2014 WVSHE Annual Conference

1. 2014 WVSHEAnnual Conference August 12, 13, 14 & 15, 2014 Canaan Valley, WV AGENDA Tuesday, August 12th 12 Noon – 1:00 p.m.: Registration & Round Table Discussion 1:00 p.m. – 3:00 p.m.: TBA Presented by TBA 3:00 p.m. – 5:00 p.m.: TBA Presented by TBA 5:00 p.m. – 7:30 p.m.: Late Registration and Trade Show set-up

2. Annual Meeting Educational Agenda Wednesday, August 13th West Virginia Society for Healthcare Engineering 7:00 a.m. – 7:45 a.m.: Vendor Late Registration and Trade Show setup 7:00 a.m. – 7:45 a.m.: Member Late Registration and Breakfast (Included with registration) 8:00 a.m. – 9:30 a.m.: WVSHE Business Meeting 9:30 a.m. – 10:00 a.m.: Break and Set Up of Trade Show 10:00 a.m. – 1:30 p.m.: TRADE SHOW and Lunch at Noon (Included with registration) 1:30 p.m. – 2:00 p.m.: Break and Tear Down of Trade Show 2:00 p.m. – 5:00 p.m.: FGI Guidelines and FGH Residential Care Guidelines Presented by: Pat Shultz with HKS 6:00 p.m.: DINNER – Open to all family members/associates (Included with registration) NOTE: Thursday and Friday events do not apply to Vendors unless paying for Educational Conference Registration in addition to the Trade Show Registration.

3. Annual Meeting Educational Agenda Thursday, August 14th 7:00 a.m. – 7:30 a.m.: Breakfast (Included with education registration) 7:30 a.m. – 9:30 a.m.: 2012 Life Safety Code Changes Presented by Larry Barlow with TSIG 9:30 a.m. – 9:45 a.m.: Break 9:45 a.m. – 11:45 a.m.: 2012 Life Safety Code Changes 11:45 a.m. – 1:00 p.m.: Lunch (Included with education registration) 1:00 p.m. – 2:00 p.m.: 2012 Life Safety Code Changes 2:00 p.m. – 2:15 p.m.: Break 2:15 p.m. – 5:15 p.m.: 2012 Life Safety Code Changes West Virginia Society for Healthcare Engineering Friday, August 15th 7:30 a.m. – 8:00 a.m.: Breakfast (Included with education registration) 8:00 a.m. – 10:00 a.m.: WV State Fire Marshall – Code Update 10:00 a.m. – 10:30 a.m.: Break and check out of room. 10:30 a.m. – 12 noon.: Office of Health Facility Licensure and Certification Updates Presented by Ron Stricker with OFLAC 12 noon Conference ends, Lunch on your own.

4. WEST VIRGINIA SOCIETY FOR HEALTHCARE ENGINEERING 2014 Annual Meeting and Vendor Presentation Canaan Valley Resort 230 Main Lodge Road Davis, WV 26260 Conference Education Registration: Please complete the registration form below and mail it along with your check payable to WVSHE to: WVSHE C/O Steve Johnson, Secretary/Treasurer Davis Memorial Hospital Reed St. Gorman Ave PO Box 1484 Elkins, WV 26241 Work # (304) 637-3129 Email: johnsons@davishealthsystem.org Please register by 7/15/14 so we can plan our meals. Late Registrations $25.00 extra fee MEMBERS NON-MEMBERS 0 – 100 beds - $100/person 0 – 100 beds - $200/person 100 + beds - $150/person 100 + beds - $250/person ASSOCIATE Sponsors (Attending Education Sessions)- $100/person NONASSOCIATE Sponsors (Attending Education Sessions) - $200/person Name: _____________________________________________________________________ Company: ___________________________________________________________________ Address: ____________________________________________________________________ City, State, and Zip Code: _________________________________ ____ ________________ Phone: _______________________________ Fax: _________________________________ E-Mail: _____________________________________________________________________ Number of beds in your facility: _____________ Amount Enclosed: ____________________ ____ WVSHE member _____WVSHE Associate sponsor ______ I am not an ASHE member ____ I was an ASHE member in 2012-2013 ____ I am an ASHE member for 2014 ASHE Membership # _____________

5. West Virginia Society of Healthcare 2014 Trade Show Registration Form Please register by July 15th 2014 so we can plan our meals. The West Virginia Society for Healthcare Engineering annual meeting will be held on August 12th- 15th at Canaan Valley Resort. On Wednesday August 13th 2014, the trade show will be held from 10:00am to 1:30 pm. To complete the day, the annual evening event and dinner will be held. If your company would like to educate the WVSHE members on new technologies and the latest healthcare products, please complete to register for the trade show the lower portion of this form and return it to the secretary/treasurer along with your check made payable to WVSHE by July 15, 2014. If you have any questions or need additional information, please e-mail Steve Johnson :johnsons@davishealthsystem.orgor call (304) 637-3129 WVSHE Attn. Steve Johnson Davis Memorial Hospital PO Box 1484 Elkins, WV 26241 Cost is $300.00 per table with a $20.00 discount for each additional table. Late Registrations $35.00 extra fee Vendors can set up Tuesday Evening after 5:00 and before 7:30 or Wednesday morning before 8:00 am. Vendors are eligible for the same room rates as WVSHE members. Company Name and Website:________________________________________________ Your Name: ______________________________________________________________ Company Contact Person:___________________________________________________ Street Address:____________________________________________________________ City, State, Zip:____________________________________________________________ Telephone :______________Fax: ___________E-mail:____________________________ Number of table’s requested:_________________________________________________ Amount enclosed :_______________________________Make checks payable to WVSHE WVSHE Associate Sponsor: Yes________ No_______ *Donated door prizes will be given away to register participating WVSHE members during the trade show.

6. West Virginia Society of Healthcare 2014 Members and Trade Show Registration FormPage 2 If you are shipping items to the event please use the following information: Your Name or Your Company Name Canaan Valley Resort 230 Main Lodge Road Davis, WV 26260 Dear WVSHE Participant, As most of you know, the WVSHE annual meeting is a family event. Each year after the Wednesday Dinner and Entertainment, a gift is presented to each of the children in attendance. The WVSHE provides the funding for these gifts. In order to help purchase the appropriate items, please complete this form and return it with your registration. We do not want to forget our vendor’s family’s children attending the event so if you would also complete this form and return with your registration. Thank you for your cooperation. Number of Boys ___________ or Girls _______________ Ages 0-2 Number of Boys ___________ or Girls _______________ Ages 3-5 Number of Boys ___________ or Girls _______________ Ages 6-9 Number of Boys ___________ or Girls _______________ Ages 10-12 Number of Boys ___________ or Girls _______________ Ages 13-18 Your Name: ______________________________________________ Your Company Name: _____________________________________

7. Membership / Sponsorship invoice 2014Form: WVSHE DUES fiscal year, which shall run from June 1 through May 31. Individuals eligible for membership in the association shall be those actively employed in the field of healthcare engineering and/or maintenance department as designated by the department head or administrator of member institutions. Individual membership / sponsorship classifications shall be as follows: (a) Active (voting) member – any individual eligible to hold office as defined above. (b) Associate Sponsor (non voting) – representative of suppliers, contractors, consulting engineers, and other groups that have a technical knowledge, resource material and a direct interest in the healthcare engineering field may apply for membership as associate. This member will have no voting rights and shall not hold elective office. (c) Honorary NO Charge (non-voting) member – Former member who has retired from their healthcare related position. This member will have no voting rights and shall not hold elective office. Please fill-in information required, ENCLOSE CHECK FOR $35.00 Name you want on certificate of attendance forms. ________________________________________ Name you go by: ___________________________________________________________________ Active Member:_____________, Retired Member___________or Associate Sponsor:____________ Company Name:_____________________________Website: _______________________________ Title:_____________________________________________________________________________ Work Address: Street/PO Box:________________________________________________________ City:_____________________________________ State:____________ Zip: __________________ Work Phone # _____________________ Ext. # ______ Cell Phone # _______________________ Work Fax # _________________ Work Email: __________________________________________ Home Address: Street/PO Box:________________________________________________________ City:____________________________________State:______________ Zip: _________________ Home Phone # ______________ Home Email: __________________________________________ Send invoice to: Home Address_____ or Work Address______ Are you a member of ASHE? Yes ___ or No ____ If yes ASHE Membership # _______________ Were you a member of ASHE Last Year? Yes_______ or No_______ If Healthcare application, number of beds in your facility __________ Return to: WVSHE C/O Steve Johnson, Secretary/Treasurer Davis Memorial Hospital Reed St. Gorman Ave PO Box 1484, Elkins, WV 26241Work # (304) 637-3129 Email: johnsons@davishealthsystem.org

8. West Virginia Society of Healthcare 2014 Hotel Information Please register by July 15th 2014 so we can plan our meals. The number to call for room reservations is 304-866-4121 and our group id is 15079 the discount rate is for a double queen at $109.00 per night