2020 SHIEC Annual Conference Speaker Proposal Form

    Presentation Topics & Tracks

    Please select one of the Tracks below and choose the best sub-topic within the drop down menu that closely matches your presentation proposal.


    Choose Your Track Below to Display Sub-Topics*

    Track 1 - Innovations in HIE

    Using health information exchange to advance clinical care, operations and community value.

    Track 2 - Government, Policy & Industry Standards

    Government, public policy and industry standards related to health IT and health information exchange.

    Track 3 - Technology & Data Management

    Technology and data management to improve the quality and value of shared information.

    Type of Presentation and Time

    Please check one or more of the following presentation types below that the speaker(s) plan to provide.

    LECTURE STYLE – A 50-minute traditional, lecture-type conference education session in which a specific topic is presented and discussed. The presentation includes a brief question and answer period during the last 10 minutes of the session.PANEL STYLE - In collaboration with 2-3 other panelists, each panelist will give a brief description of their work and organization, providing different perspectives on a similar topic and/or project, and answering questions from the audience or facilitator. Depending on the number of panelists, each one would present for 10-15 minutes and leave time for questions and discussion. This is a more interactive format with the panel and audience.

    Presentation Details

    Answer questions below for Lecture-Style Presentation and Panel-Style Presentation.


    Presentation Title*

    Please limit this to 12-15 words.

    Presentation Summary*

    Please provide a 100-150 word summary of your presentation topic.

    Presentation Audience*

    What audience do you intend to target and how will this presentation specifically provide opportunity or education to SHIEC Members and conference attendees?

    Presentation Objectives*

    Please include 2-3 learning objectives for your presentation.

    Presentation Needs

    The SHIEC Annual Conference provides a laptop computer and LCD projector for all presentations and will load all presentations in advance. A podium, microphone, and/or wireless lavalier will also be provided for all presenters. Please provide any additional needs for your presentation.

    Speaker #1 Information


    First Name*

    Last Name*

    Title*

    Organization*

    Email*

    Mobile Phone*

    Office Phone*

    Speaker #1 Headshot

    Upload a high-resolution headshot of the speaker.

    Biography of Professional Background*

    Limit responses to 250 words. Please do not provide a resume.

    Public Speaking Experience*

    List the most recent three presentations the speaker has made at regional and national meetings. Identify speaking organization, date, program and name of presentations.

    Speaker Introduction*

    Limit responses to 150 words. Should this proposal be accepted, please provide a written introduction for the speaker in 3rd person, present tense and in a business-appropriate tone. This will be used for the speaker introduction.

    Speaker #2 Information


    First Name

    Last Name

    Title

    Organization

    Email

    Mobile Phone

    Office Phone

    Speaker #2 Headshot

    Upload a high-resolution headshot of the speaker.

    Biography of Professional Background

    Limit responses to 250 words. Please do not provide a resume.

    Public Speaking Experience

    List the most recent three presentations the speaker has made at regional and national meetings. Identify speaking organization, date, program and name of presentations.

    Speaker Introduction

    Limit responses to 150 words. Should this proposal be accepted, please provide a written introduction for the speaker in 3rd person, present tense and in a business-appropriate tone. This will be used for the speaker introduction.

    Speaker #3 Information


    First Name

    Last Name

    Title

    Organization

    Email

    Mobile Phone

    Office Phone

    Speaker #3 Headshot

    Upload a high-resolution headshot of the speaker.

    Biography of Professional Background

    Limit responses to 250 words. Please do not provide a resume.

    Public Speaking Experience

    List the most recent three presentations the speaker has made at regional and national meetings. Identify speaking organization, date, program and name of presentations.

    Speaker Introduction

    Limit responses to 150 words. Should this proposal be accepted, please provide a written introduction for the speaker in 3rd person, present tense and in a business-appropriate tone. This will be used for the speaker introduction.

    Speaker #4 Information


    First Name

    Last Name

    Title

    Organization

    Email

    Mobile Phone

    Office Phone

    Speaker #4 Headshot

    Upload a high-resolution headshot of the speaker.

    Biography of Professional Background

    Limit responses to 250 words. Please do not provide a resume.

    Public Speaking Experience

    List the most recent three presentations the speaker has made at regional and national meetings. Identify speaking organization, date, program and name of presentations.

    Speaker Introduction

    Limit responses to 150 words. Should this proposal be accepted, please provide a written introduction for the speaker in 3rd person, present tense and in a business-appropriate tone. This will be used for the speaker introduction.

    Speaker #5 Information


    First Name

    Last Name

    Title

    Organization

    Email

    Mobile Phone

    Office Phone

    Speaker #5 Headshot

    Upload a high-resolution headshot of the speaker.

    Biography of Professional Background

    Limit responses to 250 words. Please do not provide a resume.

    Public Speaking Experience

    List the most recent three presentations the speaker has made at regional and national meetings. Identify speaking organization, date, program and name of presentations.

    Speaker Introduction

    Limit responses to 150 words. Should this proposal be accepted, please provide a written introduction for the speaker in 3rd person, present tense and in a business-appropriate tone. This will be used for the speaker introduction.

    Speaker Proposal Submission

    Please provide the name and contact information below for the person who is submitting the Speaker Proposal.


    First Name

    Last Name

    Title

    Organization

    Email

    Mobile Phone

    Office Phone