HCAM MCAL SPRING LEADERSHIP CONFERENCE MARCH 23-24, 2016 DETROIT, MI ENViSiON THE FUTURE OF CARE
HEALTH CARE ASSOCIATION OF MICHIGAN MICHIGAN CENTER FOR ASSISTED LIVING SPRINGLEADERSHIPCONFERENCE MARCH ENViSiON 23-24, 2016 MOTOR CITY CASINO HOTEL DETROIT, MI THE FUTURE OF CARE Welcome This year s Spring Leadership Conference will feature quality, in-depth education at an executivelevel on a variety of the profession s most urgent and emergent issues impacting leadership and workforce; business models/operations; quality and regulatory; and reimbursement and finance. Purpose The purpose of this conference is to provide long-term care and assisted living leaders (including homes for the aged, adult foster care and other independent and supportive living settings) with quality, implementable standards of practice to promote facility/center management, operations, continuity of workforce and optimal resident care and service. Target Audience This conference is designed for executive-level leadership including facility/center owners, corporate-level consultants (CEO, CFO, COO, etc.), regional directors, administrators, executive directors, directors of nursing, nurse managers, directors of finance and other long-term care and/or assisted living management personnel (including homes for the aged, adult foster care and other independent and supportive living settings). Continuing Education Participants will have the opportunity to earn up to 10 licensed nursing home administrator contact hours. This continuing education activity is appropriate for adult foster care providers and certified assisted living directors for a recommended maximum of 10 clock hours of professional development. Participants may also earn up to 10 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. 2
Wednesday, March 23 Time Program/Event Presenter 8:00 AM Registration Opens 8:00-9:30 AM Breakfast Buffet 9:00-9:15 AM Welcome & Opening Remarks David LaLumia 9:15-10:15 AM Opening Keynote: The Health System of the Future: Lead, Follow, or Get Out of the Way. HCAM Regulatory and Quality Assurance Performance 10:30 AM-12:00 PM Improvement (QAPI) Update Managing Costs While Managing Care The Cost of Retention & Burnout 12:00-1:00 PM Provided Luncheon Move Over Antipsychotics A Look at the Increased Scrutiny 1:00-2:00 PM of Antibiotic Use in Nursing Homes AGENDA Dr. Josh Luke Andy Rothman & Vickie Burlew Bert Brady & Paulette Najarian-Knight Angie Szumlinski & Erica Holman Bill Vaughan & Rob Shulman The Cost of Litigation & Impact on Insurance David Wiegel, John Hessburg & Vickey Voss Privacy Breaches, Litigation and Protection for Long-Term Care and Assisted Living Providers Mary Webber 2:15-3:45 PM The Skilled Shift: Home Health to Home Care & Assisted Living Dr. Josh Luke Reimbursement & Finance Update Betsy Rust & Pat Anderson Workforce & Succession Planning - Build Your Talent Pool for Tomorrow and Beyond Audra Dixon 4:00-5:00 PM Implications for the Proposed Post Acute Medicare Spending per Beneficiary Penalty Dr. Josh Luke MCAL Regulatory & Quality Update Linda Lawther 5:15-7:15 PM Executive Happy Hour Thursday, March 24 TIME Program/Event Presenter 8:00 AM Registration Opens 8:00-9:30 AM Breakfast Buffet 8:15-9:45 AM Managed Care Panels Moderator: Dr. Josh Luke with HCAM Member & Associate Partner Panelists The Importance of Leadership in Keeping Caregivers Mary Tellis-Nayak 10:00-11:00 AM Discharge Planning: Understanding the Proposed Rule and the IMPACT on Post-Acute Providers Rebecca Matthews How to Hire and Keep Caregivers Mary Tellis-Nayak 11:15 AM-12:45 PM Employment Law Update Grant Pecor 3
keynote/general sessions THE HEALTH SYSTEM OF THE FUTURE: LEAD, FOLLOW, OR GET OUT OF THE WAY. Dr. Josh Luke National Bundled Payment Collaborative Skilled nursing facility (SNF) and assisted living (AL) owners, administrators and directors of nursing will not want to miss this cutting edge presentation from a best-selling author and one of the leading healthcare futurists in the country. This presentation, led by a former SNF & AL administrator, who also served as a hospital CEO, breaks down which bundled payment models are most relevant to SNF and AL, as well as the most appropriate way to position post-acute care for each bundled payment model. The presentation provides great detail not just on all of the hospital penalty programs, but shares how hospitals and SNFs are being penalized when post-acute care length of stay is excessive and when SNFs routinely discharge to home health. The Care Plan Act will be a major focus, and strategies on how SNFs best align with referral sources and help them avoid penalties, while avoiding (recently announced) SNF penalties for over-utilization as well. If you have never seen this presenter speak, you won t want to miss it as he has been called the Tony Robbins of Healthcare as he is equally entertaining, inspiring and informative! Recommended for all long-term care audiences LABOR & EMPLOYMENT LAW UPDATE Grant Pecor Clark Hill PLC This program will focus on labor and employment trends and current developing issues. With the ever-evolving state and federal labor and employment laws, it is critical that employers keep up-to-date to avoid legal liability. This program will feature practical tips for employers to comply with developing labor and employment laws, including discrimination and accommodation laws and the new NLRB election regulations. Recommended for all long-term care audiences legal/regulatory/quality sessions HCAM REGULATORY AND QUALITY ASSURANCE PERFORMANCE IMPROVEMENT (QAPI) UPDATE Andy Rothman Lebenbom & Rothman, PC Vickie Burlew Lebenbom & Rothman, PC We are facing the largest federal change to our industry since the Omnibus Budget Reconciliation Act (OBRA) in 1990. We expect over 100 new and revised regulations to be finalized this year, payroll-based journal reporting to the Centers for Medicare and Medicaid Services (CMS), rebasing of the 5 Star System, and dementia surveys. Simultaneously, we are challenged with re-organization at the State and changes to state law permitting us to hire physicians. This session organizes the changes and offers suggestions to implement and manage change. Recommended for skilled nursng audiences only ANTIBIOTICS: A LOOK AT THE INCREASED SCRUTINY OF ANTIBIOTIC USE IN NURSING HOMES Bill Vaughan Remedi SeniorCare Rob Shulman Remedi SeniorCare Antibiotic use in nursing homes has come under intense scrutiny due to studies that suggested antibiotics are overused and poorly managed. Misuse of antibiotics can cause profound clinical implications for the residents and adversely affect the regulatory health of the facilities who administer them. This presentation, given by a board certified geriatric pharmacist and the former Chief Nurse of Maryland s state survey agency, will provide an overview of current and proposed federal regulations which impact antibiotic use. Best clinical practices designed to reduce the risks associated with antibiotics will also be explored. Finally, antibiotics stewardship will be discussed from both a clinical and operational perspective. Recommended for skilled nursing audiences only THE SKILLED SHIFT: HOME HEALTH TO HOME CARE & ASSISTED LIVING Dr. Josh Luke National Bundled Payment Collaborative In this session, long-term care providers will learn about Medicare Spending per Beneficiary (MSPB) and its impact on the hospital. Long-term care providers will learn how they can have an impact on the hospital s penalty and how to open doors through the referral sources to effectively manage this process. The specifics of the Care Plan Act and how it impacts MSPB. Finally, this session will discuss the proposed Post-Acute MSPB penalty and how long-term care providers can minimize exposure. Recommended for all long-term care audiences 4
reimbursement/finance sessions MANAGING COSTS WHILE MANAGING CARE Bert Brady Omnicare a CVS Health Company Paulette Najarian-Knight Omnicare a CVS Health Company Medication costs are rising every year, especially as new items come to market. This presentation will compare the benefits and risks in utilizing the newest, most expensive drugs as well as ways to control drug costs so as not to spend more than necessary while providing effective care. Sometimes the increase in drug cost is offset by decrease in other areas like labor, lab tests, etc. Other times, a more costeffective means of treating the resident can be considered. Participants will come away from this presentation with the knowledge to make more advantageous decisions in regards to managing their pharmaceutical costs. Recommended for skilled nursing audiences only PRIVACY BREACHES, LITIGATION AND PROTECTION FOR LONG-TERM CARE AND ASSISTED LIVING PROVIDERS David Wiegel Kitch Drutchas Wagner Valitutti & Sherbrook John Hessburg Kitch Drutchas Wagner Valitutti & Sherbrook Vickey Voss Voss Insurance Services, Inc. This presentation will deal with the growing risk of cyber-related data breaches and related concerns for those caring for the elderly. Examples of such breaches and the ramifications experienced by the facilities will be provided. Relevant litigation and consequences will be discussed as well. Lastly, participants will have the opportunity to ask insurance provider experts questions or share best practices in regards to cyber breaches or mitigation of the risks. Recommended for all long-term care audiences REIMBURSEMENT & FINANCE UPDATE Betsy Rust Plante & Moran PLLC Pat Anderson Health Care Association of Michigan HCAM Executive Vice President for Reimbursement Services, Pat Anderson, and Betsy Rust, reimbursement consultant to the HCAM Board of Directors, will facilitate this session designed to provide a comprehensive overview of the various Medicare bundled payment models, Comprehensive Care for Joint Replacement and managed care arrangements. Explore risk arrangements for these bundled payment models and how to decide if your facility is ready to make this type of contract. Also, the presenters will provide an update on recent changes in Medicare and Medicaid reimbursement and status of the MI Health Link pilot program. Recommended for skilled nursing audiences only skilled nursing focused sessions IMPLICATIONS FOR THE PROPOSED POST ACUTE MEDICARE SPENDING PER BENEFICIARY PENALTY Dr. Josh Luke National Bundled Payment Collaborative The Medicare Payment Advisory Commission has proposed a Post Acute Medicare Spending per Beneficiary penalty which is likely to be introduced by 2017. Learn how this penalty is measured and how skilled nursing facilities (SNF) should immediately be changing behavior to avoid penalty exposure and the impact of this proposal on patients/residents. CMS penalty periods are almost always a three year look back so the time to act is now as SNF s are being measured based on current performance. This session will explore which two key indicators impact a SNF s post acute Medicare Spending per Beneficiary exposure, and how a SNF can begin to address them with relative ease in a short amount of time, to ensure optimal coordinated patient care. Recommended for skilled nursing audiences only MANAGED CARE PANELS Moderated by: Dr. Josh Luke National Bundled Payment Collaborative The provider panel will facilitate this session designed to provide a comprehensive update to members on Michigan s vision for long-term care managed care, both short term and long term. Additionally, a cross section of service providers representing various aspects of the health care continuum will be assembled to share their insights on how the world of managed care continues to affect their strategic planning and processes. The panelists composed of HCAM & MCAL Associate Partner representatives will share how they currently work with managed care organizations related to contracting/payment; closed networks; changes or deviations from traditional practices. A discussion filled with participant questions is not one you want to miss! Recommended for skilled nursing audiences only DISCHARGE PLANNING: UNDERSTANDING THE PROPOSED RULE AND THE IMPACT ON POST-ACUTE PROVIDERS Rebecca Matthews Great Lakes Caring Home Health and Hospice The proposed rule changes for discharge planning are fast approaching. The purpose of this presentation is to provide clarity on these rule changes. Specifically, how discharge planning will change for hospitals and post-acute providers, including its effect on the relationship between skilled nursing facilities and home health agencies. Recommended for skilled nursing audiences only 5
workforce succession sessions The Cost of Retention and Burnout Angie Szumlinski Evolucent Erica Holman Evolucent Have you ever wondered what the actual cost is of turnover and burnout? How do you reduce burnout and increase retention without sacrificing quality? Why do some homes gel while others are chaotic? Learn how to shift your hiring paradigm and on-boarding process to have the success necessary to be a star in the industry. Recommended for all long-term care audiences GET IT RIGHT! BEFORE KNOWLEDGE LEAVES THE BUILDING Mary Webber NexCare Health Systems, LLC Has your organization implemented the most efficient employee/management team possible? Are you maximizing profits and ensuring long term success by utilizing your organization s internal talent? The demand for exceptional talent has never been greater. This presentation will discuss how to evaluate your team s skill sets and competencies and maximize current talent utilization to assume key business leadership roles in the organization as they become available. Additionally, this presentation will identify and provide the strategic alignment necessary to develop your organization s internal talent, best practices and strategies to lessen the impact of institutional knowledge loss as employees retire and/or leave the organization. Recommended for all long-term care audiences WORKFORCE & SUCCESSION PLANNING - BUILD YOUR TALENT POOL FOR TOMORROW AND BEYOND Audra Dixon LeaderStat This presentation will provide an overview on what workforce planning is, why it is important and how it directly relates to the importance of succession planning in an organization. This informative session will include information on succession planning for small and mid sized organizations and larger organizations, how to identify key/critical positions and how to analyze the current talent pool within the organization as potentials to fill key positions. How to implement a standard workforce and a succession planning model will be shared as well. Recommended for all long-term care audiences THE IMPORTANCE OF LEADERSHIP IN KEEPING CAREGIVERS Mary Tellis-Nayak MyInnerView Research tells us how important management is to the retention of employees. What exactly are employees looking for in their managers? What are the characteristics of a good manager/leader? This presentation will explore the answers to these questions by looking at two areas: what residents want from their caregivers and what caregivers want from their managers. This presentation will provide an opportunity for the attendee to identify their own managerial style and determine if their style addresses the needs of the residents as well as the caregivers. Attendees will leave this session with the ability to formulate a plan for self improvement. Recommended for all long-term care audiences HOW TO HIRE AND KEEP CAREGIVERS Mary Tellis-Nayak MyInnerView Research has demonstrated that organizations with an engaged workforce outperform organizations who have a lesser engaged workforce. So, what is employee engagement? How does it differ from employee satisfaction and how is it related to motivation and commitment? This presentation will explore each of these concepts and suggest ways in which leaders/managers can support caregivers in their work. We will also explore factors important in the hiring process and behaviors which are important during the early stages of employment. Attendees will take suggestions home which they can implement tomorrow! Recommended for all long-term care audiences assisted living session MCAL REGULATORY & QUALITY UPDATE Linda Lawther Michigan Center for Assisted Living It is imperative that Assisted Living decision makers and all staffing levels stay current in their knowledge of Michigan and National trends or changes relative to HFA, AFC and various housing settings. Understanding rules, regulations and/or industry changes empowers providers to make the best decisions for resident services and/or operational aspects of your businesses. In this session MCAL leadership will provide you with the most current information available from the National Center for Assisted Living and relative to Michigan specific information. Recommended for assisted living audiences only 6
2016 Principal Associate Partner 7
HPSI PURCHASING CONSULTANTS GO ABOVE & BEYOND! Your PCs Know Where the Savings Are! Your Purchasing Consultants will... Identify cost saving opportunities. Analyze the value of each opportunity. Utilize reports to identify alternatives. Review reports to find high volume savings. Outline implementation strategies Assist with product bids from multiple vendors. Benchmark facilities. Ensure vendor compliance. Provide price integrity. 8 Ken Orlando, Purchasing Consultant 248.705.6062 jeffu@hpsionline.com Jeff Ulin, Purchasing Consultant 269.569.0036 jeffu@hpsionline.com Experience Group Purchasing Power At Its Best! 2016 Principal Associate Partner
Today s modern care environment requires a pharmacy partner who is there for you all the time and in real time. Omnicare delivers. From personalized service and low-cost medications, to user-friendly technology and enhanced clinical programs; Omnicare delivers practical and innovative solutions to help your staff deliver real care, in real time. 888-545-OMNI results@omnicare.com omnicare.com 2016 Omnicare 2016 Principal Associate Partner 9
WE HAVE OUR PRIORITIES. Residents require the right medication at the right time every day along with the focused care and attention of empowered, happy nurses and staff. Remedi SeniorCare Pharmacy helps make this happen by doing more than dispensing meds accurately. We re optimizing connectivity to ensure your team reaps the benefits of your EHR. And seeing to it that the person at the other end of the technology has your back. 1-855-Remedi5 (1-855-736-3345) www.remedirx.com 10 2016 Principal Associate Partner
Why Choose Cambridge for your employee benefits? Because we specialize in Healthcare. Benefit Plan Design, Modeling, Analytics & Marketing Vendor Evaluation & Management Benefit Administration & HR Support Online Benefits Management Solutions Wellness Solutions & Management Enrollment Support & Employee Communications sheri Crifasi account director scrifasi@cambridge-cg.com bill papa account director bpapa@cambridge-cg.com Regulatory Compliance Support Affordable Care Act (ACA) Consulting Financial/Claims Analysis & Reporting Competitive Benchmarking 248.743.4300 n cambridge-cg.com 2016 Premier Associate Partners 11
YOUR LTC OXYGEN AND MEDICAL EQUIPMENT PROVIDER. Ed Southworth and Brian Klein look forward to seeing you at this year s event! esouthworth@carelincmed.com bklein@carelincmed.com WWW.CARELINCMED.COM Medicare and Medicaid Made Simple Transforming the Health of Our Community, One Person at a Time. 1-844-239-7387 TTY: 711 www.fidelissc.com/mmp 12 2016 Premier Associate Partners
Giarmarco, Mullins & Horton PC www.gmhlaw.com Phone: (248) 457-7000 Fax: (248) 457-7001 prefered provider of: Health Care Association of Michigan Promoting Excellence in Senior Care 2016 Premier Associate Partners 13
In Touch is committed to industry-leading, pharmaceutical service solutions with a focus on highly personalized, automated systems. In Touch pioneered the short cycle, unit dose concept to help long-term care facilities improve performance and better manage their pharmacy costs. Decrease Medication Error Positively Impacting Quality Outcomes Plus Helping Avoid Hospital Readmissions Controlling Facility Costs Medication When Needed Census Development Please contact Cheryl Tropsic or Leigh Ann Flora for more information AMERINET IS NOW INTALERE. You ve known us as a GPO. Now you ll know us as so much more. Yes, we ve changed our name. But that s not all that s different. At Intalere, formerly Amerinet, our services go beyond a GPO to your entire non-labor spend. From supply chain management to consulting, we listen to you and work with your Contact C.J. Tuminello organization today at 877-711-5700, to tailor solutions ext. 8523 specifically to see how to partnering your needs. with Amerinet and LHA can bring significant savings on the products and services you use every day. www.amerinet-gpo.com www.intalere.com 1-877-711-5600 14 2016 Premier Associate Partners
Why Did I Choose Lancaster Pollard? Because they came highly recommended During my professional career, I ve been involved on every side of a financing transaction. In all of those years, I ve never worked with a more professional, talented and conscientious group of people. Lori Larson, Owner Eden Homes Group Bridge to agency financing Sale-leaseback financing Mergers & acquisition Providing comprehensive capital solutions Agency financing Loan syndication and placements Public bond offerings Brad Competty, Vice President bcompetty@lancasterpollard.com (866) 611-6555 Lancaster Pollard Mortgage Company is a Fannie Mae/GNMA/HUD-FHA/USDA approved lender. Lancaster Pollard & Co., LLC is a registered securities broker/ dealer with the SEC and a member of FINRA, MSRB & SIPC. Medical Supply Distribution At McKesson Medical-Surgical, we offer more products, business management tools, distribution services and clinical support to long term care than other medical supply distributors. East: 800.654.7240 West: 800.654.0418 LTCSolutions.McKesson.com 2016 Premier Associate Partners 15
DIGITAL X-RAY DIGITAL ULTRASOUND LABORATORY ELECTROCARDIOGRAM HOLTER MONITORING PICC & VASCULAR www.mobilexusa.com 800.932.2222 {Elevate your view.} Sometimes the best solutions are revealed when you change your perspective and finding the right perspective is easier when you have a knowledgeable advisor. Our healthcare experts can help your senior care organization gain a new perspective to rise above its challenges. Helping senior care and living providers succeed in today s ever-changing healthcare industry is a higher return on experience. Betsy Rust 248.223.3437 betsy.rust@plantemoran.com plantemoran.com 16 2016 Premier Associate Partners
A self-insured work comp group founded in 1980 by Michigan healthcare facilities Owned by all participating locations Approved by LARA, Workers Compensation Agency Call Judy Caroselli or Chris Sidor at 248-344-0206 to find out how you can join and start getting your premium dollars back that are not used to pay for your claims! Visit www.prosurefund.com MORE doctors, hospitals, & skilled nursing facilities PREFER than ANY OTHER AGENCY in Michigan Residential Home Health (866)902-4000 www.residentialhomehealth.com Residential Hospice (866)902-5854 www.residentialhospice.com 2016 Premier Associate Partners 17
RXPERT S PHARMACY The Long-Term-Care Pharmacy Experts Proven success with seamless Pharmacy transitions. The Only Pharmacy with the Photo Prescription label OUR ADVANTAGES Our website, RXPERTSLink, offers access to electronic invoicing, resident and medication profiles, utilization management reports, and pre-admission cost calculation. Digital Resident Photo printed on every Rx label, MAR, POS and Treatment Sheet. A Cost Management Program that will decrease pharmacy cost through formulary management, discounted pricing and utilization review. Multiple existing interfaces with emar programs such as PCC, AOD, Optimus, MatrixCare, among others. Jeff Wilkes National Director of Sales 813-579-7042 Visit us online: www.rxpertspharmacy.com The Seasons Hospice & Palliative Care Difference Our Mission: Honoring Life ~ Offering Hope 18 Continuous Care Open Access Program Music Therapy Palliative Care A Touch for All Seasons Dementia Program Inpatient Hospice Center Leaving a Legacy Program Spiritual, Psychological and Social Support Joint Commission Accredited Seasons Hospice is a community-based organization with an ongoing mission to honor life and offer hope to our patients and their loved ones. Our highly skilled team has specialized training in pain and symptom management to provide the highest level of comfort care for our patients and their families. We visit and care for patients at home, at the hospital, in assisted living facilities, nursing facilities or long-term-care communities. Call us 24/7 for information at 800-370-8592 www.seasons.org 2016 Premier Associate Partners
Abramson, Braun and Erfourth, P.C. Because Getting It Right Matters Dykema Gossett PLLC ehealth Partner F H S FITZSIMMONS HOSPITAL SERVICES Healthcare Services Group Inc. HealthMEDX Hospice Advantage HPS Kalamazoo Long Term Care Pharmacy M.B. Conner CPA, P.C. MBS Envision, Inc. 2016 Patron Associate Partners 19
The Medical Team Metro Care Services Midwest Juice, Inc. Mobile Air Inc. Point Click Care Senior Psychiatric Services of MI, PLLC Service Care, Inc. Therapy Management, Inc. VPA Diagnostics VPH Pharmacy 20 2016 Patron Associate Partners
EXECUTIVE HAPPYHOUR WITH HOSTED BAR! March 23rd 5:15-7:15pm AMNESIA - 16 th floor CONFERENCE SPONSORSas of Feb. 5, 2016 REGION1 REGION2 Lodging Accommodations - Reserve by March 1 st! Once you have registered for the Spring Leadership Conference, please secure your hotel reservation directly with Motor City Casino Hotel located at 2901 Grand River Avenue Detroit, MI 48201. Rooms have been designated for participants at the discounted group rate of $144 per night if booked prior to March 1. Both valet and self-parking at Motor City Hotel & Casino are complimentary. To reserve your room by phone, call (866) STAY-MCC prior to March 1 Be sure to mention group code 11661U at the time of reservation to receive the discounted group rate. To reserve your room online, go to http://bit.ly/slcmotorcity prior to March 1 Printing Session Materials In an effort to be environmentally responsible, HCAM/MCAL is trying to reduce the amount of paper we use at our educational programs. Electronic program materials and handouts will be accessible online before, during and after this program on the association website: www.hcam.org www.michcal.com Instructions on how to access and print program materials will be e-mailed to all registered participants (if an e-mail address is provided on the registration form) in the weeks leading up to this conference. 21
HEALTH CARE ASSOCIATION OF MICHIGAN MICHIGAN CENTER FOR ASSISTED LIVING SPRINGLEADERSHIPCONFERENCE MARCH 23-24, 2016 MOTOR CITY CASINO HOTEL DETROIT, MI Package & Description Print Clearly / One Registration Form Per Person Name: Title: Facility/Company: Address: City: State: Zip: Phone: Fax: E-mail: (Your confirmation of registration & additional conference information will be sent to you by email.) Payment Information HCAM/MCAL Member Rate Prior to Feb. 26 HCAM/MCAL Member Rate After Feb. 26 Prospective Member Rate Full Package: Includes March 23-24 education, luncheon and happy hour. $450 $550 $650 *Overnight lodging is NOT included. Total Due: $ Check One: Check/Money Order made payable to HCAM Visa MasterCard American Express Discover Credit Card Number: Expiration Date (month/year): Three-digit Security Code on Back of Card: Billing Zip Code for Credit Card: Cardholder Name (print): Cardholder Signature: Today s Date: BY SUBMITTING THIS REGISTRATION FORM, YOU CONSTITUTE AN AGREEMENT TO ALL HCAM MCAL POLICIES AS STATED BELOW. Registration Please utilize this form to register for the 2016 HCAM MCAL Spring Leadership Conference. Completed forms should be mailed to HCAM at 7413 Westshire Dr., Lansing, MI 48917 or faxed to (517) 627-3016. Early Registration Deadline The discounted early registration rate is available to current HCAM or MCAL members or associate partners only, whose registration is received by HCAM MCAL by February 26, 2016. Event Confirmation & Program Information After your registration form has been processed, an event confirmation will be emailed to your attention. Please be sure to include an email address. Additional program information will be sent by e-mail prior to the program. Payment & Applicable Rate All registration fees are due at the time of registration. We accept Visa, MasterCard, American Express or Discover. We will also accept a check or money order payable to HCAM. Incorrect rates will be adjusted to reflect the correct applicable rate and automatically charged accordingly. Cancellation & Refund Policy All refund requests must be made in writing by e-mail to the attention of Kisti Boatright at KistiBoatright@hcam.org. Telephone cancellations will NOT be accepted. Individual registration fees, less a 25% processing fee, will be refunded for cancellations received in writing prior to Feb. 26. Cancellations received after Feb. 26 and no-show registrants, will not receive a refund nor a credit to a future program. Substitutions Individuals registered to attend this program, but unable to attend, may send an alternate in their place. Please contact Kisti Boatright via e-mail at KistiBoatright@hcam.org with the first and last name, title and facility/company of both you and your substitute to process this request. Dietary Restrictions and/or Special Accommodations Individuals with special dietary restrictions, or those who require special accommodations to fully participate in this conference, should contact HCAM in writing by e-mail to KistiBoatright@hcam.org at the time of registration, detailing their request or restriction. Consent to Use of Photographic Images Registration and attendance at, or participating in, HCAM and MCAL events and/or activities constitutes an agreement by the registrant to HCAM and MCAL 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. Questions Should you have questions, please contact Kisti Boatright by phone at (517) 622-6194 or by e-mail at KistiBoatright@hcam.org. To register, please complete this form and submit with payment by fax to (517) 627-3016, by mail to: HCAM 7413 Westshire Dr., Lansing, MI 48917 or register online at www.hcam.org