Conference – Western Psychiatric State Hospital Association

31st Annual Conference

DoubleTree Suites by Hilton Hotel Pheonix

September 10th - 12th, 2019

Resort details can be found
at Doubletree Hotel Pheonix

Located in Beautiful Pheonix, AZ.

Registration

Conference registration is now open.
Please click the button below to begin.

Register Online

You can now register online!
Click the button below to get started.

Email

E-mail completed registration form to: jgierisch@utah.gov
Or mail the completed form to:
Jana Gierisch, WPSHA Executive Director
P.O. Box 270 Provo, Utah 84603-0270
Telephone: (801)344-4200
Facsimile: (801)344-4291

2019 Annual Conference Information and Program

When

Begins at 8:00 a.m. on Tuesday, September 10th.

Where

Double Tree Suites by Hilton Hotel Phoenix
320 North 44th St. Phoenix, Arizona

Reservations

Reservations deadline is August 20th, 2019.

Book Now

A block of rooms has been reserved for September 9, 2019 – September 13, 2019.

Reserve rooms on-line at doubletree.hilton.com . Make sure you identify yourself as part of the group, Western Psychiatric State Hospital Association (WPSHA) to ensure you receive the agreed upon room rate from $109.00 per night.

2019 Conference Agenda

Tuesday, September 10

The Joint Commission Presentation – Suicide Risk Assessment & Ligature Risks
USP 800
Diversion / Incompetent to Stand Trial

Wednesday, September 11

Tour of Arizona State Hospital
Workplace Violence Prevention Program
Collaborating to Create Best Practices Across WPSHA and Beyond
EHR Lessons Learned

Thursday, September 12

Benchmarking Data
Staff Education, Engagement, and Development
Safety Subcommittee Update
Leadership Presentation

2019 Annual Conference Registration

31st Annual Conference September 10 - 12, 2019 - Double Tree Suites by Hilton Hotel Phoenix.

Member Name*
First Last
Title*
Agency or Organization*
Address*
Street Address Address Line 2 City State Zip Code
Email*
Enter Email Confirm Email
Phone*
Registration Fees: see description below*
- WPSHA (full membership) Dues Prepaid – one attendee per hospital (WPSHA affiliate states only – CEO or director who has responsibility for the planning and execution of a western state psychiatric hospital; eligible for reimbursement up to $1600.
- Additional attendee member hospitals 2nd membership prepaid for additional attendee (eligible for reimbursement up to $1100)
- Walk-up registration $250.00 (member hospitals) : (each additional attendance (member hospitals); not eligible for reimbursement of expenses)
- Non-WPSHA affiliated registration $450.00 (All non-WPSHA affiliated states; not eligible for reimbursement of expenses)
- Alumni Membership - $250.00
Additional Attendees
Quantity of additional attendees (100.00 each)
Name
First Last
Email
Name 1
First Last
Email 1
Name 2
First Last
Email 2
Name 1
First Last
Email 1
Name 2
First Last
Email 2
Name 3
First Last
Email 3
Name 1
First Last
Email 1
Name 2
First Last
Email 2
Name 3
First Last
Email 3
Name 4
First Last
Email 4
Campus Tour
Campus Tour of Arizona State Hospital on Wednesday, September 11 from 8am to noon..*
- Yes. I will be attend the campus tour of Arizona State Hospital
- No. I will not be attending the tour
Banquet on Tuesday, September 10th, at 6:00 p.m.*
- Yes. I will be attending the banquet.
- No. I will not be attending the banquet.
Additional Guest Attending Dinner
(spouse or significant other are welcome)
Please list any dietary restrictions.
Total
$0.00
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