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12th Annual Advanced Practice Provider (APRN & PA) Leadership Summit

September 11 - 14, 2019 Washington DC INTRODUCTION

Program Overview The 12th Annual Advanced Practice Provider (APRN & PA) Leadership Summit is a national forum for healthcare leaders and clinicians to share information, develop a consistent platform and map out solutions for universal and reoccurring struggles involving the administrative, managerial, policy and practice aspects of advanced practice providers (advanced practice nursing roles and physician assistants). Continuing Education Attendees will benefit from networking with other healthcare leaders and clinicians and will gain support and resources to enhance advanced practice at their Continuing Education (CE) organizations. Novel strategies and approaches to a Credit: APRNs & RNs variety of advanced practice topics will be shared. Advanced Practice Provider Executives, Interactive discussions with advanced practice leaders will Inc. (APPex) is an approved provider of help attendees learn about state, regional and national continuing nursing education by the challenges, successes and changes. California Board of Registered Nursing (Sacramento, CA). Educational Benefits Provider approved by the California • Network with other healthcare leaders and clinicians Board of Registered Nursing, Provider • Gain support and resources to enhance advanced Number 16233, for 28 contact hours. practice at your organization • Learn novel strategies and approaches to a variety of Continuing Medical advanced practice topics Education (CME) • Learn about state, regional and national challenges, Credit: PAs successes and changes through interactive discussion with advanced practice leaders This program has been reviewed and is approved for a maximum of 28 hours of Target Audience AAPA Category 1 CME credit by the Physician Assistant Review Panel. • Advanced practice administrators, managers, leads/ Physician Assistants should claim only those hours actually spent participating in chiefs, chairs of shared governance/nursing/medical the CME activity. councils & committees • Hospital and healthcare administrators and executives, physician leaders and nursing leaders involved directly or Wed 09/11 7.00 contact hours indirectly with advanced practice Thurs 09/12 7.00 contact hours • Chief Nursing Officers (CNOs), Chief Medical Officers Fri 09/13 7.00 contact hours (CMOs), Directors of Nursing (DONs), Chief/Chairs of Sat 09/14 7.00 contact hours Departments, Patient Care Directors, Nurse Managers, and Clinical Nurse Leaders (CNLs) Total 28 contact hours • Advanced Practice Providers (APPs): PAs, NPs, CNMs, CRNAs, and CNSs other clinicians involved with APRNs & PAs (e.g., physicians, nurses, pharmacists) FACULTY

Conference Planning Committee Meredith Foxx Cleveland Clinic Health System Nicole Barrett Sherry L. Gevedon HCA Mission Health [NC] PES, Inc. Amanda Beirne Marianne D. Harris MedStar Health [DC] Northwestern Memorial Hospital [IL] Lori Hull-Grommesh Jordana Harshman Memorial Hermann Hospital-Texas Medical Center Stanford University School of Medicine [CA] Maria Leber Carol Hartigan MedStar Health [DC] American Association of Critical-Care Nurses (AACN) Christopher McLarty Kelly Haviland UT Southwestern Medical Center Memorial Sloan Kettering Cancer Center [NY] Selma Mujezinovic Rochester Regional Health Debbie Hsieh Kristen Nelson Stanford Health Care [CA] MedStar Health [DC] Bethany Kramer Irene Oquendo AMITA Health [IL] Advanced Practice Provider Executives, Inc. (APPex) Clair Kuriakose Nicholas Perrino Stanford Health Care [CA] Advanced Practice Provider Executives, Inc. (APPex) Eryn E. Lawson Julie Tsirambidis Orlando Health Akron Children's Hospital Joanna Lynch University of Utah Guest Faculty Jen Michel Laura Abels Akron Children's Hospital Akron Children's Hospital Carmel A. McComiskey Brooke Andersen University of Maryland Medical Center University of Maryland Medical Center Kristen Nelson F. Diana Barber MedStar Washington Hospital Center [DC] University of Texas MD Anderson Cancer Center Kristie Pencil Nicole Barrett OhioHealth Riverside Methodist Hospital HCA Mission Health [NC] Charlene Platon Aaron Begue Stanford Heath Care [CA] Memorial Sloan Kettering Cancer Center [NY] Laura Pollauf Amanda Beirne Akron Children's Hospital MedStar Washington Hospital Center [DC] Elaina Preston Kim Bowers Memorial Sloan Kettering Cancer Center [NY] University of Maryland Medical Center Cathy Cartwright Shana W. Robinson Children's Mercy Kansas City Envision Healthcare [TX] Christopher Chandler Deborah L. Schofield Intermountain Healthcare [UT] University of Maryland Medical Center Denise Chernoff Shari Simone WakeMed [NC] University of Maryland Medical Center Renna W. Cherry Debra Steen University of Texas MD Anderson Cancer Center Essentia Health [MN] Melinda Cooling OSF Healthcare [IL] Barbara Suplit Rebecca Duke Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern Memorial Hospital [IL] Julie Tsirambidis Christie Ehle Erickson Akron Children’s Hospital Essentia Health [MN] Deanne Williams Cheryl L. Fattibene Salt Lake Valley Hospitals, Intermountain Healthcare [UT] National Nurse-Led Care Consortium Lisa M. Williams JB Fox Northwestern Memorial Hospital [IL] Valley Health Winchester Medical Center [VA] Nicole N. Zakak Meredith Foxx Memorial Sloan Kettering Cancer Center [NY] Cleveland Clinic Health System Linda Zekas Ann & Robert H. Lurie Children's Hospital of Chicago LEADERSHIP TRAINING SEMINARS I & II

Wednesday, September 11, 2019 First introduced in 2017, the Advanced Practice Leadership Training Seminar is a two-part, expert-led program tailored to the foundational principles of advanced practice administration and leadership. APPex leaders, experienced in program develop- ment and management of Advanced Practice Providers (APPs)--predominantly NPs, PAs, and CRNAs--will offer presentations highlighting key aspects of effectively leading and managing these unique medical provider roles. Members will also help lead and facilitate group discussions and networking between scores of Academic Medical Centers (AMCs), community hospitals, and other healthcare organizations. Participants will gain new insights and understanding on how organizations have applied these principles to address barriers and work towards improved utilization, productivity, revenue-generation, recognition, etc. of the advanced practice roles.

Seminar content developed by Nicholas M. Perrino, President and Co-Founder of APPex, principle advanced practice consutant, and founding executive over two Centers of Advanced Practice (Stanford Health Care in Palo Alto, CA and Hospital for Special Surgery in New York, NY). Seminars are led by APPex board members and other advanced practice experts.

SEMINAR I SEMINAR II Competency I: Organizational Infrastructure Competency XI: Competency; OPPE/FPPE Competency II: Role of the Advanced Practice Executive Competency XII: Peer Review Competency III: Resource Justification Competency XIII: Billing; Incident-To & Split/Shared Visits Competency IV: Recruitment & Marketing Competency XIV: Quality & Performance Metrics (KPIs) Competency V: Interviewing & Hiring Competency XV: Utilization & Productivity Competency VI: Credentialing & Privileging Competency XVI: Professional Development & Competency VII: Onboarding & Orientation Continuing Education Competency VIII: Preceptoring Competency XVII: Performance Evaluations Competency IX: Shared Governance/Shared Leadership Competency XVIII: Reward & Recognition Competency X: Scope of Practice Competency XIX: Post-Graduate Residency/Fellowship Programs Competency XX: Burnout

*note: Leadership Training Seminars are concurrent sessions and only one can be taken at a time; registrants attending Seminar II should have already completed Seminar I during a previous year.

Presentations for each competency will be between 30-45 minutes and involve lectures, group discussions, breakout sessions, and Q&A. Breakfast – on your own

8:30 – 9:00AM Sign-in/Registration 9:00AM – 4:00PM Leadership Training Seminar I or II >Introduction & Background to Competency >Foundational Principles >Best Practices & Alternative Options >Strategies >Idea Sharing CONFERENCE

Thursday, September 12, 2019 Breakfast - on your own 7:30 - 8:00AM Sign-in/Registration

8:00 - 10:00AM Constructing a Quality Dashboard for Advanced Practice

Aaron Begue, MS, RN, CNP Executive Director, Advanced Practice Providers Memorial Sloan Kettering Cancer Center [NY] Nicole N. Zakak, MS, RN, CPNP, CPHON Associate Director, APP Quality & Professional Development Memorial Sloan Kettering Cancer Center [NY]

10:00 - 10:15AM Break

10:15AM – 12:15PM Advanced Practice Provider Utilization Debbie Hsieh, MS, MHA Clair Kuriakose, MBA, PA-C Charlene Platon, MS, RN, FNP-BC Senior Financial Specialist Executive Director, Advanced Practice Manager, Advanced Practice Stanford Health Care [CA] Stanford Health Care [CA] Stanford Health Care [CA]

12:15 - 1:15PM Lunch (on your own)

1:15 - 3:15PM Innovation Leadership and Design Thinking

Sherry L. Gevedon, PhD, MBA, MS, RN President & CEO PES, Inc.

3:15PM - 4:15PM The Secret Sauce for Raising Advanced Practice Engagement Scores

Deanne Williams, MS, CNM Chief, Advanced Practice Providers Salt Lake Valley Hospitals, Intermountain Healthcare [UT] CONFERENCE

Friday, September 13, 2019 Breakfast - provided by Ritz-Carlton, Pentagon City 11:45AM – 12:30PM LUNCH

7:30 - 8:00AM 12:30 – 1:30PM Sign-in/Registration ADVANCED PRACTICE PROFESSIONAL 8:00 - 8:45AM DEVELOPMENT Welcome 12:30 – 12:50PM Nicholas M. Perrino, DNP(c), MPH, MS, RN, FNP-BC, NE-BC, The ASCEND Program: A Pathway for APP Career FACHE Excellence and Development President & CEO; Principle; Co-Founder Kelly Haviland, MSN, FNP-BC Advanced Practice Provider Executives, Inc. (APPex) Co-Chair, MSK APP Professional Development Council 8:45 - 9:30AM Memorial Sloan Kettering Cancer Center [NY] The Director of Advanced Practice Role at Elaina Preston, MPH, MSHS, PA-C MedStar Health Co-Chair, MSK APP Professional Development Council Amanda Beirne, MSN, ACNP-BC Memorial Sloan Kettering Cancer Center [NY] Director, Advanced Practice Nicole N. Zakak, MS, RN, CPNP, CPHON (MedStar Heart and Vascular Institute) Associate Director, APP Quality & Professional Chief Nurse Practitioner, Cardiac Electrophysiology Development MedStar Washington Hospital Center [DC] Memorial Sloan Kettering Cancer Center [NY] Kristen Nelson, MS, MBA, ACNP 12:50 – 1:10PM Director, Advanced Practice Providers Development of an APRN Academy for (Surgical Critical Care) Professional Development MedStar Washington Hospital Center [DC] Cathy Cartwright, MSN, RN-BC, PCNS, FAAN 9:30 - 10:30AM Director, Advanced Practice Professional UNIQUE TOPICS IN ADVANCED PRACTICE Development Children's Mercy Kansas City 9:30 - 9:50AM 1:10 – 1:30PM The APP Role in Information Technology Professional Advancement for Advanced Practice Joanna Lynch, MPAS, PA-C Registered Nurses and Physician Assistants Provider Informaticist; Senior Physician Assistant Brooke Andersen, MS, CRNP University of Utah NP/PA Clinical Program Manager, STC Critical Care 9:50 – 10:10AM University of Maryland Medical Center The Challenges of Managing Advanced Practice Carmel A. McComiskey, DNP, CRNP, FAANP, FAAN Providers in a Research Setting Director, Nurse Practitioners and Physician Assistants F. Diana Barber, PhD, ANP-BC, AOCNP University of Maryland Medical Center Supervisor, Advanced Practice Providers University of Texas MD Anderson Cancer Center Deborah L. Schofield, PhD(c), DNP, CRNP, FAANP Department of Investigation Cancer Therapeutics Senior NP Program Manager NP Specialty Areas Director, 10:10 – 10:30AM NP Critical Care Fellowship Program Advanced Practice Providers and Telemedicine University of Maryland Medical Center Kim Bowers, MSN, ACNP-BC Clinical Program Manager Medical Intensive Care Unit Shari Simone, DNP, CRNP, FCCM, FAANP, FAAN and TeleICU Senior NP Clinical Program Manager, University of Maryland Medical Center Women & Children’s Services University of Maryland Medical Center 10:30 – 10:45AM BREAK 10:45 – 11:45AM 1:30 – 2:30PM The Professional Fulfillment Model: Creating a Structured Networking Culture of Wellness, Personal Resilience, and Advanced Practice Leadership Survey Question Efficiency of Practice Development Jordana Harshman, MPH Wellness Program Manager 2:30 – 2:45PM BREAK Stanford University School of Medicine and Stanford Children's Health [CA] CONFERENCE

Friday, September 13, 2019 2:45 – 3:45PM The New Science of the Professional Evolution Bethany Kramer, DMSc, MBA, PA-C System Director, Neuroscience Spine Institute & Pain Clinic Executive Director, Ortho & Neuro Service Line Advanced Practice Clinicians Lead Physician Assistant AMITA Health; Neurosciences Associates [IL]

3:45 – 4:45PM Integrating Advanced Practice Providers into Your Medical Staff Laura Abels, DNP, APRN-CNS Advanced Practice Provider Education Coordinator Akron Children's Hospital Jen Michel, DNP, APRN- CNP APP Credentials Committee Chair Akron Children's Hospital Laura Pollauf, MD, FAAP Medical Staff President Akron Children's Hospital Julie Tsirambidis, DNP, APRN-CNP Director, Advanced Practice Providers Akron Children's Hospital

5:00 – 7:00PM WINE & CHEESE SOIRÉE CONFERENCE

Saturday, September 14, 2019 Breakfast - provided by Ritz-Carlton, Pentagon City 1:00 – 1:30PM Alignment Strategies for Advanced Practice Across 7:30 - 8:00AM the Hospital System: Recruitment, Post-Graduate Sign-in/Registration Fellowships, Transition to Practice, Orientation, 8:00 – 9:00AM Research, and Structure Who Should Lead the Medical Provider Team? Melinda Cooling, DNP, MBA, APN, NEA-BC Carol Hartigan, MA, BSN Vice President, Advanced Practice Senior Policy Strategist OSF Healthcare [IL] American Association of Critical-Care Nurses (AACN) 1:30 – 2:00PM 9:00 – 10:45AM The Impact of an APP Leadership Structure on Leads, Supervisors, and Managers of Growth, Productivity, and Accountability Advanced Practice Panel Meredith Foxx, MSN, MBA, APRN, PCNS-BC, PCPNP-BC, CPON Denise Chernoff, PA-C, MBA Associate Chief Nursing Officer Lead Physician Assistant (Cardiothoracic Surgery) Advanced Practice Nursing, Quality & Practice WakeMed [NC] Cleveland Clinic Health System Renna W. Cherry, MS, PA-C Supervisor, Advanced Practice Providers in (Urology) 2:00 – 3:00PM University of Texas MD Anderson Cancer Center ADVANCED PRACTICE BILLING JB Fox, MPAS, PA-C, FAPACVS Lead Cardiothoracic Physician Assistant 2:00 – 2:20PM Valley Health Winchester Medical Center [VA] MIPS, MACRA, and the QPP: What APPs Need to Know Kristie Pencil, DNP, APRN, ACNPAG-BC Cheryl L. Fattibene, DNP(c), MSN, MPH, CRNP Manager, Advanced Clinical Practice Chief Nurse Practitioner Officer (Trauma and Critical Care) National Nurse-Led Care Consortium OhioHealth Riverside Methodist Hospital 2:20 – 2:40PM Shana W. Robinson, MPAS, PA-C, EM-CAQ How to Bill Accurately and Avoid Risk for Lead Advanced Practice Practitioner APP Professional Services Envision Healthcare [TX] Christopher Chandler, MHA, MBA, CPC, CGSC 10:45 - 11:00AM BREAK Technical Manager, Documentation and Coding Intermountain Healthcare [UT] 11:00 – 11:30AM Key Elements of APP Integration 2:40 – 3:00PM Nicole Barrett, DNP, APRN, NNP-BC Billing and Reimbursement Education: Director, Advanced Practice A Journey of Cultural Change HCA Mission Health [NC] Barbara Suplit, MSN, CPNP-PC, PMHS Director of APN/PA Practice and Professional 11:30AM – 12:00PM Development Unraveling the Mysteries of Your Millennial Ann & Robert H. Lurie Children’s Hospital of Chicago Advanced Practice Workforce Linda B. Zekas, MSN, APRN, NNP-BC, CPNP-PC, CWON Rebecca Duke, DNP, APRN-CNP Pediatric Nurse Practitioner Transplant Surgery Nurse Practitioner Division of Pediatric Surgery Program Manager, Transplant Ann & Robert H. Lurie Children's Hospital of Chicago Northwestern Memorial Hospital [IL] Marianne D. Harris, PhD, MS, APRN-CNP, NEA-BC 3:00 – 3:15PM BREAK Director of Patient Care, Cardiac Services Northwestern Memorial Hospital [IL] Lisa M. Williams, MS, APRN-CNS, AACRN Director, Professional Practice and Development Northwestern Memorial Hospital [IL] 12:00 - 1:00PM LUNCH CONFERENCE

Saturday, September 14, 2019

3:15 – 4:15PM TRANSITION INTO PRACTICE > POST-GRADUATE TRAINING > ORIENTATION

3:15 – 3:45PM APRN/PA Transition to Practice: Successes & Pitfalls Christie Ehle Erickson, DNP, APRN, CNP Director NP/PA Transition to Practice Program Director of APRN/PA Services – East Region Essentia Health [MN] Debra Steen, MSN, APRN, CNP Lead NP/PA Transition to Practice – Central Region Essentia Health [MN] 3:45 – 4:15PM Operating Room Advanced Practice Provider Orientation and Proper Surgical Techniques Eryn E. Lawson, PA-C Lead Neurosurgical Physician Assistant Orlando Health

4:15 – 4:30PM Feedback, Comments; Wrap Up

4:30PM Adjourn CONFERENCE VENUE

Location: The Ritz-Carlton, Pentagon City

The Ritz-Carlton, Pentagon City 1250 South Hayes St Arlington, VA 22202 (703) 415-5000 www.ritzcarlton.com/en/hotels/washington-dc/pentagon-city

Supporting Organization SUPPORTING ORGANIZATION

Washington, D.C., formally the District of Columbia, is the capital of the United States. Founded after the American Revolution as the seat of government of the newly independent country, Washington was named after George Washington, the first president of the United States and a Founding Father. All three branches of the U.S. federal government are centered in the District: Congress (legislative), president (executive), and the U.S. Supreme Court (judicial).

Washington is home to many national monuments, and museums, primarily situated on or around the National Mall. The city hosts 177 foreign embassies as well as the headquarters of many international organizations, trade unions, non-profits, lobbying groups, and professional associations, including the World Bank Group, the International Monetary Fund (IMF), the Organization of American States, AARP, the National Geographic Society, the Human Rights Campaign, the International Finance Corporation, and the American Red Cross.

Beyond the traditional D.C. attractions – the Smithsonian museums, the U.S. Capitol, the monuments – you'll find fresh food, arts, and nightlife scenes. You can spend your morning perusing the city's cache of farmers markets and contemporary exhibits and your afternoon taking in the scenery from the Lincoln Memorial and the Washington Monument before catching a show at The John F. Kennedy Center for the Performing Arts.

The city is one of the most visited in the world, with more than 20 million tourists annually. Washington's metropolitan area, the country's sixth largest, had a 2017 estimated population of 6.2 million residents. SUPPORTING ORGANIZATION

MedStar Health www.medstarhealth.org

MedStar Health combines the best aspects of academic medicine, research, and innovation with a complete spectrum of clinical services to advance patient care. As the largest healthcare provider in Maryland and the Washington, D.C., region, MedStar Health’s 10 hospitals, MedStar Health Research Institute, and a comprehensive scope of health-related organizations are recognized regionally and nationally for excellence in medical care.

MedStar Health has one of the largest graduate medical education programs in the country, training 1,100 medical residents annually, and is the medical education and clinical partner of Georgetown University. MedStar Health is a $5.6 billion, not-for-profit, regional healthcare system based in Columbia, Maryland, and one of the largest employers in the region. Our more than 30,000 associates and 4,700 affiliated physicians support MedStar Health’s patient-first philosophy that combines care, compassion, and clinical excellence with an emphasis on customer service. HOTEL INFORMATION

Group Rate Hotel Room Standard Rate Hotel Room $259/ night $329+/ night Group Affiliation: APPex LeadershipConference *note: a limited number of rooms are available at the discounted rate.

BOOK ROOM BOOK ROOM The Ritz-Carlton, Pentagon City 1250 South Hayes St Arlington, VA 22202 (703) 415-5000

A Pentagon City Hotel

The history of Arlington, the iconic monuments of Washington, DC and the grand stature of the Pentagon are all within reach from The Ritz-Carlton, Pentagon City. The luxury hotel offers access to surrounding sights beyond its walls as well as desirable amenities within, striking a chord with guests seeking convenience in every aspect of their stay.

Enjoy our Luxury of Choice Sustainability and Loyalty program and earn 500 Bonus Points Among the top luxury hotels in Atlanta-we offer genuine comfort with pillow top mattresses Discover one of the premier hotels in Buckhead GA featuring plush bathrobes in each lavish room Our accommodations boast access to an exclusive fitness center and stunning indoor pool HOTEL INFORMATION

Guest Room Features & Amenities

Understated and elegant, guest rooms and suites at this Arlington, VA hotel blend luxury comforts with thoughtful design. Spaces feature large windows overlooking the city, dedicated workspaces and areas for relaxation. Club Level accommodations include lounge access and additional amenities.

Feather beds to include Frette 400 thread-count Egyptian cotton linen 60” flat panel high definition TV screens with Netflix and subscription movie services High-speed wireless internet access (daily fee applies) In-room gourmet Nespresso and tea presentations Luxurious Asprey bath and body amenities 24 hour in-room dining Evening turndown FEES & REGISTRATION

Registration Fee(s): Advanced Practice Leadership Training Seminar I [Wed] • $295** • $350 (late registration, after September 1, 2019) Advanced Practice Leadership Training Seminar II [Wed] • $295** • $350 (late registration, after September 1, 2019) Pre-Conference Workshops [Thu] • $195*/$295 • $250*/$350 (late registration, after September 1, 2019) 2-Day Summit [Fri & Sat] • $495** (breakfast and lunch provided) • $550 (late registration, after September 1, 2019) *workshop discount when registered for conference also; $295 for workshop day only **5% discount for individual APPex members; 10% discount for corporate APPex members Registration & Payment

Online: REGISTER HERE

• online registration is preferred; after online registration is complete, To send payment via mail (e.g., check): registrants will automatically be taken to checkout/payment section 1. Print and fill out Registration Form, or, for credit card processing; online registrants may also opt to pay via complete registration online check instead of credit card after online registration has been completed 2. Mail to:

• APPex members should first login with their registered email & Advanced Practice Provider Executives, Inc. password and then complete payment via credit card so discount is properly applied 2443 Fillmore St #380-2683 San Francisco, CA 94115 Questions? General conference questions; agenda; registration: [email protected] Venue questions; hotel; special accommodations: (703) 415-5000 [The Ritz-Carlton, Pentagon City] Cancellation Policy Attendee cancellation, substitution, refund Registration for the conference is final and not refundable. In certain extenuating circumstances, APPex may offer a refund--minus a $100 processing fee--if your request is submitted in writing prior to August 3, 2019. Attendee substitutions are allowed, but notification must be made in writing by Saturday, August 3, 2019. After this date, under no circumstances will refunds, credits, or substitutions be granted. No refunds or credits will be given to “no shows”. Guest attendance policy All conference activities (including educational sessions, meal functions, etc.) are exclusively reserved for conference attendees. Non-registered guests (including children, family members, colleagues, etc.) are not allowed in the conference area. Badges provided at registration are required for entrance into all functions and will be strictly enforced. APPex modification or cancellation APPex reserves the right to modify the conference's program or schedule as necessary. APPex reserves the right to cancel this conference, in which case a full refund of the registration fee will be provided. We are unable to refund any travel costs (flight, hotel, etc.) in the case of APPex cancellation. Recording and photography APPex reserves the exclusive rights to record (audio and video) and/or photograph all conference proceedings for use in marketing materials, presentations and course content sales. REGISTRATION INFORMATION

Online registration is preferred: REGISTER HERE

This form to be submitted by registrants unable to complete online registration, or who may require this form to request reimbursement from their organization.

Membership Status: Registration Options (check all that apply): APPex individual member Leadership Training Seminar $295 APPex corporate member Pre-Conference Workshop $195*/$295 non-member Conference (2-day Summit) $495 *workshop discount when registered for conference also; $295 for workshop day only APPex individual members receive a 5% discount **$50 late fee applies to each after September 1, 2019 APPex corporate members receive a 10% discount

Total

Personal Information

Name (full): Billing Address: Apt/Unit/Suite:

City: State: Zip:

Email: Phone: Professional Information

Company:

Title (e.g., Director of Advanced Practice):

Role: PA NP CNM CRNA CNS | RN MD/DO PharmD Admin

Specialty:

License Information

License Type (e.g., NP, RN, PA): License State: License Number:

Print and complete form (in full); mail form and check to: Advanced Practice Provider Executives, Inc. (APPex) 2443 Fillmore St, Suite #380-2683 San Francisco, CA 94115

APPex W-9 FORM: www.APPexecutives.org/advanced-practice-leadership-summit/registration SPONSORS & EXHIBITORS

Pfizer www.pfizer.com

Good health is vital to all of us, and finding sustainable solutions to the most pressing health care challenges of our world cannot wait. That's why we at Pfizer are committed to applying science and our global resources to improve health and well-being at every stage of life. We strive to provide access to safe, effective and affordable medicines and related health care services to the people who need them.

We have a leading portfolio of products and medicines that support wellness and prevention, as well as treatment and cures for diseases across a broad range of therapeutic areas; and we have an industry-leading pipeline of promising new products that have the potential to challenge some of the most feared diseases of our time, like Alzheimer's disease and cancer.

To ensure we can continue to deliver on our commitments to the patients, customers and shareholders who rely on us, we are focused on improving the way we do business; on operating with transparency in everything we do; and on listening to the views of all of the people involved in health care decisions. Through working in partnership with everyone from patients to health care providers and managed care organizations to world governments and non-governmental organizations, our goal is to ensure that people everywhere have access to innovative treatments and quality health care.

CT Assist www.ct-assist.com

CT Assist staffs Cardiac Surgery (and other surgical specialties) Physician Assistants, Nurse Practitioners and Perfusionists. Our team of friendly PAs and NPs provide professional, cost effective, and reliable support to your surgeons and high quality care to your patients. Our surgical PAs and NPs are in-tune with the needs of your team by providing you with quality service.

Whether you are looking for short- term (locum tenens) coverage, recruitment services, or are interested in our innovative long-term staffing options, CT Assist provides Trusted Surgical Excellence. CT Assist also provides consulting services to help you optimize your Cardiovascular Surgery Program.

Happy Doc www.happydoc.info

We are a pediatrician, a scholar at the University of Nevada, Las Vegas, and an entrepreneur on a mission to put the care back in health care and to help medical professionals avoid job related burnout. All three of us experienced severe health problems that resulted from too much work, stress, and exhaustion. Our journey back to health and balance made us experts in the fields of well-being and self-care.

Based on extensive research as well as on personal experience, we developed a unique approach to utilizing evidence-based mind-body practices in combination with health and wellness products. Our model underscores motivating busy medical professionals to systematically go through a program and achieve maximum results. Advanced Practice Provider Executives, Inc. 2443 Fillmore St, Suite #380-2683 San Francisco, CA 94115 www.APPexecutives.org