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Panel Presentation Submission Form

The 2020 Health Care Systems Research Network Conference

HCSRN 2020

Submission Page

To edit a previously submitted submission, please enter the submission passcode below, and click "ENTER". The passcode was provided to you in your confirmation email.

   

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Please click here to learn more about what is expected for abstract presentations and how to complete the submission.

TO SUBMIT AN ABSTRACT PRESENTATION, (CLICK HERE) TO COMPLETE A SEPARATE SUBMISSION.

If you have questions or need assistance with your submission at any time, please contact Conference Solutions at HCSRN@ConferenceSolutionsInc.com or 503.244.4294 ext. 1003.

Deadlines and Procedures (* denotes a required field.)
  • Submissions will be accepted through Friday, November 1, 2019, 11:59:59 pm PT.
  • You may submit more than one panel presentation for review. However, each submission must be completed in full before a new submission can be started. Incomplete submissions are not accepted.
  • Acknowledgment of receipt of submission will be sent to the submitter's email upon completion of submission.
  • The Conference Planning Committee reserves the right to accept or decline all submissions.
  • Submitters will be notified of acceptance status by Friday, December 13, 2019.
  • All presenters are required to register for the Conference by Friday, January 10, 2020.

  I have read and agree to the deadlines and procedures.  (*)
Submitter's Contact Information

Please enter your contact information in the fields below. (* denotes a required field.)

Title  
First Name (*)  
Last name (*)  
Institution / Organization (*)  
Research Center / Department Name (*)  
Phone (*)  
Email (*)  
Country (*)  
City (*)  
State/Province (*)  
List of Presenters

Please enter the complete list of presenters for your submission, in the order in which they will appear in the conference materials.

If you are submitting a new panel, please provide the names of all presenters and the moderator for the panel.

#1
First name:(*)
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State/Province:(*)
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#2
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#3
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Country:(*)
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State/Province:(*)
City:(*)
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Twitter Handle (Optional):
#4
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State/Province:(*)
State/Province:(*)
City:(*)
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#5
First name:(*)
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#6
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Email:(*)
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State/Province:(*)
State/Province:(*)
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#7
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Email:(*)
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#8
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Email:(*)
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State/Province:(*)
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#9
First name:(*)
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Email:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
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#10
First name:(*)
Last name:(*)
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Email:(*)
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State/Province:(*)
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#11
First name:(*)
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Degrees:
Email:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#12
First name:(*)
Last name:(*)
Degrees:
Email:(*)
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If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#13
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#14
First name:(*)
Last name:(*)
Degrees:
Email:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
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#15
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Last name:(*)
Degrees:
Email:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
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#16
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Email:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#17
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#18
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
Trainee/Student/Fellow Status:(*)
Twitter Handle (Optional):
#19
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#20
First name:(*)
Last name:(*)
Degrees:
Email:(*)
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If "other" was selected, please enter it here:
Country:(*)
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State/Province:(*)
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#21
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Degrees:
Email:(*)
Institution / Organization:(*)
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Country:(*)
State/Province:(*)
State/Province:(*)
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#22
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Email:(*)
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Country:(*)
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State/Province:(*)
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Twitter Handle (Optional):
#23
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Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#24
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#25
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Twitter Handle (Optional):
#26
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
Trainee/Student/Fellow Status:(*)
Twitter Handle (Optional):
#27
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
Trainee/Student/Fellow Status:(*)
Twitter Handle (Optional):
#28
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
Trainee/Student/Fellow Status:(*)
Twitter Handle (Optional):
#29
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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#30
First name:(*)
Last name:(*)
Degrees:
Email:(*)
Institution / Organization:(*)
If "other" was selected, please enter it here:
Country:(*)
State/Province:(*)
State/Province:(*)
City:(*)
Role:(*)
HCSRN Member Status:(*)
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Title of Submission

Titles must be entered in title case. This is an Example of Title Case. Titles are limited to 150 characters, including spaces and punctuation and should indicate the content of the submission. Do not use abbreviations (unless obvious to all attendees) or all capitals in the title.

Title (*)   
Word count:
      Max allowed:150      
Topic
Please select the topic area that best fits your panel presentation.
(*)
Key Objectives: List 2-3 key objectives which explain how the panel will dilever value to attendees. (200 work max) (*)

Word count:             Max allowed: 200            

Diversity: Describe how each of the panelists represent diverse opinions on a controversial issue. (200 word max) (*)

Word count:             Max allowed: 200            

Presentation Summary (*)

Your summary is limited to a maximum of 200 words. If you are cutting-and-pasting from a different document, be sure to review your submission by Selecting the Preview Abstract button to ensure your pasted text has not been cut-off and/or that any special characters are formatted properly.

               

 

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