T2018 OHCA Winter Conference

January 30 – 31, 2018 Hyatt Regency Columbus

The Winter Conference turns its focus toward key challenges for professionals within the long term care services and supports profession, and provides you with cutting edge information on state and federal policy and trends. It is vitally important to learn how to prepare individually and locally with state and federal policy. This conference will provide you information to do so!

Administrators, corporate staff, directors of nursing and anyone with an interest in keeping up to date on the ever changing world of long term services and supports will find value in this unique educational and networking event.

Come Join UsYou won’t want to miss it!

Topics will be addressed by state and national experts as well as providers.

Preliminary Agenda: January 30: 12:00 pm Check In 12:30 - 5:30 pm Program

7:00 pm PAC Event - Night at The Blue Jackets

January 31: 8:00 am Check In 8:30 am - 3:30 pm Program

Join Us for

A Night at The Blue JacketsTuesday, January 30th, 2018 Nationwide Arena, Columbus / Game time: 7:00 pm

OHCA will be hosting a Night at the Columbus Blue Jackets to support the important work of OHCA’s Political Action Committee. Join us atop the private Sky Terrace as we mingle with friends and watch the Columbus Blue Jackets face off against the Minnesota Wild. Ticket price is only $50 and includes snacks and adult beverages.Doors open at 6:30 pm. Come enjoy an evening of great fun and fast-paced action . . . all to support the OHCA / PAC.OHCA / PAC can only accept payment from a Personal check / Personal credit card, a Partnership, or a Limited Liability Co. (LLC).

Name: ________________________________________________________________________________________

# of Tickets: __________________________________________ Total Due $: _____________________________

Company Name: ______________________________________ Contact: _________________________________

Address: ____________________________________________ City: _____________ St: _____ Zip: _________

Phone: ( ______ ) _____________________________________

MAIL to: OHCA-PAC 55 Green Meadows Dr. South, PO Box 447, Lewis Center, OH 43035 Fax: 614.436.0939

For Credit / Debit Card Payment OnlyMasterCard_____ Visa _____ (No AMEX or Discover accepted for OHCA / PAC)

Card #______________________________________________________ Expiration Date _____ / _____

Card holder__________________________________ Signature _________________________________Type of Card:

q Personal q Partnership q Limited Liability Co. (LLC)Let’s

all h

ave s

om

e f

un

!

Location: at the

Hyatt Regency Columbus 350 N High St, Columbus, OH 43215 Phone:(614) 463-1234 http://columbusregency.hyatt.com/

A limited number of rooms have been blocked at the OHCA rate. The hotel may have additional rooms available once all of the OHCA rooms are gone, but they may not be at the special rate, even if you contact them prior to the cutoff date. It is unlikely that they will be able to extend the cutoff date of January 13 due to the busy nature of their hotel and since rooms go quickly, there may not be any available rooms left at that point.

The single rate is: $164.00/night

A dedicated website is now available for attendees to book their hotel rooms online. https://aws.passkey.com/gt/214909563?gtid=90a76722530ad1cbeec97e5bac22b3df

Continuing Education Credits:Accountants: The Ohio Health Care Association is an approved provider of continuing education credit by the Accountancy Board of Ohio and has approved this program.Nurses: Nurses please note any continuing education that has been approved by BELTSS (or any other accredited body) can be accepted by the Ohio Board of Nursing in the State of Ohio. Nurses may use this continuing education to meet their licensure requirements. Please refer to OBN continuing education rules 4723-14-01 thru 4723-14-19.Ohio Licensed Administrators: The Ohio Health Care Association is an approved provider of continuing education credit by the Ohio Board of Executives of Long Term Care Services and Supports (BELTSS) and has approved this program.Administrators with licenses in states other than Ohio: Application has been submitted to the NAB for credits. Please contact OHCA for final approval details.

Featuring: 9 hours (January 30 = 4 hours, January 31 = 5 hours) of credit are available for:

2018 Winter Conference • Facility Registration Form • January 30 - 31, 2018Online Registration: www.ohca.org • Questions? 614 / 436-4154 • Fax: 614 / 436-0939

1. One Person Per Registration (fill out the facility info and duplicate this form for additional registrants)

Lastname: _________________________________________________ First: ___________________________________ Nickname: ____________________________________________________________

Title: _____________________________________________________________________________________________ Email address: _______________________________________________________

Facility: _____________________________________________________________________________________________________________________________________

Street Address: _______________________________________________________________________________________________________________________________

City: _______________________________________________________________________________State: ___________________Zip: ____________________________

Phone #: ________/ _______________________________________________________ Fax #: ________/ ____________________________________________________

2. Registration Category

OHCA/OCAL/OCID Members:Members: Prior to January 16 $170 January 16 and after $210

3. Payment - Make checks payable to Educational Foundation of Ohio Health Care Association (EFOHCA) Mail to: EFOHCA, 55 Green Meadows Dr. South, PO Box 447, Lewis Center, OH, 43035 or Fax: 614 / 436-0939

TOTAL AMOUNT: $ ______________________

Method of Payment: ____Credit Card ____Check

CREDIT CARD: MC: ____ VISA: ____ AMEX: ____ Discover: ____

Card Number: __________________________________________________________________

Expiration Date: _____ / _____

Card Holder: ________________________________________ Signature: ________________________________________

NON-MEMBERSNon Members Prior to January 16 $395 January 16 and after $495

* Question: Can I register for the full conference rate and attend one day and send a co-worker the other? Answer: No, full conference registration fees are available for one person to attend both days.

Registration will

not be processed

unless payment is

included.

55 G

reen

Mea

dow

s Driv

e So

uth

PO B

ox 4

47

Lew

is C

ente

r, O

H 4

3035