27th Annual PAMSS Education Conference April 27 29, 2016

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27th Annual PAMSS Education Conference April 27 29, 2016 Ramada Conference Center & Golf Hotel 1450 South Atherton Street, State College, PA 16801 Phone: (814) 238-3001; FAX: (814) 867-1527 Wednesday, April 27, 2016 REGISTRATION & ROUNDTABLE EVENT 5:00 pm 7:00 pm - Business Center (Registration) 7:00 p.m.-9:00 p.m. Roundtable Discussion & Dinner /Atrium Facilitator: Sherry Hoover, CPCS (Carlisle Regional Medical Center)

Thursday, April 28, 2016 Nittany Room Main Event Area; Breakout Gallery Room 7:00 a.m. - 7:45 a.m. All Attendees/Vendor Exhibits/Continental Breakfast 7:45 a.m. - 8:00 a.m. Welcome/Opening Remarks Kathy A. Remlinger, CPMSM, President-Elect 8:00 a.m.-9:30 a. m. Pennsylvania Department of Health Update Rachel Levine, M.D., Physician General Commonwealth of Pennsylvania 9:30 a.m.-9:45 a.m. Break/Vendor Exhibits 9:45 a.m. 11:00 a.m. Resources for Provider Heath Issues Credentialing Challenges and Solutions Heather Wilson, MSW, CFRE, Deputy Executive Vice President Tiffany Booher, MA, CADC, CIP, Case Management Supervisor Physicians Health & LifeGuard Programs 11:00 a.m. 11:15 a.m. Break/Vendor Exhibits 11:15 p.m. 12:00 Noon BREAK OUT SESSIONS Bridging the Gap between Credentialing & Enrollment through Effective Data Management (Nittany Room) Lori O Neal, Provider Enrollment Specialist Penn State Hershey Medical Center Surviving a Survey What to Know, Need and Not to Say (Gallery Room) Deb Ormay, CPCS, CPMSM, UnitedHealth Group Laurel J. Yungwirth, CPCS, Allegheny Health Network 12:00 Noon- 1:00 p.m. LUNCH PROVIDED/Vendor Exhibits 1:00 p.m. 2:30 p.m. Enrollment Fundamentals What s My Role? Donna K. Goestenkors, CPMSM President Team Med Global Consulting, LLC 2:30 p.m.-2:45 p.m. Break/Vendor Exhibits 2:45 p.m.-4:30 p.m. Mergers & Acquisitions Accepting a New Reality Donna K. Goestenkors, CPMSM President Team Med Global Consulting, LLC 4:30 p.m. 4:45 p.m. Announcements/Close of Day

Friday, April 29, 2016 Nittany Room Main Event Area 7:00 a.m. 8:00 a.m. Registration/Exhibitor Display Breakfast Nittany Room 8:00 a.m. 9:00 a.m. Business Meeting/Installation of Officers Janette Guzowski, CPCS 9:00 a.m. 9:15 a.m. Break/Exhibitor Giveaways/Door Prizes 9:15 a.m. 10:30 a.m. What Is Your Unconscious Bias? Harjit Singh, M.D., Professor of Radiology, Surgery & Medicine Penn State Heart & Vascular Institute 10:30 a.m. 10:45 a.m. Raffle/Chapter Table Prizes 10:45 a.m. 11:45 a.m. Develop Effective Work Relationships Donna K. Goestenkors, CPMSM President Team Med Global Consulting, LLC 11:45 a.m. 12:00 Noon Closing Remarks Coming together is a BEGINNING Keeping together is PROGRESS Working together is SUCCESS Henry Ford We Are..in this together! 27th Annual PAMSS Conference April 27 April 29, 2015

CONFERENCE REGISTRATION Registration Deadline: Friday, April 1, 2016 Registration fee includes roundtable dinner, program attendance, conference materials/handouts, two (2) breakfasts and lunch. Refunds requested will be processed according to the PAMSS Bylaws **PAMSS has applied for 11 Continuing Education Credits from the National Association Medical Staff Services (NAMSS) for the full conference. PLEASE PRINT: Check this box if you are a first time attendee Registrant s Name/Certification Organization Address City, State Zip Phone FAX E-mail PAMSS Non- Member Member Full Conference (Wednesday-Friday) $225 $300 $ Thursday, April 28 th ONLY $190 $265 $ (Breakfast and Lunch included) Attending Roundtable Discussion, Wed., 4/27/2016 YES NO Breakout Session (please select one): Enrollment Surveys Friday, April 29 th ONLY $125 $150 $ (Breakfast included) Total: $ CHECK PAYMENT: *Please note: A $25.00 charge will apply for all insufficient fund checks Check number Check Amount $ Check Type: Facility Personal CREDIT CARD PAYMENT: Visa MasterCard American Express Discover Total Amount to Charge $ Please make checks payable to: PAMSS Return completed registration form & payment to: Laurie Forrer Medical Staff Services Director Easton Hospital 250 South 21 st Street Easton, PA 18042 Phone: (610) 250-4676 Fax: (610) 250-4832 Laurie_Forrer@chs.net Account Number Expiration Date Cardholder s Number Phone Signature Payment must be included with registration.

27th Annual PAMSS Conference April 27-29, 2016 ROUNDTABNLE DISCUSION: Wednesday, April 27 th 7:00-9:00 p.m. Hotel Atrium Please email your hospital and managed care networking questions and topics to: Sherry Hoover, CPCS at sherry.hoover@carlislermc.com HOTEL RESERVATIONS Ramada Conference Center 1450 South Atherton Street State College, PA 16801 For Reservations Call: (814) 238-3001 A limited block of rooms is being held for PAMSS until Friday, March 25, 2016: Group Rate Code: PA Association of Medical Staff Services (PAMSS) Room Rates: Two Double Beds - $80.00 King Beds - $80.00 Check in 4:00 PM and Check out 11:00 AM Complimentary Parking For more information regarding hotel amenities, please visit their website at: http://www.ramadasc.com/ FOR THE ENJOYMENT OF ALL PARTICIPANTS: This is a non-smoking facility Keep use of perfume/cologne to a minimum Beepers/pagers/cell phones to vibrate Dress is business casual CONFERENCE QUESTIONS, SUGGESTIONS, SPECIAL NEEDS, DIETARY OR OTHER Please contact: Kathy A. Remlinger, CPCS PAMSS President Elect & 2016 Conference Chair Penn State Milton S. Hershey Medical Center 500 University Drive, Medical Staff Office, H088 Hershey, PA 17033-0850 Phone: 717-531-7180 Fax: 717-531-2077 email: kremlinger@hmc.psu.edu

PENNSYLVANIA ASSOCIATION MEDICAL STAFF SERVICES Membership Year July 1, 2015 through June 30, 2016 Member Application Fee - $50.00 Instructions: Please print, complete and return this application with your check made payable to: Pennsylvania Association Medical Staff Services c/o Laurie Forrer, CPMSM Easton Hospital Medical Staff Office 250 South 21st Street Easton, PA 18042 Last Name First Middle Current Job Title Name of Supervisor Title of Supervisor Name of Facility Type of Facility Other Hospital Managed Care Street Address City State and Zip Code Work Telephone Number Email Address Work Fax Number Are you Certified? Yes No Type of Certification: CPMSM CPCS Other: Are you a member of your local chapter? Yes No Central Northeastern Northwestern Southeastern South Central Southwestern Would you like more information regarding your local chapter? Yes No Are you a member of NAMSS? Yes No Would you consider participating in PAMSS Committee work? Yes No (Double click on the selected box and change default value to checked ) Signature Date An Organization for the Medical Staff Services Professional