisMelcher,JD6:00-8:00pm ConferenceReception&ExhibitVisitation
Heavyhorsd’oeuvres&cashbar(1complimentarydrinkticketprovided!)
EnjoySt.Simons!
Thursday,September21,20177:00-8:00am ConferenceRegistration
ContinentalBreakfast,SilentAuctionOpensKing&PrinceLobby
8:00-8:15am Welcome/Announcements DinaHerren,MSN,IBCLC,NP-C,GPAPresident
8:15-9:15am QI:BehindtheScenesintheNICU
JackOwens,MD,MPH
9:15-10:15am IntimatePartnerViolence JudyLayden,RN,BSN 10:15-10:30am Break&ExhibitVisitation SilentAuctionContinues
10:30-11:30am IsItBaby-FriendlyorBaby-UNFRIENDLY? SallyWood,BSN,RN,IBCLC,LCCE
11:30-12:45pm AdvancesintheManagementofPretermLabor: AchievingOptimalPractice
DanEller,MD
12:45-2:00pm Luncheon/Meeting PanelDiscussion Colors,Personalities,andLeadership (PaneldiscussionbyKellySmith,MSN,NP-C,IBCLC,Dina Herren,MSN,NP-C,IBCLC,JodiHudgins,RN,MSN,&JoEllen McDonough,PhD,RN,BC,CNEoneffectiveleadershipand communicationskillsbasedonyourpersonalitycolor) 2:00pm Adjourn
RelaxandenjoyGPA’sscavengerhunt(seeregistrationpacket)
Friday,September22,20177:00-8:00am Registration&BreakfastBuffet
BreakfastBuffet/SilentAuctionContinues
King&PrinceLobby
8:00-8:15am Welcome/Announcements DinaHerren,MSN,NP-C, IBCLC,GPAPresident 8:15-9:15am NAS:AnEmergingEpidemicinGeorgia
JackOwens,MD,MPH9:15-11:15am TakingittotheStreets...SafeSleepPracticefrom JodiHudgins,RN,MSN Policy,PracticeandPublic TerriMiller,MPH,CHES SueEllenAbney-Roberts, DNP,RNC,C-EFM11:15-12:15am LowMilkSupply:AProvider'sGuide 12:15pm ClosingRemarks/Adjourn
KellySmith,MSN,NP-C,IBCLC
IntendedAudienceTheconferenceisforanyoneinterestedinimprovingthehealthstatusofmothersandinfants. Itisappropriateforallperinatalhealthadvocates,providers,includingadministrators,physicians,nurses,nursemidwives,nursepractitioners,perinatalsocialworkersandothersinvolvedinperinatalcare.
AccreditationEducationalCreditsAppliedFor
Lodging:TheKing&PrinceBeach&GolfResort
HOTEL RESERVATIONS: THE KING & PRINCE BEACH AND GOLF RESORT 201 ARNOLD RD, ST. SIMONS ISLAND, GA 31522 WWW.KINGANDPRINCE.COM Call 800-342-0212 or email [email protected] and mention the “GPA17” to reserve a room. The group rate will be offered till Sunday, August 20th or till the group block is sold out. Ocean Front Rooms: $161/night Partial Ocean Front Rooms: $151/night Resort View Rooms: $140/night Standard Room: $130/night
GPA:40YearsStrong
REGISTRATION FLOW CHART
Usethisflowcharttodeterminewhichregistrationfeecategory(A,B,orC)bestappliestoyou,thenflipoverandfilloutthedetailedregistrationform.
StartHere
31stAnnualConferenceISeptember20-22,2017ITheKing&PrinceResortISt.Simon’sIsland
Haveyoupaid2017GPADues?
NO YES
WouldyouliketobecomeaGPAmembertoday?
Notsure SeeBoxAtofindyourMember
meetingrates
YES
Emailgeorgiaperinatalassociation@gmail.comtofindoutyourmembershipstatus
NO
SeeBoxBtofindyourNon-Member
meetingrates
SeeBoxCtogetyourmeetingrateand
becomeamember
31stAnnualConference–GPA:40YearsStrongREGISTRATIONFORM–September20-22,2017
RegistrationFee:(SelectOne) ByAugust20th AfterAugust20th
A
2017GPAMember:RN/NP/PA/AlliedHealthProfessional $230 $295
2017GPAMember:Physician $250 $315
2017GPAMember–1DayRegistration(selectday)WedThursFriday $150 $200
B
2017GPANon-Member:RN/NP/PA/AlliedHealthProfessional $330 $395
2017GPANon-Member:Physician $380 $445
2017GPANon-Member–1DayRegistration(selectday)WedThursFriday $180 $230
C
Becomea2017MemberwithMeetingRegistration:RN/NP/PA/AlliedHealthProfessional $280 $345
Becomea2017MemberwithMeetingRegistration:Physician $300 $365
Becomea2017Memberwith1DayRegistration:(selectday)
ADDITIONALMEETINGADD-ON
WednesdayPre-Conference $50
Guest(WednesdaynightreceptionandFridaybreakfastaccess) $50
ThursdayLunch(NoCharge)–Pleasechecktheboxifyouplantoattendthelunch FREELUNCH(Yes,Iplantoattendthelunch)
2018GPAMembershipDues $50
Name_______________________________________________________Credentials_____________________________
MailingAddress__________________________City__________________State____Zip__________
WorkPhone(___)_______________HomePhone(___)____________Email:__________________________(emailaddressrequiredforconfirmationofregistration)Tell us about yourself: 1) Place of Employment: ___________________________________________________________________________ 2) # of years as health professional:________________________ 3) Specialty (circle all that apply) OB/GYN Peds Perinatal Neonatal Home Health Health Dept Other ___________________
PAYMENT METHOD: Check (enclosed, made payable to Georgia Perinatal Association):___ Credit Card: __ VISA ___MasterCard __ America Express Card # ___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Exp. Date ____/______ Signature: __________________________________ RETURN BY MAIL: Georgia Perinatal Association, P.O. Box 13784, Savannah, GA 31416. (912) 495-8266, Fax (912) 233-1952
All cancelations must be made in writing. Cancellation must be made on or before 9/2/17, and will be subject to a $40 processing fee. Refunds between 9/3-9/16, will receive a 50% refund. No refunds for cancelations after 9/16/17. Questions? Call (912) 495-8266 or email [email protected]
TOTALDUE:_______
