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2015 MI-NADONA/LTC Annual Convocation & Expo

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October 21-23, 2015Motor City Hotel & Casino, Detroit

www.MINADONA.orgwww.2015MINADONA.splashthat.com

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MiNADONA

Health Care Association of MichiganPromoting Excellence in Senior Care

MembershipIf you are not already a member of NADONA/LTC, please be sure to visit:

www.NADONA.org Or to sign-up for membership now to receive the discounted NADONA member registration rate and many other benefits, please complete page 17 and fax to NADONA at (513) 791-3699.

PurposeParticipation in this year’s MI-NADONA/LTC Annual Convocation will result in enhanced implementation of clinical standards of practice and care performance excellence in the skilled nursing environment.

Target AudienceThis convocation is appropriate for directors of nursing, assistant directors of nursing, nurse managers and other clinical partners with intermediate to advanced levels of nursing expertise in long-term care. Corporate consultants, clinical directors, nursing home administrators and other health care partners with direct resident care responsibilities are encouraged to participate as well.

Continuing EducationThis year’s MI-NADONA/LTC Convocation & Expo will provide participants the opportunity to earn up to 13 nurse contact hours.

HCAM is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Participants may also earn up to 13 licensed nursing home administrator contact hours.

Joint Provided EventThe 2015 MI-NADONA/LTC Annual Convocation & Expo is co-provided by Health Care Association of Michigan and Michigan Chapter National Association of Directors of Nursing in Long-Term Care.

Welcome to the 25th Anniversary Celebration!

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HCAM is proud to be the exclusive event manager for the Michigan Chapter of NADONA/LTC.

Networking Highlights Please join us to celebrate MI-NADONA/ LTC’s 25th Anniversary. You won’t want to miss this epic milestone celebration!

Awards & Recognition Luncheon to honor the best of nursing in long-term care

Annual Vendor Expo featuring 60 exhibitors dedicated to providing exceptional services and products

25th Anniversary Celebration Masquerade in the D! See page 14 for more information on the NURSE PARTY OF THE YEAR

Chance to win many prize raffle items, expo prizes and many other grand prize nurse- giveaways this year

Wednesday evening on your own to enjoy the Motor City Casino, D.Tour Spa or a Detroit hotspot with colleagues, sponsors and exhibitors

Education HighlightsOpportunity to earn up to 13 nurse continuing education

contact hours including up to 1.5 “pain” contact hours over the course of 3 days

Opening keynote by back-by-popular-demand Iris Zink, who will kick off this year’s Convocation with “Laughter

is the Best Medicine” and a zesty, fun and dynamic session on “Let’s Talk About…Sexual Intimacy& Chronic Disease”

Closing keynote and exculsive musical performance by Rock & Roll Hall of Fame Martha Reeves, American pop

and R&B singer best remembered as the lead singer of the group Martha & The Vandellas

17 quality, nurse-focused educational sessions designed for long-term care nurses with intermediate to advanced

levels of nursing experience

Experience Healing Touch, a relaxing, nurturing energy therapy that uses gentle touch to assist in balancing physical, mental, emotional, and spiritual well-being

Table of Contents

2-3 Education Highlights

4-5 Agenda at a Glance

6-8 Wednesday Education

9-10 Thursday Education

11 Annual Vendor Expo

12-13 Friday Education

14 Masquerade

15 Board of Directors

16 Lodging Information

17 NADONA Membership

18 Convocation Sponsors

19 Registration Policies

19 Save the Dates

20 Registration Form

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CELEBRATE!

RECOGNIZE!

NETWORK!

PARTY!

WIN!

EXPERIENCE!

Wednesday, October 218:30 am REGISTRATION OPENS

8:30 - 9:30 am BREAKFAST

9:00 - 9:30 am WELCOME & OPENING REMARKS

9:30 - 10:30 am OPENING KEYNOTE PRESENTATION:K1: Laughter is the Best Medicine

10:45 - 11:45 am CONCURRENT BREAKOUT SESSIONS:

W1: Skin Integrity: How to Select the Proper Moisturizer for Your Residents

W2: PR for RNs: How to Keep a Crisis Under Control While Your Administrator is Away

W3: Strategies for Successful Nurse Recruitment & Retention

11:45 am - 1:05 pm AWARDS & RECOGNITION LUNCHEON

1:05 - 2:35 pm CONCURRENT SESSIONS:

W4: Case Management = Care Management

W5: Let’s Talk About…Sexual Intimacy & Chronic Disease

W6: Tweets & Termination: Social Media in the Workplace

2:50 - 4:20 pm CONCURRENT SESSIONS:

W7: Pharmacologic Management of Diabetes in the Elderly

W8: Coordinated Pain Management: Improving Non-Pharmacological & Pharmacological Management of Pain

W9: Cosmic Heros Unite for Conflict Resolution

4:35 - 5:35 pm GENERAL SESSION:W10: Using Your Senses to Screen for Sepsis

5:35 pm EVENING ON YOUR OWN

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Thursday, October 228:30 am REGISTRATION OPENS

8:30 - 9:30 am BREAKFAST

9:00 - 10:30 am CONCURRENT BREAKOUT SESSIONS:

T1: Obesity Issues in Long-Term Care

T2 The MCOs are Here! Managing Managed Care10:45 - 11:45 am CONCURRENT BREAKOUT SESSIONS:

T3: ICD 10 for Nursing Leadership : Guide to Successful TransitionT4 The Power of Poop: The Importance of Regular Bowel Movements

11:45 am - 1:00 pm LUNCH ON YOUR OWN WITH VOUCHERS

1:00 - 2:30 pm CONCURRENT BREAKOUT SESSIONS:

T5 Management of Heart Failure: A Review for LTC ProvidersT6 The MCOs are Here! Managing Managed Care (REPEATED SESSION)

2:30 - 5:30 pm ANNUAL VENDOR EXPO SHOW

5:30 - 7:30 pm DINNER ON YOUR OWN

7:30 - 10:30 pm 25th ANNIVERSARY MASQUERADE

Friday, October 238:00 am REGISTRATION OPENS

8:00 - 9:00 am BREAKFAST

8:15 - 9:00 am CLOSING REMARKS, GENERAL ASSEMBLY MEETING & RAFFLE DRAWINGS

9:00 - 10:00 am CLOSING KEYNOTE PRESENTATION:K2 The Glory of Dedication & Perseverance

10:15 - 11:15 amGENERAL SESSION: F1 ‘Tis the Season: A Clinical & Regulatory Overview of Influenza in Long Term Care

11:30 am - 12:30 pm GENERAL SESSION: F2 Regulatory & QAPI Update

12:30 pm CONVOCATION CONCLUDES

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WEDNESDAY, OCTOBER 21AGENDA-AT-A-GLANCE

8:30 am Registration, Check-In & Breakfast

9:00-9:30 Welcome & Opening Remarks

9:30-10:30 Opening Keynote Session K1: Laughter is the Best Medicine

10:45-11:45 Concurrent Breakout Sessions W1: Skin Integrity

W2: PR for RNs

W3: Successful Nurse Recruitment & Retention

11:45-1:05 Awards & Recognition Luncheon

1:05-2:35 Concurrent Breakout SessionsW4: Case Management

W5: Sexual Intimacy & Chronic Disease

W6: Tweets & Termination

2:50-4:20 Concurrent Breakout SessionsW7: Pharmacologic Management of Diabetes

W8: Coordinated Pain Management

W9: Conflict Resolution

4:35-5:35 General SessionW10: Using Your Senses to Screen for Sepsis

5:35 pm Evening on Your Own

K1 Laughter is the Best MedicineIRIS ZINK | BEALS INSTITUTEIn this hilarious opening keynote presentation, the back-by-popular-demand Iris Zink will discuss laughter and how it can be used by nurses and residents to help control and manage disease symptoms. This keynote presentation will discuss the physiological benefits of laughter and how to motivate residents to adopt healthy choices and lifestyle behaviors. Participating nurses will have a better understanding of what they can do to maintain their own health and avoid burnout. Iris will demonstrate that laughter truly is the best medicine!

W1 Skin Integrity: How to Select the Proper Moisturizer for Your ResidentsDR. PETER SAITTA | BEDSIDE DERMATOLOGYLong-term care facilities are now being regulated by the Center for Medical Care Services to evaluate their effectiveness in treating skin integrity. Payment will be determined on how effectively you treat the resident’s skin condition. Dr. Saitta will share with nurse participants the science of skin integrity and how to choose proper moisturizers to prevent breakdown.

W2 PR for RNs: How to Keep a Crisis Under Control While Your Administrator is AwayELIZABETH THOMAS | HEALTH CARE ASSOCIATION OF MICHIGANIt’s late at night when the phone rings and your administrator isn’t available. The TV station just pulled into the facility parking lot. What do you do? What do you say? This informative session will deconstruct all the facets that build a proper media story, as well as help nurses know the steps they can take to properly manage media inquiries, both benign and crisis-driven.

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WEDNESDAY, OCTOBER 21AGENDA-AT-A-GLANCE

W3 Strategies for Successful Nurse Recruitment & RetentionAUDRA DIXON | LEADERSTATThis presentation will provide nurse participants with information on recruiting top nursing/clinical talent to your organization, interviewing skills and suggestions for a successful hiring process, making an offer to the candidate, and key employee retention strategies on how your healthcare organization or facility can retain qualified and competent nurses who can and will deliver exceptional resident care and promote positive outcomes in your organization.

W4 Case Management = Care ManagementBRENDA SOWASH | ROLF CONSULTING LLCCase management...it's not just about the money...it’s about care management. The Affordable Care Act continues to present challenges to skilled nursing facilities in caring for their residents. Now, facilities must manage the complexities of their residents with less reimbursement and resources. Case management of facility residents, both short and long stay, will be the key to a facility's successful clinical and financial outcomes in a managed care environment.

W5 Let’s Talk About…Sexual Intimacy & Chronic Disease IRIS ZINK | BEALS INSTITUTEThis zesty, fun and dynamic lecture will examine how to best approach the subject of sexuality with your residents and care teams. Nurse participants will explore how sexuality changes with age, discuss how every individual, including our residents, are a sexual person and review the 10 myths of sexuality. Nurse participants should be prepared for a lively discussion and “sex ed” like they’ve never experienced before!

W6 Tweets & Termination: Social Media in the WorkplaceNICOLE PATERSON | CLARK HILL PLCEmployee use of social media continues to frustrate

employers. This is especially true in long-term care facilities that are entrusted with protecting patient information and integrity. Recent decisions from the National Labor Relations Board, and the recent passage of states’ laws, including the Michigan’s Internet Privacy Protection Act, hinder employers from using employees’ social media posts to discipline or discharge employees who criticize employers and supervisors in social media postings. This interactive session will discuss the hurdles employers face with employees' use of social media and how to avoid violations of employee privacy and government claims that the posting is protected activity.

W7 Pharmacologic Management of Diabetes in the ElderlyTOM KATOFIASC | OMNICAREDiabetes remains a major health concern in the elderly, especially in the long-term care setting. Although there are many new medication options for treating diabetes, the frail elderly are at risk for adverse events including hypoglycemia related to anti-diabetic medications. This presentation will provide an overview of Diabetes along with treatment options ranging from oral therapy to basal bolus insulin dosing to promote better health outcomes for our nursing home residents.

W8 Coordinated Pain Management: Improving Non-Pharmacological & Pharmacological Management of PainSCOTT PAXTON | GREAT LAKES CARINGBy attending this educational activity, nurse participants will be able to describe best practices in pain management utilizing both non-pharmacological and pharmacological approaches to treating pain. The purpose of this activity is to provide nurses with new approaches to pain management based on philosophical changes in the assessment and management of pain to promote resident comfort and quality of life.

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WEDNESDAY, OCTOBER 21AGENDA-AT-A-GLANCE

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W10 Using Your Senses to Screen for SepsisMICHELLE MOCCIA | ST. MARY MERCY HOSPITALThe incidence of severe sepsis and septic shock is increasing in the elderly population. A higher index of suspicion is necessary in this population since the initial clinical presentation may be ambiguous, thus missing the opportunity for timely, aggressive management of sepsis. This program will focus on the signs and symptoms of sepsis using standard criteria and showcase a variety of tools you can use in your facility to help identify and diagnose severe sepsis and septic shock in nursing home residents. Nurse participants will NOT want to miss this informative and applicable general session.

Professional Development MI-NADONA/LTC, with support from our

sponsor partners, will continue to raise money to promote the professional development of

LTC nurse professionals in Michigan. We kindly ask that all participants and vendors give back to the profession and fellow/future LTC nurse

professionals by contributing to the MI-NADONA/LTC Margaret Godfrey Scholarship Fund at this

year’s Convocation & Expo.

W9 Cosmic Heros Unite for Conflict ResolutionSTACY STARLING | STARLING CENTER FOR ORGANIZATIONAL DEVELOPMENTHENRY BOUTROS | NEXCARE HEALTH SYSTEMSIt takes two wings to soar with effective leadership, the meeting of feeling and thought. This interactive session will illuminate our blindspots of communication by examining the inner source of our actions in the midst of conflict. Next, this session will examine important leadership communication capacities to consciously access emotional resonance within conflict; ultimately serving to unite our cosmic heroes to forward positive action and successful outcomes. Directors of nursing and clinical leaders are strongly encouraged to attend this session to help improve their conflict resolution skills.

THURSDAY, OCTOBER 22AGENDA-AT-A-GLANCE

8:30 am Registration, Check-In & Breakfast

9:00-9:30 Welcome & Opening Remarks

9:00-10:30 Concurrent Breakout Sessions T1: Obesity Issues in Long-Term Care

T2: The MCOs are Here! Managing Managed Care

10:45-11:45 Concurrent Breakout Sessions T3: ICD 10 for Nursing Leadership : Guide to Successful Transition

T4: The Power of Poop: The Importance of Regular Bowel Movements

11:45-1:00 Lunch On Your Own with Vouchers

1:00-2:30 Concurrent Breakout Sessions T5: Management of Heart Failure: A Review for LTC Providers

T6: The MCOs are Here! Managing Managed Care (REPEAT SESSION)

2:30-5:30 Annual Vendor Expo Show

5:30-7:30 Dinner on Your Own with Partners

7:30-10:30 pm 25th Anniversary Masquerade

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T1 Obesity Issues in Long-Term CareDR. MARK JACKSON | MICHIGAN MEDICAL DIRECTORS ASSOCIATIONLong-term care facilities are increasingly caring for extremely obese residents. These extremely obese residents present many unqiue challenges to both the facility and to the nursing team. Dr. Jackson will explore the etiology of obesity ,identify caregiver issues, identify environmental issues, and discuss treatment goals so that the facility and nursing team may better support and care for this medically complex population of residents.

T2 The MCOs are Here! Managing Managed CareSUSIE MIX | MIX SOLUTIONS INCThis interactive lecture will give the nuts and bolts of how to work with Managed Care on a day- to- day basis. Discussion topics will focus on flow of patient from pre-admission to discharge. Emphasis is directed to facility roles and best practices for facility team members in costing-out patient prior to admission, advocating for patient care, managing patient stay and facility communication strategies. This presentation provides the essential tools, case management best practices and methods for Managing Managed Care successfully. The MCOs are Here!

T3 ICD 10 for Nursing Leadership : Guide to Successful TransitionKAROLEE ALEXANDER | PATHWAY HEALTHThis informative session will examine the changes in diagnosis coding to be implemented on October 1, 2015 and provide the nurse participants with a better understanding of the components of ICD 10 that will affect post-acute care of residents. Nurse participants will be able to identify 5 key implementation strategies to effectively integrate ICD 10 into their daily operations and create a leadership monitoring plan to reduce potential negative operational outcomes.

T4 The Power of Poop: The Importance of Regular Bowel MovementsDR. LINDSAY BEST | BEST MEDICAL SERVICESThis informative presentation will address the importance of regular bowel movements and illustrate that the “power of poop” plays a key role in maintaining overall health and comfort of our nursing home residents. Assessment and treatment recommendations, best practices and how to identify and avoid bowel obstructions will be discussed. Participants will not want to miss this helpful session which will be sure to help nurses keep their residents regular!

T5 Management of Heart Failure: A Review for LTC ProvidersDR. PANKAJ JANDWANI | MIDMICHIGAN HEALTHThis clinically focused session will provide nurses with a better understanding of how to care for residents with Congestive Heart Failure (CHF) to promote an optimal health outcome. Challenges, variations, best practices and helpful resources will be provided to nurses on this important condition affecting a major population of nursing home residents. All participants are strongly encouraged to participate in this informative session.

T6 The MCOs are Here! Managing Managed Care (Repeat Session to Ensure Each Nurse's Participation in this Session)SUSIE MIX | MIX SOLUTIONS INCThis interactive lecture will give the nuts and bolts of how to work with Managed Care on a day- to- day basis. Discussion topics will focus on flow of patient from pre-admission to discharge. Emphasis is directed to facility roles and best practices for facility team members in costing-out patient prior to admission, advocating for patient care, managing patient stay and facility communication strategies. This presentation provides the essential tools, case management best practices and methods for Managing Managed Care successfully. The MCOs are Here!

THURSDAY, OCTOBER 22AGENDA-AT-A-GLANCE

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3M MedicalAdvaCare SystemsAdvanced TissueAll Med MedicalApollo CorporationAtrium CentersAvanirBeaumont Mobile ImagingBedside DermatologyBehavioral Care SolutionsBoeringer-IngelheimCalmoseptine, Inc.CareLinc Medical, LTCCiena HealthcareClorox ProfessionalComfiHips by Worldwide Ortho, LLCCompass Communications Group, LLCFitzsimmons Hospital ServicesGreat Lakes Caring Home Health & HospiceHome Town PharmacyHospice AdvantageHPSI Purchasing ServicesIn Touch PharmaceuticalsIntegra Healthcare EquipmentIntegrated Pharmacy NetworkInvacare Continuing CareMBS Envision Inc.McKesson Medical SurgicalMcLaren Homecare GroupMedline Industries

Mobile Care GroupMobile Medical SupportMobileXUSANovo NordiskNutricia North AmericaOnHealthcarePathway HealthPharMericaPine Rest Christian Mental Health ServicesPrimeSourceQCI HealthcareRemedi Senior CareResidential Home Health & HospiceRXPERTS PharmacySanofiSava Senior Care Administrative ServicesScrubs on WheelsSeasons Hospice & Palliative Care of MISecure Care Health Systems Inc.Seniors Wellness Group of MichiganService Care Inc.Span-AmericaSpecialized Pharmacy an Omnicare Co.Symmetry Hand HygieneTherapy ManagementUniversal Laundry MachineryVPH PharmacyWound Kair ManagementWound Mangement of Oklahoma, Inc.WoundRounds

Welcome 2015 Vendors!

expoMI-NADONA/LTC

Annual Vendor Expo ShowOct. 22 | 2:30-5:30 PM

Vendors in alphabetical order at the time of print:

8:00 am Registration & Breakfast

8:15-9:00 Closing Remarks, General Assembly & Raffle Drawings

9:00-10:00 Closing Keynote Session K2: The Glory of Dedication & Perseverance

10:15-11:15 General SessionF1: 'Tis the Season: A Clinical & Regulatory Overview of Influenza in Long-Term Care

11:30-12:30 General SessionF2: Regulatory & QAPI Update

12:30 pm Conclusion of Convocation

F1 ‘Tis the Season: A Clinical & Regulatory Overview of Influenza in Long Term CareWILLIAM VAUGHAN | REMEDI SENIORCAREROB SHULMAN | REMEDI SENIORCAREAccording to the Centers for Disease Control & Prevention (CDC), it's estimated that "90% of seasonal flu-related deaths and between 50-60% of seasonal flu-related hospitalizations in the United States occur in people 65 years and older." Nursing home and assisted living providers care for some of the most compromised elderly in our society and therefore must make the prevention, treatment and control of influenza an organizational priority. This presentation, provided by a board certified geriatric pharmacist and a former nurse surveyor, will review current standards of practice regarding influenza from both a clinical and regulatory perspective. Management of the disease via immunization, antiviral prophylaxis and in-house versus hospital base treatment will be highlighted. Nurses will NOT want to miss this session as we move forward into “flu season.”

F2 Regulatory & QAPI Update VICKIE BURLEW | LEBENBOM & ROTHMANANGIE GIRARD | LINCHPIN QUALITY SOLUTIONS LLCLong-term care is now in the public domain on the information super highway. Consumers now have access to their facility’s plans of correction and Five Star Ratings at lightning speed. Find out where your facility is at in the world of regulations and discover what is around the next curve ahead in terms of Quality Assurance and the 5 Star Rating. Nurse participants will NOT want to miss this informative update.

K2 The Glory of Dedication & PerseveranceMARTHA REEVES | IDEAL ENTERTAINMENTMI-NADONA/LTC is honored to welcome Rock & Roll Hall of Fame Martha Reeves, American pop and R&B singer best remembered as the lead singer of the group Martha and the Vandellas, as this year’s closing keynote presenter. Martha and the Vandellas scored hit after hit, propelling the group to fame with classic songs such as "Love Is Like a Heat Wave," "Quicksand" and "Nowhere to Run.” Martha will share her story of dedication, perseverance and utilizing her God-given talent to inspire others towards their achieving goals through peril, challenges and competition. Nurse participants will not want to miss Martha’s heartwarming and inspirational story and an exclusive, live musical performance by the one and only, Martha Reeves!

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FRIDAY, OCTOBER 23AGENDA-AT-A-GLANCE

It was 1962 that Motown's Artist and Repertoire Director William “Mickey” Stevenson first heard the voice that would become synonymous with "the sound of young America." A young jazz/blues singer with the unlikely name of "Martha Lavaille" was bringing audiences to their feet at Detroit's famed 20 Grand Nightclub singing songs made popular by singers the likes of Gloria Lynne and Della Reese. He invited her to audition at the new Motown Records headquarters, "Hitsville, USA."

Though the audition never happened, within a year, Martha had taken the reigns of the company's A&R department, ingratiating herself. She saw that musicians showed up on time and got paid. She watched, learned, and whenever opportunity presented itself, she sang. And when she did, everyone took notice. When Mary Wells couldn't make a session, Martha was called to the mic. With her group, the Del Phi's, she recorded "I'll Have to Let Him Go," and Martha and the Vandellas was born.

The song was rather forgettable, but Reeves' sound wasn't. While waiting for her first hit, Martha (along with Rosalind Ashford and Annette Beard) backed Marvin Gaye on his first three releases and sang with him on stage. Soon, however, they emerged from the shadows with "Come and Get These Memories," followed by an enviable string of hits: "Heat Wave," "Jimmy Mack," and, of course, the Motown anthem, "Dancing In The Street."

Martha Reeves continues to thrill audiences around the world. Her self-produced 2004 CD, "Home to You" was named one of the year's best by the Asbury Park Press. In 2005, Will Smith mined the Motown vaults to uncover her unreleased gem, "It's Easy to Fall In Love," and included it in the hit movie "Hitch." Also in 2005, Motown released Martha's "Lost and Found" collection, which included the rare Smokey Robinson-penned "Spellbound," her studio recording of "For Once In My Life," and covers of hits by the likes of Aretha Franklin, the Marvelettes, Vikki Carr, Sam & Dave, and the Four Tops. She was also featured in the PBS special, "Motown: The Early Years," writing liner notes for the four-set CD package. A "Gold" collection was released in March 2006 and "The Definitive Collection" in 2009. (Her 1968 "Live at the Copa" remains in the vaults, but we hope for a release in the not-too-distant future.

Martha just completed a four-year run as a member of the Detroit City Council. She is back on the road full time, making sure that no one ever forgets the Motor City!

Martha ReevesCLOSING KEYNOTE &

EXCLUSIvE MUSICAL PERFORMANCE

FRIDAY, OCTOBER 23AGENDA-AT-A-GLANCE

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�asquerade�nniversary

th25 PARTY IT UP! Back by popular demand, Detroit’s own American pop rock band, The Killer Flamingos

SHAKE IT UP! Once you hit the dance floor, you’ll never want to leave…

CHEESE IT UP! Green Screen Photo Station with complimentary take-home picture

TOAST IT UP! 2 hours of hosted bars, 1 hour of cash bars & special 25th Anniversary Masquerade Signature Drink

LAUGH IT UP! Costumes?! What costumes?!

INDULGE IT UP! Delicious, chef-prepared appetizers, treats and other worth-it indulgences

Thursday, October 227:30-10:30 pm

Motor City SoundBoard

�oard of �irectors

�asquerade

AREA I: Etta Brown lbrown@fairlanescr.com Macomb, Oakland & Wayne counties

AREA II: Lynae Carsonlcarson@saginawscr.comBay, Gratiot, Isabella, Midland & Saginaw counties

AREA III: Judi Christensenjchristensen@pilgrimmanor.orgIonia, Kent, Mecosta, Montcalm, Muskegon, Newago, Oceana & Ottawa counties

AREA IV: Beth Beambbeam@allegancounty.orgAllegan, Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph & Van Buren counties

AREA V: Renee Cunninghamrcunningham@mhc.netAlcona, Alpena, Arenac, Crawford,

Gladwin, Iosco, Montmorency, Ogemaw, Oscoda, Otsego & Roscommon counties

AREA VI: Tammi Lehtotlehto@houghtonmcf.comBaraga, Gogebic, Houghton, Iron, Keweenaw & Ontonagon counties

AREA VII: Brenda Palmer1bpalmer62@gmail.comClinton, Eaton, Ingham, Livingston & Shiawassee counties

AREA VIII: Kim Shaughnessykim.shaughnessy330@comcast.netHillsdale, Jackson, Lenawee, Monroe & Washtenaw counties

AREA IX: Tammi Lehtotlehto@houghtonmcf.comAlger, Delta, Dickinson, Marquette, Menominee & Schoolcraft counties

AREA X: Patty McCleesclipstitch@msn.comCharlevoix, Cheboygan, Chippewa, Emmet, Luce, Mackinac & Presque Isle counties

AREA XI: Patricia Leonardpleonard@thevillagerehab.comHuron, Lapeer, Sanilac, St. Clair & Tuscola counties

AREA XII: Cheryl Pattoncheryl@meadowbrookmcf.comAntrim, Benzie, Clare, Grand Traverse, Kalkaska, Lake, Leelanau, Manistee, Mason, Missaukee, Osceola & Wexford counties

AREA XIII: Phyllis Bergquist Janie0211@comcast.netGenesee county

FOUNDER: Peggy Godfreypgodfrey1@aol.com

PRESIDENTShari Carsonslcarson@comcast.net

VICE PRESIDENTBonnie Beullabbeulla@marwoodmanor.org

TREASURERMichele Blacksonmblackson@nexcarehealth.com

SECRETARYVacant

SCHOLARSHIPDonna Beebegerald.beebe@yahoo.com

NOMINATINGJulie Pudvayjulie.pudvay@sbcglobal.net

BYLAWSLinda Mondouxstratltc@gmail.com

MEMBERSHIPEllie Posterekposter@aol.com

PROGRAMSShari Carsonslcarson@comcast.net

MEDIAMary Keanemkeane@synergymedical.org

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This year’s MI-NADONA/LTC Annual Convocation & Expo will be held at the Motor City Hotel & Casino located at 2901 Grand River Ave. Detroit, MI 48201.

Should you need overnight lodging, please secure your hotel reservation directly with Motor City Hotel & Casino by calling (866) 782-9622 by October 1 or by visiting our dedicated hotel reservation website: http://bit.ly/15NADONAHotelReservations

Please be sure to reference group code “1159Z4” at the time of reservation to receive the discounted group rate of $139 per night plus applicable taxes.

Please make your reservation now, as rooms are limited and not guaranteed.

Both valet and self-parking at Motor City Hotel & Casino are complimentary.

HOTEL ACCOMMODATIONS Secure by Oct. 1!

Check in. Chill out.

With fine dining, gaming, a decadent spa,

and headline entertainment, MotorCity

Casino Hotel brings together excitement,

luxury and pleasure to create an experience

you can’t get anywhere else.

866-STAY-MCC MotorCityCasino.com

A M I L L I O N M I L E S A W A Y ,

R I G H T D O W N T H E S T R E E T.

MotorCity Casino Hotel and MotorCity Casino Hotel design are trademarks of Detroit Entertainment, L.L.C. ©2015 Detroit Entertainment, L.L.C. All rights reserved.

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D.Tour SpaOur facility features thermal whirlpools, steam rooms, dry saunas and Rain shower facilities. We offer 10 private treatment rooms with a specialized selection of massage and body treatments and expert finishing touches to bring out your best. To reserve a treatment, please contact our Spa Coordinators at 313-309-4595.

MEMBERSHIP APPLICATION A Membership Organization dedicated to Nurses in the Long Term Care Continuum

Make check or money order payable to: NADONA/LTC, 11353 Reed Hartman Highway, Suite 210, Cincinnati, Ohio 45241 FOR Credit Cards only - fax request to (513) 791-3699

Apply for membership on our website with Visa/Mastercard/American Express @ www.nadona.org Membership question? Call NADONA/LTC toll free 800-222-0539 or Email us at membership@nadona.org R-7/3/2013

□ New □ Renew Please print clearly (use one form per applicant or update renewal notice information) Tell Us About You Select all that apply: CDONA FACDONA CALN CLPN GDCN First Name Last Name

Home Address City State Zip

Home Phone Home Email

Tell Us About Your Career □ Skilled Nursing □ Assisted Living □ Retired

Corporation Facility/Community Name

Facility/Community Address City State Zip County

Facility Phone (please include extension) Work Email

Title License# and State Issued Type of license (RN, LPN, LVN)

Membership Dues PLEASE SUBMIT FEES FOR DUES AS LISTED BELOW

If you do not see your state, inquire about beginning a chapter in your state!

STATE 1 YR 2 YR STATE 1 YR 2 YR STATE 1 YR 2 YR STATE 1 YR 2 YR

Arizona $115 $200 Indiana $115 $200 New Hampshire $115 $200 South Carolina $115 $210 Arkansas $110 $190 Kansas $115 $200 New Jersey $130 $235 Tennessee $115 $210 California $110 $200 Kentucky $115 $210 New Mexico $110 $210 Texas $125 $225 Colorado $110 $200 Maryland $120 $220 New York $120 $215 Virginia $115 $200 Connecticut $115 $210 Massachusetts $125 $215 North Carolina $115 $210 Washington $115 $210 Florida $125 $230 Michigan $120 $220 North Dakota $125 $230 West Virginia $110 $200 Georgia $115 $205 Minnesota $115 $210 Ohio $110 $195 Hawaii $120 $220 Missouri $120 $210 Oklahoma $115 $210 Illinois $115 $210 Nevada $130 $235 Pennsylvania $115 $205

For all States not listed, please pay $90.00 for one year; $160.00 for two years membership How Would You Like to Pay? □ Check Enclosed □ Visa □ MasterCard □ American Express □ Discover

Name as it appears on card: ___________________________________________________________________

Billing Address (if different from above) __________________________________________________________

Card#: ______________________________________________________ Expiration Date: ____/____

SIC: ______ (3 digit code on back or 4 digit on front for AMEX) Signature: _______________________________

Contributions or gifts to the National Association of Directors of Nursing Administration in Long Term Care, Inc. are not tax deductible as charitable contributions.

However, they may be deductible as ordinary and necessary business expenses.

Submit directly to NADONA by fax to 513-791-3699

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Early Registration DeadlineThe discounted early registration rate is available to current NADONA members only, whose registration is received by HCAM by Friday, September 4, 2015.

Registration ConfirmationAfter your registration form has been processed, an event confirmation will be emailed to your attention from BethanyRademacher@hcam.org. Please be sure to include a current email address on this form.

Payment & Applicable RateMembership will be verified for all registrations indicating NADONA membership status. All registration fees are due at the time of registration.

Cancellation & Refund PolicyAll refund requests must be made in writing by e-mail to BethanyRademacher@hcam.org. Telephone cancellations will NOT be accepted. Individual registration fees, less a 25% processing fee, will be refunded for cancellations received in writing prior to Sept. 4. Cancellations received after Sept. 4 and “no-show registrants,” will NOT receive a refund nor a credit to a future program.

SubstitutionsIndividuals registered to attend this program, but unable to participate, may send an alternate in their place. Please contact HCAM by email to BethanyRademacher@hcam.org with the first and last name, title and facility/company of both you and your substitute to process this request.

Dietary RestrictionsShould you have a dietary restriction, please contact HCAM by email to BethanyRademacher@hcam.org no later than Sept. 4 detailing your need.

Consent to Use of Photographic ImagesRegistration and attendance at, or participating in, MI-NADONA/LTC’s events and/or activities constitutes an agreement by the registrant to MI-NADONA/LTC’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities.

QuestionsShould you have questions, please contact Bethany Rademacher by phone at (517) 622-6193 or by e-mail at BethanyRademacher@hcam.org.

2015 Registration Policies

MI-NADONA/LTC RN Boot Camp

Part 1: March 9-10Part 2: April 13-14

Lansing, MI

MI-NADONA/LTC Alzheimer’s

Disease & Dementia Care Seminar:

Preparation for CDP Certification

June 15Lansing, MI

MI-NADONA/LTC Annual Convocation

& ExpoNovember 16-18Traverse City, MI

2016 Save the Dates

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Registration confirmation & other important conference info. will be sent to you by email.

Name:_____________________________________ Title: __________________________________

Facility:_____________________________________________________________________________

Address:____________________________________________________________________________

City:___________________________________________ State:________ Zip:____________________

Phone: ____________________________________ Fax: ____________________________________

Email: ____________________________________________________________________________

Check One: __Check Payable to “HCAM” __Visa __MasterCard __American Express __Discover

Credit Card Number: _________________________________________________________________

Expiration Date (MM/YY): ____ 3-Digit Security Code on Back of Card: _____ Billing Zip Code:______

Cardholder Name: ___________________________________________________________________

Cardholder Signature: __________________________________________ Today’s Date: __________To register now, submit this completed form with payment by fax to (517) 627-3016,

by email to BethanyRademacher@hcam.org or by mail to:HCAM • 7413 Westshire Drive • Lansing, MI 48917

Package & Inclusions: Please circle the applicable package rate*Please note that NADONA membership is separate from HCAM membership, and is based on an individual, not a facility.*

Early Bird NADONA

Member Rate By Sept. 4

NADONAMember

Rate

Prospective NADONAMember

RateA) Full Package: Includes all education, contact hours, breakfasts, luncheons, breaks, expo and the 25th Anniversary Masquerade from Oct. 21-23.

$425 $475 $575B) Oct. 21 only: Includes education, contact hours, breakfast and luncheon on Oct. 21 only. $325 $375 $425C) Oct. 22 only: Includes education, contact hours, breakfast, luncheon, expo and 25th Anniversary Masquerade on Oct. 22 only. $350 $400 $450D) Oct. 23 only: Includes education, contact hours and breakfast on Oct. 23 only. $250 $300 $350

2015 Participating Exhibitors/Sponsors Only E) Expo & 25th Anniversary Masquerade only: Includes a ticket for the expo and 25th Anniversary Masquerade on Oct. 22 for 2015 participating exhibitors/sponsors only. Any vendor who is NOT exhibiting or sponsoring will need to register for Package C.

$175

REGISTRANT INFORMATION

PAYMENT INFORMATION

2015 MI-NADONA/LTC Annual Convocation & Expo 25 �nniversary th

October 21-23, 2015Motor City Hotel & Casino, Detroit

www.MINADONA.org www.2015MINADONA.splashthat.com

�asquerade

Check this box ONLY if you have a dietary allergy &/or restriction such as “vegetarian” or “nut allergy.” You will be contacted directly if you check this box to discuss further.