2014 Annual WVSHE Conference Canaan Valley August 12

2014 WVSHE
Annual Conference
August 12, 13, 14 & 15, 2014
Canaan Valley, WV
AGENDA
Tuesday, August 12th
12 Noon – 1:00 p.m.:
Registration & Round Table Discussion
1:00 p.m. – 3:00 p.m.:
TBA
Presented by TBA
3:00 p.m. – 5:00 p.m.:
TBA
Presented by TBA
5:00 p.m. – 7:30 p.m.:
Late Registration and Trade Show set-up
West Virginia Society for Healthcare Engineering
Annual Meeting Educational Agenda
Wednesday, August 13th
7:00 a.m. – 7:45 a.m.:
Vendor Late Registration and Trade Show setup
7:00 a.m. – 7:45 a.m.:
Member Late Registration and Breakfast (Included with
registration)
8:00 a.m. – 9:30 a.m.:
WVSHE Business Meeting
9:30 a.m. – 10:00 a.m.:
Break and Set Up of Trade Show
10:00 a.m. – 1:30 p.m.:
TRADE SHOW and Lunch at Noon (Included with
registration)
1:30 p.m. – 2:00 p.m.:
Break and Tear Down of Trade Show
2:00 p.m. – 5:00 p.m.:
FGI Guidelines and FGH Residential Care Guidelines
Presented by: Pat Shultz with HKS
6:00 p.m.:
DINNER – Open to all family members/associates
(Included with registration)
NOTE: Thursday and Friday events do not apply to Vendors
unless paying for Educational Conference Registration in
addition to the Trade Show Registration.
West Virginia Society for Healthcare Engineering
Annual Meeting Educational Agenda
Thursday, August 14th
7:00 a.m. – 7:30 a.m.:
Breakfast (Included with education registration)
7:30 a.m. – 9:30 a.m.:
2012 Life Safety Code Changes
Presented by Larry Barlow with TSIG
9:30 a.m. – 9:45 a.m.:
Break
9:45 a.m. – 11:45 a.m.:
2012 Life Safety Code Changes
11:45 a.m. – 1:00 p.m.:
Lunch (Included with education registration)
1:00 p.m. – 2:00 p.m.:
2012 Life Safety Code Changes
2:00 p.m. – 2:15 p.m.:
Break
2:15 p.m. – 5:15 p.m.:
2012 Life Safety Code Changes
Friday, August 15th
7:30 a.m. – 8:00 a.m.:
Breakfast (Included with education registration)
8:00 a.m. – 10:00 a.m.:
WV State Fire Marshall – Code Update
10:00 a.m. – 10:30 a.m.:
Break and check out of room.
10:30 a.m. – 12 noon.:
Office of Health Facility Licensure and Certification
Updates
Presented by Ron Stricker with OFLAC
12 noon
Conference ends, Lunch on your own.
WEST VIRGINIA SOCIETY FOR HEALTHCARE ENGINEERING
2014 Annual Meeting and Vendor Presentation
Canaan Valley Resort
230 Main Lodge Road
Davis, WV 26260
Conference Education Registration: Please complete the registration form below and mail
it along with your check payable to WVSHE to:
WVSHE C/O Steve Johnson, Secretary/Treasurer
Davis Memorial Hospital
Reed St. Gorman Ave PO Box 1484
Elkins, WV 26241
Work # (304) 637-3129
Email: [email protected]
Please register by 7/15/14 so we can plan our meals. Late Registrations $25.00 extra fee
MEMBERS
0 – 100 beds - $100/person
100 + beds - $150/person
NON-MEMBERS
0 – 100 beds - $200/person
100 + beds - $250/person
ASSOCIATE Sponsors (Attending Education Sessions) - $100/person
NONASSOCIATE Sponsors (Attending Education Sessions) - $200/person
Name: _____________________________________________________________________
Company: ___________________________________________________________________
Address: ____________________________________________________________________
City, State, and Zip Code: _________________________________ ____ ________________
Phone: _______________________________ Fax: _________________________________
E-Mail: _____________________________________________________________________
Number of beds in your facility: _____________ Amount Enclosed: ____________________
____ WVSHE member _____WVSHE Associate sponsor ______ I am not an ASHE member
____ I was an ASHE member in 2012-2013
ASHE Membership #
____ I am an ASHE member for 2014
_____________
West Virginia Society of Healthcare
2014 Trade Show Registration Form
Please register by July 15th 2014 so we can plan our meals.
The West Virginia Society for Healthcare Engineering annual meeting will be held on August 12th - 15th
at Canaan Valley Resort. On Wednesday August 13th 2014, the trade show will be held from 10:00am to
1:30 pm. To complete the day, the annual evening event and dinner will be held. If your company would
like to educate the WVSHE members on new technologies and the latest healthcare products, please
complete to register for the trade show the lower portion of this form and return it to the
secretary/treasurer along with your check made payable to WVSHE by July 15, 2014. If you have any
questions
or
need
additional
information,
please
e-mail
Steve
Johnson
:
[email protected] or call (304) 637-3129
WVSHE Attn. Steve Johnson
Davis Memorial Hospital
PO Box 1484
Elkins, WV 26241
Cost is $300.00 per table with a $20.00 discount for each additional table.
Late Registrations $35.00 extra fee
Vendors can set up Tuesday Evening after 5:00 and before 7:30 or Wednesday
morning before 8:00 am. Vendors are eligible for the same room rates as WVSHE
members.
Company Name and Website:________________________________________________
Your Name: ______________________________________________________________
Company Contact Person:___________________________________________________
Street Address:____________________________________________________________
City, State, Zip:____________________________________________________________
Telephone :______________Fax: ___________E-mail:____________________________
Number of table’s requested:_________________________________________________
Amount enclosed :_______________________________Make checks payable to WVSHE
WVSHE Associate Sponsor:
Yes________ No_______
*Donated door prizes will be given away to register participating WVSHE members during the trade
show.
West Virginia Society of Healthcare
2014 Members and Trade Show Registration Form Page 2
If you are shipping items to the event please use the following
information:
Your Name or Your Company Name
Canaan Valley Resort
230 Main Lodge Road
Davis, WV 26260
Dear WVSHE Participant,
As most of you know, the WVSHE annual meeting is a family event. Each year after
the Wednesday Dinner and Entertainment, a gift is presented to each of the children
in attendance. The WVSHE provides the funding for these gifts. In order to help
purchase the appropriate items, please complete this form and return it with your
registration. We do not want to forget our vendor’s family’s children attending the
event so if you would also complete this form and return with your registration.
Thank you for your cooperation.
Number of Boys ___________ or Girls _______________ Ages 0-2
Number of Boys ___________ or Girls _______________ Ages 3-5
Number of Boys ___________ or Girls _______________ Ages 6-9
Number of Boys ___________ or Girls _______________ Ages 10-12
Number of Boys ___________ or Girls _______________ Ages 13-18
Your Name: ______________________________________________
Your Company Name: _____________________________________
Membership / Sponsorship invoice 2014Form:
WVSHE DUES fiscal year, which shall run from June 1 through May 31.
Individuals eligible for membership in the association shall be those actively employed in the field of
healthcare engineering and/or maintenance department as designated by the department head or
administrator of member institutions.
Individual membership / sponsorship classifications shall be as follows:
(a) Active (voting) member – any individual eligible to hold office as defined above.
(b) Associate Sponsor (non voting) – representative of suppliers, contractors, consulting engineers, and
other groups that have a technical knowledge, resource material and a direct interest in the healthcare
engineering field may apply for membership as associate. This member will have no voting rights and
shall not hold elective office.
(c) Honorary NO Charge (non-voting) member – Former member who has retired from their healthcare
related position. This member will have no voting rights and shall not hold elective office.
Please fill-in information required, ENCLOSE CHECK FOR $35.00
Name you want on certificate of attendance forms. ________________________________________
Name you go by: ___________________________________________________________________
Active Member:_____________, Retired Member___________or Associate Sponsor:____________
Company Name:_____________________________Website: _______________________________
Title:_____________________________________________________________________________
Work Address: Street/PO Box:________________________________________________________
City:_____________________________________ State:____________ Zip: __________________
Work Phone # _____________________ Ext. # ______
Cell Phone # _______________________
Work Fax # _________________ Work Email: __________________________________________
Home Address: Street/PO Box:________________________________________________________
City:____________________________________State:______________ Zip: _________________
Home Phone # ______________ Home Email: __________________________________________
Send invoice to: Home Address_____ or Work Address______
Are you a member of ASHE? Yes ___ or No ____If yes ASHE Membership # _______________
Were you a member of ASHE Last Year? Yes_______ or No_______
If Healthcare application, number of beds in your facility __________
Return to: WVSHE C/O Steve Johnson, Secretary/Treasurer
Davis Memorial Hospital
Reed St. Gorman Ave PO Box 1484, Elkins, WV 26241
Work # (304) 637-3129
Email: [email protected]
West Virginia Society of Healthcare
2014 Hotel Information
Please register by July 15th 2014 so we can plan our meals.
The number to call for room reservations is 304-866-4121 and our
group id is 15079 the discount rate is for a double queen at $109.00
per night