1. Selection Criteria for Learning Sessions Thank you for responding to the 2013 ASHHRA Annual Conference Call for Presentations for concurrent learning sessions. We are thrilled that you are interested in educating our members. In order to ensure a balanced conference program, all submissions are reviewed and evaluated by the ASHHRA Annual Conference Committee. Presentations are selected based on the following criteria: The degree to which the presentation supports one or more of the ASHHRA HR Leader competencies, with priority given to selecting a comparable number of sessions for each competency Thoroughness of the subject matter and proposal Originality of submission Quality of learning objectives Level of interactivity and method of diverse teaching styles Quality of takeaway tools offered to learning session attendees Appeal to a diverse and broad spectrum of attendees. We highly encourage vendors and consultants to submit proposals and suggest that you partner with a practicing health care HR professional in order to present a best practice presentation. ASHHRA conference attendees truly value solutions that have been used in similar health care organizations demonstrated by their peers and colleagues. This call for presentation is for concurrent learning sessions only. General session/keynote speakers have already been selected. Please note: You will NOT receive a copy of your submission, so you may want to create and save your responses in another application (e.g. Microsoft Word) before proceeding with the Call for Presentations. You can download a sample Call for Presentations to prepare your responses at http://www.ashhra.org/conference/2012/index.shtml You can make multiple submissions should you have more than one presentation. Noncommercial Policy ASHHRA conference education programs are learning experiences and as such are noncommercial. While we understand that many learning sessions offered share best practices based on experiences, we ask that speakers should refrain from endorsing specific products. Under no circumstance should a session or program be used as a forum for direct promotion of a speaker's product or service, or for monetary self interest. Thank you for your interest in advancing the health care human resources profession. We look forward to your contribution. Page 1
2. Presenter Information Items in this section must be answered and will be printed in the conference marketing materials if selected 1. Please fill out the following information. Do not abbreviate. Full Name: Title: Company/Organization: Address: City: State: Zip Code: Phone: Email Address: Web address if applicable: 2. Please answer the following questions regarding you and/or your organization: Yes No Not sure/not applicable Current ASHHRA member gfedc gfedc gfedc Plan to exhibit at the 2013 gfedc gfedc gfedc Conference Previously exhibited at an ASHHRA Conference gfedc gfedc gfedc Currently committed to sponsoring or plan to sponsor ASHHRA in 2013 Previously sponsored ASHHRA gfedc gfedc gfedc gfedc gfedc gfedc 3. Please provide a brief summary of your presentation experience and/or your copresenters experience. (0 words or less) Page 2
4. Have you presented at an ASHHRA conference in the last three years? Yes No If you answered yes to the question above, on what topic did you present and when?. Have you presented this topic or a similar topic prior to this venue? Yes No If yes, where and when:. Please indicate if you and/or your organization has received awards, accreditations, and/or accolades (e.g. Baldrige National Quality Award, ANCC Magnet Recognition, Healthcare's Most Wired, etc.) 7. Have you presented on this topic before and been approved for HR Certification Institute Recertification Credit? Yes No If yes, please provide details (where, when, how much credit, general or strategic management, etc.) 8. Have you or your organization submitted to the ASHHRA Call for Presentations in the past? Yes No Not sure Page 3
3. Past Submissions Please answer the following questions if you or organization has submitted to the ASHHRA Call for Presentations. 1. If you or your organization has submitted to the ASHHRA Call for Presentations in the past, what year(s) did you submit? 2. Were you or your organization selected to present at the ASHHRA Annual Conference? Yes No If so, please indicate what year(s) and the name(s) of your presentations: Page 4
4. Note Please remember that all information pertaining to this learning session will be communicated to the email address of the primary presenter only. The primary presenter will be responsible for communicating session information to ASHHRA as well as to his or her copresenter(s). ASHHRA reserves the right to edit the information of your submission, if selected, in all printed conference materials. Please check the spelling of all relevant titles, academic degrees, and professional designations. Should your submission be selected, ASHHRA will contact you via email. Page
. Type of Submission 1. Please choose which level of audience your presentation will be most valuable. New to the Profession sessions designed for those new to the HR field or new to the health care HR industry. These sessions have been created to help HR Professionals get started, have the tools and knowledge to know what to do next, and gain a good understanding of the ASHHRA HR Leader Model. Mid Level Professional sessions intended for generalists, specialists and/or mid level managers looking to obtain the HR Leader Model competencies necessary to move to the next professional level. Leader Track sessions designated for those with a minimum of five years leadership experience or who hold the title of DIR, VP, SRVP, or CHRO, these sessions should provide the tools and knowledge to take organizations in a new direction. 2. Please select which HR Leader Model competency your presentation most closely represents. HR Delivery HR Leaders Reach Beyond the Expected Sessions with this designation are for those seeking information on integrating the people side of health care with organizational business structures. Healthcare Business Knowledge HR Leaders Embrace New Learning Sessions with this designation are for those who want to demonstrate cross functional capability, health care knowledge, and strategic vision for their organization. People Strategies HR Leads with the Heart Sessions with this designation are for those whose goal is to create and implement operating models and structures that support a high performance culture of care for employees. 3. Non Hospital Learning Track Community Citizenship HR Leaders Raise Their Voices These sessions are to better connect employers with employees and link both to customers and communities. Personal Leadership HR Leaders Exemplify Excellence Sessions with this designation are for those who want to accept the personal challenge to hold themselves to a higher standard than expected by others and serve as a model for excellence. ASHHRA is seeking to fully understand the needs of HR practitioners who work in a nonhospital setting. We realize that HR issues and concerns might differ from hospitals, and we want to become the primary source for information, tools, and resources to help members address the challenges faced in non hospital facilities like long term care, acute care, clinics, treatment centers, and hospice centers. Would your submission be applicable to the Non Hospital Learning Track? Yes No Page
. Learning Session Information (Items with an asterisk will be printed in the conference brochure if selected) 1. Session Title (8 words or less) 2. Co Presenter(s) please include full name, title, and organization 3. Session Overview (100 words or less please describe content as well as method of delivery for your presentation, e.g., case study review, interactive exercises, etc.): 4. Session Summary (2 words or less may be slightly altered to meet style guidelines and space limitations):. Learning Objectives please complete this sentence: Following my presentation, participants will be able to You must submit 3 learning objectives. 1. 2. 3. You will NOT receive a copy of this, so we recommend printing this page before proceeding if you'd like to retain a copy of your submission. Page 7
7. Audiovisual Requirements 1. Each session room will be set with a podium, laptop, LCD projector, screen, table at the back of the room, and one wired lavaliere microphone. A wireless/wired Internet connection will NOT be provided. Do you require the following: gfedc gfedc Flip charts & markers Additional wired lavaliere microphone How many wired lavaliere microphones are needed? Any additional audiovisual requests may be at a cost to you. If you would like to bring your own wireless mouse or wireless lavaliere microphone, please notify ASHHRA should your submission be selected. Page 8
8. Acknowledgement and Acceptance of Terms and Conditions As the primary presenter for this proposed session, I have thoroughly read the submission guidelines, selection criteria, and terms for speaker compensation, and I understand and agree that I will be responsible for communicating in a timely manner with ASHHRA staff and any co presenter(s) regarding information about my session. If my submission is selected, I understand and give my permission that: The ASHHRA Annual Conference Committee has final determination of learning sessions. Each concurrent learning session will last 90 minutes. I am responsible for adhering to the Call for Presentations deadlines and the guidelines for submission outlined in this document. If I fail to do so, the ASHHRA Annual Conference Committee reserves the right to remove my session from the conference program. I am responsible for submitting presentation materials on ASHHRA Conference PowerPoint template and handouts prior to the conference for inclusion on the Annual Conference website. All presentation materials are due by Friday, June 7, 2013. I am responsible for preparing handout material for my session attendees. Learning session materials will be provided on a protected website for registrants only prior to the Conference for the attendees to download. ASHHRA will not produce any handouts. I understand that my learning session is not a showcase for promotion of my business, practice, or product. As ASHHRA programs are noncommercial forums, the direct promotion of products and services is prohibited. I understand that this session may be video or audio taped for the purpose of selling the recording at a later time and/or to offer on the ASHHRA e learning website. I am responsible for obtaining permission to reproduce my handouts if copyrighted by an organization other than ASHHRA. I must refrain from overt statements, harsh language, or pointed humor that disparages the rightful dignity and social equity of any individual or group. I, as the primary presenter, and my co presenter(s) (if applicable) will NOT receive an honorarium and will NOT have expenses reimbursed. Only I as the primary speaker will receive one complimentary conference registration per presentation. My learning session co presenters will need to register themselves for the conference if they plan to attend learning sessions/general session and/or visit the exposition hall. I understand that the press may be present during my session. I understand that I will NOT receive a copy of this submission. 1. I agree with the terms and conditions outlined in this Call for Presentations. In the event of a cancellation, I will notify ASHHRA in a timely manner. MM DD YYYY YES, I AGREE / / Page 9
2. Please provide any comments or concerns regarding this agreement. Page 10
9. Confirmation Congratulations! You have completed the Call for Presentations for the ASHHRA 49th Annual Conference and Exposition. Please remember: December 14, 2012: Submissions due February 28, 2013: Selected presenters notified via email June 7, 2013: PowerPoint Presentation (and any other applicable materials) due via email to jmacander@aha.org If you have any questions regarding the submission process, please email ashhra@aha.org Thank you! Page 11