MEDICAL MALPRACTICE CATASTROPHIC INJURY

Transcription

1 ACI, the creator of the annual Obstetric Malpractice conference and Medical Liability Claims & Coverage conference, now brings you its Non-Birth Litigation & Risk Management Summit on MEDICAL MALPRACTICE CATASTROPHIC INJURY February 29-March 1, 2016 Union League Philadelphia, PA Hear from and network with: Richard T. Henderson Vice President Transatlantic Reinsurance John S. Moore Director- Specialty Strategic Claim CNA Jennifer L. Green, JD Senior Claims Analyst - Major Loss AIG David A. Spear Vice President, Senior Health Care Broker Willis Michael Wong, JD Founder/Executive Director Physician-Patient Alliance for Health & Safety Stephen Pavkovic Director Patient Safety University HealthSystem Consortium Cheryl M. DeKleine, Esq. Vice President of Claims and Litigation Stanford Healthcare Cory Meyers, RN, MN, CPHRM Vice President, Risk, Patient Safety and Privacy Baptist Health Chad L. Staller, JD, MBA, MAC, CVA President, Senior Economist The Center for Forensic Economic Studies Paul M. Deutsch, Ph. D., CRC, CCM, CLCP, FIALCP Certified Life Care Planner Paul M. Deutsch & Associates, P.A. Sessions include: A comprehensive guide for calculating damages in cases involving catastrophic injury, including life care planning nuances and the effect of the ACA on the calculation of future damages EMR and metadata: unique malpractice risks in a paperless world Emergency room/emergency medicine: assessing the standard of care and recognizing areas of risk for catastrophic injury The distinct dangers of anesthesia: latest injury claims and looking towards the future with non-human administration Brain, spine, neurosurgical malpractice developments Featuring unparalleled medical insights from: Richard J. Wadas, MD, FACEP President and Chief Medical Officer Emergency Resource Management, Inc. Clinical Associate Professor of Emergency Medicine, UPMC Edward Eden, MD Chief, Division of Critical Care, Pulmonary and Sleep Medicine Mount Sinai St. Luke s Roosevelt Leonard Berlin, MD, FACR Professor of Radiology Rush University, and U.of Ill. Earn CLE Credits Failure to diagnose/misdiagnosis of cancer cases: proving causation of a catastrophic injury Latest on radiological error lawsuits Medical malpractice apology statutes in catastrophic injury cases Negligent physician credentialing and corporate negligence causes of action: how these can affect your medical malpractice case and how to handle the challenges of representing an institutional client A-Z of best practices in litigating your medical malpractice catastrophic injury case: an examination of every stage and trial techniques including witness preparation and use of/ countering the reptile theory A unique opportunity to learn how federal and state judges view evidence and arguments specifically in the medical malpractice context. Hear from: Hon. C. Ashley Royal U.S. Dist. Ct., M.D. Ga. Hon. Ruben Castillo U.S. Dist. Ct., N.D. Ill. Hon. Eric F. Melgren U.S. Dist. Ct., D. Kan. Michael Gerardi, MD, FAAP, FACEP ACEP Immediate Past President Senior Vice President for Quality and Risk Management Emergency Medical Associates Elliott Goodman, MD Bariatric Surgeon Beth Israel Medical Center Steven M. Rapp, MD Neurosurgeon Michigan Spine Institute Hon. James L. Robart U.S. Dist. Ct., W.D. Wash. Hon. Tonianne Bongiovanni U.S. Dist. Ct., D.N.J. Hon. John M. Younge Pa. Ct. Common Pleas David L. Meyers, MD FACEP Emergency Physician DLM Consulting Harry F. Farb, MD Obstetrics and Maternal Fetal Medicine Specialist Kenneth P. Rothfield, MD, MBA, CPE, CPPS System Vice President, Chief Medical Officer Saint Vincent's Healthcare, Ascension Health Hon. Mark I. Bernstein Pa. Ct. Common Pleas Hon. Clifton Newman South Carolina Jud. Dept. BE SURE TO ALSO BOOK FOR THE MASTER CLASS: Bariatric Surgery Malpractice: The Current State of Weight Loss Surgery and the Innate Risks Involved Register Now Ext B.Lim@AmericanConference.com

2 Be a part of the nation s premier litigation and risk management conference on medical malpractice catastrophic injury and ensure that you keep abreast of the evolving standards of care, emerging theories of liability, and new defense strategies. High exposure medical malpractice cases, namely those involving catastrophic injury, greatly influence physicians practice, hospital policy, and discussions of healthcare reform. With the potential for hugely significant future economic loss, the stakes are extremely high on both sides of the fence in these cases. On top of shelling out millions to injured parties, doctors and hospitals need to battle with reputational damage in the wake of a lawsuit, the effects of which tend to outlast paying monetary sums. Thus, plaintiffs attorneys, defense counsel, hospital risk managers, and medical malpractice insurance professionals all have much at risk in these cases. That is why you cannot afford to miss American Conference Institute s Non-Birth Litigation & Risk Management Summit on Medical Malpractice Catastrophic Injury. This one-of-a-kind meeting will bring together an unparalleled faculty of medical experts, risk managers, insurance professionals, and leading plaintiffs and defense attorneys, who will provide you with the most up-to-date information on complex medical issues and litigation hurdles, including: A comprehensive guide for calculating damages in cases involving catastrophic injury including life care planning and the effect of the ACA on the calculation of future damages Electronic medical records, metadata and more: the unique malpractice risks inherent in a paperless world Emergency room/emergency medicine: assessing the standard of care and recognizing areas of risk for catastrophic injury The distinct dangers of anesthesia: latest injury claims and looking towards the future with non-human administration Brain and spine injuries: neurosurgical malpractice threats Failure to diagnose/misdiagnosis of cancer cases: proving causation of a catastrophic injury Radiological errors that lead to catastrophic events The value of saying I m sorry : medical malpractice apology statutes and their place in cases involving catastrophic injury Negligent physician credentialing and corporate negligence causes of action: how these can affect your medical malpractice case and how to handle the challenges of representing an institutional client A-Z of best practices in litigating your medical malpractice catastrophic injury case: an examination of every stage and trial techniques including witness preparation and use of/countering the reptile theory Improving communication: your client s most important risk management tool Register now by calling or by faxing your registration form to You can also register online at WHO SHOULD ATTEND: DD DD DD Lawyers, both plaintiff and defense, who litigate medical malpractice cases will attend in order to get a solid grounding on the latest medical issues upon which these catastrophic cases are based. A faculty of medical and legal experts from around the nation will provide them with the information and strategies that are essential to achieve the best outcomes for their clients Doctors, nurses and hospital risk/quality assurance managers will attend in order to benchmark their current practices and procedures and develop a deeper understanding of the current state of catastrophic medical malpractice litigation Insurance professionals will attend in order to obtain valuable insights and strategies for assessing professional negligence claims and to better understand litigation strategies and hospital risk management techniques Continuing legal education credits Earn CLE Credits Accreditation will be sought in those jurisdictions requested by the registrants which have continuing education requirements. This course is identified as non-transitional for the purposes of CLE accreditation. ACI certifies that the activity has been approved for CLE credit by the New York State Continuing Legal Education Board ACI certifies that this activity has been approved for CLE credit by the State Bar of California. ACI has a dedicated team which processes requests for state approval. Please note that event accreditation varies by state and ACI will make every effort to process your request. Global Sponsorship Opportunities With more than 300 conferences in the United States, Europe, Asia Pacific, and Latin America, American Conference Institute (ACI) provides a diverse portfolio devoted to providing business intelligence to senior decision makers who need to respond to challenges spanning various industries in the US and around the world. As a member of our sponsorship faculty, your organization will be deemed as a partner. We will work closely with your organization to create the perfect business development solution catered exclusively to the needs of your practice group, business line or corporation. For more information about this program or our global portfolio of events, please contact: Wendy Tyler - Director of Sales, American Conference Institute Tel: x5242 w.tyler@americanconference.com 2 Join the Conversation Insurance_ACI / #MedMalpractice

3 DAY ONE: MONDAY, FEBRUARY 29, :15 Registration and Continental Breakfast 7:55 Co-Chairs Opening Remarks Richard T. Henderson Vice President Transatlantic Reinsurance Jenna Wright Greenman Principal Kitch, Drutchas Wagner Valitutti & Sherbrook, P.C. 8:00 Kick-Off Session on the High-Exposure MPL Marketplace: Top Med Mal Claims Trends for 2016, the Latest Issues Affecting the Industry, Identifying and Mitigating New Risks, Controlling Costs, What s on the Horizon, and Examining the IOM Report on Improving Diagnosis in Healthcare John S. Moore Director Specialty Strategic Claim CNA Richard T. Henderson Vice President Transatlantic Reinsurance David A. Spear Vice President, Senior Health Care Broker Willis (Bermuda) Limited Jennifer L. Green, JD Senior Claims Analyst - Major Loss AIG David L. Meyers, MD FACEP Emergency Physician DLM Consulting Member, Board of Directors Society to Improve Diagnosis in Medicine Michael Gerardi, MD, FAAP, FACEP ACEP Immediate Past President Senior Vice President for Quality and Risk Management Emergency Medical Associates John E. Hall, Jr., Esq. Hall Booth Smith, P.C. 9:40 A Comprehensive Guide for Calculating Damages in Cases Involving Catastrophic Injury, Including Life Care Planning Nuances and the Effect of the ACA on Future Damages Chad L. Staller, JD, MBA, MAC, CVA President, Senior Economist The Center for Forensic Economic Studies Paul M. Deutsch, Ph.D., CRC, CCM, CLCP, FIALCP Certified Life Care Planner Paul M. Deutsch & Associates, P.A. Thomas Geroulo Weber Gallagher Simpson Stapleton Fires & Newby LLP Brant Poling Poling Law Types of damages recoverable Caps on non-economic damages - How to handle in catastrophic cases The defense s perspective: whittling the damages down vs. plaintiff s perspective: getting the highest award for their client Catastrophic injuries that require a lifetime of medical care: - How to calculate future medical bills - Use of a special expert witness (economist, certified life care planner) - Defense perspective on use of a life care planner - Billed vs. paid to mitigate damages Step-by-step how to in calculation of damages in cases involving catastrophic injuries How to deal with the collateral source rule Effect of state-by-state tort reform on damages How to use the ACA to lower or limit future damages - Can it be used to offset the cost of future medical care? What the ACA means for life care plans What the ACA means for the future of the collateral source rule State-by-state examination of treatment of defensive evidence relating to the ACA in catastrophic injury cases What arguments are defense attorneys making that have succeeded in lowering/limiting plaintiffs damages for future medical care? What arguments are plaintiff s attorneys making in response? ACA as a tool during settlement negotiations? Relevant cases since the rollout of the ACA Subsidy ruling and supportive rulings? 10:55 Morning Coffee Break 11:05 Electronic Medical Records, Metadata and More: The Unique Malpractice Risks Inherent in a Paperless World Harry F. Farb, M.D. Obstetrician and Maternal Fetal Medicine Specialist Stacey Cischke Cassiday Schade LLP Register Now Ext AmericanConference.com/MedMalpractice 3

4 4 Leonardo Tamburello Of Counsel McElroy, Deutsch, Mulvaney & Carpenter LLP What are the increased malpractice risks associated with the EMR? - New and unique risks Med Mal claims trends related to EMR over the last year How to train users to mitigate risks involved Other tips/best practices Use of the EMR in litigation/trial stage - Plaintiff asking for the entire EMR - EMR s not meant to be printed - Challenges with discovery - Challenges with introducing into evidence 12:05 Radiological Errors that Lead to Catastrophic Events Leonard Berlin, MD, FACR Professor of Radiology Rush University, and U.of Ill. Joseph Picchi Galloway, Lucchese, Everson and Picchi, P.C. Radiologists as part of a patient s treating team who likely never see the patient ( behind the scenes vs. treating doctor) Issues with regard to reading of diagnostic films as part of treatment plan: avoiding catastrophic injury Catastrophic injury cases: condition goes unnoticed or untreated due to mistakes involving misread diagnostic films Errors in radiology testing that lead to malpractice cases: - Misread x rays - Misread mammograms - Misread CT or CAT scans - Misread MRIs - Misread Ultrasounds 1:00 Networking Luncheon for Speakers and Delegates 2:00 Emergency Room/Emergency Medicine: Assessing the Standard of Care and Recognizing Areas of Risk for Catastrophic Injury Richard J. Wadas, MD, FACEP President and Chief Medical Officer Emergency Resource Management, Inc. Clinical Associate Professor of Emergency Medicine University of Pittsburgh Michael Gerardi, MD, FAAP, FACEP ACEP Immediate Past President Senior Vice President for Quality and Risk Management Emergency Medical Associates Join the Conversation Insurance_ACI / #MedMalpractice Irving Hirsch Wilson Elser Moskowitz Edelman & Dicker LLP Failures to diagnose - Not recognizing symptoms and discharging - Not ordering proper diagnostic tools Failures to treat - Failures to timely treat (i.e. not giving medication in time) Coordination of care/improper monitoring Failure to diagnose/timely treat stroke cases in the ER, common trend - Failure to timely provide TPA Other catastrophic types of failure to diagnose cases often seen in ER - Aneurysms - Heart attack - Improper esophageal intubation Effect in states that have changed the malpractice standard for emergency care to gross negligence (from previous and other states failure to exercise reasonable care ) 3:10 The Distinct Dangers of Anesthesia: How To Avoid The Possibility of Catastrophic Injury, Notable Cases and Decisions, and Looking Towards the Future with Non-Human Administration Kenneth P. Rothfield, MD, MBA, CPE, CPPS System Vice President, Chief Medical Officer Saint Vincent s Healthcare, Ascension Health Michael Wong, JD Founder/Executive Director Physician-Patient Alliance for Health & Safety Victoria L. Vance Attorney Tucker Ellis LLP High rate of catastrophic injury Human error factor Anesthesia trends - Moving away from narcotic use - Evolving standards of care Malpractice risk beginning before the anesthesia is even administered - Failing to investigate the patient s medical history for possible complications, or - Failing to inform the patient of the risks involved if preoperative instructions aren t followed. Anesthesia errors that occur during surgery: - Giving too much anesthesia to the patient - Failing to monitor the patient s vital signs - Improperly intubating patients or - Using defective equipment Use of computer-assisted personalized sedation devices and the malpractice implications

5 Other medical updates in the area Recent notable verdicts in this area 4:15 Afternoon Break 4:25 Brain and Spine Injuries: Neurosurgical Malpractice Threats Jenna Wright Greenman Principal Kitch, Drutchas Wagner Valitutti & Sherbrook, P.C Steven M. Rapp, MD Neurosurgeon Michigan Spine Institute Latest malpractice risks for neurosurgeons who perform brain, spine and spinal cord surgeries - catastrophic injury ramifications Nuances in resultant injuries: paralysis, loss of bladder/ bowel control, severe pain Two arms of malpractice litigation in this area: failure to diagnose a serious neurological condition and surgical errors Causes of action involving error during scoliosis surgery, especially in children/young adults Spinal Epidural Abscess cases (SEA cases) Medical updates in this area Recent notable verdicts in this area 5:15 Failure to Diagnose/Misdiagnosis of Cancer Cases: Proving Causation of a Catastrophic Injury Edward Eden, MD Chief, Division of Critical Care, Pulmonary and Sleep Medicine Mount Sinai St. Luke s Roosevelt Stephen Pavkovic Director Patient Safety University HealthSystem Consortium Andrew Kaufman Kaufman Borgeest & Ryan LLP Standard of care in assessing the clinical signs of cancers Proper use of diagnostic tools Assessing if the consequences of the misdiagnosis were avoidable Difficulty proving causation: did the plaintiff suffer an injury that would not have occurred but for the doctor s breach of professional care? - Complicated in cancer types with high fatality rate Lost chance cases: duration of the plaintiff s life was shortened, the quality of the patient s remaining life was degraded, or the plaintiff suffered a diminished or lost chance of survival Risk of cases being deemed too speculative or unaccompanied by convincing medical proof - Developments in modern cancer treatments increasing patients odds of living longer or recovering Cases where a doctor incorrectly determines a patient has cancer when he/she does not - Liability for damages caused by unnecessary surgeries or other treatment; liability for the fear and anguish the patient suffers while under the false impression that he or she has a potentially fatal disease 6:20 Conference Adjourns DAY TWO: TUESDAY, MARCH 1, :30 Continental Breakfast 8:00 Views from the Bench: A Unique Opportunity to Learn How Federal and State Judges View Evidence and Arguments Specifically in the Medical Malpractice Context Hon. C. Ashley Royal U.S. Dist. Ct., M.D. Ga. Hon. Ruben Castillo U.S. Dist. Ct., N.D. Ill. Hon. Eric F. Melgren U.S. Dist. Ct., D. Kan. Hon. James L. Robart U.S. Dist. Ct., W.D. Wash. Hon. Tonianne Bongiovanni U.S. Dist. Ct., D.N.J. Hon. John M. Younge Pa. Ct. Common Pleas Hon. Mark I. Bernstein Pa. Ct. Common Pleas Hon. Clifton Newman South Carolina Jud. Dept. Moderator: Aiju C. Thevatheril Swanson, Martin & Bell, LLP 9:30 The Value of Saying I m Sorry : Medical Malpractice Apology Statutes and Their Place in Cases Involving Catastrophic Injury Cheryl M. DeKleine, Esq. Vice President of Claims and Litigation Stanford Healthcare Norman Tucker Sommers Schwartz, P.C. Register Now Ext AmericanConference.com/MedMalpractice 5

6 Passage rates in various states In states with apology statutes, expressions of sympathy, condolences or apologies are excluded from being used against medical professionals in court what s the impact? Effect on reduced medical liability/malpractice lawsuits and litigation expenses What is their impact on future settlement negotiations? Does this in fact decrease indemnity and expenses? Is this seen as a tactic to avoid litigation and thus insincere? How do you handle these apologies in cases with catastrophic injuries (what to say, how to say it, etc.) What is the effectiveness in cases dealing with catastrophic injury? - Does it help get indefensible cases resolved? 10:20 Morning Coffee Break 10:30 Negligent Physician Credentialing and Corporate Negligence Causes of Action: How These Can Affect Your Medical Malpractice Case and How to Handle the Challenges of Representing an Institutional Client Derek M. Daniels McCumber, Daniels, Buntz, Hartig & Puig P.A. Cathleen Kelly Rebar Stewart Bernstiel Rebar Smith Causes of action against a hospital Negligent Credentialing as a cause of action Corporate negligence as a cause of action Burden of proof in negligent credentialing Burden of proof in corporate negligence - Hospital acted negligently as well as doctor - Post-surgical follow up policies - A lot of evidence based guidelines, resulting in prima facie standards of care if hospital deviates, they are deemed negligent Corporate negligence and catastrophic injury cases Overcoming the challenges of representing the institutional client Preparing for corporate representative depositions when these causes of action come into play 11:20 A-Z of Best Practices in Litigating Your Medical Malpractice Catastrophic Injury Case: An Examination of Every Stage and Trial Techniques Including Witness Preparation and Use of/ Countering the Reptile Theory Tammy Wade Shareholder Johnson & Bell, Ltd. Stephen Heniger Heniger Garrison Davis, LLC Ryan J. Gavin Kamykowski, Gavin & Smith, P.C. Effective preparation of your expert/fact witness (doctor, nurse, etc.) - Deposition preparation - Ensuring that the witness is adequately prepared for deposition - Anticipating where a deposition is heading - Key considerations for video depositions - Pitfalls to avoid - How minor physical and verbal cues can have a major effect on the impact of a deposition - Watching videotaped depositions to improve your ability to conduct or participate in a deposition - What to look for - Incorporating the lessons learned into future deposition Effective jury selection Using demonstrative evidence and themes Narrating a comprehensive story Investigating the facts concerning liability, causation, and damages: what is relevant? Ensuring that your client is prepared for trial Trial briefs and motions in limine Giving an effective opening statement Effective use of exhibits Final arguments and closing statements Making the case for or against damages Reptile Theory: Overcoming sympathy, especially for catastrophically injured plaintiffs Overcoming juror bias against doctors Preparing expert witnesses to deal with reptile questions and tactics starting at the pre-deposition stage Explaining hard evidence in a way that lay people can understand 12:40 Improving Communication: Your Client s Most Important Risk Management Tool Cory Meyers, RN, MN, CPHRM Vice President, Risk, Patient Safety and Privacy Baptist Health Michael J. Sacopulos Sacopulos Johnson & Sacopulos Kelly Hughes Iverson Goodell, Devries, Leech & Dann, LLP Clear and timely communication to avoid malpractice suits Continued problem of communication in the OR Lack of communication in coordination of patients care Not limited to verbal communication, written communication as well needs to be thorough 1:35 Main Conference Ends Lunch for Bariatric Surgery Class Participants 6 Join the Conversation Insurance_ACI / #MedMalpractice

7 Post-Conference Master Class (separate registration required) Bariatric Surgery Malpractice: The Current State of Weight Loss Surgery and the Innate Risks Involved Earn CLE Credits March 1, 2016 (2:30 p.m. 4:30 p.m.) Elliott Goodman, MD Bariatric Surgeon Beth Israel Medical Center Andrew Kaufman Kaufman Borgeest & Ryan LLP Paul Simonson Simonson Goodman Platzer PC Even with successful standardization of the procedure over the years, the cases are steady due to the obesity crisis. Attendees of this expert master class will gain valuable information for their practice including: Current best practices in weight loss surgery Consequences of complications are severe Shift from roux/en/y surgery to gastric banding - Why pick one surgical technique over the other? Appropriate pre-screening - Assessing co-morbidities Appropriate pre-op procedures Appropriate post-surgical follow-up - Dealing with complications - Causation issues Controversy surrounding juvenile bariatric surgery American Conference Institute, 2015 Is your organization recruiting specialists with expertise in this area? Many of our speakers and delegates use our conferences to recruit for new, expert talent to fill open positions at their firms. Because ACI provides many niche conferences annually, our events are a great way to discover a rich pool of highly qualified talent. Announcing the ACI Job Board Visit and navigate to the ACI Expert Jobs link. It s quick, easy and free for you, your in-house recruiters, or anyone in your firm to post current open positions and take advantage of our exclusive community of experts. The newly posted jobs will appear on the relevant sections of and our partner sites, ensuring that your free job listing is visible to a large number of targeted individuals. American Conference Institute: The leading networking and information resource for counsel and senior executives. Each year more than 15,000 in-house counsel, attorneys in private practice and other senior executives participate in ACI events and the numbers keep growing. Guaranteed Value Based on Comprehensive Research ACI s highly trained team of attorney-producers are dedicated, full-time, to developing the content and scope of our conferences based on comprehensive research with you and others facing similar challenges. We speak your language, ensuring that our programs provide strategic, cutting edge guidance on practical issues. Unparalleled Learning and Networking ACI understands that gaining perspectives from and building relationships with your fellow delegates during the breaks can be just as valuable as the structured conference sessions. ACI strives to make both the formal and informal aspects of your conference as productive as possible. Register Now Ext AmericanConference.com/MedMalpractice 7

8 REGISTRATION CODE (RC) TM-BLM ACI, the creator of the annual Obstetric Malpractice conference and Medical Liability Claims & Coverage conference, now brings you its Non-Birth Litigation & Risk Management Summit on MEDICAL MALPRACTICE CATASTROPHIC INJURY February 29-March 1, 2016 Union League Philadelphia, PA MAIL American Conference Institute 45 West 25th Street, 11th Floor New York, NY PHONE Ext REGISTRATION FORM ATTENTION MAILROOM: If undeliverable to addressee, please forward to: Litigation Manager, Medical Malpractice Lawyer 5 Easy Ways to Register FAX ONLINE MedMalpractice B.Lim@ AmericanConference.com Payment Policy Payment must be received in full by the conference date. All discounts will be applied to the Conference Only fee (excluding add-ons), cannot be combined with any other offer, and must be paid in full at time of order. Group discounts available to individuals employed by the same organization. Delegate Substitutions and Cancellations You must notify us by at least 48 hrs in advance of the conference if you wish to send a substitute participant. If you are unable to find a substitute, please notify us in writing no later than 10 days prior to the conference date and a credit voucher will be issued to you for the full amount paid, redeemable against any other American Conference Institute conference in the next 12 months. Delegates may not share a pass between multiple attendees without prior authorization. All cancelled registrations will be subject to a cancellation fee of $350. If you prefer, you may request a refund of fees paid less the applicable cancellation fee. No credits or refunds will be given for cancellations received within 10 days of the conference start date. No liability is assumed by American Conference Institute for changes in program date, content, speakers or venue. American Conference Institute reserves the right to cancel any conference it deems necessary and will, in such event, make a full refund of any registration fee, but will not be responsible for airfare, hotel or other costs incurred by registrants. CONFERENCE CODE: 860L16-PHI o YES! Please register the following delegate for Medical Malpractice Catastrophic Injury CONTACT DETAILS NAME APPROVING MANAGER ORGANIZATION ADDRESS JOB TITLE CITY STATE ZIP CODE TELEPHONE FAX TYPE OF BUSINESS o I would like to receive CLE accreditation for the following states:. See CLE details inside. FEE PER DELEGATE Advance Pricing On or Before Jan 20, 2016 Standard Pricing After Jan 20, 2016 o Conference Only $1895 $2095 o Conference & Bariatric Surgery Class $2395 $2595 o Please reserve additional copies of the Conference Materials at $199 per copy. Hotel Information American Conference Institute is pleased to offer our delegates a limited number of hotel rooms at a preferential rate. Please contact the hotel directly and mention the ACI Medical Malpractice conference to receive this rate. Venue: Union League Address: 140 South Broad Street, Philadelphia, PA Reservations: Registration Fee The fee includes the conference all program materials continental breakfasts lunches and refreshments. Incorrect Mailing Information If you would like us to change any of your details please fax the label on this brochure to our Database Administrator at , or data@americanconference.com. ACI reserves the right to deny admission to anyone, at any time, for any reason. Missed A Conference Order The Conference Materials Now! If you missed the chance to attend an ACI event, you can still benefit from the conference presentation materials. To order the Conference Materials, please call or visit: GROUP PRICING 1-2 No Discount % Discount % Discount PAYMENT Please charge my o VISA o MasterCard o AMEX o Discover Card o Please invoice me NUMBER EXP. DATE CARDHOLDER oi have enclosed my check for $ made payable to American Conference Institute (T.I.N ) o ACH Payment ($USD) Please quote the name of the attendee(s) and the event code 860L16 as a reference. For US registrants: Bank Name: HSBC USA Address: 800 6th Avenue, New York, NY Account Name: American Conference Institute UPIC Routing and Transit Number: UPIC Account Number: Non-US residents please contact Customer Service for Wire Payment information 7 20% Discount More than 7 Call Special Discount We offer special pricing for groups and government employees. Please or call for details. Promotional discounts may not be combined. ACI offers financial scholarships for government employees, judges, law students, nonprofit entities and others. For more information, please or call customer service.