Materials
November 9 - 13, 2008
December 7 - 11, 2008
January 18 - 22, 2009
February 22 - 27, 2009
March 29 - April 2, 2009
May 3 - 7, 2009
Exclusive Report: An unprecedented survey of over 600 hospital executives, trustees, and physicians... revealing their concerns about the issues facing their hospital.
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Physician Leadership In Ambiguous Times
Fellow:
Charlotte Jefferies JD, Linda Haddad JD
Topic: Medical Staff Leader Issues, Physician Leadership
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Board Authority, Responsibility & Confidentiality
Fellow:
John Horty LLB, John Tiscornia MBA CPA
Topic: Board Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Board Authority, Responsibility & Confidentiality
Fellow:
John Horty LLB, Robert Reece
Topic: Board Issues
Conference: Naples Florida December 2 - 6 2007
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The Wise Organization
Fellow:
Leanne Kaiser Carlson MSHA, Leland Kaiser PhD
Topic: Executive Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Friend or Foe?: Specialty Hospitals And Other Financial Conflicts
Fellow:
Linda Haddad JD
Topic: Health Care Competition
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Evidence-Based Environmental Design
Fellow:
Leland Kaiser PhD
Topic: Innovation, Patient Safety
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Habitat Redesign - A New Emphasis In Health Care
Fellow:
Leland Kaiser PhD
Topic: Innovation, Patient Safety
Conference: Naples Florida December 2 - 6 2007
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A Renaissance In Introducing New Technology: DaVinci Robot
Fellow:
Della Lin MD
Topic: Health Care Technology
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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New Relationships, New Resources
Fellow:
Leanne Kaiser Carlson MSHA
Topic: Philanthropy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Scenario 1
Fellow:
David M. Lawrence MD
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Scenario 2
Fellow:
John Kitzhaber MD
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Scenario 3
Fellow:
Richard YaDeau MD FACS FACHE (Hon.)
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Payment Reform Is Critcal To Avoid A "Meltdown" Of The U.S. Health Care System And Facilitate Changes
Fellow:
Stuart Altman PhD
Topic: Health Care Policy, Health Care Reform
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Beginning Of Transition To A New Organization
Fellow:
John Horty LLB
Topic: Hospital Infra-structure & Staffing
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Computers, Connectivity, Consciousness And Community
Fellow:
Leland Kaiser PhD
Topic: Health Care Technology
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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The Medical Staff In Transition
Fellow:
Linda Haddad JD
Topic: Medical Staff Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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The Employed Physician: "Let's Do It Right This Time"
Fellow:
Richard Hoerl PhD MPA
Topic: Physician Relations
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Trouble From The IRS
Fellow:
John Horty LLB
Topic: Health Care Policy
Conference: Naples Florida December 2 - 6 2007
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Physician/Nurse Summits
Fellow:
Richard Hoerl PhD MPA
Topic: Medical Staff Leader Issues
Conference: Naples Florida December 2 - 6 2007, San Diego California November 4 - 8 2007
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The New Community Platform Of Care
Fellow:
Joseph E. Scherger MD MPH
Topic: Health Care Information Technology, Health Care Technology
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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MS.1.20: Just What Was The Joint Commission Thinking?
Fellow:
Charlotte Jefferies JD
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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The RAC Program: Pulling More Money Out Of Hospitals
Fellow:
James Kopf
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Emerging Issues In On-Call Compensation
Fellow:
Max Hockenberry CFP, Steve Worthy CFP
Topic: ER On-Call Issue, Physician Manpower Issues
Conference: Maui Hawaii January 27 - February 1 2008, Naples Florida December 2 - 6 2007, Scottsdale Arizona February 17 - 21 2008
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Deferred Compensation For ER Call
Fellow:
Steve Worthy CFP
Topic: ER On-Call Issue, Physician Manpower Issues
Conference: San Diego California November 4 - 8 2007
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Revised IRS Form 990
Fellow:
Dan Mulholland JD
Topic: Health Care Policy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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"Diagnosing" And "Treating" Disruptive Departments
Fellow:
Larry Harmon PhD
Topic: Medical Staff Leader Issues, Physician Relations
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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A Medical Record For Everyone
Fellow:
Steve Rivkin
Topic: Health Care Information Technology, Health Care Technology
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Health Care Reform: The Most Important Domestic Issue Of The 2008 Presidential Election
Fellow:
Stuart Altman PhD
Topic: Health Care Reform
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Scottsdale Arizona February 17 - 21 2008
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Credentialing Allied Health Professionals
Fellow:
Charlotte Jefferies JD
Topic: Credentialing
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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What Is Enlightenment?
Fellow:
Leland Kaiser PhD
Topic: Inspirational
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Building The Capacity To Change (Three Part Session)
Fellow:
David M. Lawrence MD
Topic: Delivery System Change
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Elements Of Successful Ambulatory Care - EHRs, PHRs, Clinical Decision Support, Web Based Communication And Care (Two Part Session)
Fellow:
Joseph E. Scherger MD MPH
Topic: Health Care Information Technology
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Board's Responsibility For Strategic Planning, Acquiring Capital And Alleviating Risk
Fellow:
John Tiscornia MBA CPA
Topic: Board Issues, Health Care Financing
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Estes Park 360° Pulse Program: Understanding Your Leadership Feedback
Fellow:
Larry Harmon PhD
Topic: Medical Staff Leader Issues, Physician Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Physician Relationships: Strategies For The Future - A Trustee Point Of View
Fellow:
Robert Reece
Topic: Board Issues, Physician Relations
Conference: Naples Florida December 2 - 6 2007
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Magical Possibilities In Philanthropy
Fellow:
Leanne Kaiser Carlson MSHA
Topic: Philanthropy
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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Improving Hospital/Physician Collaboration: A Case-Based Approach
Fellow:
Kenneth Cohn MD MBA FACS
Topic: Hospital/Physician Collaboration
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Could I Live To Be 120 Years Of Age And My Children To 140?
Fellow:
Richard YaDeau MD FACS FACHE (Hon.)
Topic: Genetics
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Adding Tools To Your Toolkit: Exploring The Complexity Of Physician Engagement
Fellow:
Kenneth Cohn MD MBA FACS
Topic: Medical Staff Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Deferred Compensation For ER Call: A New Solution For An Old Problem
Fellow:
Max Hockenberry CFP, Steve Worthy CFP
Topic: ER On-Call Issue, Physician Manpower Issues
Conference: San Diego California November 4 - 8 2007
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30 Practical Tips For Improving Physician/Hospital Relations
Fellow:
Richard Hoerl PhD MPA
Topic: Hospital/Physician Collaboration
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Peer Review Protections And Procedures: How Confident Are You In Your Process?
Fellow:
Charlotte Jefferies JD
Topic: Medical Staff Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Early Warning Signals!! Financial Disaster Ahead
Fellow:
John Tiscornia MBA CPA
Topic: Board Issues, Health Care Financing
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Become A Part Of The New Scenarios
Fellow:
John Horty LLB, John Kitzhaber MD
Topic: Health Care Policy
Conference: Maui Hawaii January 27 - February 1 2008, Naples Florida December 2 - 6 2007, Scottsdale Arizona February 17 - 21 2008
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Linking Performance To Patient Satisfaction
Fellow:
Steve Rivkin
Topic: Health Care Quality
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Technology: Is Your Organization Behind?
Fellow:
John Tiscornia MBA CPA
Topic: Health Care Technology
Conference: San Diego California November 4 - 8 2007
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Queue Up!
Fellow:
Della Lin MD
Topic: Health Care Technology, Patient Safety
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Evolving For The Future Together
Fellow:
Leanne Kaiser Carlson MSHA
Topic: Executive Issues, Innovation
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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The Stark Reality: Don't Let Your Physician Contracts Get You In Trouble
Fellow:
Dan Mulholland JD
Topic: Health Care Financing, Health Care Policy
Conference: Maui Hawaii January 27 - February 1 2008, Naples Florida December 2 - 6 2007, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Who's On First In Patient Safety?
Fellow:
Della Lin MD
Topic: Patient Safety
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Courageous Credentialing And Clinical Privileging
Fellow:
Linda Haddad JD
Topic: Credentialing, Medical Staff Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Ideas And Strategies For Dealing With The Borderline Physician
Fellow:
Charlotte Jefferies JD
Topic: Medical Staff Leader Issues, Physician Relations
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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In The Eyes Of The Patient: In The Eyes Of The Provider - Two Perspectives
Fellow:
Della Lin MD
Topic: Board Issues, Health Care Quality
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
> More Information
Physician/Hospital Financial Relationships: New Rules, New Risks, New Opportunities
Fellow:
Dan Mulholland JD
Topic: Health Care Financing, Hospital/Physician Collaboration
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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How To Write & Speak More Effectively
Fellow:
Steve Rivkin
Topic: Hospital Public Relations, Hospital/Community Partnerships
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Hospitals Must Eliminate The Waste In The System
Fellow:
John Tiscornia MBA CPA
Topic: Health Care Financing, Health Care Quality
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Medical Staff Policies: Which Do You Need? What Should They Say? How Do You Get Them Adopted?
Fellow:
Linda Haddad JD
Topic: Health Care Policy, Medical Staff Leader Issues
Conference: Naples Florida December 2 - 6 2007, San Diego California November 4 - 8 2007
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Managing Impossible P.E.O.P.L.E.
Fellow:
Larry Harmon PhD
Topic: Executive Issues, Medical Staff Leader Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Where Do We Go From Here?
Fellow:
Linda Haddad JD
Topic: Medical Staff Leader Issues
Conference: Maui Hawaii January 27 - February 1 2008, Scottsdale Arizona February 17 - 21 2008
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Issues In On-Call Compensation - Innovative Solutions Using Deferred Compensation
Fellow:
Max Hockenberry CFP, Steve Worthy CFP
Topic: ER On-Call Issue, Physician Manpower Issues
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, Scottsdale Arizona February 17 - 21 2008
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"Here They Come": Dealing With Unions - Establishing A Union-Free Environment
Fellow:
James Kopf, Richard Hoerl PhD MPA
Topic: Unions
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Inside The Mind Of The Consumer
Fellow:
Steve Rivkin
Topic: Community Relations, Consumer Attitudes, Hospital Ratings, Patient Expectations
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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A House Divided: Ethical Restraints Begetting Controversy In The Application Of Science In Medical Practice
Fellow:
Richard YaDeau MD FACS FACHE (Hon.)
Topic: Genetics
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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Disruptive Docs: 360° Tools For Prevention, Education And Intervention
Fellow:
Larry Harmon PhD
Topic: Medical Staff Leader Issues, Physician Relations
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008
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The Politics Of Health Care Reform Creating A Shared Vision For The Future: The Unfinished Business Of The Baby Boom Generation
Fellow:
John Kitzhaber MD
Topic: Health Care Policy, Health Care Reform
Conference: La Quinta California April 6 - 10 2008, Maui Hawaii Jan. 27 - Feb. 1 2008, Naples Florida December 2 - 6 2007, Orlando Florida April 27 - May 1 2008, San Diego California November 4 - 8 2007, Scottsdale Arizona February 17 - 21 2008