Skip to content

NE HIMSS Call for Clinical Informatics Speakers

If you are interested in speaking at a HIMSS New England Chapter Educational Event in the 2022-2023 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
Last name
Credentials(Required.)
Job Title
Company
Email
Contact Phone Number
Speaker 2 :  First name (if applicable)
Last name
(if applicable)
Credentials
(if applicable)
Job Title
Company
Email
Contact Phone Number
Additional Presenters /Panel Speakers
Presentation Title
Short Abstract
Topic of Presentation (Please select all that apply)
Professional Practice Gaps and Educational Needs
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? Please briefly describe below: At least one reference is required and should be documented in the Source/Citation(s) box.

Current Behavior or Patient Care (Identified Gap)#1
(Required.)
Desired Behavior/Patient Outcomes #1(Required.)
Content Focus #1 (Check all that apply)(Required.)
Current Behavior or Patient Care (Identified Gap)#2
Desired Behavior/Patient Outcomes #2
Content Focus #2 (Check all that apply)
Current Behavior or Patient Care (Identified Gap)#3
Desired Behavior/Patient Outcomes #3
Content Focus #3 (Check all that apply)
Source/Citation(s) (Note: At least one reference is required and should be documented in the Source/Citation(s) box.)(Required.)
In general terms, what education is needed to close these gaps?(Required.)
Learning Objectives

Based on the gap(s) stated above, list learning objectives for the activity that indicate what you want the learner to be able to do upon completing the activity [i.e. each objective should include a verb that describes an action by the learner (not what the teacher will teach)].(Required.)
Target Audience:  Indicate the profession(s) of the intended learner (Check all that apply):(Required.)
System/Educational Barriers and Opportunities

As part of the educational design, the activity should provide strategies to remove, overcome, or address barriers to change in the skills/strategy or performance of the individual professional or healthcare team (Mark ONE with X).(Required.)
If you stated in the above question:  The following barriers have been identified and will be addressed in the educational intervention.  Indicate the following: