HIMSS Iowa ChapterEducational ConferenceApril 3-4, 2018

Below are the sessions that qualify for CPHIMS or CAHIMS continuing education (CE) hours. Check the “” column for all sessions attended and total the number of hours earned each day. At the end of the form, total the number of hours earned for the entire event. Do not send this form to HIMSS. Retain this form for your records. You will need to provide a copy of this form if selected for an audit when renewing your certification.

Time Session Eligible Hours ()

April 34:00 PM – 4:00 PM

Tour of University of Iowa Stead Family Children’s Hospital by Tami Pollari, University of Iowa Stead Family Children’s Hospital

1.00

April 49:00 AM – 10:15 AM

What Happens Online Stays…Online by Veronica Brattstrom, Professional Solutions Insurance Company 1.25

10:45 AM – 12:00 PM

The New Iowa Health Information Network (IHIN) by Dale Emerson, Iowa Health Information Network 1.25

1:00 PM – 2:30 PM

Patient Portal and Patient Engagement by Amy Larson, UnityPoint Clinic, Keri Samrau & Brian Cassady, University of Iowa Healthcare, Gary Davis, Great River Health System, Tina Ervin, Genesis Health System

1.50

2:45 PM – 3:45 PM

Roundtable Discussion – Journey in the Patient Portal Business by Amy Larson, UnityPoint Clinic, Keri Samrau & Brian Cassady, University of Iowa Healthcare, Gary Davis, Great River Health System, Tina Ervin, Genesis Health System

1.00

Total Continuing Education hours earned for this event (max. = 6.0) = _____

I am claiming credits to renew my:□ CPHIMS□ CAHIMS

I attest that I have attended all the sessions indicated above in their entirety.

Printed Name Certificate Number

Signature Date