COPIC’s 2015 Nebraska
Patient Safety & Risk
Management Symposium
April 23–24, 2015
Lincoln, Nebraska
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Registration Form
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Nebraska Patient
Safety & Risk Management Symposium
April 23-24, 2015
N
R St
Q St
P St
17th St
16th St
12th St
11th St
10th St
9th St
O St
Embassy Suites Hotel
Lincoln, Nebraska
Please complete one registration form for each individual attending (make copies as needed)
and fax back to (720) 858-6003, attention: Charesse Hansen. RSVP deadline is April 7, 2015.
Name: ________________________________ Title: _______________________________
Practice: _______________________________ Fax: ________________________________
Phone: ________________________________ Email: ______________________________
I will attend April 23rd
7:00am—5:30pm
I will attend the April 23rd reception
and dinner 6:00pm—7:30pm
I will attend April 24th
7:30am—12:15pm
COPIC Points
Attendee may designate one physician in their practice to
receive 1 COPIC Point per day:
Designated Physician’s Name (Please Print)
Parking
COPIC will provide one self-parking validation per day for the Market Place or Que Place garages attached by skywalk
to the Embassy Suites. Please bring your parking ticket to the Symposium registration table to have it validated.
Hotel Accommodations
Make your reservation now! COPIC has secured a block of rooms for attendees at Embassy Suites. In order to
guarantee a room for this event, reservations must be made prior to April 7, 2015. To reserve a room, please call the
Embassy Suites at (402) 474-1111 and reference the COPIC Symposium. A credit card must be provided to hold the
reservation and guests will provide a credit card at check-in for ancillary charges. If you make a room reservation, check
in at the Embassy Suites, and attend the Symposium as planned, COPIC will pay for the room and your credit card will
not be charged. If your plans change and you do not cancel your reservation, your credit card will be charged per the
Embassy Suites cancellation policy.
April
23-24
2015
Nebraska
Patient Safety & Risk
Management Symposium
Welcome!
We are excited to host COPIC’s 2015 Nebraska Patient Safety & Risk Management Symposium,
April 23-24 at the Embassy Suites Hotel–Lincoln.
COPIC’s 2015 Nebraska Patient Safety & Risk Management Symposium
This year’s Symposium will provide participants with a variety of session topics including Nebraska
case law and regulatory updates, prescription drug abuse and diversion, HITECH security rules,
patient portal pitfalls, and more. We hope you will attend!
Purpose and Goals
Purpose: COPIC is dedicated to empowering our insureds and their staff with proactive and
meaningful information regarding patient safety and risk management through professional
education and workshops.
Our Goals: Discuss current issues and trends in medical liability that facilitates proactive
interventions. Provide evidence-based best practices based on state and national trends. Provide
educational information and tools that improve patient safety and mitigate risk in the office setting.
Confirmation
We will confirm your COPIC Nebraska Patient Safety & Risk Management Symposium registration
via email in April.
Continuing Education and COPIC Points
Physician Credit:
COPIC is accredited by the Accreditation Council for Continuing Medical
Education (ACCME) to provide continuing medical education for
physicians.
COPIC designates this LIVE activity for a maximum of 10 AMA PRA Category 1 Credit(s)™. Physicians
should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Credit:
SynAptiv is an approved provider of continuing nursing education by the
California Board of Registered Nurses. Provider approved by California
Board of Registered Nursing, Provider #16031 for 10 contact hours.
COPIC Points:
COPIC-insured physicians will earn 1 COPIC point per day for attending the Symposium. Staff
members can earn 1 COPIC point per day for one physician in their practice for a maximum of 2
points. Maximum points that can be earned through physician/staff attendance is 4 points.
Presented by COPIC
April
23-24
2015
Nebraska
Patient Safety & Risk
Management Symposium
Registration
We want you to attend! In order to reach as many of our insureds as possible, it is our pleasure to
present the 2015 Nebraska Patient Safety & Risk Management Symposium at no cost to attendees.
The Symposium includes all conference sessions and materials; Thursday breakfast, lunch, reception,
and dinner; Friday breakfast; and conference hotel rooms for Wednesday and Thursday evenings.
New! The Symposium material will be provided to you on a USB jump drive. A link to callcopic.com
will be shared with you in your confirmation. You can access the presentations and print hard copies
to bring with you.
Transportation to and from the Symposium, meals not listed as part of the agenda and additional
nights at the conference hotel are at your own expense.
A registration form is included with this information. Please complete the form and return to Charesse
Hansen by fax (720-858-6003) or email ([email protected]) by April 7, 2015.
Hotel Location
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Hotel Reservations
Presented by COPIC
R St
Q St
P St
17th St
16th St
12th St
11th St
O St
9th St
Make your reservation now! COPIC has secured a block
of rooms for attendees at Embassy Suites. In order to
guarantee a room for this event, reservations must be
made prior to April 7, 2015. To reserve a room, please
call the Embassy Suites at (402) 474-1111 and reference
the COPIC Symposium. A credit card must be provided
to hold the reservation and guests will provide a credit
card at check-in for ancillary charges. If you make a room
reservation, check in at the Embassy Suites, and attend the
Symposium as planned, COPIC will pay for the room and
your credit card will not be charged. If your plans change
and you do not cancel your reservation, your credit card
will be charged per the Embassy Suites cancellation policy.
N
10th St
The 2015 Nebraska Patient Safety & Risk Management
Symposium will take place at the Embassy Suites Hotel–
Lincoln (1040 P Street, Lincoln, NE 68508)
April
23-24
2015
Nebraska
Patient Safety & Risk
Management Symposium
Schedule & Agenda
Thursday, April 23
6:45—8:00am
Registration & Breakfast
8:00—8:15am
Welcome & Introductions
8:15—9:30am
HIPAA HITECH/ Security
David Ginsberg, CRHC; PrivaPlan Associates, Inc.
9:30—10:35am
Medical Identity Theft
Chris Kober, Investigator; Nebraska State Patrol & Tactical Diversion Program DEA
10:35—10:50amBreak
10:50—12noon
Electronic Medical Record
Michael Victoroff, M.D.; COPIC
Noon—1:00pmLUNCH
1:00—2:10pm
Portals–Patients & Pitfalls
David Ginsberg, CRHC; PrivaPlan Associates, Inc.
2:10—3:15pm
Whats New: Top 10 for Office Practices
Lee Morgan, M.D., COPIC
3:15—3:30pmBreak
3:30—5:15pm
Prescription Drug Abuse and Diversion
Chris Kober, Investigator; Nebraska State Patrol & Tactical Diversion Program DEA
6:00—8:00pm
Networking Reception & Dinner
Friday, April 24, 2015
6:45—8:00am
Registration & Breakfast
8:00—8:15am
Welcome & Introductions
8:15—9:20am
Mental Health: Issues and Concerns in the Office Setting
David Wahl, M.D.
9:20—10:25am
Nebraska Regulatory Update
Mark Christensen, Esq.; Cline, Williams, Wright, Johnson & Oldfather, LLP
10:25—10:40amBreak
10:40—11:45am Tales from the Hotline
Jean Martin, M.D., J.D. and Dan Rosenquist, M.D.; COPIC
11:45—12noon
Closing & Evaluations