Meet the Nation s Premier Provider of Educational Conferences for Hospital Leaders

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2 Meet the Nation s Premier Provider of Educational Conferences for Hospital Leaders For America s most successful hospitals, the Estes Park Institute experience is one not just of learning, but of discovering. Since 1974, hospital leadership teams have discovered the insights, innovations and best practices to help them set and reach higher goals. The Estes Park Institute is committed to helping every community hospital better serve its patients, and its community. Our conferences take place at destinations that offer the perfect blend of relaxing scenery and academic substance. As your hospital s leadership team learns together, you ll strengthen the bonds of teamwork that will continue to benefit your hospital and your community long after the conference ends. Our Mission Estes Park Institute believes health care must have a moral center, and that health care leaders and professionals have the highest duty and responsibility in our society. The mission of Estes Park Institute is to educate teams of health care executives, physicians and trustees so that they can better serve their patients and all of the people in their local communities, and can exercise leadership in this field. We fulfill that mission by presenting up-to-the-minute information, analysis and insight into the problems and opportunities that shape health care in the United States. 2

3 Conference Dates & Locations San Diego, California October 31 November 3, 2010 Hotel del Coronado Rising from water s edge on the quaint island of Coronado in San Diego, the Hotel del Coronado is considered one of America s most beautiful beach resorts. A classic historic hotel, the Del was built in 1888 and designated a National Historic Landmark in Today, the Del offers travelers contemporary luxury in an enchanting Victorian atmosphere. Add to this the resort s beachfront location, and it s no wonder USA Today calls it One of the top ten resorts in the world. The resort s magical architecture and island setting are perfect. NAPLES, FLORIDA January 9 12, 2011 The Ritz-Carlton An Estes Park favorite at a new time of year! Nestled on Florida s Paradise Coast with dazzling views of the Gulf of Mexico, warm golden sunsets, and three miles of pristine beach, The Ritz-Carlton, Naples is a naturally magnificent destination. Guests can take advantage of the resort s exclusive spa services or experience championship golf in the lush coastal setting of the nearby Tiburón Golf Course. With world-class restaurants and impeccable service, The Ritz-Carlton offers an unforgettable retreat in one of the world s most beautiful locations. MAUI, HAWAII January 23 28, 2011 Grand Wailea Resort The Grand Wailea Resort Hotel & Spa is the perfect destination for a fabulous Hawaii retreat. Situated on 40 meticulously landscaped acres, the Grand Wailea Resort Hotel & Spa opens onto Maui s beautiful Wailea Beach. You ll have the opportunity to experience the best of Maui. In addition to its beautiful location, the resort offers an array of activities. Indulge in Spa Grande, spend a day at the pools, or make plans for golf, tennis, snorkeling, or visiting the many beautiful sites Maui has to offer. This Hawaii resort is a great destination for the whole family. SCOTTSDALE, ARIZONA March 6 9, 2011 Fairmont Scottsdale The AAA Five-Diamond Fairmont Scottsdale has come to reflect the dynamic environment that surrounds it where sun-washed stone and bright-green cottonwoods rise up to meet the pale-blue sky and majestic purple mountains. This magnificent resort is scenically set against the backdrop of Arizona s McDowell Mountains and pays tribute to Arizona s Spanish Colonial heritage. Boasting one of the best spas in North America (according to Conde Nast Traveler), three award-winning restaurants, state-of-the-art conference facilities, and two 18-hole championship golf courses one of which is home to the Annual PGA Tour FBR Open the Fairmont Scottsdale is truly an experience like no other. LA QUINTA, California April 3 6, 2011 La Quinta Resort & Club La Quinta Resort & Club is a legendary hideaway, renowned since 1926 for its charm and serenity. La Quinta Resort & Club features ninety holes of some of the country s best golf, including the famous TPC Stadium Golf Course at PGA WEST and the picturesque Mountain Course at La Quinta Resort. The world-class Spa La Quinta offers guests a variety of unique indoor and outdoor treatments including PGA WEST Golf Massage, open-air Celestial Showers, Sacred Stone Therapy, and more. 3

4 Conference Schedule Sunday 8:00 am 9:30 am Welcome Breakfast (optional) 12:00 pm 3:45 pm Conference Registration 4:00 pm 6:15 pm General Session 6:15 pm 7:15 pm Conference Reception Monday 6:30 am 8:00 am Registration and Continental Breakfast 8:00 am 12:00 pm General Session Tuesday 6:30 am 8:00 am Continental Breakfast 8:00 am 10:50 am General Session 11:00 pm 11:50 pm Interactive Sessions 11:50 am 1:30 pm Lunch (on own) 1:30 pm 4:20 pm Interactive Sessions and Physician Executive Track Wednesday* 6:30 am 8:00 am Continental Breakfast 8:00 am 11:30 am General Session 11:30 am Conference Adjourns Wednesday Evening and Thursday Morning (Optional) A Special Future Forum in San Diego, Naples, Scottsdale and La Quinta (See Conference Program for Details) General Sessions In an Estes Park General Session, executives, physicians and trustees come together to hear real solutions to a broad range of problems and challenges facing health care organizations today. Hearing the same message as a team stimulates discussion and provides a strong foundation for generating a take-home plan to implement new ideas and strategies. Interactive Sessions Our workshop-style Interactive Sessions drill down by offering a choice of topics for each individual team member s area of expertise. The Estes Park Fellows delve into the nuts and bolts of specific issues and conclude with a discussion period, enabling participants to ask questions about how these topics apply to their own organization. *Schedule Notes: At the Hawaii conference, Wednesday is an open day. (Day four sessions will take place on Thursday, and an additional fifth day of sessions will take place on Friday.) 4

5 A Conference Program for Your Entire Team Our esteemed Fellows share critical insights into the turbulent health care environment. Each speaker provides detailed best practices regarding specific issues patient safety, regulatory reform, finance, communications, and more. The result is a timely and relevant program focused on helping you find the right solutions for your own hospital s future. Sunday Welcome, John Horty, LLB Opening Comment from the Chair of the Estes Park Institute. The Road Map, Richard YaDeau, MD, FACS, FACHE (Hon.) Your Estes Park Institute Program how everything fits together. Engagement, Steve Rivkin Be yourself. Create the health care system you want to provide the public. The importance of excellence, transparency, honesty, veracity, and trustworthiness in your bona fides. Start by looking in the mirror and fixing what you see before you reach out to the community. Zero tolerance for: Great hospital, some problem physicians or World-class medical staff, low-performing institution. Otherwise, each will sink to their lowest common denominator. Accountability, John Tiscornia, MBA, CPA The buck stops on everybody s desk. (apologies to Harry Truman) Universal financial accountability: taking financially responsible behavior out of the finance office and making it an institution-wide responsibility. Ensuring that physicians assume their portion of responsibility for the solvency and prosperity of the institution. Defining expectations for both quality and financial behavior within our best practices programs. Creating a culture in which everyone is invested in the quality achievements, financial success, and public image of the institution. Accountable Care Organizations - Fact or Fantasy? Dan Mulholland, JD Everyone in the health care field wants to learn about ACOs. Some actually claim to be ACOs and others want to be one when they grow up. Consulting and law firms will charge hundreds of thousands of dollars to get you ready for ACOs. But the reality is that no one really knows what ACOs are. This session will explain just what the law says about ACOs, discuss the questions that remain unanswered about them, and warn hospitals and doctors about jumping the gun. Singularity, Leanne Kaiser Carlson, MSHA To create a new world, we must first create a new dream. - John Perkins Viewing the organization as one interdependent entity. Reengineering core relationships to eliminate solo thinking. Removing barriers to lateral communication. Freeing the organization from the Chain of Command. Evaluating changes from the point of view of all of the organization s stakeholders. A More Perfect Union, Linda Haddad, JD Time present and time past are both perhaps present in time future and time future contained in time past. - T.S. Eliot, Burnt Norton Which elements of physician-hospital relationships cannot be sacrificed: how do we retain them? Which elements must change: how do we change them? We don t know all of the external forces influencing health care institutions, but there are broad guidelines for how we should function in the future. We have the freedom to create our own new relationships; our own new covenants. 5

6 Master of Our Destiny, Leland Kaiser, PhD Sapere aude (Dare to be wise) The interconnected destiny of our institutions, our communities, our society and us. Creating bridges between rich and poor and between those who have knowledge and those who need it. Faiths, cultures and institutions with their disparate specialties and areas of expertise. The moral imperative to create universality within our health care community. Where it s happening; what it looks like. Monday Developing the Morning s Theme, John Horty, LLB Mene Mene Tekel Ufarsin. ( You have been counted, weighed and found wanting. ) Accepting the Challenge, John Kitzhaber, MD Defining a future that belongs to those who do more with less, while still improving quality. The immediate problem isn t the new health care legislation, but rather how to pay for it. Compare the causes of morbidity and mortality with where we spend our money today (little on prevention; much on latestage, often futile, care.) The health care industry must be responsible and accountable for both the problem and its solution. With many new people to be served by existing resources, we must restructure our delivery systems. The challenge isn t how to get more money from the system, but how to radically extend the reach of our services while removing costs from the system. Is the Sky Falling? Stuart Altman, PhD Understanding where responsibility lies in the new delivery system. Each segment of the health care delivery system claims they are not responsible for rising costs, increased utilization, and falling performance. Where do we spend our money in the system? Where can we reduce costs? What are the government s capabilities and limitations? Who must respond to the increased enfranchisement of the new health care law? Do you anticipate a role for venture capitalists who contend they can shift 60% of what is delivered in the traditional setting to new delivery vehicles? Who Do We Turn to Now? John Horty, LLB Exploring a new relationship between physicians and hospitals. More and more, payment redesign and resource needs have led some physicians to directly compete with their institutions, and others to become employed by their institutions. The future of the community hospital, under changing federal and private sector initiatives, depends upon the education, training and leadership capabilities of employed or tightly contracted physicians. The Estes Park Institute will contribute substantially to the development of these physicians. Hospitals will continue to work with those physicians remaining in their own practices but won t count on them to make their future secure. Panel Discussion, Stuart Altman, PhD; John Horty, LLB; John Kitzhaber, MD The view from 40,000 feet: what aren t we seeing that we should be? Physician Executive Track, Barry Bittman, MD Educating and empowering physicians to become well-trained and versed in the critical aspects of health care management that extend beyond day-to-day patient responsibilities. Ensuring the Transformation: Medical Executives as Change Agents for Sustainable Quality Health Care Synchronizing Shared Responsibility: Physician Practices and Hospital Administration Maximizing Quality through Creative Health Care Delivery Strategies Polishing the Patient Experience and Harnessing the Power of Consumerism Optimizing Strategic Communications and Effective Negotiations Creating a Legacy of Win Wins: Building Successful Collaborations in an Evolving Health Care System Making a Difference With One, Della Lin, MD Patient safety and universal accountability welcoming the new future. Weaving safety into the fabric of your learning culture. We can respond to quality initiatives, which are team efforts and institutional responses. Replacing case-by-case thinking with total institutional immersion in safety. Focusing on the future: Measure each case against objective standards; shift from anecdotal and experience-based medicine to data-defined practices. Making this institutional commitment part of each physician s relationship. Guest Presentations to be Announced 6

7 Tuesday Developing the Morning s Theme, Steve Rivkin Less Is More Made Whole Again: Healing the Hospital Medical Staff, Linda Haddad, JD Designing a hospital medical staff is key to responding to the new payer initiatives. Time to redefine the hospital medical staff, perhaps from its origins. Recent changes that created discord between the institutions and the physicians. The law emphasizes hospitals accountability for physicians performance. Tomorrow s hospital medical staff. Silencing the Organ Recital, Richard YaDeau, MD, FACS, FACHE (Hon.) Front-loading the system by treating the causes. It s working everywhere you look. Moving from improved therapeutics to improved prevention, detection and therapy before the disease. Reconfiguring the death curve. Making these efforts become the institution s commitment to the community. Organizing a Multicultural Health Delivery System, Charlotte Jefferies, JD Exploring how inclusion is not only better, but also less expensive. More access to care for more people, and less indifferent and institutional care. More preventive care and less expenditure on late and futile care. More years without disability and less cardiac disease, strokes and compromised pregnancies. Less top-down health care and more funding for lifestyle change. Optimum Care and the Least Price, John Tiscornia, MBA, CPA Best practices: How are hospitals reducing costs and improving quality of care? How can the physician-hospital relationship deliver care most cost-effectively while improving quality? Clinical transformation is critical. It can take up to 30% of the cost out of the system. Care delivery must change, not just the payment system. Hospitals must do more with less. How can management support the difficult decisions that must be made under health care reform? Ideas for facing increasing volumes without increasing the bottom line. Compliance: A Reality Show for Health Care Professionals, Jim Kopf Moving from defensive posturing toward more collaborative compliance. Building an institution that cares for the recipients of federally funded care. Avoid the cross hairs of oversight organizations. Change the equation: identify better ways to improve the health of the population you serve, and do it with less. Protect your assets from seizure. The Pulse of Innovation, Stuart Altman, PhD Changes in the delivery of care. Doing more with less. Total clarity at the end of reform. Implementation will be critical: creating a responsive and responsible organization in uncertain times. The roles of the states will be critical. Interactive Sessions #1 (choose one) Continuum: Rethinking Everything, Leanne Kaiser Carlson, MSHA The States as Laboratories for Successful Health Care Reform, John Kitzhaber, MD TBA-Guest Speaker Best Practices for the Road Ahead, Steve Rivkin Strategic Planning and Positioning Under Health Care Reform, John Tiscornia, CPA CEO Roundtable, John Horty, LLB Interactive Sessions #2 (choose one) Conversations with Dr. Altman, Stuart Altman, PhD Suspensions: Doing the Right Thing at the Right Time and in the Right Way Matters, Charlotte Jefferies, JD Personal Growth and Professional Development, Leland Kaiser, PhD New Rules for Tax Exempt Hospitals, Dan Mulholland, JD Physician Executive Track, Barry Bittman, MD 7

8 Interactive Sessions #3 (choose one) Medical Staff Conduct, Health and Quality Issues in the Gray Zone, Linda Haddad, JD Check Please! Settling the Bill with Government Auditors, Jim Kopf TBA-Guest Speaker Creating a Learning Culture of Excellence: Achieving Amazing Success, Della Lin, MD Serving as Hospital or Health System Board Chair, John Horty, LLB Physician Executive Track Continued, Barry Bittman, MD Interactive Sessions #4 (choose one) Cheap And Smart: Racing Down the Pyramid, Leanne Kaiser Carlson, MSHA Hope Vs. Despair: Alternative Solutions for Rough Times, Leland Kaiser, PhD Creating a Learning Culture of Excellence: Achieving Amazing Success, Della Lin, MD (Repeat Session) Mergers and Acquisitions What You Need to Know, Dan Mulholland, JD Transparency: How Much of a Good Thing? Steve Rivkin Physician Executive Track Continued, Barry Bittman, MD Wednesday * What Do They Want From Us Now? Steve Rivkin An outside-in look at the health care market. Women influence 85% of health care decisions; they have a distinct set of needs and expectations. Whether female or male, patients are increasingly impatient and are demanding a better experience. Cyber-savvy consumers expect more online access, which changes the playing field. Health care leaders should consider the implications of these consumer findings for their hospital or system. Generosity Heals, Leanne Kaiser Carlson, MSHA It is possible to attract generosity in much greater ways than we often imagine. We are surrounded by immense abundance. Uncovering a surprising path to prosperity. It is also possible to live generosity more boldly ourselves, discovering its healing potential. Generosity shapes every organizational strategy, relationship, and patient experience. Applying Patient-Centered Health Technologies: It s About Time! Della Lin, MD Why are some applications of new technologies successful in their adoption? Why do some fail? Whether implementing electronic health records or other health technologies, certain criteria are important to consider when planning. Tips for success, and pitfalls to avoid in some of the latest innovative patient-centered technologies. Defining criteria essential towards effective adoption of new technologies and sharing innovative health technologies currently in place. Genetics: Who Am I? Richard YaDeau, MD, FACS, FACHE (Hon.) A look at how genetics is dividing us. The uniqueness of each of us reflects the uniqueness of the therapies we deserve. Little that is in our genetics is preordained. Lifestyle controls genetic expression. Do we have a right to our own genetic information? Who will interpret and advise us about our genetic information? Where is the opportunity for community hospitals? Malpractice Reform: Aspiration or Illusion, Linda Haddad, JD Where has it been accomplished and what are its effects? The intended and unintended consequences. Elements of a successful program: what worked. Failed malpractice reform efforts: Pablum, anyone? New Health Care Fraud Initiatives: It s Not About Hospitals Anymore, Jim Kopf The government is pouring money and personnel into key cities in which unscrupulous so-called providers are ravaging health care. Stories from the front lines in the health care fraud battles: Feeling the HEAT Targets and cities New partners in the fight What hospital management should know and do to avoid being a victim *Schedule Notes: At the Hawaii conference, Wednesday is an open day. (Day four sessions will take place on Thursday, and an additional fifth day of sessions will take place on Friday.) 8

9 The New Corporate Mantra, Leland Kaiser, PhD Doing more with less: from isolation (less) to inclusiveness (more). Building effective alliances: moving from competition to collaboration. Innovating our way into the future. Summation. Testimonials Very inspiring and motivational conference; many takeaway items to use at our hospital; really liked the integrated approach. The real value of attending Estes Park is the opportunity to remove one s self from a fast-paced daily challenging environment for a short time and be able to consider... the road less traveled by to make a difference. A Special Future Forum Optional Sessions, Free to Registrants Reservation Required. Wednesday working dinner, 6:30 pm Thursday 8:00 am to 11:30 am The 2010 Health Care Bill is now law like it or not. Implementation is beginning and so are the changes. The law and what follows will change hospital governance, payment for care and the way care is delivered. All aspects of care will be changed. And, there will be many unintended consequences. We will explore what has happened, what will happen and the unexpected changes that will occur. Most important, we will give advice and direction on what to do about it. We need to get started on change. Future Forum will concentrate on how to begin. Space is limited. Call to reserve your spaces. I think conferences like this should be made available to all players in health care reform to understand and develop new ideas; All doctors, for instance, should attend one of these conferences; Everyone needs to be on the same page for change to occur and to understand what the needs/hurdles are. I always learn something that helps me as a hospital board member; Several presenters are futurist in their thinking, but some things I ve heard at past Estes Park meetings are beginning to happen... they certainly make you think. Enjoyed the generally upbeat tone of the conference; My spouse felt more welcomed here than at other conferences (invited to attend sessions, issuance of name tag); High quality speakers and topics! Best conference I have attended in my 45 years of business and hospital career. *Preliminary schedule. Program may change. 9

10 the Estes Park Institute Fellows Experts that exemplify a higher standard in health care education by providing realistic solutions, innovative tools, and inspiration to challenge the status quo. Stuart Altman, PhD Stuart Altman is the Sol C. Chaikin Professor of National Health Policy at the Florence Heller Graduate School for Social Policy, Brandeis University. Previously, he served on the National Bipartisan Commission on the Future of Medicare. He is a member of the Institute of Medicine of the National Academy of Sciences, and serves on the Board of Trustees of the Tufts-New England Medical Center. Barry Bittman, MD Barry Bittman, MD is a neurologist, researcher, author, international speaker, award-winning producer/director and inventor. As Chief Innovations Officer of Meadville Medical Center, he pioneered a new paradigm for treating the whole person. He also serves as the CEO of the Yamaha Music & Wellness Institute, a non-profit organization dedicated to basic science and outcomebased research in collaboration with renowned medical and educational institutions. Dr. Bittman will guide physicians in our new Physician Executive Track to become well-trained and versed in the critical aspects of health care management that extend beyond the day-today patient care responsibilities. Leanne Kaiser Carlson, MSHA Leanne Kaiser Carlson is a futurist who senses what is possible and advises CEOs, boards, providers, philanthropists, and foundations. She is a founder of the Kaiser Institute, a place of exploration and strategybuilding for the future. Ms. Kaiser Carlson also is a writer, hospital board member, teacher, and member of the VHA Foundation Board, which funds innovations in health care. Linda Haddad, JD Linda Haddad is a senior partner in the Pittsburgh law firm of Horty, Springer & Mattern. She serves on the faculty of the American College of Physician Executives, and has presented in programs conducted by the American Health Lawyers Association, medical societies, and hospital associations. Ms. Haddad is listed in The Best Lawyers in America and Pennsylvania Super Lawyers. John Horty, LLB John Horty is chairman of the Estes Park Institute and the managing partner of the Pittsburgh-based law firm Horty, Springer & Mattern. He is the president and editor of HortySpringer Publications and previously has served on the board of Mercy Health System, and as chairman of the board of St. Francis Hospital and Central Medical Hospital, all in Pittsburgh. He is an Honorary Fellow of the American College of Health Care Executives. Charlotte Jefferies, JD Charlotte Jefferies is a senior partner with the Pittsburgh law firm of Horty, Springer & Mattern, and a research editor for HortySpringer Publications. She has worked as a health planner, and as a law clerk for the U.S. District Court and the Western Pennsylvania district of the U.S. Attorney s office. Ms. Jefferies is a member of the Advisory Board of the Study of Women s Health Across the Nation. Leland Kaiser, PhD Leland Kaiser is a health care futurist, an executive coach, and an organizational consultant. A pioneer in emerging areas of health care, Dr. Kaiser is founder and president of Kaiser Consulting, a health care consulting firm. He also is co-founder of the Kaiser Institute, a postgraduate educational program that provides advanced training in integrative medicine, intuition and philanthropy. Hon. John Kitzhaber, MD John Kitzhaber, president of the Estes Park Institute since January 2003, is a former emergency physician, legislator and two-term Governor of Oregon. He is the past president of the Oregon State Senate, where he authored and implemented the groundbreaking Oregon Health Plan. His public service was marked by innovative leadership in environmental stewardship and a wide variety of health care issues. James Kopf James Kopf is president of Health Care Oversight, a company concentrating on issues confronting both the public and private sectors of health care. Mr. Kopf s experience includes 26 years as a federal law enforcement officer with the Office of Inspector General, the Department of Health and Human Services, and the Federal Bureau of Investigation. He also coauthored the current standards for health care fraud investigations. David Lawrence, MD David Lawrence retired in May 2002 as Chairman and CEO of Kaiser Foundation Health Plan and Kaiser Foundation Hospitals. Dr. Lawrence currently serves on the Boards of Agilent Technologies, Raffles Medical Group of Singapore, McKesson Corporation, and the RAND Health Advisory Board, among others. He also serves in advisory roles to the biotechnology industry. Della Lin, MD Della Lin is an inaugural National Patient Safety Foundation/Health Forums Patient Safety Leadership Fellow (2002) and continues as core faculty. She is also on the steering committee for the VHA West Coast Patient Safety Fellowship. Dr. Lin works with organizations and hospitals in their Board, MEC, joint leadership and patient safety seminars. She is currently the Hawaii Physician Lead for the CUSP: STOP BSI initiative and continues an active clinical practice in Honolulu. Dan Mulholland, JD Dan Mulholland is a senior partner in the Pittsburgh law firm of Horty, Springer & Mattern, P.C. Named in 1997 by the National Law Journal as one of 40 health care attorneys who have made their mark and listed in The Best Lawyers in America, he regularly advises clients on hospital medical staff, corporate tax fraud and abuse, and compliance matters. Steve Rivkin Steve Rivkin is the founder of Rivkin & Associates, a marketing and communications consultancy. He has worked with more than 100 hospitals and health care groups on marketing, communications and crisis management. Mr. Rivkin is a former journalist and has coauthored five books on topics from marketing strategy to collecting, borrowing and adapting new ideas. John Tiscornia, MBA, CPA John Tiscornia is a principal in Wellspring Partners and a former director of Arthur Andersen s national health care practice. He is a clinical professor in the Graduate School of Public Health and Community Medicine at the University of Washington. Mr. Tiscornia s experience ranges from managed care organizations to strategic financial planning. Richard YaDeau, MD Richard YaDeau was trained at the Mayo Clinic and practiced surgical oncology in St. Paul, MN, where he also served as president and then chairman of the Foundation for Health Care Evaluation. He has served as chief of Bethesda Lutheran Hospital s medical staff, taught at the University of Minnesota School of Nursing, and was instrumental in establishing the second hospice in the United States. Estes Park Guest Fellows In addition to the Estes Park Institute senior fellows, guest fellows with particular expertise will be invited to present at different conference locations. We cannot guarantee that all fellows will be present at each conference. 10

11 Conference Registration Target Audience The Estes Park Institute conference experience is for the entire leadership team executives, physicians and trustees. Conference Objective The objective of an Estes Park Institute conference is for health care leaders to learn and explore with our health care experts the current trends, innovations and solutions to help navigate the challenges presented by health reform and a rapidly changing health care environment. Tuition Team tuition is $5900 for each team of Four* Individual tuition is $1695 per registrant *Registration may be submitted now to confirm spaces. Names and titles may be submitted at a later date. Each conference registration includes: Attendance at one Estes Park Institute conference Complimentary attendance for spouse/community member Flash drive including all conference presentation materials Continental breakfast each morning for registrants and guests Opportunities to network with the Estes Park Institute Fellows and Registrants Access to all online reference and resource materials CME/ACCME, ACHE and NAMSS Credit Register your team now by filling out the enclosed form, calling , or online at Continuing Education Credits CME/ACCME: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Pittsburgh School of Medicine and the Estes Park Institute. The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. ACHE: The Estes Park Institute is authorized to award approximately 18 hours of preapproved Category II (non-ache) continuing education credit for this program toward advancement or recertification in the American College of Health Care Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should document their attendance when applying for advancement or recertification in ACHE. NAMSS: This program has been approved by the National Association of Medical Staff Services for approximately 18 hours continuing education units. Medical staff services and credentialing professionals are responsible for verifying attendance at continuing education activities relative to their recertification. For your convenience, we will provide a certificate as proof of attendance. Faculty Disclosure In accordance with Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials distributed at the time of the conference. Americans with Disabilities Act Statement We encourage participation by all individuals. If you have a disability, advance notification of any special needs will help us to better serve you. Please notify us of your needs at least two weeks in advance of the program. 11

12 The Estes Park Institute R E G I S T R AT I O N F O R M 1 Online: EstesPark.org 2 Call: Fax this form to: Mail this form to: Estes Park Institute, P.O. Box 400, Select conference: Englewood, Colorado SAN DIEGO, CALIFORNIA NAPLES, FLORIDA MAUI, HAWAII Hotel del Coronado The Ritz-Carlton, Naples Grand Wailea Resort October 31 November 3, 2010 January 9 12, 2011 January 23 28, 2011* SCOTTSDALE, ARIZONA Fairmont Scottsdale March 6 9, 2011 LA QUINTA (Palm Springs), CALIFORNIA La Quinta Resort & Club April 3 6, 2011 *At the Hawaii conference, Wednesday is an open day. (Day four sessions will take place on Thursday, and an additional fifth day of sessions will take place on Friday.) Contact name Contact title Contact Contact phone Fax Health care organization Number of beds Street address City State Zip CEO name CEO title CEO Method of Payment Bill hospital/health system Check enclosed (payable to: Estes Park Institute) Bill our credit card Account # Name on card Type of card Registrant Names TOTAL PAID REGISTRANTS: $5,900 (each team of 4) Total Amount Due: $ Authorized signature Expiration date (Space may be reserved and names submitted at a later date. Additional names may be attached on a separate sheet.) Name of system (if applicable) $1,695 (single) Upon registration, you will be sent accommodation information. Tuition for a physician, health care executive, or board member includes attendance at one Estes Park Institute conference and complimentary admittance for his/her spouse or a community representative who is not directly affiliated with the health care organization, but who may be involved in community health initiatives. Cancellation Policy All cancellations must be confirmed in writing. Written cancellations received by Estes Park Institute 30 or more days prior to the opening of the conference are eligible to receive a refund, less a processing fee of $150 per person. Cancellations received within days of the opening of the conference are not eligible for a refund, but money will be held on account up to 12 months for transfer to another Estes Park Institute conference. Cancellations within 14 days of the opening of the conference and no show registrants are not eligible for refund or transfer. Name Name Title Title Spouse/Community Representative Spouse/Community Representative Name Name Title Title Spouse/Community Representative Spouse/Community Representative WEB-BRO W