nadona-convocation-brochure

2016 MI-NADONA/LTC
Annual Convocation & Expo
November 16-18, 2016
Grand Traverse Resort & Spa
Acme, MI
MiNADONA
KNOCKING DOWN CLINICAL BARRIERS IN LTC
www.MINADONA.org
K NO C K ING DO WN CL INICAL BARRIERS IN LT C
Purpose
Participation in this year’s MI-NADONA/LTC
Annual Convocation will result in enhanced
implementation of clinical standards of nursing
practice and care performance excellence in the
post-acute care environment.
Target Audience
This convocation is appropriate for directors of
nursing, assistant directors of nursing, nurse
managers and other clinical partners with
intermediate to advanced levels of nursing
expertise in post-acute care. Corporate
consultants, clinical directors, nursing home
administrators and other health care partners with
direct resident care responsibilities are encouraged
to participate as well.
Joint Provided Event
The 2016 MI-NADONA/LTC Annual Convocation
& Expo is co-provided by the Health Care
Association of Michigan and Michigan Chapter
National Association of Directors of Nursing in
Long-Term Care.
Health Care Association of Michigan
Promoting Excellence in Senior Care
2
Continuing Education
This year’s MI-NADONA/LTC Convocation & Expo
will provide participants the opportunity to earn up
to 12 nurse contact hours and up to 1 contact hour
of "pain" and "human trafficking" education.
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.
Participants may also earn up to 12 licensed nursing
home administrator contact hours.
NADONA Membership
If you are not already a member of NADONA/LTC,
please be sure to visit:
www.NADONA.org
to sign-up for membership now to receive the
discounted NADONA member registration rate and
many other benefits or complete page 18 and fax to
NADONA at (513) 791-3699.
MiNADONA
HCAM is proud to be the exclusive event manager for
the Michigan Chapter of NADONA/LTC.
Networking Highlights
RECOGNIZE
Awards & Recognition Luncheon to
honor the best of nursing in post-acute
care
NETWORK
Annual Vendor Expo featuring up to
76 exhibitors dedicated to providing
exceptional products and services
PARTY
PARTY NORTH Celebration! See
page 14 for more information on the
NURSE ADMINISTRATOR PARTY OF
THE YEAR
WIN Chance to win many scholarship
prizes, expo prizes and many other
grand prize nurse-giveaways this year
RELAX
Massage therapists will be present on
Wednesday & Thursday to provide
complimentary scalp, neck, shoulder
and/or back massages to nurse
participants throughout both days
INDULGE
Take advantage of the 20% discount
for all nurses & participants at the Spa
Grand Traverse
Scholarship
Prize Drawings
On-site at Convocation, the MI-NADONA/LTC Board
of Directors will be selling Scholarship Prize Drawing
raffle tickets to support the Margaret Godfrey
Scholarship Fund and Jim Bebb Certification
Scholarship Fund to help promote the professional
development of Michigan nurses and CNAs who
are pursuing their nursing license. All proceeds will
directly benefit these scholarship funds. Tickets can
be purchased at the following rates (cash or check
only):
5 for $10
10 for $15
15 for $20
Education Highlights
Opportunity to earn up to 12 nurse
continuing education contact hours including
up to 1 “pain” and 1 "human trafficking"
contact hour over the course of 3 days
Opening keynote by organizational
development expert Stacey Starling, who
will kick off this year’s Convocation with
“Human Data Point” and a dicey panel
discussion on “Morality, the Law, and
Nursing Leadership”
Keynote & concurrent breakout session by
forensic nursing expert Dr. Dan Sheridan
on "When Injuries Speak: Forensic
Investigation & Documentation of Possible
Abuse, Neglect & Falls of Vulnerable
Persons."
Closing keynote by Fran Vian with a fun
and engaging look at “How to Work with
Generations Y & Z
24 quality, nurse-focused educational
sessions designed for long-term care nurses
with intermediate to advanced levels of
nursing experience
Table of
Contents
2-3 4-5 6-7 8-9 9 10
11 11 12 13
14
15 15 16 Education Highlights
Agenda at a Glance
Wednesday Education
Thursday Education
Friday Education
Annual Vendor Expo
PARTY NORTH
Lodging Information
Convocation Sponsors Board of Directors
NADONA Membership
Registration Policies
Save the Dates
Registration Form
3
Wednesday, November 16
9:00 am
REGISTRATION OPENS & PROVIDED BREAKFAST
9:30 - 9:45 am
WELCOME & OPENING REMARKS
9:45 - 10:45 am
OPENING KEYNOTE PRESENTATION:
K1: Human Data Point
11:05 am - 12:05 pm CONCURRENT BREAKOUT SESSIONS:
W1: Diagnostics: Step Outside the Box, Instead of Just Checking it
Off!
W2: Life is a Zoo
W3: Complementary Alternative Medicine: Nonpharmacological
Approaches to Pain (PAIN CE)
12:05 - 1:25 pm
AWARDS & RECOGNITION LUNCHEON
1:25 - 2:25 pm
CONCURRENT SESSIONS:
W4: Finding Truth in the Failed Theories of Heart Disease
W5: Morality, the Law, and Nursing Leadership: A Panel Discussion
W6: REPEATED: Complementary Alternative Medicine:
Nonpharmacological Approaches to Pain (PAIN CE)
2:45 - 3:45 pm
CONCURRENT SESSIONS:
W7: New State TB Testing Requirements for Skilled Nursing
Facilities
W8: What Makes An Attractive Post-Acute Partner
4:05 - 5:05 pm
5:05 pm
4
W9: The Nurse’s Personal Risk in Claims & Litigation: Protecting
YOUR License
GENERAL SESSION:
W10: What LTC Professionals Need to Know About Human
Trafficking and Why!
EVENING ON YOUR OWN
8:00 am
8:30 - 8:50 am
Thursday, November 17
REGISTRATION OPENS & NETWORKING BREAKFAST
AREA BREAKFAST MEETING / MEET & GREET
K2: When Injuries Speak: Forensic Investigation & Doc. of
8:50 - 9:50 am
Possible Abuse, Neglect & Falls of Vulnerable Persons
10:10 - 11:10 am
CONCURRENT BREAKOUT SESSIONS:
T1: Assessing for Possible Abuse & Neglect of Vulnerable
Residents: From the Top Down and Bottom Up
T2: Active Shooter: Part 1 of 2
T3: Navigating the Mental Health Complexities of a
Progressively Younger Long Term Care Population
11:30 am - 12:30 pm CONCURRENT BREAKOUT SESSIONS:
T4: The Role of Nutrition in Preventing Infections & Promoting
Wound Healing
T5: Active Shooter: Part 2 of 2
2:45 - 5:00 pm
5:00 - 7:30 pm
T6: How to Start a Wellness Program on a Budget for Beginners
ATTENDEE & EXHIBITOR "NATIVE AMERICAN" LUNCHEON
CONCURRENT BREAKOUT SESSIONS:
T7: Delirium: A Final Common Pathway Disorder
T8: Caring for Transgender People
T9: Employer vs. Employee Side of Social Media Policy
ANNUAL VENDOR EXPO SHOW
DINNER ON YOUR OWN
7:30 - 10:30 pm
PARTY NORTH CELEBRATION
8:00 am
REGISTRATION OPENS & NETWORKING BREAKFAST
12:30 - 1:30 pm
1:45 - 2:45 pm
Friday, November 18
CLOSING REMARKS, GENERAL ASSEMBLY MEETING
& SCHOLARSHIP PRIZE DRAWINGS
CLOSING KEYNOTE PRESENTATION:
9:00 - 10:00 am
K3: How to Work with Generations Y & Z: #HELP!
GENERAL SESSION:
10:15 - 11:15 am
F1: Regulatory & CMS Update Part 1
GENERAL SESSION:
11:30 am - 12:30 pm
F2: Regulatory & CMS Update Part 2
12:30 pm
CONVOCATION CONCLUDES
8:30 - 9:00 am
5
Wednesday, Nov. 16 Education
K1
The Human Data Point
STACEY STARLING | STARLING CENTER FOR
ORGANIZATIONAL DEVELOPMENT
2016 emerges as a critical time in the post acute care
industry with a number of CMS initiatives mandating
greater accountability for enhancing the patient experience
and producing better outcomes, while reducing the overall
expenditure for the care of patients. Alongside the
advancing policy remains the moral imperative to infuse
person-centered philosophy and practice into post-acute
care. Nurse leaders have an extraordinary responsibility
to balance these often competing interests. Contributing
to this complex dilemma is a multi-generational workforce
with diverse expectations related to workplace factors that
influence employee commitment to the organization. Join
Dr. Starling as she maps the path to navigate the Tridge of
these seemingly unrelated yet present challenges for nurse
leaders today.
W1 Diagnostics: Step Outside the Box,
Instead of Just Checking it Off!
LORELEI SCHMIDT | TRIDENTUSA HEALTH
SERVICES, LLC
With post-acute healthcare initiatives focused on reducing
avoidable acute transfers, avoidable hospital admissions/
readmissions, and implementing Antibiotic Stewardship
Programs, there is an increasing need for all healthcare
providers and suppliers to work more collaboratively to
meet the expanded expectations. Open and accurate
communication is vital and an area that always needs
improvement. Improved collaboration and communication
between diagnostic service post-acute providers and
suppliers can lead to a deeper understanding of diagnostics,
including their capabilities, limitations, and factors affecting
results. This information is vital, as diagnostic results often
play a role in resident treatment and transfer decisions.
Join the discussion and learn how a better understanding
of diagnostics may lead to improved clinical, financial, and
resident satisfaction results.
W2
Life is a Zoo
JOE IAQUINTO | SEASONS HOSPICE AND
PALLIATIVE CARE
This presentation will enhance the nurse’s knowledge
regarding personality types in order to facilitate successful
communication with residents, their families and coworkers.
As a result of this educational activity, nurse participants will
be able to: Identify their own personality type, understand
characteristics of each of the four different personality
types and realize how their personal traits can influence
communication success or failure.
6
W3&W6 Complementary
•
Alternative Medicine:
NonPharmacological
Approaches to Pain
HENRY BOUTROS | NEXCARE HEALTH
SYSTEMS
• SANDY PLACE | JACKSON COUNTY
MEDICAL CARE FACILITY
• DIANE ROTHMAN | HAND TO HEART
HOLISTIC HEALING
• VICKIE BURLEW | LEBENBOM & ROTHMAN
CMS will be requiring skilled nursing facilities to investigate
and utilize potential non-pharmacological interventions for
the management of pain. This presentation will provide
evidenced based modalities for use in the nursing home
setting, demonstrate hands on experiential training and
practical management of these modalities in the skilled
nursing environment. Nurse participants will highly
benefit from this overview of complimentary & alternative
approaches to pain management. This session will be
offered 2 times during this year’s Convocation to promote
the participation of all nurse participants in this “pain”
education overview.
(This session will be offered twice to promote full
nurse participation.)
W4 Finding Truth in the Failed
Theories of Heart Disease
JIM PAINTER | UNIVERSITY OF TEXAS HOUSTON, SCHOOL OF PUBLIC HEALTH
Dietary advice on fat, saturated fat and cholesterol seems
to change daily and this can be disconcerting and confusing
for dietitians and healthcare providers. This presentation
will provide the scientific, evidence-based truth about
these nutrients. Current research findings suggest that
cholesterol, total fat, and salt are not a risk factor of heart
disease – although the Dietary Guidelines were created to
help Americans decrease their intake of these nutrients.
Instead, elderly individuals should focus on consuming
heart-healthy foods to reduce the risk of developing heart
diseases.
MiNADONA
Wednesday, Nov. 16 Education
W5 Morality, the Law, and Nursing
Leadership: A Panel Discussion
MODERATOR:
STACEY STARLING | STARLING CENTER
FOR ORGANIZATIONAL DEVELOPMENT
PANELISTS:
• KRISTEN COOK | THE KITCH FIRM
• SARAH THURSTON | GREAT LAKES
CARING
• LAURA JENNINGS | WELLBRIDGEGENESEE CARE CENTER
• KATHLEEN LATOSCH | SAGE METRO
DETROIT
• MELISSA SLUSS | METRON INTEGRATED
HEALTH SYSTEMS
Join our moderator Dr. Stacey Starling for a highly interactive
panel discussion exploring the most controversial nursing
and employee relations topics that nurse leaders currently
face in post-acute care. Our panel of experts will represent
legal, moral, and human rights perspectives in the disciplines
of Social Services, Nursing, and Human Resources. No
subject is taboo. Bring your questions and your experience.
Be prepared to share your wisdom.
W7 New State TB Testing
•
•
Requirements for Skilled Nursing
Facilities
LARRY HORVATH | STATE OF MI - LARA
THOMAS BISSONNETTE | STATE OF MI LARA
• TERI DYKE | STATE OF MI - LARA
Screening for Tuberculosis (TB) historically has included
the provision of an annual TB skin test and a chest x-ray in
long term care facilities. With the advent of newer testing
methods to distinguish between TB infection and TB disease
and the reduced case rate of TB in Michigan, the need for
routine chest x-rays has been eliminated. This rule change
is undergoing the legislative approval process for the State
of Michigan.
W8 What
Makes an Attractive PostAcute Partner
•
HOLLI BENTHUSEN | ENCORE
REHABILITATION
• JENNIFER CALLAHAN | ENCORE
REHABILITATION
This presentation will provide an up to date national
overview of ACO development including healthcare reform
initiatives and bundling models. In addition, the program
provides a practical approach for identifying and assessing
the Skilled Nursing Facility’s (SNF) key quality programs,
objective measures and systems; Case reports and
examples of application of successful strategies will further
provide support for utilization of these tools for building
and enhancing relationships within the local healthcare
community. Highlighting facility strengths and how they can
positively impact healthcare community partners is critical
for determining most successful marketing strategies.
W9 The
Nurse’s Personal Risk
in Claims & Litigation: Protecting
YOUR License
DAVID WIEGEL | THE KITCH FIRM
As a long-term care nurse, you give “everything you’ve got,”
every day to your beloved residents and facility. However,
when push comes to shove and the facility is involved in a
claim and/or litigation, how does this affect the integrity of
your own nursing license? You want to continue to give your
residents the best of care, be the most optimal partner to
your facility and continue to provide your maximum effort
but risking or forfeiting your own nursing license is not
what you had in mind… This informative presentation will
provide you with critical information on how to minimize
your own personal risk and protect the integrity of your
nursing license when your facility is involved in a claim and/
or litigation.
W10 Know
What LTC Professionals Need to
About Human Trafficking
and Why!
BETH BACON | HEALTH CARE ASSOCIATION
OF MICHIGAN
Human trafficking is a form of modern day slavery and is
the fastest-growing international crime industry in the
world. Human trafficking is not a crime that just happens
“someplace else;” it happens here in Michigan. The
magnitude of this horrific human rights violation is appalling
and inconceivable and yet, health care professionals
and systems are uniformed and ill-prepared to address
this issue. This informative presentation will provide an
overview on human trafficking, examine the history and
importance behind recent initiatives in the health care
sector and provide nurse participants with resources in
which they can utilize to fulfill their continuing education
requirement for human trafficking.
7
Thursday, Nov. 17 Education
K2 When Injuries Speak: Forensic
Investigation & Documentation of
Possible Abuse, Neglect & Falls of
Vulnerable Persons
DR. DAN SHERIDAN | TEXAS A & M UNIVERSITY
Participants will learn techniques for improving their
forensic assessment and documentation, both written and
photographic, of client/patients with possible abuse and
neglect related injuries. An overview of contributors to
falls will be presented as well as techniques to differentiate
and document witnessed falls from being found down.
Basic forensics terminology will be presented in a format
immediately useful to professionals from multiple
disciplines. A series of instructive injury slides will be shown
to demonstrate patterned injuries and injuries in various
stages of healing. Participants will be asked to review a
series of injury photographs from one to two cases and
correctly identify the injuries and describe how they should
be documented in medical records.
T1 Assessing for Possible Abuse &
Neglect of Vulnerable Residents:
From the Top Down and Bottom Up
DR. DAN SHERIDAN | TEXAS A & M UNIVERSITY
In this session, participants will learn the elements
needed to conduct a thorough, competent, fact-based
and unbiased internal investigation of known or suspected
abuse and neglect. These same elements are crucial when
investigating unexplained injuries. In addition, participants
will learn strategies to develop forensically trained
registered nurses from within an agency’s personnel
pool. The presentation will highlight the importance of
timely investigations that include written, injury map and
photographic documentation within a client/patient’s
medical record. Tips on easily performed basic evidence
collection and preservation by a facility will be presented.
T2&T5
Active Shooter: Parts 1 & 2
MARILYN KNIGHT | INCIDENT MANAGEMENT
TEAM
This 2 part session will describe behavioral indicators
of potential violence and types of situations that may
result in violent behavior in healthcare settings. OSHA
Healthcare Violence Prevention Guidelines, risk factors,
types of perpetrators, “approach behaviors” and "triggers"
which may precipitate violence against caregivers, will be
discussed. Active Shooter Survival choices will be outlined.
Policies, systems, and structures of a Comprehensive
Workplace Violence Prevention and Threat Assessment
System will be described. Actual video tape case histories
will be used as illustrative case examples. Participants will
not want to miss this engaging discussion!
8
T3 Navigating the Mental Health
Complexities of a Progressively
Younger LTC Population
MICHAEL GOLDSMITH | BEHAVIORAL CARE
SOLUTIONS LLC
Individuals between the ages of 31-65 years of age are the
fastest growing demographic in long-term care to date.
This younger and more viable demographic has presented
with its own complexities and difficulties for long-term care
facilities and staff. This presentation will examine the shift
in resident population, related mental health complexities,
as well as specific approach tactics to best address this
population of younger residents.
T4 The Role of Nutrition in Preventing
Infections & Promoting Wound
Healing
EVELYN PHILLIPS | MAGEE REHABILITATION
HOSPITAL
This presentation will discuss the link between illness
related inflammation and the associated hyperglycemia
with malnutrition and hospital acquired conditions such
as infection, aspiration and pressure ulcers. Nutrition
recommendations for prevention and strategies for
intervention will be reviewed along with case study
examples.
T6 How to Start a Workplace Wellness
Program on a Budget for Beginners
MARIA HICKS | CAMBRIDGE CONSULTING
GROUP
In this presentation, we will look at WELCOA's (Wellness
Council of America) "8 C's" for starting, promoting and
implementing a workplace wellness program. Wellness
programs are becoming a trend in the workplace and
companies are looking for ways to engage employee's,
improve morale and lower healthcare costs. Participants will
learn why wellness is important, simple ways to implement
a workplace wellness program and low/no cost wellness
ideas to start implementing right away.
T7 Delirium: A Final Common Pathway
Disorder
MICHAEL GOLDSMITH | BEHAVIORAL CARE
SOLUTIONS LLC
Delirium as a disorder is transient in nature, acute in
presentation and may last days, weeks or months. A
number of studies have found that delirium accounts for
10-20% of acute medical admissions for older adults and
18% for those initially admitting to a long term care/SNF
setting. Age and pre-existing dementia have been found
Thursday, Nov. 17 Education
to be the primary predisposing factors for delirium. We’ll
review clinical criteria for diagnosis, epidemiology/aetiology
of delirium, and methods of differential diagnosis including
assessment tools to be utilized by your interdisciplinary
team to promote optimal resident outcomes.
T8
Caring for Transgender People
KATHLEEN LATOSCH | SAGE METRO DETROIT
This interactive discussion will provide an introduction to
caring for transgender people in the long-term care setting.
It will include a review of appropriate language, cultural
norms, critical policies to have in place and updates on
the latest legal issues affecting this unique population in
Michigan. Resources and links will be provided for additional
learning. Nurse participants will also have an opportunity
to hear personal experience from a transgender older adult
and ask questions.
T9 Employer vs. Employee Side of
Social Media Policy
DEBORAH BROUWER | NEMETH LAW, P.C.
The advent of social media has resulted in formerly private
matters, from family member complaints to employee
on employee harassment, to all out public matters. This
presentation will provide legal perspective on what can you
legally do and what you can’t do to protect your facility’s
on-line reputation and the integrity of your residents and
staff.
Friday, Nov. 18 Education
K3 How to Work with Generations
Y& Z: #HELP!
FRAN VIAN | FORTIS MANAGEMENT GROUP
Our workplaces are multigenerational – a simple statement
with complex implications. Our multigenerational
workforce requires us to be aware and understand the
differences in employee engagement to facilitate efficiency
and effectiveness in resident care. In this closing keynote
presentation, nurse participants will explore the differences
and similarities of the generations within their facility’s
workforce and review employee engagement strategies to
best meet the needs of their residents.
F2
Regulatory and CMS Update Part 2
• VICKIE BURLEW | LEBENBOM & ROTHMAN
•
BETH BACON | HEALTH CARE
ASSOCIATION OF MICHIGAN
We are facing the largest shift in the paradigm of long term
care in decades. Compliance with minimal standards is not
sufficient. Reimbursement tied only to costs is fading away.
Quality outcomes are driving overall operations. In Part 2
of this presentation we provide an overview of the new
regulations, the timeline to implement, and strategies to
operationalize these.
F1
Regulatory & CMS Update Part 1
VICKIE BURLEW | LEBENBOM & ROTHMAN
We are facing the largest shift in the paradigm of long term
care in decades. Compliance with minimal standards is not
sufficient. Reimbursement tied only to costs is fading away.
Quality outcomes are driving overall operations. In Part 1
of this presentation we review how the state and CMS are
making the shift with us. We discuss changes at the state,
changes to the survey process, and what resident-centered
survey trends are emerging in Immediate Jeopardy citations.
MiNADONA
9
Annual Vendor
Expo Show
MiNADONA
Proudly Featuring:
list as of August 30, 2016
360care
3M
AdvaCare Systems
Advanced Tissue
All Med Medical Supply
Allergan PLC
American Medical Technologies
Atrium Centers
Avanir Pharmaceuticals
Behavioral Care Solutions
Biocodex
BMI Mobile Imaging
CareLinc Medical Equipment & Supply
Ciena Healthcare
Clorox / Apex
Collegium Pharmaceutical
Compass Communications Group, LLC
Fitzsimmons Hospital Services
Genemarkers
Great Lakes Caring Home Health and
Hospice
Healthcare Academy
HomeTown Pharmacy
HPSI Purchasing Services
In Touch Pharmaceuticals
Janssen
10
McKesson Medical Surgical
Medline
Mobile Care Group
Mobilex USA - US LABS
Moblie Medical Support
Novo Nordisk
Nutricia Advance Medical
Omnicare
PCA Pharmacy
PharMerica Corporation
Pine Rest Christian Mental Health
Services
QA Reader
QCI Healthcare
Remedi SeniorCare
Residential Home Health & Hospice
Sanofi
Seasons Hospice & Palliative Care
Senior Psychiatric Services of MI, PLLC
Service Care, Inc.
Symmetry Hand Hygiene
Therapy Management Inc.
Wound Kair Management
Nurses:
Be sure to bring your business cards to
distribute to exhibitors for your chance to
win one of many great prizes!
PARTY NORTH Celebration
Join us Thursday evening from 7:30 - 10:30 pm for the
NURSE ADMINISTRATOR PARTY OF THE YEAR featuring:
• LIVE COUNTRY BAND,
REBOOTED
• LINE DANCERS /
INSTRUCTORS
• SHOOTING GALLERY
• LOG SAWING
• WOOD CARVING
• 2 HOURS OF HOSTED BAR
AND 1 HOUR OF CASH BAR
• HEAVY APPETIZERS AND
SNACKS
HOTEL ACCOMMODATIONS
Secure by Oct. 14!
This year’s MI-NADONA/LTC Annual
Convocation & Expo will be held at the
Grand Traverse Resort & Spa located at
100 Grand Traverse Village Blvd, Acme,
MI 49610.
Should you need overnight lodging,
please secure your hotel reservation
directly with Grand Traverse Resort &
Spa by calling (800) 968-7352 by Friday,
October 14, 2016.
Please be sure to reference “NADONA”
at the time of reservation to receive the
discounted room rates of $109 & $139
per night plus applicable taxes and
a $14.95 daily resort fee per room per
night.
Please make your reservation now, as
rooms are limited and not guaranteed.
Self-parking at Grand Traverse Resort &
Spa is complimentary.
11
Please Thank our Generous
Convocation Sponsors!
As of: August 31, 2016
12
2016 MI-NADONA/LTC Board of Directors
EXECUTIVE BOARD:
PRESIDENT
Bonnie Beulla
[email protected]
BYLAWS/MEDIA
Linda Mondoux
[email protected]
VICE PRESIDENT
Cheryl Patton
[email protected]
MEMBERSHIP
Ellie Poster
[email protected]
PAST PRESIDENT/
PROGRAM CHAIR
Shari Carson
[email protected]
NOMINATING
Julie Pudvay
[email protected]
TREASURER
Monica Brennan
[email protected]
SECRETARY
Kim Desmet
[email protected]
SCHOLARSHIP
Donna Beebe
[email protected]
AREA COORDINATORS:
AREA I:
Etta Brown
[email protected]
Macomb, Oakland & Wayne counties
AREA II:
Lynae Carson
[email protected]
Bay, Gratiot, Isabella, Midland &
Saginaw counties
AREA III:
Judi Christensen
[email protected]
Ionia, Kent, Mecosta, Montcalm,
Muskegon, Newago, Oceana &
Ottawa counties
AREA IV:
Beth Beam
[email protected]
Allegan, Barry, Berrien, Branch,
Calhoun, Cass, Kalamazoo, St.
Joseph & Van Buren counties
*If you would be interested in serving on
the Board as the Area VI or IX Coordinator,
please see a MI-NADONA board member
or contact MI-NADONA President,
Bonnie Beulla.
AREA V:
Renee Cunningham
[email protected]
Alcona, Alpena, Arenac, Crawford,
Gladwin, Iosco, Montmorency,
Ogemaw, Oscoda, Otsego &
Roscommon counties
AREA VI:
*Vacant
Baraga, Gogebic, Houghton, Iron,
Keweenaw & Ontonagon counties
AREA VII:
Brenda Palmer
[email protected]
Clinton, Eaton, Ingham, Livingston &
Shiawassee counties
AREA VIII:
Kim Shaughnessy
[email protected]
Hillsdale, Jackson, Lenawee, Monroe
& Washtenaw counties
AREA IX:
*Vacant
Alger, Delta, Dickinson, Marquette,
Menominee & Schoolcraft counties
AREA X:
Patty McClees
[email protected]
Charlevoix, Cheboygan, Chippewa,
Emmet, Luce, Mackinac & Presque
Isle counties
AREA XI:
Patricia Leonard
[email protected]
Huron, Lapeer, Sanilac, St. Clair &
Tuscola counties
AREA XII:
Cheryl Patton
[email protected]
Antrim, Benzie, Clare, Grand
Traverse, Kalkaska, Lake, Leelanau,
Manistee, Mason, Missaukee,
Osceola & Wexford counties
AREA XIII:
Laura Jennings
[email protected]
Genesee county
FOUNDER:
Peggy Godfrey
[email protected]
13
Submit directlyFormto#03092016
NADONA
by fax to 513-791-3699
MEMBERSHIP APPLICATION
□ New
A Membership Organization dedicated to Nurses in the Long Term Care Continuum
□ Renew
Please print clearly (use one form per applicant or update renewal notice information)
Tell Us About You
Select all that apply:  CDONA  FACDONA  CALN  CLPN  GDCN
First Name
Last Name
Home Address
City
Home Phone
State
Zip
□ Assisted Living
□ Retired
Home Email
Tell Us About Your Career
□ Skilled Nursing
Corporation
Facility/Community Name
Facility/Community Address
City
Facility Phone (please include extension)
State
Zip
County
Work Email
Title
License# and State Issued
Type of license (RN, LPN, LVN)
Membership Dues
STATE
1 YR
2 YR
PLEASE SUBMIT FEES FOR DUES AS LISTED BELOW (circle one)
STATE
1 YR
2 YR
STATE
1 YR
2 YR
STATE
1 YR
2 YR
Alabama
$110
$195
Indiana
$115
$200
Nebraska
$110
$200
South Carolina
$115
$210
Alaska
$110
$200
Iowa
$110
$200
Nevada
$130
$235
South Dakota
$110
$200
Arizona
$115
$200
Kansas
$115
$200
New Hampshire
$115
$200
Tennessee
$115
$210
Arkansas
$110
$190
Kentucky
$115
$210
New Jersey
$130
$235
Texas
$125
$225
California
$110
$200
Louisiana
$110
$200
New Mexico
$115
$215
Utah
$110
$200
Colorado
$110
$200
Maine
$110
$200
New York
$120
$215
Vermont
$110
$200
Connecticut
$115
$210
Maryland
$120
$220
North Carolina
$115
$210
Virginia
$115
$200
Delaware
$110
$200
Massachusetts
$125
$215
North Dakota
$125
$230
Washington
$115
$210
Florida
$125
$230
Michigan
$120
$220
Ohio
$130
$235
Wash D.C.
$110
$200
Georgia
$115
$205
Minnesota
$115
$210
Oklahoma
$115
$210
West Virginia
$110
$200
Hawaii
$120
$220
Mississippi
$110
$195
Oregon
$110
$200
Wisconsin
$110
$200
Idaho
$110
$195
Missouri
$120
$210
Pennsylvania
$115
$205
Wyoming
$110
$195
Illinois
$115
$210
Montana
$110
$195
Rhode Island
$110
$200
How Would You Like to Pay?
□ Check Enclosed
□ Visa
□ MasterCard
□ American Express
□ Discover
Name as it appears on card: ___________________________________________________________________
Billing Address (if different from above) __________________________________________________________
Card#: ______________________________________________________
Expiration Date: ____/____
Signature: _______________________________
Contributions or gifts to the National Association of Directors of Nursing Administration in Long Term Care, Inc. are not tax deductible as charitable contributions.
However, they may be deductible as ordinary and necessary business expenses.
14
Make check or money order payable to: NADONA/LTC, 1329 E. Kemper Road * Suite 4100A * Cincinnati, OH 45246
FOR Credit Cards only - fax request to (513) 791-3699
Apply for membership on our website with Visa/Mastercard/American Express/Discover @ www.nadona.org
Membership question? Call NADONA/LTC toll free 800-222-0539 or Email us at [email protected]
2016 Registration Policies
Early Registration Deadline
The discounted early registration rate is
available to current NADONA members only,
whose registration is received by HCAM by
Friday, October 7, 2016.
Registration Confirmation
After your registration form has been
processed, an event confirmation will be
emailed to your attention from KistiBoatright@
hcam.org. Please be sure to include a current
email address on this form.
Payment & Applicable Rate
Membership will be verified for all registrations
indicating NADONA membership status.
All registration fees are due at the time of
registration.
Cancellation & Refund Policy
All refund requests must be made in writing by
e-mail to [email protected]. Telephone
cancellations will NOT be accepted. Individual
registration fees, less a 25% processing fee,
will be refunded for cancellations received in
writing prior to Oct. 7. Cancellations received
after Oct. 7 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 participate, may send an
alternate in their place. Please contact HCAM
by email to [email protected] with the
first and last name, title and facility/company
of both you and your substitute to process this
request.
Dietary Restrictions
Should you have a dietary restriction, please
contact HCAM by email to KistiBoatright@
hcam.org no later than Oct. 7 detailing your
need.
Consent to Use of Photographic
Images
Registration and attendance at, or participating
in, MI-NADONA/LTC’s and/or HCAM's events
and/or activities constitutes an agreement by
the registrant to MI-NADONA/LTC’s and/or
HCAM'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 unless specified in writing prior to
event.
Questions
Should you have questions, please contact
Kisti Boatright by phone at (517) 622-6194 or
by e-mail at [email protected].
2017 SAVE THE DATES
MI-NADONA/LTC RN
Boot Camp
Part 1: March 28-29
Part 2: April 25-26
Lansing, MI
MI-NADONA/LTC
Alzheimer’s Disease &
Dementia Care Seminar:
Preparation for CDP
Certification
June 22
Lansing, MI
MI-NADONA/LTC Annual
Webinar: Topic TBD
July 12
MI-NADONA/LTC Annual
Convocation & Expo
October 18-20
Mt. Pleasant, MI
15
2016 MI-NADONA/LTC Annual Convocation & Expo
November 16-18, 2016
Grand Traverse Resort & Spa | Acme, MI
MiNADONA
Early Bird
NADONA
Member
Rate Prior
to Oct. 7
NADONA
Member
Rate After
Oct. 7
NonMember
Rate
A) Full Package: Includes all education, contact hours, breakfasts, luncheons, breaks,
expo and the PARTY NORTH Celebration from Nov. 16-18.
$425
$500
$600
B) Nov. 16 Only: Includes education, contact hours, breakfast and luncheon on
Nov. 16 only.
$325
$400
$450
C) Nov. 17 Only: Includes education, contact hours, breakfast, luncheon, expo and
PARTY NORTH Celebration on Nov. 17 only.
$350
$425
$475
D) Nov. 18 Only: Includes education, contact hours and breakfast on Nov. 18 only.
$250
$325
$375
Package & Inclusions:
Please circle the applicable package rate to the right and indicate the total abount due.
- AVAILABLE TO 2016 PARTICIPATING EXHIBITORS & SPONSORS ONLY E) Annual Vendor Expo & Party North Only: Includes a ticket for lunch, the expo and
PARTY NORTH Celebration on Nov. 17 for 2016 participating exhibitors/sponsors only.
Any vendor who is NOT exhibiting or sponsoring will need to register for Package C.
$200
2016 registration rates are based on membership to NADONA/LTC. Please note that NADONA membership is separate from HCAM
membership, and is based on an individual, not a facility. To sign-up for NADONA/LTC membership now, please be sure to complete
and submit the NADONA/LTC Membership Application included on page 18 to NADONA/LTC by fax to (513)791-3699.
TOTAL DUE $
PRINT CLEARLY / ONE REGISTRATION FORM PER PERSON
Name:_____________________________________________________ Title:____________________________________________________________
Facility/Company:_____________________________________________________________________________________________________________
Address:_____________________________________________________________________________________________________________________
City:______________________________________________________________________ State:___________________ Zip: ____________________
Business Phone:_______________________________
Cell Phone: _______________________________
Fax: _______________________________
E-mail (REQUIRED):____________________________________________________________________________________________________________
Your confirmation of registration & other important conference information will be sent by to you by email from [email protected].
PAYMENT INFORMATION
Check One: ____Check/Money Order made payable to “HCAM”
____Visa ____MasterCard
____American Express
____Discover
Credit Card Number:__________________________________________________________________________________________________________
Expiration Date (month/year):__________________ 3-digit Security Code:______________ Billing Zip Code for Credit Card:_____________________
Cardholder Name (print):______________________________________________________________________________________________________
Cardholder Signature:_________________________________________________________________________ Today’s Date:____________________
NURSE PARTICIPANTS ONLY: REQUIRED
Please indicate the COUNTY that the facility in which you work at is located:_______________________________________________________________
PLEASE REVIEW BELOW & CHECK THE BOX(ES) IF APPLICABLE:
Check this box ONLY if you have a dietary allergy &/or restriction such as “vegetarian” or “nut allergy.” You will be
contacted directly if you check this box to discuss further.
Check this box ONLY if you will be traveling from the south east side of Michigan (metro Detroit area) and are
interested in taking advantage of complimentary &/or low cost group transportation to & from Convocation & Expo.
You will be contacted via email with additional information should you wish to consider this option.
To register now, complete this form & submit with payment to:
Fax: (517) 627-3016 | Mail: HCAM at 7413 Westshire Dr., Lansing, MI 48917
Submitted registrations will NOT be accepted by email to promote the safety & security of your payment information. Thank you for your understanding.