<p> PENNSYLVANIA ASSOCIATION MEDICAL STAFF SERVICES</p><p>21st Annual Education Conference</p><p>DoubleTree Guest Suites Philadelphia West 640 W. Germantown Pike Plymouth Meeting, PA</p><p>April 28 – 30, 2010</p><p>Wednesday, April 28, 2010</p><p>5:00 - 7:00 PM Early Registration/Reception ~ Terrace</p><p>Dinner Reception ~ Chestnut A, B & C 7:00 - 8:00 PM </p><p>8:00 - 9:00 PM Dessert & Discussion of Hot Topics Chestnut A, B & C ~ Hospitals Walnut A & B ~ Non-Hospitals/Managed Care</p><p>Thursday Friday April 29, 2010 April 30, 2010 7:30 AM – 5:00 PM 7:30 AM – Noon ~~~ ~~~ Wednesday, April 28, 2010 7:00 – 8:00PM Dinner Reception in the Chestnut A, B & C</p><p>8:00 – 9:00 PM Dessert and Discussion of Hot Topics Chestnut A, B & C ~ Hospitals Walnut A & B ~ Non-Hospitals/Managed Care</p><p>Everyone is encouraged to attend the networking reception. This is a great opportunity to ask questions, hear how your peers handle a particular situation or dilemma, meet other medical staff services professionals, or simply listen and absorb valuable information. This year we are pleased to offer breakout sessions for hospitals and non-hospitals.</p><p>Please email questions and/or topics you would like to see addressed at the networking reception:</p><p>Hospital Topics ~ Carmen Smith [email protected] Managed Care Topics ~Keli-Yvette Workman [email protected] Thursday, April 29, 2010 Friday, April 30, 2010 Chestnut A, B & C Chestnut A, B & C</p><p>7:30 AM Registration and Exhibits Open 7:30 AM Registration and Exhibits Open</p><p>7:30 - 8:15 AM Continental Breakfast 7:30 - 8:00 AM Full Breakfast </p><p>8:15 - 8:30 AM Welcoming Remarks 8:00 - 9:15 AM Annual Business Meeting Lou Ann Brindle, RN, BSN, CPCS 8:30 - 10:30 AM Christina W. Giles, CPMSM, MS; Medical Staff Solutions Installation of 2010 -2011 Officers Diane Tate, CPCS Assessing Today’s Credentialing World</p><p>9:15 - 9:30 AM Break/Exhibitor Display 10:30 - 10:45 Break/Exhibitor Display 9:30 - 11:30 AM BREAKOUT SESSIONS 10:45 AM - Noon Joe Giulivo , Director of Underwriting & Policy Holder Services; PMSLIC Hospitals – Christine S. Mobley, CPMSM, CPCS. Kathryn Elliott, Director of Marketing; PMSLIC FPPE/OPPE - Where Are You and Where Should You Be? Medical Malpractice/Insurance portion of physician applications Managed Care – Gerald Stewart, Director of Policy; NCQA Noon - 1:30 PM Buffet Lunch Update on NCQA Standards and Managed Care Hot Topics 1:30–2:30 PM Ms. Nicole Greene; Bureau of Health Professional, Division of Practitioner Data Banks 11:30 - Noon Closing Remarks/Giveaways</p><p>Overview of the Data Banks, Proactive Disclosure NOON Conference Adjourns System, and Section 1921 Implementation updates</p><p>2:30 – 2:45 PM Refreshment Break </p><p>Education Credits 2:45 – 4:45 PM Amy Helmuth, RN, MS, Director of Performance Improvement, Pinnacle Health Hospitals PAMSS has applied for 12 Continuing Education Credits from the National Association Medical Staff Services (NAMSS) for Lean Six Sigma the full conference.</p><p>4:45 – 5:00 PM Closing Remarks/Giveaways</p><p>CONFERENCE REGISTRATION</p><p>Registration Deadline: April 16, 2010 Registration fee includes program attendance, conference materials/handouts, and food and refreshment breaks. Refunds will not be given for cancellations received after April 9, 2010 .</p><p>Non PLEASE PRINT: Member Member Amount </p><p>Both Days $ 150.00 $ 225.00 $ ______Registrant’s Name/Certification</p><p>One Day Only th April 29 $ 115.00 $ 190.00 $ ______Organization One Day Only April 30th $ 50.00 $ 75.00 $ ______Address</p><p>Total Amount Enclosed $ ______City/State, Zip</p><p>I will attend the Break-out Session for (choose one): Phone Fax Hospital Managed Care   E-mail  Check this box if you are a first time attendee  Check this box if you will be attending the (**The attached PAMSS application can be completed Networking Reception. & submitted to obtain PAMSS Conference Rate) Please make checks payable to: PAMSS  I am interested in joining PAMSS** Return completed registration form & payment to:</p><p>Virginia Midkiff, CPCS Physician Credentialing Specialist Wyoming Valley Health Care System 575 North River Street Wilkes-Barre, PA 18764</p><p>HOSPITAL HOT TOPIC INTERESTS</p><p>NON-HOSPITAL/MANAGED CARE HOT TOPICS INTERESTS</p><p>HOTEL RESERVATIONS DoubleTree Guest Suites Philadelphia West</p><p>640 W. Germantown Pike Plymouth Meeting, PA 19462-1003 Phone (610) 834-8300</p><p>For Reservations Call: (610) 834-8300</p><p>A limited block of rooms is being held for PAMSS until April 7, 2010 Reservations may be made directly with the DoubleTree Guest Suites Philadelphia West by calling (610) 834-8300. (Be sure to indicate that you are with PAMSS)</p><p>Single/Double $ 89.00</p><p>An 8% tax will be added to all room rates. These rates are extended for 3 days before and 3 days after the scheduled conference dates.</p><p>Check in 3:00 PM and Check out 12:00 Noon</p><p>For Directions paste the following onto your web browser or go to www.doubletree1.hilton.com: http://doubletree1.hilton.com/en_US/dt/hotel/PHLGHDT-Doubletree-Guest-Suites-Philadelphia-West- Pennsylvania/directions.do</p><p>The hotel offers complimentary parking.</p><p>Rooms include mini refrigerator, microwave, coffee maker, iron/ironing board, and hairdryer and sample size toiletries.</p><p>FOR THE ENJOYMENT OF ALL PARTICIPANTS:</p><p> This is a non-smoking facility  Keep use of perfume/cologne to a minimum  Beepers/pagers/cell phones to vibrate  Dress is business casual</p><p>CONFERENCE QUESTIONS, SUGGESTIONS, SPECIAL NEEDS, DIETARY OR OTHER?</p><p>Please contact: </p><p>Lisa M. Lebo CPCS PAMSS President Elect & 2010 Conference Chair Pinnacle Health Hospitals 118 Washington Street Harrisburg, PA 17104 Phone: (717) 231-8585 Fax: (717) 231-8588 Email: [email protected] PENNSYLVANIA ASSOCIATION MEDICAL STAFF SERVICES New Member Application - $50.00</p><p>Membership Year – July 1, 2010 through June 30, 2011</p><p>Instructions: Please print this application and complete. Return with your check made payable to “Pennsylvania Association Medical Staff Services” to: Virginia Midkiff, CPCS Physician Credentialing Specialist Wyoming Valley Health Care System 575 North River Street Wilkes-Barre, PA 18764</p><p>Last Name First Middle</p><p>Current Job Title Name of Supervisor Title of Supervisor</p><p>Name of Facility Type of Facility Other  Hospital  Managed Care Street Address City State and Zip Code</p><p>Work Telephone Number Email Address Work Fax Number</p><p>Are you Certified?  Yes  Type of Certification:  CPMSM  CPCS No Other:</p><p>Are you a member of your local  Yes  No  Central  Northeast  Northwest chapter?  Southeast  South Central  Southwest</p><p> I am not a member of any of the above listed Chapters but would like more information. Please forward my name and address to the appropriate Chapter President.</p><p>Are you a member of NAMSS?  Yes  No</p><p>May we contact you for PAMSS Committee work?  Yes  No</p><p>______Signature Date</p><p>An Organization for the Medical Staff Services Professional</p>