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12th AnnualAdvanced Practice Provider (APRN & PA)

Leadership Summit

September 11 - 14, 2019Washington DC

Program Overview

Continuing Education

The 12th Annual Advanced Practice Provider (APRN & PA) Leadership Summit is a national forum for healthcare leaders and clinicians to share information, develop a consistent platform and map out solutions for universal and reoccurring struggles involving the administrative, managerial, policy and practice aspects of advanced practice providers (advanced practice nursing roles and physician assistants).

Attendees will benefit from networking with other healthcare leaders and clinicians and will gain support and resources to enhance advanced practice at their organizations. Novel strategies and approaches to a variety of advanced practice topics will be shared. Interactive discussions with advanced practice leaders will help attendees learn about state, regional and national challenges, successes and changes.

Advanced Practice Provider Executives, Inc. (APPex) is an approved provider of continuing nursing education by the California Board of Registered Nursing (Sacramento, CA).

Provider approved by the California Board of Registered Nursing, Provider Number 16233, for 28 contact hours.

Continuing MedicalEducation (CME)Credit: PAs

This program has been reviewed and is approved for a maximum of 28 hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician Assistants should claim only those hours actually spent participating in the CME activity.

WedThursFriSat

Total

09/1109/1209/1309/14

7.00 contact hours7.00 contact hours7.00 contact hours7.00 contact hours

28 contact hours

Educational Benefits• Network with other healthcare leaders and clinicians• Gain support and resources to enhance advanced practice at your organization• Learn novel strategies and approaches to a variety of advanced practice topics• Learn about state, regional and national challenges, successes and changes through interactive discussion with advanced practice leaders

Target Audience

• Advanced practice administrators, managers, leads/ chiefs, chairs of shared governance/nursing/medical councils & committees• Hospital and healthcare administrators and executives, physician leaders and nursing leaders involved directly or indirectly with advanced practice• Chief Nursing Officers (CNOs), Chief Medical Officers (CMOs), Directors of Nursing (DONs), Chief/Chairs of Departments, Patient Care Directors, Nurse Managers, and Clinical Nurse Leaders (CNLs)• Advanced Practice Providers (APPs): PAs, NPs, CNMs, CRNAs, and CNSs other clinicians involved with APRNs & PAs (e.g., physicians, nurses, pharmacists)

Continuing Education (CE) Credit: APRNs & RNs

INTRODUCTION

Conference Planning Committee

Lori Hull-Grommesh Memorial Hermann Hospital-Texas Medical Center

Amanda Beirne MedStar Health [DC]

Nicole Barrett HCA Mission Health [NC]

Kristen Nelson MedStar Health [DC]

Selma Mujezinovic Rochester Regional Health

Christopher McLarty UT Southwestern Medical Center

Maria Leber MedStar Health [DC]

Irene Oquendo Advanced Practice Provider Executives, Inc. (APPex)Nicholas Perrino Advanced Practice Provider Executives, Inc. (APPex)Julie Tsirambidis Akron Children's Hospital

Guest FacultyLaura Abels Akron Children's HospitalBrooke Andersen University of Maryland Medical CenterF. Diana Barber University of Texas MD Anderson Cancer CenterNicole Barrett HCA Mission Health [NC]Aaron Begue Memorial Sloan Kettering Cancer Center [NY]Amanda Beirne MedStar Washington Hospital Center [DC]Kim Bowers University of Maryland Medical CenterCathy Cartwright Children's Mercy Kansas CityChristopher Chandler Intermountain Healthcare [UT]Denise Chernoff WakeMed [NC]Renna W. Cherry University of Texas MD Anderson Cancer CenterMelinda Cooling OSF Healthcare [IL]Rebecca Duke Northwestern Memorial Hospital [IL]Christie Ehle Erickson Essentia Health [MN]Cheryl L. Fattibene National Nurse-Led Care Consortium

Sherry L. Gevedon PES, Inc.Marianne D. Harris Northwestern Memorial Hospital [IL]

FACULTY

Jordana Harshman Stanford University School of Medicine [CA]Carol Hartigan American Association of Critical-Care Nurses (AACN)Kelly Haviland Memorial Sloan Kettering Cancer Center [NY]

Debbie Hsieh Stanford Health Care [CA]Bethany Kramer AMITA Health [IL]Clair Kuriakose Stanford Health Care [CA]Eryn E. Lawson Orlando HealthJoanna Lynch University of UtahJen Michel Akron Children's HospitalCarmel A. McComiskey University of Maryland Medical CenterKristen Nelson MedStar Washington Hospital Center [DC]Kristie Pencil OhioHealth Riverside Methodist HospitalCharlene Platon Stanford Heath Care [CA]Laura Pollauf Akron Children's HospitalElaina Preston Memorial Sloan Kettering Cancer Center [NY]

Shana W. Robinson Envision Healthcare [TX]

Deborah L. Schofield University of Maryland Medical CenterShari Simone University of Maryland Medical CenterDebra Steen Essentia Health [MN]Barbara Suplit Ann & Robert H. Lurie Children’s Hospital of ChicagoJulie Tsirambidis Akron Children’s HospitalDeanne Williams Salt Lake Valley Hospitals, Intermountain Healthcare [UT]Lisa M. Williams Northwestern Memorial Hospital [IL]Nicole N. Zakak Memorial Sloan Kettering Cancer Center [NY]

Linda Zekas Ann & Robert H. Lurie Children's Hospital of Chicago

JB Fox Valley Health Winchester Medical Center [VA]

Meredith Foxx Cleveland Clinic Health System

Meredith Foxx Cleveland Clinic Health System

Breakfast – on your own

9:00AM – 4:00PMLeadership Training Seminar I or II>Introduction & Background to Competency>Foundational Principles>Best Practices & Alternative Options>Strategies>Idea Sharing

8:30 – 9:00AMSign-in/Registration

Wednesday, September 11, 2019First introduced in 2017, the Advanced Practice Leadership Training Seminar is a two-part, expert-led program tailored to the foundational principles of advanced practice administration and leadership. APPex leaders, experienced in program develop-ment and management of Advanced Practice Providers (APPs)--predominantly NPs, PAs, and CRNAs--will offer presentations highlighting key aspects of effectively leading and managing these unique medical provider roles. Members will also help lead and facilitate group discussions and networking between scores of Academic Medical Centers (AMCs), community hospitals, and other healthcare organizations. Participants will gain new insights and understanding on how organizations have applied these principles to address barriers and work towards improved utilization, productivity, revenue-generation, recognition, etc. of the advanced practice roles.

Seminar content developed by Nicholas M. Perrino, President and Co-Founder of APPex, principle advanced practice consutant, and founding executive over two Centers of Advanced Practice (Stanford Health Care in Palo Alto, CA and Hospital for Special Surgery in New York, NY). Seminars are led by APPex board members and other advanced practice experts.

Presentations for each competency will be between 30-45 minutes and involve lectures, group discussions, breakout sessions, and Q&A.

*note: Leadership Training Seminars are concurrent sessions and only one can be taken at a time; registrants attending Seminar II should have already completed Seminar I during a previous year.

SEMINAR I

LEADERSHIP TRAINING SEMINARS I & II

Competency I: Competency II: Competency III: Competency IV: Competency V: Competency VI: Competency VII: Competency VIII: Competency IX:Competency X:

Organizational InfrastructureRole of the Advanced Practice ExecutiveResource JustificationRecruitment & MarketingInterviewing & HiringCredentialing & PrivilegingOnboarding & OrientationPreceptoringShared Governance/Shared LeadershipScope of Practice

SEMINAR IICompetency XI: Competency XII: Competency XIII: Competency XIV: Competency XV: Competency XVI:

Competency XVII: Competency XVIII: Competency XIX:

Competency XX:

Competency; OPPE/FPPEPeer ReviewBilling; Incident-To & Split/Shared VisitsQuality & Performance Metrics (KPIs)Utilization & ProductivityProfessional Development &Continuing EducationPerformance EvaluationsReward & RecognitionPost-Graduate Residency/FellowshipProgramsBurnout

CONFERENCE

Thursday, September 12, 2019

8:00 - 10:00AMConstructing a Quality Dashboard for Advanced Practice

Aaron Begue, MS, RN, CNP Executive Director, Advanced Practice Providers Memorial Sloan Kettering Cancer Center [NY]

Nicole N. Zakak, MS, RN, CPNP, CPHON Associate Director, APP Quality & Professional Development Memorial Sloan Kettering Cancer Center [NY]

10:15AM – 12:15PMAdvanced Practice Provider Utilization

Clair Kuriakose, MBA, PA-C Executive Director, Advanced Practice Stanford Health Care [CA]

Charlene Platon, MS, RN, FNP-BC Manager, Advanced Practice Stanford Health Care [CA]

Debbie Hsieh, MS, MHA Senior Financial Specialist Stanford Health Care [CA]

12:15 - 1:15PMLunch (on your own)

1:15 - 3:15PMInnovation Leadership and Design Thinking

Sherry L. Gevedon, PhD, MBA, MS, RN President & CEO PES, Inc.

3:15PM - 4:15PMThe Secret Sauce for Raising Advanced Practice Engagement Scores

Deanne Williams, MS, CNM Chief, Advanced Practice Providers Salt Lake Valley Hospitals, Intermountain Healthcare [UT]

Breakfast - on your own

7:30 - 8:00AMSign-in/Registration

10:00 - 10:15AMBreak

CONFERENCE

Friday, September 13, 2019

8:00 - 8:45AMWelcomeNicholas M. Perrino, DNP(c), MPH, MS, RN, FNP-BC, NE-BC, FACHE President & CEO; Principle; Co-Founder Advanced Practice Provider Executives, Inc. (APPex)

8:45 - 9:30AMThe Director of Advanced Practice Role atMedStar Health

Kristen Nelson, MS, MBA, ACNP Director, Advanced Practice Providers (Surgical Critical Care) MedStar Washington Hospital Center [DC]

Amanda Beirne, MSN, ACNP-BC Director, Advanced Practice (MedStar Heart and Vascular Institute) Chief Nurse Practitioner, Cardiac Electrophysiology MedStar Washington Hospital Center [DC]

9:30 - 10:30AMUNIQUE TOPICS IN ADVANCED PRACTICE

9:30 - 9:50AMThe APP Role in Information TechnologyJoanna Lynch, MPAS, PA-C Provider Informaticist; Senior Physician Assistant University of Utah

9:50 – 10:10AMThe Challenges of Managing Advanced Practice Providers in a Research SettingF. Diana Barber, PhD, ANP-BC, AOCNP Supervisor, Advanced Practice Providers University of Texas MD Anderson Cancer Center Department of Investigation Cancer Therapeutics

10:10 – 10:30AMAdvanced Practice Providers and TelemedicineKim Bowers, MSN, ACNP-BC Clinical Program Manager Medical Intensive Care Unit and TeleICU University of Maryland Medical Center

10:45 – 11:45AMThe Professional Fulfillment Model: Creating a Culture of Wellness, Personal Resilience, and Efficiency of PracticeJordana Harshman, MPH Wellness Program Manager Stanford University School of Medicine and Stanford Children's Health [CA]

12:30 – 12:50PMThe ASCEND Program: A Pathway for APP Career Excellence and DevelopmentKelly Haviland, MSN, FNP-BC Co-Chair, MSK APP Professional Development Council Memorial Sloan Kettering Cancer Center [NY]

Elaina Preston, MPH, MSHS, PA-C Co-Chair, MSK APP Professional Development Council Memorial Sloan Kettering Cancer Center [NY]

Nicole N. Zakak, MS, RN, CPNP, CPHON Associate Director, APP Quality & Professional Development Memorial Sloan Kettering Cancer Center [NY]

12:50 – 1:10PMDevelopment of an APRN Academy forProfessional DevelopmentCathy Cartwright, MSN, RN-BC, PCNS, FAAN Director, Advanced Practice Professional Development Children's Mercy Kansas City

1:30 – 2:30PMStructured NetworkingAdvanced Practice Leadership Survey Question Development

2:30 – 2:45PM BREAK

1:10 – 1:30PMProfessional Advancement for Advanced Practice Registered Nurses and Physician Assistants

Carmel A. McComiskey, DNP, CRNP, FAANP, FAAN Director, Nurse Practitioners and Physician Assistants University of Maryland Medical Center

Shari Simone, DNP, CRNP, FCCM, FAANP, FAAN Senior NP Clinical Program Manager, Women & Children’s Services University of Maryland Medical Center

Deborah L. Schofield, PhD(c), DNP, CRNP, FAANP Senior NP Program Manager NP Specialty Areas Director, NP Critical Care Fellowship Program University of Maryland Medical Center

Brooke Andersen, MS, CRNP NP/PA Clinical Program Manager, STC Critical Care University of Maryland Medical Center

10:30 – 10:45AM BREAK

11:45AM – 12:30PM LUNCH

12:30 – 1:30PMADVANCED PRACTICE PROFESSIONALDEVELOPMENT

Breakfast - provided by Ritz-Carlton, Pentagon City

7:30 - 8:00AMSign-in/Registration

2:45 – 3:45PMThe New Science of the Professional EvolutionBethany Kramer, DMSc, MBA, PA-C System Director, Neuroscience Spine Institute & Pain Clinic Executive Director, Ortho & Neuro Service Line Advanced Practice Clinicians Lead Physician Assistant AMITA Health; Neurosciences Associates [IL]

CONFERENCE

Friday, September 13, 2019

3:45 – 4:45PMIntegrating Advanced Practice Providers into Your Medical StaffLaura Abels, DNP, APRN-CNS Advanced Practice Provider Education Coordinator Akron Children's HospitalJen Michel, DNP, APRN- CNP APP Credentials Committee Chair Akron Children's HospitalLaura Pollauf, MD, FAAP Medical Staff President Akron Children's HospitalJulie Tsirambidis, DNP, APRN-CNP Director, Advanced Practice Providers Akron Children's Hospital

5:00 – 7:00PM WINE & CHEESE SOIRÉE

CONFERENCE

Saturday, September 14, 2019

12:00 - 1:00PM LUNCH

Rebecca Duke, DNP, APRN-CNP Transplant Surgery Nurse Practitioner Program Manager, Transplant Northwestern Memorial Hospital [IL]

Linda B. Zekas, MSN, APRN, NNP-BC, CPNP-PC, CWON Pediatric Nurse Practitioner Division of Pediatric Surgery Ann & Robert H. Lurie Children's Hospital of Chicago

8:00 – 9:00AMWho Should Lead the Medical Provider Team?Carol Hartigan, MA, BSN Senior Policy Strategist American Association of Critical-Care Nurses (AACN)

9:00 – 10:45AMLeads, Supervisors, and Managers ofAdvanced Practice Panel

Kristie Pencil, DNP, APRN, ACNPAG-BC Manager, Advanced Clinical Practice (Trauma and Critical Care) OhioHealth Riverside Methodist Hospital

Denise Chernoff, PA-C, MBA Lead Physician Assistant (Cardiothoracic Surgery) WakeMed [NC]

Renna W. Cherry, MS, PA-C Supervisor, Advanced Practice Providers in (Urology) University of Texas MD Anderson Cancer Center

JB Fox, MPAS, PA-C, FAPACVS Lead Cardiothoracic Physician Assistant Valley Health Winchester Medical Center [VA]

Shana W. Robinson, MPAS, PA-C, EM-CAQ Lead Advanced Practice Practitioner Envision Healthcare [TX]

Lisa M. Williams, MS, APRN-CNS, AACRN Director, Professional Practice and Development Northwestern Memorial Hospital [IL]

11:00 – 11:30AMKey Elements of APP IntegrationNicole Barrett, DNP, APRN, NNP-BC Director, Advanced Practice HCA Mission Health [NC]

11:30AM – 12:00PMUnraveling the Mysteries of Your Millennial Advanced Practice Workforce

1:30 – 2:00PMThe Impact of an APP Leadership Structure on Growth, Productivity, and AccountabilityMeredith Foxx, MSN, MBA, APRN, PCNS-BC, PCPNP-BC, CPON Associate Chief Nursing Officer Advanced Practice Nursing, Quality & Practice Cleveland Clinic Health System

1:00 – 1:30PMAlignment Strategies for Advanced Practice Across the Hospital System: Recruitment, Post-Graduate Fellowships, Transition to Practice, Orientation, Research, and StructureMelinda Cooling, DNP, MBA, APN, NEA-BC Vice President, Advanced Practice OSF Healthcare [IL]

2:00 – 2:20PMMIPS, MACRA, and the QPP:What APPs Need to KnowCheryl L. Fattibene, DNP(c), MSN, MPH, CRNP Chief Nurse Practitioner Officer National Nurse-Led Care Consortium

2:20 – 2:40PMHow to Bill Accurately and Avoid Risk forAPP Professional ServicesChristopher Chandler, MHA, MBA, CPC, CGSC Technical Manager, Documentation and Coding Intermountain Healthcare [UT]

3:00 – 3:15PM BREAK

2:40 – 3:00PMBilling and Reimbursement Education:A Journey of Cultural ChangeBarbara Suplit, MSN, CPNP-PC, PMHS Director of APN/PA Practice and Professional Development Ann & Robert H. Lurie Children’s Hospital of Chicago

2:00 – 3:00PMADVANCED PRACTICE BILLING

10:45 - 11:00AM BREAK

Breakfast - provided by Ritz-Carlton, Pentagon City

7:30 - 8:00AMSign-in/Registration

Marianne D. Harris, PhD, MS, APRN-CNP, NEA-BC Director of Patient Care, Cardiac Services Northwestern Memorial Hospital [IL]

3:15 – 4:15PMTRANSITION INTO PRACTICE > POST-GRADUATE TRAINING > ORIENTATION

CONFERENCE

Saturday, September 14, 2019

3:15 – 3:45PMAPRN/PA Transition to Practice: Successes & PitfallsChristie Ehle Erickson, DNP, APRN, CNP Director NP/PA Transition to Practice Program Director of APRN/PA Services – East Region Essentia Health [MN]

Debra Steen, MSN, APRN, CNP Lead NP/PA Transition to Practice – Central Region Essentia Health [MN]

3:45 – 4:15PMOperating Room Advanced Practice Provider Orientation and Proper Surgical TechniquesEryn E. Lawson, PA-C Lead Neurosurgical Physician Assistant Orlando Health

4:15 – 4:30PMFeedback, Comments; Wrap Up

4:30PM Adjourn

CONFERENCE VENUE

Location: The Ritz-Carlton, Pentagon City

The Ritz-Carlton, Pentagon City1250 South Hayes StArlington, VA 22202

(703) 415-5000

Supporting Organization

www.ritzcarlton.com/en/hotels/washington-dc/pentagon-city

Washington, D.C., formally the District of Columbia, is the capital of the United States. Founded after the American Revolution as the seat of government of the newly independent country, Washington was named after George Washington, the first president of the United States and a Founding Father. All three branches of the U.S. federal government are centered in the District: Congress (legislative), president (executive), and the U.S. Supreme Court (judicial).

Washington is home to many national monuments, and museums, primarily situated on or around the National Mall. The city hosts 177 foreign embassies as well as the headquarters of many international organizations, trade unions, non-profits, lobbying groups, and professional associations, including the World Bank Group, the International Monetary Fund (IMF), the Organization of American States, AARP, the National Geographic Society, the Human Rights Campaign, the International Finance Corporation, and the American Red Cross.

Beyond the traditional D.C. attractions – the Smithsonian museums, the U.S. Capitol, the monuments – you'll find fresh food, arts, and nightlife scenes. You can spend your morning perusing the city's cache of farmers markets and contemporary exhibits and your afternoon taking in the scenery from the Lincoln Memorial and the Washington Monument before catching a show at The John F. Kennedy Center for the Performing Arts.

The city is one of the most visited in the world, with more than 20 million tourists annually. Washington's metropolitan area, the country's sixth largest, had a 2017 estimated population of 6.2 million residents.

SUPPORTING ORGANIZATION

SUPPORTING ORGANIZATION

MedStar Healthwww.medstarhealth.org

MedStar Health combines the best aspects of academic medicine, research, and innovation with a complete spectrum of clinical services to advance patient care. As the largest healthcare provider in Maryland and the Washington, D.C., region, MedStar Health’s 10 hospitals, MedStar Health Research Institute, and a comprehensive scope of health-related organizations are recognized regionally and nationally for excellence in medical care.

MedStar Health has one of the largest graduate medical education programs in the country, training 1,100 medical residents annually, and is the medical education and clinical partner of Georgetown University. MedStar Health is a $5.6 billion, not-for-profit, regional healthcare system based in Columbia, Maryland, and one of the largest employers in the region. Our more than 30,000 associates and 4,700 affiliated physicians support MedStar Health’s patient-first philosophy that combines care, compassion, and clinical excellence with an emphasis on customer service.

HOTEL INFORMATION

Group Rate Hotel Room$259/ night

Group Affiliation: APPex LeadershipConference*note: a limited number of rooms are available

at the discounted rate.

A Pentagon City Hotel

The history of Arlington, the iconic monuments of Washington, DC and the grand stature of the Pentagon are all within reach from The Ritz-Carlton, Pentagon City. The luxury hotel offers access to surrounding sights beyond its walls as well as desirable amenities within, striking a chord with guests seeking convenience in every aspect of their stay.

Standard Rate Hotel Room$329+/ night

BOOK ROOM BOOK ROOM

The Ritz-Carlton, Pentagon City1250 South Hayes StArlington, VA 22202

(703) 415-5000

Enjoy our Luxury of Choice Sustainability and Loyalty program and earn 500 Bonus Points

Among the top luxury hotels in Atlanta-we offer genuine comfort with pillow top mattresses

Discover one of the premier hotels in Buckhead GA featuring plush bathrobes in each lavish room

Our accommodations boast access to an exclusive fitness center and stunning indoor pool

HOTEL INFORMATION

Guest Room Features & Amenities

Feather beds to include Frette 400 thread-count Egyptian cotton linen

Understated and elegant, guest rooms and suites at this Arlington, VA hotel blend luxury comforts with thoughtful design. Spaces feature large windows overlooking the city, dedicated workspaces and areas for relaxation. Club Level accommodations include lounge access and additional amenities.

60” flat panel high definition TV screens with Netflix and subscription movie services

High-speed wireless internet access (daily fee applies)

In-room gourmet Nespresso and tea presentations

Luxurious Asprey bath and body amenities24 hour in-room dining

Evening turndown

FEES & REGISTRATION

Attendee cancellation, substitution, refundRegistration for the conference is final and not refundable. In certain extenuating circumstances, APPex may offer a refund--minus a $100 processing fee--if your request is submitted in writing prior to August 3, 2019. Attendee substitutions are allowed, but notification must be made in writing by Saturday, August 3, 2019. After this date, under no circumstances will refunds, credits, or substitutions be granted. No refunds or credits will be given to “no shows”.

Guest attendance policyAll conference activities (including educational sessions, meal functions, etc.) are exclusively reserved for conference attendees. Non-registered guests (including children, family members, colleagues, etc.) are not allowed in the conference area. Badges provided at registration are required for entrance into all functions and will be strictly enforced.

APPex modification or cancellationAPPex reserves the right to modify the conference's program or schedule as necessary. APPex reserves the right to cancel this conference, in which case a full refund of the registration fee will be provided. We are unable to refund any travel costs (flight, hotel, etc.) in the case of APPex cancellation.

Recording and photographyAPPex reserves the exclusive rights to record (audio and video) and/or photographall conference proceedings for use in marketing materials, presentations and course content sales.

Registration Fee(s):Advanced Practice Leadership Training Seminar I [Wed]• $295**• $350 (late registration, after September 1, 2019)

Advanced Practice Leadership Training Seminar II [Wed]• $295**• $350 (late registration, after September 1, 2019)

Pre-Conference Workshops [Thu]• $195*/$295• $250*/$350 (late registration, after September 1, 2019)

2-Day Summit [Fri & Sat]• $495** (breakfast and lunch provided)• $550 (late registration, after September 1, 2019)*workshop discount when registered for conference also; $295 for workshop day only**5% discount for individual APPex members; 10% discount for corporate APPex members

Questions?

Cancellation Policy

General conference questions; agenda; registration: events@APPexecutives.org(703) 415-5000 [The Ritz-Carlton, Pentagon City]Venue questions; hotel; special accommodations:

Registration & Payment

• online registration is preferred; after online registration is complete, registrants will automatically be taken to checkout/payment section for credit card processing; online registrants may also opt to pay via check instead of credit card after online registration has been completed

• APPex members should first login with their registered email & password and then complete payment via credit card so discount is properly applied

Online: REGISTER HERETo send payment via mail (e.g., check):1. Print and fill out Registration Form, or,complete registration online2. Mail to:

Advanced Practice Provider Executives, Inc. 2443 Fillmore St #380-2683 San Francisco, CA 94115

This form to be submitted by registrants unable to complete online registration, or who may require thisform to request reimbursement from their organization.

APPex W-9 FORM: www.APPexecutives.org/advanced-practice-leadership-summit/registration

Print and complete form (in full); mail form and check to:Advanced Practice Provider Executives, Inc. (APPex)

2443 Fillmore St, Suite #380-2683San Francisco, CA 94115

Leadership Training Seminar $295

Pre-Conference WorkshopConference (2-day Summit)

$195*/$295$495

Membership Status: Registration Options (check all that apply):

Total

non-member

APPex individual member

APPex individual members receive a 5% discountAPPex corporate members receive a 10% discount

*workshop discount when registered for conference also; $295 for workshop day only**$50 late fee applies to each after September 1, 2019

APPex corporate member

Online registration is preferred: REGISTER HERE

Personal Information

Name (full):

Billing Address: Apt/Unit/Suite:

Company:

Title (e.g., Director of Advanced Practice):

Email: Phone:

City: State: Zip:

Role: PA NP CNM CRNA CNS | RN MD/DO PharmD Admin

Specialty:

License Type (e.g., NP, RN, PA): License State:

License Number:

License Information

Professional Information

REGISTRATION INFORMATION

SPONSORS & EXHIBITORS

Pfizerwww.pfizer.com

Good health is vital to all of us, and finding sustainable solutions to the most pressing health care challenges of our world cannot wait. That's why we at Pfizer are committed to applying science and our global resources to improve health and well-being at every stage of life. We strive to provide access to safe, effective and affordable medicines and related health care services to the people who need them.

We have a leading portfolio of products and medicines that support wellness and prevention, as well as treatment and cures for diseases across a broad range of therapeutic areas; and we have an industry-leading pipeline of promising new products that have the potential to challenge some of the most feared diseases of our time, like Alzheimer's disease and cancer.

To ensure we can continue to deliver on our commitments to the patients, customers and shareholders who rely on us, we are focused on improving the way we do business; on operating with transparency in everything we do; and on listening to the views of all of the people involved in health care decisions. Through working in partnership with everyone from patients to health care providers and managed care organizations to world governments and non-governmental organizations, our goal is to ensure that people everywhere have access to innovative treatments and quality health care.

CT Assistwww.ct-assist.com

CT Assist staffs Cardiac Surgery (and other surgical specialties) Physician Assistants, Nurse Practitioners and Perfusionists. Our team of friendly PAs and NPs provide professional, cost effective, and reliable support to your surgeons and high quality care to your patients. Our surgical PAs and NPs are in-tune with the needs of your team by providing you with quality service.

Whether you are looking for short- term (locum tenens) coverage, recruitment services, or are interested in our innovative long-term staffing options, CT Assist provides Trusted Surgical Excellence. CT Assist also provides consulting services to help you optimize your Cardiovascular Surgery Program.

Happy Docwww.happydoc.info

We are a pediatrician, a scholar at the University of Nevada, Las Vegas, and an entrepreneur on a mission to put the care back in health care and to help medical professionals avoid job related burnout. All three of us experienced severe health problems that resulted from too much work, stress, and exhaustion. Our journey back to health and balance made us experts in the fields of well-being and self-care.

Based on extensive research as well as on personal experience, we developed a unique approach to utilizing evidence-based mind-body practices in combination with health and wellness products. Our model underscores motivating busy medical professionals to systematically go through a program and achieve maximum results.

Advanced Practice Provider Executives, Inc.2443 Fillmore St, Suite #380-2683

San Francisco, CA 94115www.APPexecutives.org