Speaker Submission Form 2022

Request to Present Concurrent Session

at the 2022 PNW MGMA Conference

Date: May 18, 2022

Location: Holiday Inn - Columbia Riverfront, Portland, Oregon

 

The Conference Planning Committee is currently accepting concurrent session presenter submissions for the 2022 Pacific Northwest Medical Management Conference. The committee will be selecting 8-10 concurrent session speakers for the agenda.

If you wish to be considered, we ask that you complete and submit the Request to Present fields below.

Deadline to apply is January 7, 2022. This is a firm deadline.

We recognize that many of our Oregon MGMA & Washington State MGMA members are subject matter experts. If you are interested in being considered as a concurrent speaker for the 2022 PNW MGMA Conference, we would love to see your submission.

Presentation topics must be relevant to medical practice management and speakers must demonstrate factual knowledge in the subject area. The presentation must have importance to medical practices and should be delivered within allotted time frames of either 75 minutes or 60 minutes.

If you have any questions, please contact us.

Details

  • Request to Present is for concurrent sessions only. We are not entertaining presentation requests for keynote or general sessions.
  • We are unable to provide an honorarium for concurrent sessions. All presenter(s) must be willing to speak for free and make their own travel arrangements to/from the event location. 
  • Conference Planning Committee is looking for a variety of: timeliness/relevance of topics; educational topics/domains; experience level (beginner to seasoned healthcare manager) and take-aways for attendees
  • All presenter(s), if selected, will be required to sign a contract of terms and conditions.
  • Presentations will automatically be disqualified if there is any evidence of promotion of a product or service.
  • If selected, your presentation slide deck must be finalized and sent to Conference Planning Committee no later than April 18, 2022. Conference Planning Committee will perform a final review and approval of slide deck. Edits may be required before slide deck is approved.
  • Incomplete submissions will not be reviewed by committee.
  • C-19 vaccination is a requirement to participate in this conference

Your presentation should address one of the following content areas:

  • Operations Management
  • Financial Management
  • HR Management
  • Risk and Compliance Management
  • Transformative Healthcare Delivery
  • Organizational Governance

 
What’s in it for you?
While a presenter may not use the session as a time to promote a/their product or service, it is expected that the expertise you demonstrate during the session will significantly benefit the presenter in terms of exposure and networking opportunities

 

Notice

  1. Any misleading or incorrect information may lead to a disqualification of the Request.
  2. The final selection decision rests with the Board of Directors or their designated Committee/Executive Director.
  3. If approved, the Presenter(s) will be sent a Speaker Agreement which will contain all of the Terms & Conditions for this speaking engagement.


Presenter's Name (if this is a panel, include all names, separated by a comma): *
Presenter's Company Name (if this is a panel, include all company names, separated by a comma): *
Presenter's Title (if this is a panel, include all titles, separated by a comma): *
Presenter's Email Address (if this is a panel, include all emails, separated by a comma): *
Contact, if other than Presenter (provide: name and email):
SUBJECT MATTER – you may select up to 3: *
SESSION TITLE (this will be used to market your session if selected): *
BRIEF SESSION ABSTRACT (this will be used to market your session if selected) - The abstract should include a description, outcome and value to the attendee.:
SESSION LEARNING OBJECTIVES - each stated in 25 words or less describing measurable outcomes of session material (this will be used to market your session if selected) : *
Upload Presenter(s) Bio - Provide a brief biography for each presenter which should include how you/they are an expert in the selected topic area(s) - .docx, or .doc file formats acceptable: *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)
Presentation Length: *
60 minutes
75 minutes
Flexible (can be 60 to 75 minutes)
References - Provide two references (name & email) or complete evaluations from recent previous speaking engagements - .doc, or .dox file formats acceptable: *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)
Are you a member of Oregon MGMA or Washington State MGMA: *
Oregon MGMA
Washington State MGMA
Both Oregon and Washington State MGMA
Not a member
Upload Headshot for Presenter 1 - .jpeg file format only (will be used in marketing materials if selected):
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)
Upload Headshot for Presenter 2 - .jpeg file format only (will be used in marketing materials if selected):
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)
Upload Headshot for Presenter 3 - .jpeg file format only (will be used in marketing materials if selected):
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 1.0 MB)