MaineCare Delivery System Reform Forum Presentation Proposal Form

DOWNLOAD THIS TEMPLATE AS A PDF FOR ADVANCE WORK AND COLLABORATION

Thank you for your interest in presenting at the MaineCare Delivery System Reform (DSR) Annual Forum. By submitting a proposal, you’ll have the opportunity to share future directions, best practices, stories on successful collaborations, or solutions to community-wide issues.

Important Dates

• May 10, 2024: Call for Proposals (CFP) opens

• June 14, 2024: Proposal deadline

• June 28, 2024: Proposal notifications sent

• June 28, 2024: Registration live

• August 2024: Forum agenda and program live online to view

• September 2024: DSR Annual Forum

Instructions
Prior to starting your proposal, please take some time to review the Call for Proposals Info Page which explains in more detail the information you will be asked to provide when completing this form.

By submitting a proposal you are agreeing to the Guidelines for Submission listed on the Call for Proposals Info Page . Please contact the DSRU team at hh-bhh-services.dhhs@maine.gov if you have any questions.

Submitting Your Proposal
Your proposal will not be considered unless it is submitted through the CFP submission site on Survey Monkey. After June 14, 2024, no proposals will be accepted—no exceptions. All proposals which were submitted correctly and on time will receive a confirmation email.

All proposals must be submitted through this

Call for Proposals submission site by June 14, 2024.

Session Information

Question Title

* 1. Session Title:

Please submit a short, yet descriptive session title. We encourage you to be creative. Please use title capitalization. IMPORTANT: Do not use abbreviations and do not include institution, company, or product names anywhere in the session title.

Question Title

* 2. Type of Presentation:

Keynote Presentation - Keynote presentations highlight topics of significant current or historical interest to the community. Keynote presentations should last up to one-hour.

General Session - General Session presentations on a topic of current interest to the community are typically 30-minutes long (including time for Q&A).

General Session Panel - Panels are 45-minute discussions with a moderator and a team of panelists on a topic of current interest to the community.

Question Title

* 3. Intended Audience:

Indicate the primary audience and DSRU program to whom your presentation is directed, e.g., care managers, nurses, peer support, administrators, etc… and BHH, OHH, PCPlus, CCT, HOME, MaineMOM, all of the above.

Question Title

* 4. Presentation Location (select one or both):

September 16, 2024 in Auburn

September 24, 2024 in Orono

Question Title

* 5. Session Abstract:

Share the overview/abstract for your session. If your proposal is accepted, the abstract is what most attendees will use to make decisions about what sessions to attend. What can you say that will encourage your colleagues to attend your session? Please limit your abstract to 250 words.

Question Title

* 6. Session Outcomes/Takeaways:

Identify three key takeaways or learning outcomes (e.g., things participants will know or be able to do as a result of participating in the session). When submitting outcomes below, please begin with a verb (exclude any introductory text and the phrase “Participants will…,” as this is assumed). Limit the length of each outcome to 200 characters.

Question Title

* 7. Session Participant Engagement Strategies:

Briefly describe the participant engagement strategies you will employ that will enable attendees to actively participate in your session. We encourage you to think creatively about how to engage attendees throughout your session. Please limit to 400 characters.

Session Track, Description, and Keywords

Question Title

* 8. Program Track:

The DSRU team has identified eight suggested areas of focus (tracks/topics) for 2024. Preference will be given to the proposals that sufficiently reflect what you have done or are planning to do in regard to your selected area.

Select one track that best aligns with your session proposal.

Advancing Equity and Eliminating Care Disparities
Example(s): Justice Involved Populations, cultural competence and adaption, social determinants of health, harm reduction

Behavioral and Physical Health Integration
Example(s): Screenings and assessments, Results and actions from site assessments on integration

Care Coordination
Example(s): Developing partnerships, Leveraging health information technology, Coordinating treatment plan goals between providers

Connecting to Community Resources and Social Support Services
Example(s): Helping members to retain health insurance coverage, Community-based wellness activities

Health Promotion Services
Example(s): National Diabetes Prevention Program Service partnerships, Increasing Access to Healthy Foods

Inclusion of Members and Families in Care
Example(s): Patient Advisory Groups, Including family members in care planning, Patient voice/stories

Team-Based Approach to Care
Example(s): Community Health Workers, Nurse Care Manager roles and responsibilities, Peer-Led Models

Workforce Resilience and Development
Example(s): Innovative approaches to attracting and retaining workforce

Question Title

* 9. Session Description:

Please describe the plan for your session and briefly state the importance, relevance, value, uniqueness, and/or interest to our community of professionals. Please be sure to describe how the session will unfold (timetable), the key findings or points you will present, the relevance of the content to the community, and any evidence you will produce that supports your content.

Additional Presentation Information

Question Title

* 10. Submitter Comments (Optional):

What else would you like the DSRU team to know about this proposal? Please include Audio/Visual needs.

Presenter Information

Question Title

* 11. Presenter Requirements:

✔ All accepted presenters are responsible for registering for the forum by August 1, 2024. You will not be able to register for the event until you receive notification of acceptance in June.

Last Name

First Name

Email Address

Employer

Question Title

* 12. Are you part of a DSR Program Provider Organization? (Please check any boxes that apply)

Behavioral Health Homes

Community Care Teams

Housing Outreach and Member Engagement

MaineMOM

Opioid Health Homes

Primary Care Plus

Not a DSRU Provider

Question Title

* 13. Provide a brief bio for the lead presenter covering the scope of professional responsibilities, relevant certifications, expertise on the topic, and previous experience presenting or facilitating sessions.

Question Title

* 14. Additional Providers:

List additional presenters and their emails.

Requirements Acknowledgements

Question Title

* 15. Please check all boxes below to confirm your acceptance of presenter requirements.

I understand that I am required to register to attend the forum.

I understand no honoraria or travel expense reimbursement will be provided, and that I must make my own travel and hotel arrangements, if needed.

I understand that the conferences are held live, and I agree to appear in person at whichever conference I present at.

I understand and declare that all speakers listed in this submission have been contacted and have consented to their listing as a presenter.

I have read the Call for Proposals Info Page and agree to comply with all guidelines contained therein.

Summary Information and Submit Your Proposal

▪ Please review your proposal information to make sure that it is accurate.

▪ Please save a copy of your proposal for your records before submitting (you will not have access to the proposal information after submission).

▪ Upon submission, you will receive an acknowledgment email. Receiving this email indicates that your proposal has been officially submitted.

▪ Notification emails of the DSR team’s decisions will be sent June 28, 2024.

If you have any questions regarding the proposal process, please contact the DSR team at hh-bhh-services.dhhs@maine.gov .

MaineCare Delivery System Reform Forum Presentation Proposal Form

Question Title

* 1. Session Title:Please submit a short, yet descriptive session title. We encourage you to be creative. Please use title capitalization. IMPORTANT: Do not use abbreviations and do not include institution, company, or product names anywhere in the session title.

Question Title

* 2. Type of Presentation:

Question Title

* 3. Intended Audience:Indicate the primary audience and DSRU program to whom your presentation is directed, e.g., care managers, nurses, peer support, administrators, etc… and BHH, OHH, PCPlus, CCT, HOME, MaineMOM, all of the above.

Question Title

* 4. Presentation Location (select one or both):

Question Title

Question Title

Question Title

Question Title

Question Title

Question Title

* 10. Submitter Comments (Optional): What else would you like the DSRU team to know about this proposal? Please include Audio/Visual needs.

Question Title

* 11. Presenter Requirements:✔ All accepted presenters are responsible for registering for the forum by August 1, 2024. You will not be able to register for the event until you receive notification of acceptance in June.

Question Title

* 12. Are you part of a DSR Program Provider Organization? (Please check any boxes that apply)

Question Title

* 13. Provide a brief bio for the lead presenter covering the scope of professional responsibilities, relevant certifications, expertise on the topic, and previous experience presenting or facilitating sessions.

Question Title

* 14. Additional Providers:List additional presenters and their emails.

Question Title

* 15. Please check all boxes below to confirm your acceptance of presenter requirements.

* 1. Session Title:

Please submit a short, yet descriptive session title. We encourage you to be creative. Please use title capitalization. IMPORTANT: Do not use abbreviations and do not include institution, company, or product names anywhere in the session title.

* 3. Intended Audience:

Indicate the primary audience and DSRU program to whom your presentation is directed, e.g., care managers, nurses, peer support, administrators, etc… and BHH, OHH, PCPlus, CCT, HOME, MaineMOM, all of the above.

* 10. Submitter Comments (Optional):

What else would you like the DSRU team to know about this proposal? Please include Audio/Visual needs.

* 11. Presenter Requirements:

✔ All accepted presenters are responsible for registering for the forum by August 1, 2024. You will not be able to register for the event until you receive notification of acceptance in June.

* 14. Additional Providers:

List additional presenters and their emails.