Attendee Information:

(*Required Fields)

*Salutation:  Ms. Mr. Dr.

*First Name:  

*Last Name:  

*Position Title:

*Email Address:

*Phone Number:  ext. 

*Hospital Name: 

  Hospital Dept.: 

*Street Address Line 1: 

  Street Address Line 2: 

*City: 

*St/Prov: -Select a State/Prov- Alabama Alberta Alaska American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Fed. Sts. of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon N/A

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**Preferred Invoicing Method Email Fax Mail

*May we include your contact information in the annual Conference Directory? Yes No

*Select Your Conference Program(s):

1. Pre-conference (registry concepts)

• Wednesday, October 13th
• 8:30 a.m. - 4:30 p.m.
• $195: includes materials, continental breakfast, breaks & lunch. A minimum of 15 registrants is required for each Pre-Conference training session to be held.

Select one Pre-Conference Session:

a) Trauma Registry Concepts  ( Software: Collector  NTRACS)
b) Outcomes Concepts

2. Full Conference

• Thursday, October 14th and Friday, October 15th
• 8:00 a.m. - 4:30 p.m.
• $395: includes materials, continental breakfasts, lunches, breaks, Thursday Networking Reception

*Select Your Conference Workshops (one per session):

Session 1

Report Writer Concepts

Query Concepts

Outcomes: Queries & Gathers

Using Report Jobs in DI Report Writer

Gathers: Concepts & Subtotals

Session 2

Registrar's Community Forum Session

Using Populations in DI Report Writer

Customizing Outcomes

Session 3

Query Concepts

Statistical Report Concepts

Report Writer Transitions

Mix 'n Match Fun

Outcomes: Referral Letters

Session 4

Not vs. Not Equal To

Using Categories in the DI Report Writer

Outcomes: Standard Reports

Using the True/False Rule

DI Coding Tools

Friday, October 15

Session 5

Combining Queries

Using Report Jobs in DI Report Writer

Outcomes: Queries & Gathers

Coded Variables

Creating Registry-based Research:Part I

Session 6

Using the True/False Rule

DI Coding Tools

Customizing Outcomes

Gathers: Concepts & Subtotals

Creating Registry-based Research:Part II

Session 7

Statistical Report Concepts

Using Categories in the DI Report Writer

Jeopardy

Outcomes: Referral Letters

Session 8

Not vs. Not Equal To

Using Populations in DI Report Writer

Outcomes: Standard Reports