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Welcome to the

IHCA Winter Workshop

& Legislative Lunch

Tuesday, February 13, 2018

Boise Centre

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Platinum Parters:

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Thank You!

Edgewood Plantation Place Senior Living for the use of your Shuttle Bus & Driver - Andrew again this year!!

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Have your “Exhibit Card” signed by all of our exhibitors!

We will be drawing for prizes at the end of the day (4:45 PM) in the Lobby.

Thank You! Winter Workshop Exhibitors:

Our PLATINUM Partners:

Alliance Insurance Group, Inc. First Choice Medical Supply Healthcare Services Group Heartland LTC Pharmacy Schryver Medical, LLC

****** Our GOLD Partners:

Idaho Estate Planning

***** Our Associate Members: Non-members:

American Medical Technologies Ocean Spray Grand Canyon University HPSI Purchasing Services Infinity Rehab United Wound Healing

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Don’t forget to buy your IHCA Foundation Raffle Tickets! –

$1 for 1 ticket ~ $5 for 6 tickets ~ $20 for 40 tickets

Raffle Baskets Donated By:

Diana Cullin Countryside Care and Rehab

Heartland LTC Pharmacy Good Samaritan - Boise Village

Monica Perry, RDN, LD MorningStar of Boise

New Beginnings Promontory Point

Royal Plaza Health & Rehab S & S Nutrition Network

The Cottages Valley Vista

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7:30 AM Registration & Foundation Fundraising in Main Lobby

Coffee/Beverages sponsored by Schryver

& Exhibits Open in Room 100 B

Sessions

I attended

8:30 AM-10:00 AM (1.5 CEUs)

Medical Directors/AL/Everyone: The Politics of Healthcare | Tommy Ahlquist, MD Is medical care a right or a privilege? Is healthcare an individual’s choice or a government guarantee? Is it the obligation of the state or the federal government? The debate continues on the best way to provide quality care to the general population. Tommy Ahlquist, ER Doctor and current candidate for Governor of Idaho, is here to discuss the political side of the healthcare debate and how we can move from words to actions.

Room 100 A

SNF Track: Update on the RoP & Survey Process | Debby Ransom, RN, RHIT, Chief Bureau of Facility Standards

Come for an update and to get answers to your questions!

Room 100 B

ICF Track: Supercharge Your Staff Development Process: Cultivating ICF Staff that Commit to the Job and Care | Tamara Malone, Administrator; Amber Young & Michelle Carothers, Lead Supervisors, Independent Living Services Join us as we discuss obstacles in training and retaining quality, caring ICF staff and explore 7 steps for supercharging your staff development process:

The benefits of investing your time to staff development

Tools for setting up staff development that works

Periodic review of the development process to fine tune what is working and revise what is not.

Room 120 C

Nutrition Track: How Ready Are You for the New Survey Process? | Sue Linja, RDN, LD & Rachell Larsen, RDN, LD Changes to the Dietary…..ahem….Food and Nutrition regulations have even the most experienced nutrition professionals scared. Attending this session will help ease your mind about the regulatory changes and will get you and your food services department prepared for your next annual survey. Through a combination of small group activities and storytelling, the participants will:

Understand the changes in the food and nutrition regulations as part of the Phase 2 CMS survey and be prepared for the state/federal survey in 2018.

Use the initial patient interview to establish direction for resident-focused nutrition preferences, nutrition assessment, and plan of care.

Express an increased awareness of how to ensure food and nutrition staff are educated and able to demonstrate competency.

Utilize the critical element pathways to help ensure care area requirements related to food and nutrition services are met.

Room 100 E

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Activities Track: Don’t Hate Me Because You Can’t Be Me…Be Me! | Sherri Ellis, Activity Director, Good Samaritan – Boise Village & April Floyd, ADC – Director of Fun, The Cottages

Actual benefits of adult play/activities

Job duties, teamwork – every discipline is important

Role playing – Activities vs. Floor Staff- how to answer activity questions

Room 120 A&B

10:15 AM-11:45 AM (1.5 CEUs)

Sessions I attended

Medical Directors / AL / SNF: Peer Review | Kim C. Stanger, Partner, Holland & Hart

Purpose of peer review statute: to promote internal investigations and overall improvement of healthcare by protecting those who participate in such investigations and preserving the confidentiality of such communications.

Federal peer review statutes o Federal Nursing Home Reform Act (FNHRA)

What it does and does not protect. o Patient Safety and Quality Improvement Act (PSQIA)

What it does and does not protect.

Idaho peer review statute. o To whom it applies. o To what it applies. o Scope and protections. o Actions to preserve it.

Proposed amendment

Room 100 C

SNF Track: Conducting a Facility Assessment - 2017 Requirements of Participation | Demi Haffenreffer RN, MBA, Haffenreffer & Associates

The rules for completion of an annual facility assessment are in effect November 2017. This workshop will review the rule and the components required as part of this annual assessment. Demi will discuss elements of design as well as implementation strategies in conducting this assessment. Participants will be provided tools and have an opportunity to identify some important elements for their own facility. Learning Objectives:

Review and discuss the key elements of this new requirement for an annual facility assessment.

Identify the key components of design and implementation of a facility assessment.

Understand how to coordinate the facility assessment with other requirements such as Resident Rights, Quality of Care, Staff Training and Competency, Infection Control, QAPI and Ethics and Compliance systems.

Room 100 B

ICF Track: Creative Ways To Hire and Keep Staff…a Roundtable Discussion| Tiffany Redden, Facilitator Please join us as we talk about one of the toughest issues every facility is struggling with -

Room 120 C

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hiring staff and retaining staff! In this class we will discuss creative hiring and retention ideas, what works and what doesn't work, and how to keep your team motivated when everyone is working a ton of hours. This class is the perfect follow up to the prior class on staff training; Tami Malone and I have planned it this way to give everyone an informative, energetic, and fact filled morning!

Nutrition Track: How Ready Are You for the New Survey Process? (part 2) | Sue Linja, RDN, LD & Rachell Larsen, RDN, LD Part 2 – continued from 1st session.

Room 100 E

Activity Track: Activity Programming: The Keystone of Operational Effectiveness | Eric Collett For most of long term care history, the activity department in many facilities has been treated as a necessary but less important part of the organizational structure- a way to keep residents occupied while professionals go about the challenging tasks of finding new residents, moving them in and assisting them with medication, food, ADLs, managing chronic illnesses and other physical needs. This engaging presentation, designed for administrators, marketing directors, and nurses as well as activity professionals, will turn such thinking on its head and help participants understand: • How a truly effective activity program drives high occupancy and marketing efforts; • Ways programming can be used to increase both staff and resident retention; • How programming does more to communicate what you believe and value than any other aspect of the organization; • How to overcome “departmentalized” thinking and truly function as a team; • How to avoid the Task TRAP”; • Ways to leverage great programming that leads to better survey outcomes; • Ways the industry can and should set our own measures of success rather than relying on surveys and rules to set the bar.

Room 120 A&B

General Meeting 11:45 AM – 12:15 PM

& Legislative Luncheon 12:15 PM – 1:15 PM

Room 100 A

Do not miss this chance for relationship-building with your local legislators. They need to hear about issues that are important to YOU, from YOU!

1:30 PM - 3:00 PM (1.5 CEUs)

Sessions I attended

Medical Director Track: Rational De-prescribing: Improving Lives of Older Adults by Reducing Poly-Pharmacy | Abhilash K. Desai MD, Idaho Memory & Aging Center, PLLC, Board Certified Geriatric Psychiatrist

Polypharmacy is very common in older adults, especially those living in long-term care facilities. Polypharmacy is associated with serious risks such as falls and delirium and also increased mortality. Rational de-prescribing is an evidence-based process of care to discontinue inappropriate prescriptions and thereby improve emotional, cognitive and physical functioning of older adults. Beer’s

Room 100 D

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criteria will be discussed.

Discuss potential clinical benefits of rational de-prescribing;

Describe the concept and process of Rational De-prescribing; and

Using real-life cases, discuss practical strategies to make Rational De-prescribing a routine and effective intervention in the care of older adults and long-term care residents.

AL Track: Delegation in Assisted Living | Susan K. Odom PhD, RN, FRE, CCRN-K -Associate Executive Director, Practice and Education, Oversight for Practice and Education & Maureen Karr, RN, Instructor/Consultant, Educational Support Services

Susan will provide an overview of the Board of Nursing rules and regulations regarding delegation to unlicensed personnel. Patient protection and patient rights will be discussed via an interactive presentation. Objectives-

Participants will learn how to access the Board of Nursing rules

Participants will discuss case studies including delegation to UAPs

Patient protection and the role of UAPs will be analyzed in interactive discussion

Room 100 C

SNF Track: Facility Assessment Part 2 (continued) | Demi Haffenreffer RN, MBA, Haffenreffer & Associates Continued from 10:15 am session…

Room 100 B

ICF Track: Exercising Your Emergency Plans – Exercise Design | Randy McLeland, Planner, Central District Health Department This session will provide participants with an overview of what it means to “Exercise your emergency Plans”, including an abbreviated overview of the industry standard in conducting exercises for emergency management. Participants will:

Examine exercise doctrine and methodology

Apply key components of applicable phases of the Homeland Security

Exercise Evaluation Program (HSEEP) Cycle

Be able to describe key products for a Discussion Based exercise.

Room 120 C

Nutrition Track: Your Residents’ Right to Menu Diversity | Kelly Dimond, RDN, S & S Nutrition Network & Wendy Rice, MS RD, Corporate Dietitian, Advanced Health Care Corporation

The learner will be able to:

State where federal menu-specific requirements are found.

Recognize Idaho-specific menu requirements.

The speakers will be able to state at least one rationale for current menu requirements in relation to human nutrient needs, disease prevention, public health, resident’s rights and quality of life.

Room 100 E

Activities Track: New Regulations for Activities in SNFs | Lea Stoltz, QIDP, Consultant, Five Star Consulting

Room 120 A&B

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This session will cover:

Understanding regulatory requirements for Activities programs and the use of new survey tools, (critical pathway)

Planning activities for residents with dementia and the use of the critical pathway for Dementia.

Writing a comprehensive person centered care plan for Activities. The presentation will allow time for small group participation in identifying specific environmental and other modifications for activities, small group care plan development, and analysis of successful activities identified by the audience.

3:15 PM-4:45 PM (1.5 CEUs)

Sessions

I attended

Medical Director Track: The Critical Role of the Medical Director from the Perspective of a DNS | Demi Haffenreffer RN, MBA, Haffenreffer & Associates Medicare regulations require that all skilled nursing facilities employ a medical director, but relatively few Directors of Nursing are tapping the full potential of the physician’s that hold this pivotal position. This presentation will review the recently published surveyor guidelines for medical directors at F841, discuss specific strategies for getting past obstacles that get in the way of a good medical director program and explore how a medical director is vital to your QAPI, Infection Control programs and culture change initiatives within your facility. Objectives: • By the end of this workshop participants will: • Review and discuss the new Medical Director survey guidelines at F841. • Explore how the Medical Director plays a vital role in QAPI and Infection Control • Discuss barriers to an effective Medical Director Program.

Room 100 D

AL Track: Medicaid Reimbursement - Making the Most of the UAI | Angela Hilleshiem, RN, CEO, All Care Health Solutions Home Health & Hospice

During this class we will be doing an interactive assessment of sample residents to help support the correct documentation and payment on the UAI for Assisted Living Communities. We will explore how to help your clinicians assess correctly with the UAI platform, how to understand the payment structure, and supporting documentation need to be successful with the UAI product.

Room 100 C

SNF Track: Medicare-Medicaid Coordinated Plan | Chris Barrott & Alexandra Fernandez - ID Health & Welfare-Medicaid

H & W will give an overview of the MMCP including why Medicaid is offering the program, who we are contracted with to administer the plan and why the plan is a great option for Duals. We will also discuss the importance of collaboration in partnership in this contract with our two vendors (Molina and Blue Cross of Idaho) and how the MMCP benefits when all three entities work together as partners to bring Idaho Medicaid Dual Eligible beneficiaries this important healthcare option.

Room 100 B

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ICF Track: Legislative Update and Building Relationships with Your Legislators | Kris Ellis, Partner, Eiguren Ellis Public Policy Firm & IHCA Director of Policy & Legislative Services

An over view of the many health care issues in front of the legislature this session and their potential impact on ICF’s and IHCA members.

Make the most of an election year and get to know you legislators.

Learn how to do an effective facility tour for elected officials.

Room 120 C

Nutrition Track: The 48 Hour Nutrition Care Plan | Rachell Larsen, RDN, LD & Sheri Rogers, RN

The 48 hour or “baseline” care plan should cover the resident’s immediate needs – in detail. The purpose of the baseline assessments is to drive care planning from the moment of admission and information incorporated into the 48 hour care plan. Then the care plan becomes a working document for as long as the resident is in the facility because it is designed to be a fluid document that is updated as the resident’s needs and wants change. Come discover what all needs to happen upon admission, when, and help brainstorm some possible ways you will get it all done!

Room 100 E

MDS/CAAs & Care Planning for Activity Directors Students-Only | Sherri Ellis, Activity Director, Good Samaritan – Boise Village Activity Director students are required to attend as part of their certification process. Upon completion of this session they will be better equipped to accurately complete section F of the MDS with CAAs and care plan, in accordance with the RAI process.

Room 120 A&B

4:45 PM

Basket Raffle & Exhibitor Card drawing

MUST be present to win!

Main Lobby

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Continuing Education Hours:

CEUs are awarded based on verified attendance. Sessions will be audited by IHCA staff/volunteers to determine accuracy

of CEU records submitted. 1. When you checked-in, you should have picked up a CEU Record form. 2. You MUST print your name legibly! If IHCA staff cannot read your name, you will not get CEUs. 3. You will place a “checkmark” in the box that corresponds with each session you attend. 4. You MUST sign the CEU Record indicating attendance and attesting to its accuracy.

5. You MUST turn in the white copy of the CEU Record form when you leave for the day…NOT before!

a. There are CEU cubes located at the registration/check-in desk. Do NOT turn it in early! 6. NO CEU records will be accepted after IHCA staff leave the venue on Tuesday. 7. NO CEU records will be accepted by mail. 8. Based on audits & available records, IHCA will determine eligibility for credits. 9. Certificates of Attendance will NOT be mailed. You can print their own CEU History after Friday, February 23, 2018.

IT IS IMPORTANT YOU KEEP THIS ON-SITE PROGRAM ALONG WITH YOUR

YELLOW COPY OF THE CEU RECORD IN THE EVENT OF AN AUDIT BY IBOL.

Continuing Education CEUs offered by the Idaho Health Care Association are approved by the Idaho Board of Examiners of Nursing Home Administrators and the Idaho Board of Examiners of Residential Care Facility Administrators. It is up to each attendee to determine the appropriateness of a session and whether it will meet the requirements of their license type. Individuals are responsible for maintaining their own records of attendance to all IHCA educational events. It is recommended the attendee maintain a copy of the event program to provide detail of sessions offered at each event. ATTENTION ASSISTED LIVING ADMINISTRATORS "The Idaho Board of Residential Care Facility Administrators met on October 11, 2012 and discussed continuing education programs. Concerns were voiced about credit being given for tradeshows. This does not meet the requirements in Rule 401.02 that states the course must be relevant to residential care facility administration. The Board made a motion that credit will not be given for tradeshows, membership meetings, awards luncheons, or board meetings. The Board would appreciate your assistance is educating the administrators about which hours count." As you attend IHCA educational events, please keep in mind the requirements of your license to ensure you are participating in sessions that will help you meet Rule 401.02. Attendee with a Facility Cancellation Policy We understand that circumstances arise to prevent you from attending the workshop after you have registered. If you cancel more than seven (7) business days prior to the event, we will gladly refund your registration fee and retain only $50 for a cancellation fee. If you choose to substitute: the substituted attendee will be required to pay the registration fee that is in effect at the time of the change. We are unable to offer any refund within seven (7) business days of the event, for cancelled registrants. If you have to cancel at the last minute as a result of a family emergency such as a death, accident or injury, please contact our office and we will consider your situation.

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Dates

2018 IHCA Trainings & Events

Location

February 28 Dietary Manager Certification Exam Prep Class IHCA Training Center

Meridian, ID

March 6 - 7

Social Services Training IHCA Training Center

Meridian, ID

March 20 - 22

Assisted Living Administrator & Nurse Training (North ID) NEW & EXPANDED Agenda

The Bridge at Post Falls 545 N. Garden Plaza Ct.

March 27 - 28

AADNS QAPI Certified Professional Workshop

One – time offering!

IHCA Training Center Meridian, ID

April 10-11

Nurse Management Training for SNF IHCA Training Center

Meridian, ID

April 27

Spring Workshop ISU

Pocatello, ID

May 7 - 11

AL Regional Meetings TBD

May 15 - 17

Assisted Living Administrator & Nurse Training NEW & EXPANDED Agenda

IHCA Training Center Meridian, ID

June 4 - 8 WCEI Skin & Wound Management Certification Course IHCA Training Center

Meridian, ID

July 16 6th Annual Keith Holloway

Golf Classic Quail Hollow

July 17 - 19

IHCA 52nd Annual Convention & Tradeshow

Boise Centre 850 W. Front St.

Boise, ID

August 14 - 16

Assisted Living Administrator & Nurse Training (Eastern ID) NEW & EXPANDED Agenda

TBD

August ?

Creating a Positive Survey Experience: Putting Emotional Intelligence to Work for You!

IHCA Training Center Meridian, ID

September 11

SNF/ICF Maintenance Director Training Springhill Suites

424 ParkCenter Blvd

September 12

AL Maintenance Director Training Springhill Suites

424 ParkCenter Blvd

Sept 26 - 28 IHCA – WHCA Joint Fall Workshop The Historic Davenport

Hotel Spokane

October 7 - 10

69th Annual AHCA/NCAL Convention San Diego, CA

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Please join us in recognizing your

IHCA Convention/Education Committee.

Thank you for contributing your time and talents to the planning of IHCA continuing education events!

April Floyd Mark Dudley Brent Schneider Maureen Karr Diana Cullin Rene Stephens Eric Collett Rich Cartney, Chairman Jami Brooks Sarah Bair Jamie Anthony Sue Linja Joyce Marler Tiffany Redden Laurie Towers

October 23 - 25

AADNS DNS-CT Workshop

One – time offering!

IHCA Training Center Meridian, ID

November 5 - 9

SNF Regional Meetings

TBD

November 13 - 15

MDS RAC-CT Training IHCA Training Center

Meridian, ID

December 4 - 6

Assisted Living Administrator & Nurse Training NEW & EXPANDED Agenda

IHCA Training Center Meridian, ID

Come make a difference!

IHCA Convention/Education Committee seeking additional

members!

No previous experience required! Participate in-person or by

conference call Work behind the scenes and be in-

the-know on future workshops &

Conventions

Planning meetings 4 – 5 times/year

Contact: monica@idhca.org

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Scholarship Monies available!

AHCA Infection Preventionist Specialized Training

Who should be interested?

This course provides specialized training for healthcare professionals who seek to serve as Infection Preventionists. Through this Infection Preventionist Specialized Training (IPCO) course, individuals will be specially trained to effectively implement and manage an Infection Prevention and Control Program at their center.

If you have questions about the scholarship available for this course, contact Monica Perry @ 208.343.9735 or monica@idhca.org

2018 IHCA / Idaho HAI Infection Control Educational Scholarship – “REQUEST for Partial Registration Reimbursement” form – on our website.

Note: AHCA Infection Preventionist Specialized Training course completion must occur within 9 months of the date the registrant starts the program. Participants must complete all training modules and successfully pass quizzes and final test with a grade of 80 or above to receive a certificate of completion from AHCA.

Idaho HAI Scholarship program requests MUST be received in the IHCA Office by:

December 15, 2018.

Upon receipt & acceptance of the supporting documentation (Proof of Registration / AHCA tuition paid in full & proof of successful completion of the course), IHCA will reimburse the first twenty-four [24] facilities that submit the request form & proof of paid tuition & course completion, $225 of the cost of the registration. (Reimbursement is limited to one per facility unless additional monies are available at the end of the year.)

*********************************************************************** Social Services Workshop

March 6 & 7, 2018 Ethics & Scope of Practice

Person-centered Care

Residents’ Rights, Facility Responsibilities & Grievance Resolution

Resident Abuse Investigation & Reporting Requirements

PASARR, MDS / CAA / & Care Planning

Discharge Planning & Effective Communication for Transition

CMS training on Antipsychotic Drug Use in the Nursing Home

Survey Preparedness

Introduction to Emotional Intelligence

Communicating & Interacting with Persons Living with Dementia

Guardianship, Advanced Directives, POSTs, & Informed Consent

VA & Medicaid Benefits to Pay for LTC

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QAPI – Certified Professional Workshop

March 27 & 28, 2018

IHCA Training Center

As a QAPI Certified Professional (QCP), you have proof that you have the knowledge and experience to lead and guide your team in complying with the new proposed regulations.

This credential demonstrates that you know how to prepare for and implement QAPI-mandated regulations in your facility.

The QCP certification is designed for directors of nursing services, QAPI managers, nursing home administrators, nurse managers, social services directors, activities directors, and staff development directors.

QCP Certification Requirements To earn the QCP certification, candidates must:

• Hold a current, active healthcare professional license • Have the equivalent of two years of full-time healthcare experience, preferably in long-term or post-acute care leadership or quality improvement • Pass the QCP certification exam with a score of 80% or better

The QCP certification is valid for four [4] years. See the Candidate Handbook on the AADNS website for recertification requirements. Nationally recognized nurse educators have developed a five-part educational program that will make it easy for you to get ready for the certification exam and will help you become an expert in the process.

Course Includes:

QAPI Design and Scope for Skilled Nursing Facilities

QAPI Governance and Leadership for Skilled Nursing Facilities

QAPI Feedback, Data Systems, and Monitoring for Skilled Nursing Facilities

QAPI Performance Improvement Projects for Skilled Nursing Facilities

Course Fees: Pre-registration required.

QAPI Systematic Analysis and Systemic Action for Skilled Nursing Facilities AADNS rules require pre-payment for this event. You will not be allowed to attend the training unless you have pre-paid!!

Per Person Rate (Non AADNS Member) = $725 Per Person Rate (AADNS Member) = $425

Join AADNS before registering for the workshop to secure the best pricing possible. Membership with AADNS is $199/year, saving you a total of $101 on both membership + workshop registration.

Registration for the workshop does not include the certification exam, as it is sold separately from the course material.

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Nurse Management for SNF Training April 10 – 11, 2018

IHCA Training Center This sixteen-hour course is designed to provide basic and advanced knowledge to learn or improve your role as a Nurse Manager in Long-Term Care. This is an opportunity to develop essential skills necessary for your important role in ensuring resident care and staff management. All relevant Federal and State regulations will be reviewed and interpreted for use in day to day compliance and leadership with focus on a person-centered culture. The new survey process will be addressed; how it differs from the previous process, and how you can best prepare for the revamped survey in the context of the revised nursing home rules (ROP). Course Instructor: This training will be presented by Demi Haffenreffer, RN, MBA. Demi has made long-term care her profession since 1973, first as a Director of Nursing and for the last thirty-five years as a consultant. Demi is known as a dynamic and interesting presenter. Her thorough knowledge of the regulations combined with her extensive hands-on experience provide for practical, everyday solutions to the challenges facing the care giver and facility.

IHCA & Idaho Hospital Association presents:

Advance Your Clinical Knowledge — Become WOUND CARE CERTIFIED

FOR LPN/LVN • RN • NP • PA • MD • DO • DPM • PTA • PT • OTA • OT

5-DAY ONSITE: June 4 – 8, 2018

IHCA Training Center This course offers an evidence-based approach to wound management to help clinicians stay current with the standards of care and legally defensible at bedside. The Wound Care Education Institute® (WCEI®) provides dynamic instructors who use engaging teaching methods proven to help students learn better and retain new material. EDUCATIONA

L$ 2,597 IDHCA Rate (Use discount code IDHCA)

Space is limited to first 30 registrants.

To register, call 877- 462 - 9234 or go to: https://www.wcei.net

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What I Learned… How I Plan to Use it…

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Your feedback is important in helping us to meet your continuing education needs. Please answer the following questions, tear off this last page and place it in any CEU receptacle at the Check-in/Registration table.

What did you like most about the event?

________________________________________________________________________________________________________________________________________________________

What did you like least about the event?

____________________________________________________________________________

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Topics you would like to see on a workshop or convention agenda:

____________________________________________________________________________

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Speakers you would like to hear:

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Thank you for taking the time to share your thoughts with us! IHCA staff