2019 Northeast Regional Telehealth Conference: Call for Presentations Survey

The Northeast Telehealth Resource Center is thrilled to return

to Portland, ME for our next Regional Telehealth Conference: June 17-18, 2019!

We invite you to submit a proposal to present a breakout session (one hour, scheduled on June 17 or 18).

The proposal deadline is Friday, March 1! Notifications will be made by March 22.

Presentations will be selected to create an agenda covering a broad spectrum of topics for a diverse audience, with a focus on highlighting regional programs providing practical strategies and resources for successful and sustainable implementation. We'll also be looking for presentations which focus on the impact of telehealth from various perspectives, including patients, providers, health systems and more. Please note, NETRC is not able to accept proposals from representatives of for-profit companies. We encourage you to share this opportunity with customers and end-users.

Conference registration fees will be waived for one presenter. Travel and accommodations are not provided.

If you have any questions, please contact Diane Campbell at dianec@mcdph.org or 207-622-7566 ext. 230

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* 1. Primary Presenter Contact Information:

Name:

Organization:

Email:

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* 2. (Optional) Secondary Presenter Contact Information (Conference fees can be waived for first presenter only):

Name:

Organization:

Email:

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* 3. Proposed Presentation Title:

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* 4. Please provide a brief description of the speakers' background/qualifications (if your presentation is accepted, updated bios/resumes will be requested for publication and for our CME application):

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* 5. Please provide a short description of your proposed presentation/breakout session:

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* 6. (If applicable/available) Please describe any specific impact, outcomes and/or best practices that have resulted from your telehealth project/program:

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* 7. Will your presentation fit into any of these potential focus areas? (not required to be accepted)

Telehealth in a Federally Qualified Health Center or Rural Health Clinic

Telehealth in a Critical Access Hospital

Telemental Health/Telebehavioral Health

Telehealth for Substance Use Disorders

Remote Patient Monitoring

Direct-to-Patient or Direct-to-Consumer (in a non-medical location)

Legal & Regulatory Best Practices

Workforce Training/Education

Sustainability Strategies/ROI

Other - please provide a brief focus area that can be highlighted in our agenda (optional)

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* 8. Please identify three learning objectives for your breakout session:

Objective 1

Objective 2

Objective 3

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* 9. Breakout sessions are eligible for CME, and as such, commercial promotion/endorsement is prohibited. Please describe any conflicts of interest the speaker(s) may have.

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* 10. Which of the following days are you available to present?

Either June 17 or 18

Tuesday, June 17 only

Wednesday, June 18 only

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* 11. In addition to a formal presentation, would you consider co-moderating open forum discussion sessions?

Yes

Maybe, but I would need to learn more first

Many thanks for submitting a proposal!
Please do not hesitate to reach out with any questions (800-379-2012 or netrc@mcdph.org).