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Palliative Care Virtual Summit: Practice, Policy, and Payment

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Thursday, August 128:15am - 4:30pm PalliativeCare VirtualSummit: Practice, Policy,and PaymentA Collaboration between MNHPC, PCNOW,Stratis Health, and the Serious IllnessAction Network Friday, August 139:00am - 12:00pm

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TABLE OFCONTENTSPresented by MNHPC, PCNOW, Stratis Health, Serious IllnessAction Network Summit SummaryWho Should Attend?Day One Description and Target AudienceSession One: Primary Palliative Care: A Patient Centered Approachfor the Interdisciplinary Team Session Two: Impact of Military ExperienceSession Three: Common Ethical Issues in Palliative Care with aSurrogate Decision-makerSession 4: Is Natural Death Even Possible Anymore?Session 5: Oncology and Palliative Care - Strange Bedfellows NoMoreSession 6: When to Refer to Palliative Care/HospiceSession 7: Advance Care Planning for Everyone Day Two Description, Learning Objectives, and Target AudienceDay Two: Policy and Payment Recommendations from theMinnesota Palliative Care Advisory Council, Payment Design, andChanges Needed to Grow Rural Palliative Care, Best practices inPalliative Care Reimbursement, Small Group DiscussionDay Two: State Reimbursement Strategies to AchieveSustainability and High-Value Care, Small Group Discussion, LargeGroup Discussion, Panel Discussion: Taking Action to AdvancePalliative Care Policy and Payment in MinnesotaREGISTER NOW

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MNHPC.ORG Minnesota Network of Hospice & PalliativeCare is an organization made up of health careproviders, individuals, and allied organizationsall committed to advancing access to,knowledge about, and quality of hospice andpalliative care in Minnesota. We advocate forgreater awareness about and access tohospice and palliative care.MYPCNOW.ORGAdvance the care of Wisconsin patients andfamilies through the growth of generalist andspecialist palliative care services in all healthcare settings.Advance the knowledge and skills of all healthprofessionals providing care for seriously illpatients.Advocate for improved palliative care servicesthrough changes in health care policy,regulations and legislation.STRATISHEALTH.ORGWe are trusted experts in leading health caretransformation to make lives betternationwide. We develop and guide healthimprovement initiatives across the continuumof care that results in better health and carefor people and communities.PALLIATIVE CARESUMMIT: PRACTICE,POLICY, AND PAYMENTMinnesota Network of Hospiceand Palliative CarePalliative Care Network ofWisconsin Stratis HealthPresented by:Serious Illness ActionNetwork

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MNHPC is proud to partner with the Palliative Care Network ofWisconsin (PCNOW) and Stratis Health to host the first annual PalliativeCare Virtual Summit, August 12th, and 13th. The first day of the summitwill emphasize palliative care practice and will consist of training ontopics such as primary palliative care, coordination between theinterdisciplinary team, and ethics, and advance care planning. Thetraining will include didactic presentations, case reviews, and interactivelearning. The second day will focus on policy and payment and willhighlight the work of the Minnesota Palliative Care Advisory Council, andthe Minnesota Serious Illness Action Network. Day 1 of the Palliative Care Summit is focused onpalliative care practice. This day-long training isdesigned to advance the palliative careknowledge of healthcare professionals servingpatients with serious illness. Day 1 is hosted inpartnership with Palliative Care Network ofWisconsin (PCNOW). Day 1 provides up to 7.25 contact hours. Cost for Day 1 is $99 for members | $149 fornon-members | $75 for hospice volunteers,students, retireesRegister Now! Early bird pricing ends on July30th.Day 2 of the Palliative Care Summit will befocused on policy and payment. We will discusspayment challenges and opportunities related topalliative care. Attendees will hear from national,state, and local experts, and together, co-createand commit to action steps to move palliativecare payment forward across all of Minnesota.Day 2 is hosted in partnership with Stratis Healthand the Minnesota Serious Illness ActionNetwork. Day 2 provides up to 2.75 contact hours. Day 2 is FREE, but registration is required. Day 1August 12th, 8:15-4:30 Palliative Care Practice Day 2 August 13th, 9:00-12:00Palliative Care Policy and Payment REGISTER NOW

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REGISTER NOW Physician (Primary Care, ER, andspecialists including Oncologistsand Cardiologists)Medical DirectorPhysician AssistantNurse (RN, LPN, NP)PsychologistPharmacistSocial WorkerVolunteer Manager/CoordinatorChaplain/BereavementCoordinatorTherapists (physical, occupational,speech, music, massage)Administrator (nursing home,hospice)A Broad Community of Serious Illnessand End-of-Life Care Providers andStakeholders.The 2021 Palliative Care Summit:Practice, Policy, and Payment is aneducation opportunity for health careprofessionals, payers, policymakers,and anyone interested in advancingpalliative care. Who should attend thePalliative Care Summit? Compliance OfficerIntegrated/Complementary Services(Reiki, yoga, aroma therapy, healingtouch, animal, etc.)Home Health Aide/CNA/CommunityHealth WorkerVolunteers in Hospice & Palliative CareStudentsFederally Qualified Health Center StaffLawmakersState Agency OfficialsPayers Advocates

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PALLIATIVE CARE SUMMIT: PRACTICE, POLICY, AND PAYMENTDAY 1, AUGUST 12TH, 20218:15AM TO 4:30PM Description: Day 1 of the summit is focused on palliative care practice. This training isdesigned to advance the palliative care knowledge of healthcare professionals servingpatients with serious illness. Target Audience: This training is designed for social workers, nurses, physicians,physicians assistants, spiritual counselors, music therapists, occupational therapists,physical therapist, certified nursing assistants, volunteers, social service providers, homehealth care providers, and all who care for patients with serious illness. DAY 1, AUGUST 12TH, 20218:15AM TO 4:30PM REGISTER NOW

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Describe the benefits of advance care planningfor patients, families and health careprofessionalsIdentify strategies for incorporating goals of carediscussions as a routine part of every seriously illpatient’s treatment planApply specific communication skillsSession 1 | 8:30am: PRIMARY PALLIATIVE CARE: A PATIENT-CENTERED APPROACH FOR THEINTERDISCIPLINARY TEAMTimothy Jessick, DO, Julie Christensen, DNP, FNP-BC, ACHPN, Katalin Vogt, MSW, CAPSW, APHSW-CBy the end of the session, learners will be able to: 1.2.3.Fast Facts: FF 141 ”Prognosis in End Stage COPD”; FF 143“Prognostication in Heart Failure”; FF 360 “The SurpriseQuestion as a Prognostic Tool”; FF 179 “CPR Survival inthe Hospital Setting”; FF 365 “Language for Routine CodeStatus Discussions”; FF 223 “The Family Meeting: Startingthe Conversation”SESSIONONETimothy Jessick, DO,Tim was a Family Physician for 12 years anda Hospice Medical Director for 5 years. Hecompleted his Palliative Medicine Fellowshipin 2010 and now serves as a PalliativeMedicine consultant and Chair of the EthicsCommittee at Aurora West Allis MedicalCenter.Julie Christensen, DNP, FNP-BC, ACHPN, Julie Christenson is family nurse practitionerpracticing with a large community-basedand inpatient hospice organization in theMilwaukee area. She is also a clinicalassistant professor at the University ofWisconsin – Milwaukee College of Nursing,teaching primarily undergraduate nursingstudents in various courses. Julie is theoutgoing president of the GreaterMilwaukee Hospice & Palliative NursesAssociation and has been working withPCNOW for several years.Katalin Vogt, MSW, CAPSW, APHSW-C, Katalin Vogt has been working in the field ofPalliative and Hospice Care since 2012.Katalin is a Certified Advanced PracticePalliative and Hospice Care Social Worker.She currently works as the Palliative CareProgram Coordinator for Aurora SinaiMedical Center and Aurora St. Luke’s SouthShore.What are Fast Facts?Fast Facts provide concise, practical, peer-reviewed and evidence-based summaries onkey palliative care topics important to cliniciansand trainees caring for patients facing seriousillness. Fast Facts are hyperlinked on thesessions for day one.LEARN MORE ABOUTPCNOWS FAST FACTS

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Describe military cultureDescribe psychological and existential sufferingassociated with combat or lethal trainingDescribe interventions that assist veterans andfamilies at end of lifeSession 2 | 12:15pm: IMPACT OF MILITARY EXPERIENCEKelly Cooke, DO, FAAHPM, FASCOBy the end of the session, learners will be able to: 1.2.3.Fast Facts: FF 152 “The Military as a Vehicle for exploringEOL Care with Veterans”; FF 398 “Assessment andtreatment of PTSD at the end of life”SESSIONTWOKelly Cooke, DO, FAAHPM, FASCOKelly Cooke has been the Medical Directorof Palliative Care with ProHealth Care since2013—prior to that she practiced in centralTexas. She is board certified in Hospice andPalliative Medicine. Her palliative careinterests lie in oncology, young adults andveterans.

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Define surrogate decision makerDiscuss common ethical principalsDiscuss capacity vs incapacitySession 3 | 12:50pm: COMMON ETHICAL ISSUES IN PALLIATIVECARE WITH A SURROGATE DECISION-MAKER Sarah Meyer, MSW, CAPSW, ACHP-SWBy the end of the session, learners will be able to: 1.2.3.Fast Facts: FF 226 “The Family Meeting- HelpingSurrogates Make Decisions”SESSIONTHREESarah Meyer, MSW, CAPSW, ACHP-SWSarah is an Advanced Certified Hospice andPalliative Care Social Worker. She is thePalliative Care Social Worker for theFroedtert and the Medical College ofWisconsin Community Hospital DivisionPalliative Care Program. Sarah has 10 yearsof experience as a social worker and 3 yearsspecialty experience in Palliative Care. Sarahhas also had the opportunity to serve onmultiple committees throughout her careerincluding ethics and system based coalitionprojects.

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Examine the published medical literature on hownatural death is conceptualized and defined.Name 5 chronic illnesses for which advances inlife-prolonging therapies have significantlytransformed the end-of-life decision-makingprocess. Identify at least 3 care strategies to help patientsnavigate the exhausting end-of-life decision-making process in the era of unnatural deaths.Session 4 | 1:25pm: IS NATURAL DEATH EVEN POSSIBLEANYMORE?Sean Marks, MDBy the end of the session, learners will be able to: 1.2.3.Fast Facts: FF 326 “Illness Trajectories”; FF 225 “FamilyMeeting - Causes of Conflicts”; FF 226 “The FamilyMeeting -- Helping Surrogates Make Medical Decisions”SESSIONFOURSean Marks, MDSean Marks is board certified in InternalMedicine and Hospice and PalliativeMedicine. He practices Palliative Care atFroedtert Hospital and the Zablocki VAMedical Center as an associate professor atthe Medical College of Wisconsin where heis the editor in chief of Fast Facts andConcepts and the program director for thephysician fellowship in Hospice andPalliative Medicine.

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Describe why integration of Palliative Care withOncology is importantIdentify the ideal time for such integration forpatientsDescribe how such integration take placeSession 5 | 2:30pm: ONCOLOGY AND PALLIATIVE CARE -STRANGE BEDFELLOWS NO MOREOlumuyiwa O Adeboye, MD, MBA, FACP, FAAHPMBy the end of the session, learners will be able to: 1.2.3.Fast Facts: FF13 “Determining Prognosis in AdvancedCancer”; FF#409 “Financial Toxicity and Cancer Care”SESSIONFIVEOlumuyiwa O Adeboye, MD, MBA, FACP,FAAHPMOlumuyiwa Adeboye, Hospice and PalliativeCare board certified, based at St. ElizabethHospital in Appleton, WI. Currently PalliativeCare Medical Director for Ministry HealthCare.

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2. Identify characteristics in patients or diseaseprogression that can help identify the right time torefer for hospice or palliative care.Session 6 | 3:05pm: WHEN TO REFER TO PALLIATIVECARE/HOSPICEJulie Christensen, DNP, FNP-BC, ACHPNBy the end of the session, learners will be able to: 1.Discuss the benefits of well-timed hospice /palliative care referrals in a patients plan of careFast Fact: FF266- “Consultation etiquette in palliativecare”SESSIONSIXJulie Christensen, DNP, FNP-BC, ACHPNJulie Christenson is family nurse practitionerpracticing with a large community-basedand inpatient hospice organization in theMilwaukee area. She is also a clinicalassistant professor at the University ofWisconsin – Milwaukee College of Nursing,teaching primarily undergraduate nursingstudents in various courses. Julie is theoutgoing president of the GreaterMilwaukee Hospice & Palliative NursesAssociation and has been working withPCNOW for several years.

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Discuss the successes, limitations and unfinishedbusiness of advance care planningConsider what the health care, nonprofit andlegal worlds can achieve in advance careplanning, and what more is neededHear & address the potential of the CelebrityDeath Plans podcast and other novel marketingSession 7 | 3:40pm: ADVANCE CARE PLANNING FOREVERYONEJohn Maycroft, MPPBy the end of the session, learners will be able to: 1.2.3.Fast Fact: FF162- “ACP in chronic illness”SESSIONSEVENJohn Maycroft, MPPJohn Maycroft, M.P.P. has a decade ofexperience in advance care planningfacilitation, programming and policy. AsDirector of Honoring Choices Wisconsin, aco-Founder of the Palliative Care Network ofWisconsin, and as an Associate Director atOptum, John's work has helped thousandsof people create advance care plans forthemselves and their families.A Minnesota native, John received his B.A. inPolitical Science from the University ofWisconsin-Madison and a Masters Degree inPublic Policy from Rutgers University. Helives in Minneapolis with his wife Olivia andtwo young children.

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PALLIATIVE CARE SUMMIT: PRACTICE, POLICY, AND PAYMENTDAY 2, AUGUST 13TH, 20219:00AM TO 12:00PM Discuss payment challenges and opportunities related to palliative care for providersand payersDescribe the current state of palliative care payment in MinnesotaAgree on and commit to actionable ways to move palliative care payment forward inMinnesotaDescription: Day 2 of the Palliative Care Summit will be focused on policy and payment.We will discuss payment challenges and opportunities related to palliative care. Attendeeswill hear from national, state, and local experts, and together, co-create and commit toaction steps to move palliative care payment forward across all of Minnesota. Learning Objectives: By the end of this session, learners will be able to: 1.2.3.Target Audience: Those interested in helping to advance palliative care payment inMinnesota including practitioners and policy and payment decision makers. DAY 2, AUGUST 13TH, 20219:00AM TO 12:00PM REGISTER NOW

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Session 1 | 9:10am: POLICY AND PAYMENTRECOMMENDATIONS FROM THEMINNESOTA PALLIATIVE CARE ADVISORYCOUNCIL Jessica Hausauer, PhDSession 2 | 9:20am: PAYMENT DESIGN AND CHANGESNEEDED TO GROW RURAL PALLIATIVECARE Karla Weng, MPH, CPHQSession 3 | 9:35am: BEST PRACTICES IN PALLIATIVE CAREPAYMENT AND ACCESSAllison Silvers, MBASession 4 | 10:05am: SMALL GROUP DISCUSSIONDAY TWOJessica Hausauer, PhDJessica Hausauer, PhD is the ExecutiveDirector for Minnesota Network of Hospice& Palliative Care. She also chairs theMinnesota Palliative Care Advisory Councilwhere she represents the perspective ofcaregivers. Jessica serves on the MinnesotaLeadership Council on Aging and the Boardof Directors for the MinnesotaGerontological Society. Karla Weng, MPH, CPHQSenior Program Manager for Stratis Health,providing expertise to a variety of initiativesfocused on rural providers andcommunities. For more than 20 years, Karlahas worked on a wide variety of effortshelping rural hospitals and providersimprove quality, patient safety, andpopulation health such as development ofpalliative care services, implementation ofquality management methods, preventingreadmissions, and clinical quality efforts ontopics such heart failure and diabetes. Inrecent years, Karla is a past-president of theMinnesota Rural Health Association, was a2008 National Rural Health AssociationFellow, and previously served as adjunctfaculty for the University of Minnesota –Crookston in Health Policy.Allison Silvers, MBAAllison Silvers is vice president for Paymentand Policy at the Center to AdvancePalliative Care (CAPC). In this role, Ms.Silvers educates payers and policymakerson both the value of palliative care and thekey strategies that ensure access andquality, while also educating palliative careprograms on opportunities under value-based payment. Ms. Silvers holds an MBAfrom Yale University, a BS in economicsfrom the Wharton School, University ofPennsylvania, as well as a Geriatric ScholarCertificate from the City University of NewYork.

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REGISTER NOW Session 5 | 10:30am: ONE STATE’S APPROACH: IMPROVING QUALITYTHROUGH A SUSTAINABLE COMMUNITY BASEDPALLIATIVE CARE BENEFITTorrie Fields, MPHSession 6 | 11:00am: SMALL GROUP DISCUSSION Session 7 | 11:20am: LARGE GROUP DISCUSSIONSession 8 | 11:30am: PANEL DISCUSSION: TAKING ACTION TOADVANCE PALLIATIVE CARE POLICY ANDPAYMENT IN MINNESOTA DAY TWOTorrie Fields, MPHFounder and CEO, Votive HealthTorrie Fields serves as Founder and CEO of Votive Health,a value-based provider enablement platform. Launched in2019, Votive Health acts as a conduit, removing thebarriers between cost and care so people living withcomplex and serious illness can focus on living and theirproviders can focus on caring. Prior to Votive Health, Fields served as Head of PalliativeCare at Blue Shield of California and Cambia HealthSolutions and worked as a management and actuarialconsultant for health plans, purchasers, and academiccenters evaluating the impact of palliative care onachieving the Institute for Healthcare Improvement’sTriple Aim. She has led development of highly successfulpalliative care initiatives including benefit design, casemanagement, caregiver support, medical homedevelopment and policy and engagement efforts. Fields’ experience has encompassed work as aneconomist and health services researcher in a variety ofsettings, including health plans, health delivery systemsand local and federal health departments. She has a deepexpertise in health policy development andimplementation, translating evidence-based research intolegislative concepts and regulatory change. Fields holds a Masters in Public Health focused in HealthManagement & Policy from Oregon Health and SciencesUniversity, a B.S.in Sociology from Portland StateUniversity, a B.A. in Communication Theory from theUniversity of California, San Diego, and a Certificate inGerontology from Portland Community College.Senator Karin Housley, Chair, Aging and Long-Term Care Policy Patrick Courneya, Chief Health Plan Medical Officer, HealthPartnersGretchen Ulbee, Minnesota State Representative (DFL) District: 51BMinnesota Department of Human Services Liz Reyer

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REGISTER NOW PANELISTSSenator Karin Housley, Chair, Aging and Long-Term Care PolicySenator Housley has represented Forest Lake, Stillwater, andcommunities along the St. Croix Valley in the Minnesota Senate since2013. As a state senator, Housley is best known for her work on issuesrelated to aging and long-term care and veterans. Housley wasinstrumental in the creation of a first-ever Minnesota Senate committeeon aging, which she currently chairs. In 2019, Housley was the author of"landmark" legislation that provided enhanced protections for elderlyand vulnerable adults in senior care facilities and licensed assisted livingfacilities in Minnesota for the first time.Gretchen Ulbee, Minnesota Department of Human ServicesGretchen Ulbee is a health care attorney with extensive experience inMedicaid managed care contracting and regulation. As Manager of SpecialNeeds Purchasing for the Minnesota Department of Human Services,Gretchen leads a team responsible for negotiating Medicaid managed carecontracts for over 100,000 seniors and people with disabilities, includingintegration of Medicare and long term services and supports. Prior to hercurrent position, Gretchen spent seven years with the state of Minnesota’sfederal relations team, where she negotiated Medicaid waivers andMedicaid State Plan amendments. Gretchen also held a Medicaidcompliance manager position for a private health insurer working withprograms in five states for seniors eligible for Medicare and Medicaid.Gretchen is committed to improving care for low income seniors andpeople with disabilities.PANEL DISCUSSION: TAKING ACTION TO ADVANCE PALLIATIVECARE POLICY AND PAYMENT IN MINNESOTA

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REGISTER NOW PANELISTSMinnesota State Representative Liz Reyer (DFL) District: 51BLiz Reyer serves on the Capital Investment, Health Finance and Policy,Housing Finance and Policy, and Preventing Homelessness DivisionCommittees. Representative Reyer was elected in 2020 and is servingher first term. She has 30 years of business and leadership experience,including 12 years at Blue Cross in Eagan. Liz is a certified executivecoach and has written a business advice column in the Star Tribune forthe past 10 years. She has a bachelor's degree in Chinese from theUniversity of Minnesota, and a master's degree in Political Science fromThe Ohio State University (Research Methodology and Public Policy).PANEL DISCUSSION: TAKING ACTION TO ADVANCE PALLIATIVECARE POLICY AND PAYMENT IN MINNESOTAPatrick Courneya, MD is chief health plan medical officer at HealthPartners.In this role, Dr. Courneya provides senior medical leadership in quality andutilization management, health and medical management, health initiativesand customer business units. Throughout his career, Dr. Courneya has servedas a medical leader in various roles at medical group, hospital and health planlevels, and he has 24 years of experience in active clinical practice.Dr. Courneya returned to HealthPartners following six years at KaiserPermanente in Oakland, Calif., where he served as executive vice presidentand chief medical officer for national health plan and hospitals quality. Dr. Courneya’s experience includes serving as chair of the Chief MedicalOfficer Leadership Council at America’s Health Insurance Plans and theMedical Directors Council at the Alliance of Community Health Plans. He alsoserved as a commissioner for the California Future Health WorkforceCommission and continues to serve as president and chair of the board ofdirectors for the National Alliance on Mental Illness (NAMI) of California. Inaddition, he serves on the Standards Committee of National Committee forQuality Assurance (NCQA) and the board of directors for the Coalition toTransform Advanced Care (C-TAC), Minnesota Community Measurement andthe Institute for Clinical Systems Improvement.

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Contact Hours: The Palliative CareSummit provides up to 10.00 contacthours. Day 1 of the Palliative Care Summitprovides up to 7.25 contact hours. Day 2of the Palliative Care Summit provides upto 2.75 contact hours. Social WorkThis summit has been designed to meetthe Minnesota Board of Social Workrequirements and is approved for 10.0clock hours: Day 1 = 7.25 hours; Day 2=2.75 hours. (CEP#490)Minnesota Board of NursingThis summit has been designed to meetthe Minnesota Board of Nursingcontinuing education requirements.Attendees can earn up to 10.0 contacthours: Day 1 = 7.25 hours; Day 2= 2.75hours. PLATFORM REQUIREMENTSCONTINUINGEDUCATIONINFORMATION Fully attend the live sessionsComplete the post-summit onlineevaluation by September 13th, 2021. Alink to the evaluation will be emailedto you within 48 hours of the close ofthe summit. CEU Certificates will be sent via emailby September 20th, 2021Attendees should save the followinginformation for their files: learningobjectives for the activity, names andqualifications of instructors. For further information, review thecontinuing education page on theMinnesota Board of Nursing web site.MNHPC is listed as a continuing educationresource. To receive contact hours, summitattendees must :The summit will be delivered via Zoom.Registrants will receive a confirmationemail with the Zoom link uponregistration. Registration confirmation andattendee announcements will be sent tothe email address used to register. Forbest results, use a desktop or laptop. If you have trouble accessing the summiton the day-of, please contactjenna2@mnhpc.org.