2014 WVSHE2014 WVSHEAnnual Annual

ConferenceConference

August 12, 13, 14 & 15, 2014August 12, 13, 14 & 15, 2014Canaan Valley, WVCanaan Valley, WV

AGENDAAGENDA

Tuesday, August 12thTuesday, August 12th

12 Noon – 1:00 p.m.:12 Noon – 1:00 p.m.: Registration & Registration & Round Table Round Table DiscussionDiscussion

1:00 p.m. – 3:00 p.m.:1:00 p.m. – 3:00 p.m.: TBATBA

Presented by TBAPresented by TBA

3:00 p.m. – 5:00 p.m.:3:00 p.m. – 5:00 p.m.: TBATBA

Presented by TBAPresented by TBA

5:00 p.m. – 7:30 p.m.: 5:00 p.m. – 7:30 p.m.: Late Registration and Trade Show set-Late Registration and Trade Show set-upup

West Virginia Society for Healthcare West Virginia Society for Healthcare EngineeringEngineering

Wednesday, August 13thWednesday, August 13th

7:00 a.m. – 7:45 a.m.: 7:00 a.m. – 7:45 a.m.: Vendor Late Registration and Trade Vendor Late Registration and Trade Show setupShow setup

7:00 a.m. – 7:45 a.m.: 7:00 a.m. – 7:45 a.m.: Member Late Registration and Member Late Registration and Breakfast (Included with Breakfast (Included with registration)registration)

8:00 a.m. – 9:30 a.m.: 8:00 a.m. – 9:30 a.m.: WVSHE Business MeetingWVSHE Business Meeting

9:30 a.m. – 10:00 a.m.: 9:30 a.m. – 10:00 a.m.: Break and Set Up of Trade ShowBreak and Set Up of Trade Show

10:00 a.m. – 1:30 p.m.: 10:00 a.m. – 1:30 p.m.: TRADE SHOWTRADE SHOW and Lunch at Noon and Lunch at Noon (Included with (Included with registration)registration)

1:30 p.m. – 2:00 p.m.: 1:30 p.m. – 2:00 p.m.: Break and Tear Down of Trade ShowBreak and Tear Down of Trade Show

2:00 p.m. – 5:00 p.m.: 2:00 p.m. – 5:00 p.m.: FGI Guidelines and FGH FGI Guidelines and FGH Residential Care GuidelinesResidential Care Guidelines

Presented by: Pat Shultz with HKS Presented by: Pat Shultz with HKS

6:00 p.m.:6:00 p.m.: DINNERDINNER – Open to all family – Open to all family members/associates members/associates (Included with (Included with registration)registration)

NOTE: Thursday and Friday events do not apply to NOTE: Thursday and Friday events do not apply to VendorsVendors

unless paying for Educational Conference Registration unless paying for Educational Conference Registration in in addition to the Trade Show Registration.addition to the Trade Show Registration.

Annual Meeting Educational AgendaAnnual Meeting Educational Agenda

West Virginia Society for Healthcare West Virginia Society for Healthcare EngineeringEngineering

Thursday, August 14thThursday, August 14th

7:00 a.m. – 7:30 a.m.: 7:00 a.m. – 7:30 a.m.: Breakfast (Included with education Breakfast (Included with education registration)registration)

7:30 a.m. – 9:30 a.m.: 7:30 a.m. – 9:30 a.m.: 2012 Life Safety Code Changes2012 Life Safety Code Changes

Presented by Larry Barlow with TSIGPresented by Larry Barlow with TSIG

9:30 a.m. – 9:45 a.m.: 9:30 a.m. – 9:45 a.m.: BreakBreak

9:45 a.m. – 11:45 a.m.: 9:45 a.m. – 11:45 a.m.: 2012 Life Safety Code Changes2012 Life Safety Code Changes

11:45 a.m. – 1:00 p.m.: 11:45 a.m. – 1:00 p.m.: Lunch (Included with education Lunch (Included with education registration)registration)

1:00 p.m. – 2:00 p.m.: 1:00 p.m. – 2:00 p.m.: 2012 Life Safety Code Changes2012 Life Safety Code Changes

2:00 p.m. – 2:15 p.m.: 2:00 p.m. – 2:15 p.m.: BreakBreak

2:15 p.m. – 5:15 p.m.:2:15 p.m. – 5:15 p.m.: 2012 Life Safety Code Changes2012 Life Safety Code Changes

Annual Meeting Educational AgendaAnnual Meeting Educational Agenda

Friday, August 15thFriday, August 15th

7:30 a.m. – 8:00 a.m.: 7:30 a.m. – 8:00 a.m.: Breakfast (Included with education Breakfast (Included with education registration)registration)

8:00 a.m. – 10:00 a.m.: 8:00 a.m. – 10:00 a.m.: WV State Fire Marshall – Code WV State Fire Marshall – Code UpdateUpdate

10:00 a.m. – 10:30 a.m.: 10:00 a.m. – 10:30 a.m.: Break and check out of room.Break and check out of room.

10:30 a.m. – 12 noon.: 10:30 a.m. – 12 noon.: Office of Health Facility Office of Health Facility Licensure and Certification Licensure and Certification UpdatesUpdates

Presented by Ron Stricker with OFLACPresented by Ron Stricker with OFLAC

12 noon12 noon Conference ends, Lunch on your own.Conference ends, Lunch on your own.

WEST VIRGINIA SOCIETY FOR HEALTHCARE ENGINEERING2014 Annual Meeting and Vendor Presentation

Canaan Valley Resort230 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) 637-3129Email: johnsons@davishealthsystem.org

Please register by 7/15/14 so we can plan our meals. Late Registrations $25.00 extra fee

MEMBERS NON-MEMBERS 0 – 100 beds - $100/person 0 – 100 beds - $200/person 100 + beds - $150/person 100 + beds - $250/person

ASSOCIATE Sponsors (Attending Education Sessions) - $100/personNONASSOCIATE 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 ____ I am an ASHE member for 2014

ASHE Membership # _____________

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 : johnsons@davishealthsystem.org or call (304) 637-3129

WVSHE Attn. Steve JohnsonDavis Memorial Hospital

PO Box 1484Elkins, 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 NameCanaan Valley Resort230 Main Lodge RoadDavis, 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: johnsons@davishealthsystem.org

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