2018 ACHI National Conference - Presentation Proposals Thank you for submitting a proposal to present a breakout session or poster at the 2018 ACHI National Conference, March 14-16 in Atlanta! Please read the call for proposals and submission guidelines prior to filling out this form. Note that the submission deadline is Monday, September 25, 2017. Proposals that are incomplete or are submitted after the deadline will not be considered for selection. If you have any difficulties or questions, please contact achiconference@aha.org. Question Title * Contact information for the submitting presenter: Name Credentials (degrees, certifications, etc.) Job title Organization City State Phone Email Twitter LinkedIn Facebook Question Title * Are you a member of ACHI? (Note: ACHI membership is not required to present.) Yes No Unsure Question Title * Please provide contact information for any additional presenters (up to two)Contact information for presenter 2: Name Credentials (degrees, certifications, etc.) Job title Organization City State Email Twitter LinkedIn Facebook Question Title * Contact information for presenter 3: Name Credentials (degrees, certifications, etc.) Job title Organization City State Email Twitter LinkedIn Facebook Question Title * Please submit a brief biography (up to 250 words) for each presenter. If your presentation is selected, this information will be included in conference materials. Do not submit resumes or CVs.Bio for Presenter 1: Question Title * Bio for Presenter 2: Question Title * Bio for Presenter 3: Question Title * What is your preferred presentation type? Breakout session only Breakout session preferred Poster only No preference Question Title * Indicate the track to which your proposals best relates. Please refer to the call for proposals for descriptions of each track. Anchor Strategies: Driving Community Investment and Revitalization Health System Transformation: Building a Culture of Population Health Social Determinants of Health: Advancing Health Equity Using Data: From Planning to Evaluation Healthy Places: Building Thriving Communities Technology in Action: Connecting for Population Health Policies for Population Health: Fostering Change Question Title * Presentation Title (up to 7 words): Question Title * Learning Objectives: List 3 learning objectives for your presentation Question Title * Description: In 300 words or less, please describe your proposed presentation. You are encouraged to relate your proposal to the conference theme, Be the Bridge, and the selected topic track. Question Title * We anticipate receiving more high quality proposals than we can fit into the conference agenda. There are various opportunities for you to share your work with the ACHI community. Please check the boxes below to indicate your interest in: Presenting an ACHI webinar Being featured as a case study on HPOE.org or in an ACHI newsletter Submit