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The Kentucky Primary Care Association is pleased to issue a Call for Presenters for the 2022 Fall Conference, held October 10-12, 2022. 
 
KPCA is looking for workshops that are directed to Community Health Centers and Rural Health Clinics. Some of the topics that the conference planning workgroup will consider are Advocacy, Operations, Clinic Management, Value-based Payments/Quality, Workflow, Telehealth, PCMH, HIPAA, Front Desk, Emergency Preparedness, Policies & Procedures, Compliance, Billing and Coding, Cost Reporting, Federal Policy, Oral Health, Workforce Development, Human Resources, Behavioral Health, Finance, 340B.
 
Please click the link below to complete the Speaker Disclosure Form. 

Steps:
  • Download form as a pdf
  • Complete and Sign
  • Upload the completed form below
Speaker Disclosure Form

 
*If your session is not CME you may leave questions 12-17 blank

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* 1. Workshop Title:

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* 2. Speaker Disclosure Form 

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* 3. Workshop abstract: 
Please enter your workshop abstract (350 characters, 50 words maximum), which will appear in the promotional material if your proposal is selected. Abstracts should clearly and concisely identify what will be presented, who the audience should be, and the delivery format. Please write your abstract in the present tense and in the third person

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* 4. Presenter Information: 

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* 5. Please upload Speaker bio (200 words or less):

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* 6. Speaker CV:

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* 7. Will there be a second presenter?

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* 8. Second Presenter Information

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* 9. Second Speaker Bio (200 words or less):

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* 10. 2nd Speaker CV:

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* 11. Second Speaker Disclosure Form

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* 12. What is the practice-based problem (gap) will this education address?

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* 13. What is/are the reason(s) for the gap? How are your learners involved?

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* 14. Who is the target audience for this activity?

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* 15. What is not occurring that should be occurring? OR 
What is occurring that should not be occurring?

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* 16. What change(s) in strategy, performance, or patient care would you like this education to help learners accomplish?

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* 17. What are the objectives for this activity?

0 of 17 answered
 

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