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2023 NE HIMSS Call for Clinical Informatics Speakers

If you are interested in speaking at a HIMSS New England Chapter Educational Event in the 2023 calendar year, please complete the following fields including details below and submit.  If you have additional questions email NEHIMSSAD@gmail.com
 
SPEAKER AGREEMENT:
By completing this form you are agreeing to the following which includes:
1. Agreeing to provide speaker biographies and photos, session title and description, and draft slides and materials for review and approval
2. Permissions to distribute materials and recorded presentations
3. AV equipment to be provided by New England HIMSS
4. Presentation length must be a minimum of 50-55 minutes of educational content followed by Q&A
 
Clinical Informatics Speakers: All required documentation must be completed for all fields included for CE approval.
 
NOTE:  New England HIMSS has the right to refuse and/or suggest changes to content.  All presentations will be reviewed for content.
Speaker 1:  First name(Required.)
Last name(Required.)
Credentials(Required.)
Job Title(Required.)
Company(Required.)
Short Bio(Required.)
Email(Required.)
Contact Phone Number
Speaker 2 :  First name (if applicable)
Last name
(if applicable)
Credentials
(if applicable)
Job Title
Company
Short Bio
Email
Contact Phone Number
Additional Presenters /Panel Speakers
Presentation Title:(Required.)
Professional Practice Gap(s) - Provide a brief description of the professional practice gap(s) you are trying to address.  What problems are you trying to solve?  What are your learners doing that they should NOT be doing; or, conversely, not doing that they SHOULD be doing?(Required.)
Source/Citation(s):  (Required.)
Underlying Educational Needs:  List the educational need(s) that is the cause of the gap(s) stated above [e.g., Incidence of wrong site surgery is too high (gap). The underlying educational need is to learn how to implement communication strategies amongst care team members (competency need)]:

1.  Knowledge Need and/or (to learn/understand)(Required.)
2.  Competence Need and/or (know how to use it)
3. Performance Need and/or (to apply it)
Intended Change:  Accredited CE activities must be designed for a potential outcome of changing competence, performance, and/or patient health. Change in knowledge only is NOT an acceptable outcome for CE. Activities intended for non-physician audiences only may be designed for the potential outcome of changing knowledge. This activity is designed to bring about a change in (check all that apply):(Required.)
Learning Objectives:  List measurable learning objectives that are applicable for each educational need, target audience, and expected results.

Objective 1:(Required.)
Objective 2: (Required.)
Objective 3: (Required.)
Objective 4: (Required.)
Learning Objectives

List measurable learning objectives that are applicable for each educational need, target audience, and expected results.(Required.)
Target Audience:  Indicate the profession(s) of the intended learner (Check all that apply):(Required.)
Barriers:  Identify barriers to change for the healthcare team associated with this activity, and list strategies to remove, overcome, or address those barriers. 

Barriers to Change for the Healthcare Team (complete all that apply):(Required.)
Please define the barriers indicated in the above question: Identify barriers to change for the healthcare team associated with this activity, and list strategies to remove, overcome, or address those barriers.

EDUCATIONAL STRATEGY / CONTENT THAT WILL ADDRESS THE BARRIER (Complete all that apply):(Required.)
Barriers:  Identify barriers to change for the healthcare team associated with this activity, and list strategies to remove, overcome, or address those barriers. 

System Barriers (complete all that apply):(Required.)
Please define the barriers indicated in the above question: Identify barriers to system associated with this activity, and list strategies to remove, overcome, or address those barriers.

EDUCATIONAL STRATEGY / CONTENT THAT WILL ADDRESS THE BARRIER (Complete all that apply):(Required.)