sample project proposal

Topics: Health care, Health informatics, Electronic health record Pages: 30 (4997 words) Published: February 24, 2014
2010 Annual HIMSS Conference
Sample Proposal Form
This form is to provide you with an example of a completed submission form. In order to not unduly influence the proposals submitted, the information in this sample proposal will be used only to describe the type/ format of information we ask you to submit.

*Required fields for submitter contact information
*Submitter First Name: Adam
Submitter Middle Initial: I
*Submitter Last Name: Bazer
Organization: HIMSS
Day time Phone: (312)915-9257
Primary Speaker
Speaker Information - list the speaker's name, credentials, title, and organization exactly as you wish it to appear in the program.
*Required fields for speaker contact information
*Primary Speaker First Name: Adam
Primary Speaker Middle Initial: I
*Primary Speaker Last Name: Bazer
Credentials: (i.e.: PhD, RN, etc.)
*Title: Manager, North America
*Organization: HIMSS
*Address 1: 230 E. Ohio Ave
Address 2: Ste. 500
*City: Chicago
*State: IL
*Zip: 60601
Country: USA
Upon acceptance, I would like the presentation attendees to contact me via email for inquiries regarding my session.
*Daytime Phone: 312-915-9257
Cell Phone: 312-***-****
HIMSS Member: x Yes No
Did you attend HIMSS 2008 in Orlando? Yes - I attended HIMSS08 in Orlando How many previous HIMSS Annual Conference and Exhibitions have you attended?: Professional Title: Management
Worksite: Non-Profit Organization
Principal Work Focus: Education
Length of Time in the Field (years): 4
Speaker QualificationsSpeaker Biography of your professional background. (100 word maximum) Here is where one should include a 75-100 word bio sketch that can be used for marketing purposes.
Public Speaking Experience: Required if submitting for lecture or roundtable. Not required for E-Session submitters. List the most recent three presentations you have made at regional and national meetings. Identify speaking organization, date, program and name of your presentation. (500 word limit)

Here is where one should list previous speaking experience at national and local conferences/events

Proposed Title (10 words maximum, please)
Make sure your title aptly describes your proposal information Proposed Keywords
In an effort to more accurately categorize your proposal, please list below the three top keywords you would use to describe your proposal (ex. CPOE, pharmacy, and implementation would be keywords for a proposal on the implementation of a CPOE system in a pharmacy)

• Keyword #1: HIMSS
• Keyword #2: Sample Proposals
• Keyword #3: Call for Proposals
Target Work Site of Your Audience: (check up to two)
The HIMSS 2010 Annual Conference Education Committee is particularly interested in proposals that address topics relative to audiences from:

Academic Medical Center
Ambulatory Care
Clinical Group Practice
Financial Institutions
Healthcare System
Home-Based Care
Investment Firms

Long-Term Care
Managed Care/HMO/PPO
Public Policy

Target Audience: (check up to three)
HIMSS is looking for proposals that will specifically address the educational needs of professionals in the various sectors of healthcare regarding enterprise solutions and practical approaches to today's healthcare IT issues.

Clinical and Biomedical
Consumers / Patients
Consultant, Lawyer
Developers / IT Pros
Director /Department Head
Management Engineering

Pharmacy Professional
Project Management
Public Policy Professional
Other Clinical Professional
Senior Staff

Ambulatory Information Systems:
Ambulatory Information Systems provide the tools and resources needed in the ambulatory setting that lead to a diagnosis, observation, or treatment and...
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