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Submitted URL: http://ct11.dmsgs.net/t/5826449/112978225/74010/20/
Effective URL: https://brinetwork.com/2019-population-health-management-congress/
Submission: On July 31 via api from US
Effective URL: https://brinetwork.com/2019-population-health-management-congress/
Submission: On July 31 via api from US
Form analysis
5 forms found in the DOMGET https://brinetwork.com/
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POST /2019-population-health-management-congress/#gf_109
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POST /2019-population-health-management-congress/
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<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Sudan, South">Sudan, South</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<label for="input_110_5_6" id="input_110_5_6_label">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_110_140" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Do you have more Attendees?<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_140">
<li class="gchoice_110_140_0"><input name="input_140" type="radio" value="Yes" id="choice_110_140_0" tabindex="24"
onclick="gf_apply_rules(110,[66,142,143,144,145,146,147,148,149,150,151,152,153,154,155,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206]);"
onkeypress="gf_apply_rules(110,[66,142,143,144,145,146,147,148,149,150,151,152,153,154,155,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206]);"><label
for="choice_110_140_0" id="label_110_140_0">Yes</label></li>
<li class="gchoice_110_140_1"><input name="input_140" type="radio" value="No" id="choice_110_140_1" tabindex="25"
onclick="gf_apply_rules(110,[66,142,143,144,145,146,147,148,149,150,151,152,153,154,155,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206]);"
onkeypress="gf_apply_rules(110,[66,142,143,144,145,146,147,148,149,150,151,152,153,154,155,167,168,169,170,171,172,173,174,175,176,177,178,179,180,181,182,183,184,185,186,187,188,189,190,191,192,193,194,195,196,197,198,199,200,201,202,203,204,205,206]);"><label
for="choice_110_140_1" id="label_110_140_1">No</label></li>
</ul>
</div>
</li>
<li id="field_110_66" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<p style="font-weight:700">Please list Additional Attendees</p>
</li>
<li id="field_110_142" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_142">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_142" id="input_110_142" type="text" value="" class="medium" tabindex="26" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_143" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_143">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_143" id="input_110_143" type="email" value="" class="medium" tabindex="27" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_144" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_144">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_144" id="input_110_144" type="text" value="" class="medium" tabindex="28" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_145" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_145">
<li class="gchoice_110_145_0"><input name="input_145" type="radio" value="Conference" id="choice_110_145_0" tabindex="29"><label for="choice_110_145_0" id="label_110_145_0">Conference</label></li>
<li class="gchoice_110_145_1"><input name="input_145" type="radio" value="Conference And Workshop" id="choice_110_145_1" tabindex="30"><label for="choice_110_145_1" id="label_110_145_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_146" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_146">
<li class="gchoice_110_146_0"><input name="input_146" type="radio" value="Add Attendee" id="choice_110_146_0" tabindex="31" onclick="gf_apply_rules(110,[147,148,149,150,151]);"
onkeypress="gf_apply_rules(110,[147,148,149,150,151]);"><label for="choice_110_146_0" id="label_110_146_0">Add Attendee</label></li>
<li class="gchoice_110_146_1"><input name="input_146" type="radio" value="Minus" id="choice_110_146_1" tabindex="32" onclick="gf_apply_rules(110,[147,148,149,150,151]);" onkeypress="gf_apply_rules(110,[147,148,149,150,151]);"><label
for="choice_110_146_1" id="label_110_146_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_147" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_147">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_147" id="input_110_147" type="text" value="" class="medium" tabindex="33" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_148" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_148">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_148" id="input_110_148" type="email" value="" class="medium" tabindex="34" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_149" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_149">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_149" id="input_110_149" type="text" value="" class="medium" tabindex="35" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_150" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_150">
<li class="gchoice_110_150_0"><input name="input_150" type="radio" value="Conference" id="choice_110_150_0" tabindex="36"><label for="choice_110_150_0" id="label_110_150_0">Conference</label></li>
<li class="gchoice_110_150_1"><input name="input_150" type="radio" value="Conference And Workshop" id="choice_110_150_1" tabindex="37"><label for="choice_110_150_1" id="label_110_150_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_151" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_151">
<li class="gchoice_110_151_0"><input name="input_151" type="radio" value="Plus" id="choice_110_151_0" tabindex="38" onclick="gf_apply_rules(110,[152,153,154,155,167]);" onkeypress="gf_apply_rules(110,[152,153,154,155,167]);"><label
for="choice_110_151_0" id="label_110_151_0">Add Attendee</label></li>
<li class="gchoice_110_151_1"><input name="input_151" type="radio" value="Minus" id="choice_110_151_1" tabindex="39" onclick="gf_apply_rules(110,[152,153,154,155,167]);" onkeypress="gf_apply_rules(110,[152,153,154,155,167]);"><label
for="choice_110_151_1" id="label_110_151_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_152" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_152">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_152" id="input_110_152" type="text" value="" class="medium" tabindex="40" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_153" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_153">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_153" id="input_110_153" type="email" value="" class="medium" tabindex="41" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_154" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_154">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_154" id="input_110_154" type="text" value="" class="medium" tabindex="42" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_155" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_155">
<li class="gchoice_110_155_0"><input name="input_155" type="radio" value="Conference" id="choice_110_155_0" tabindex="43"><label for="choice_110_155_0" id="label_110_155_0">Conference</label></li>
<li class="gchoice_110_155_1"><input name="input_155" type="radio" value="Conference And Workshop" id="choice_110_155_1" tabindex="44"><label for="choice_110_155_1" id="label_110_155_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_167" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_167">
<li class="gchoice_110_167_0"><input name="input_167" type="radio" value="Plus" id="choice_110_167_0" tabindex="45" onclick="gf_apply_rules(110,[168,169,170,171,172]);" onkeypress="gf_apply_rules(110,[168,169,170,171,172]);"><label
for="choice_110_167_0" id="label_110_167_0">Add Attendee</label></li>
<li class="gchoice_110_167_1"><input name="input_167" type="radio" value="Minus" id="choice_110_167_1" tabindex="46" onclick="gf_apply_rules(110,[168,169,170,171,172]);" onkeypress="gf_apply_rules(110,[168,169,170,171,172]);"><label
for="choice_110_167_1" id="label_110_167_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_168" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_168">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_168" id="input_110_168" type="text" value="" class="medium" tabindex="47" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_169" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_169">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_169" id="input_110_169" type="email" value="" class="medium" tabindex="48" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_170" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_170">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_170" id="input_110_170" type="text" value="" class="medium" tabindex="49" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_171" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_171">
<li class="gchoice_110_171_0"><input name="input_171" type="radio" value="Conference" id="choice_110_171_0" tabindex="50"><label for="choice_110_171_0" id="label_110_171_0">Conference</label></li>
<li class="gchoice_110_171_1"><input name="input_171" type="radio" value="Conference And Workshop" id="choice_110_171_1" tabindex="51"><label for="choice_110_171_1" id="label_110_171_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_172" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_172">
<li class="gchoice_110_172_0"><input name="input_172" type="radio" value="Plus" id="choice_110_172_0" tabindex="52" onclick="gf_apply_rules(110,[173,174,175,176,177]);" onkeypress="gf_apply_rules(110,[173,174,175,176,177]);"><label
for="choice_110_172_0" id="label_110_172_0">Add Attendee</label></li>
<li class="gchoice_110_172_1"><input name="input_172" type="radio" value="Minus" id="choice_110_172_1" tabindex="53" onclick="gf_apply_rules(110,[173,174,175,176,177]);" onkeypress="gf_apply_rules(110,[173,174,175,176,177]);"><label
for="choice_110_172_1" id="label_110_172_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_173" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_173">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_173" id="input_110_173" type="text" value="" class="medium" tabindex="54" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_174" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_174">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_174" id="input_110_174" type="email" value="" class="medium" tabindex="55" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_175" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_175">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_175" id="input_110_175" type="text" value="" class="medium" tabindex="56" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_176" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_176">
<li class="gchoice_110_176_0"><input name="input_176" type="radio" value="Conference" id="choice_110_176_0" tabindex="57"><label for="choice_110_176_0" id="label_110_176_0">Conference</label></li>
<li class="gchoice_110_176_1"><input name="input_176" type="radio" value="Conference And Workshop" id="choice_110_176_1" tabindex="58"><label for="choice_110_176_1" id="label_110_176_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_177" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_177">
<li class="gchoice_110_177_0"><input name="input_177" type="radio" value="Plus" id="choice_110_177_0" tabindex="59" onclick="gf_apply_rules(110,[178,179,180,181,182]);" onkeypress="gf_apply_rules(110,[178,179,180,181,182]);"><label
for="choice_110_177_0" id="label_110_177_0">Add Attendee</label></li>
<li class="gchoice_110_177_1"><input name="input_177" type="radio" value="Minus" id="choice_110_177_1" tabindex="60" onclick="gf_apply_rules(110,[178,179,180,181,182]);" onkeypress="gf_apply_rules(110,[178,179,180,181,182]);"><label
for="choice_110_177_1" id="label_110_177_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_178" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_178">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_178" id="input_110_178" type="text" value="" class="medium" tabindex="61" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_179" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_179">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_179" id="input_110_179" type="email" value="" class="medium" tabindex="62" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_180" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_180">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_180" id="input_110_180" type="text" value="" class="medium" tabindex="63" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_181" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_181">
<li class="gchoice_110_181_0"><input name="input_181" type="radio" value="Conference" id="choice_110_181_0" tabindex="64"><label for="choice_110_181_0" id="label_110_181_0">Conference</label></li>
<li class="gchoice_110_181_1"><input name="input_181" type="radio" value="Conference And Workshop" id="choice_110_181_1" tabindex="65"><label for="choice_110_181_1" id="label_110_181_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_182" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_182">
<li class="gchoice_110_182_0"><input name="input_182" type="radio" value="Plus" id="choice_110_182_0" tabindex="66" onclick="gf_apply_rules(110,[183,184,185,186,187]);" onkeypress="gf_apply_rules(110,[183,184,185,186,187]);"><label
for="choice_110_182_0" id="label_110_182_0">Add Attendee</label></li>
<li class="gchoice_110_182_1"><input name="input_182" type="radio" value="Minus" id="choice_110_182_1" tabindex="67" onclick="gf_apply_rules(110,[183,184,185,186,187]);" onkeypress="gf_apply_rules(110,[183,184,185,186,187]);"><label
for="choice_110_182_1" id="label_110_182_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_183" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_183">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_183" id="input_110_183" type="text" value="" class="medium" tabindex="68" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_184" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_184">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_184" id="input_110_184" type="email" value="" class="medium" tabindex="69" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_185" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_185">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_185" id="input_110_185" type="text" value="" class="medium" tabindex="70" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_186" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_186">
<li class="gchoice_110_186_0"><input name="input_186" type="radio" value="Conference" id="choice_110_186_0" tabindex="71"><label for="choice_110_186_0" id="label_110_186_0">Conference</label></li>
<li class="gchoice_110_186_1"><input name="input_186" type="radio" value="Conference And Workshop" id="choice_110_186_1" tabindex="72"><label for="choice_110_186_1" id="label_110_186_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_187" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_187">
<li class="gchoice_110_187_0"><input name="input_187" type="radio" value="Plus" id="choice_110_187_0" tabindex="73" onclick="gf_apply_rules(110,[188,189,190,191,192]);" onkeypress="gf_apply_rules(110,[188,189,190,191,192]);"><label
for="choice_110_187_0" id="label_110_187_0">Add Attendee</label></li>
<li class="gchoice_110_187_1"><input name="input_187" type="radio" value="Minus" id="choice_110_187_1" tabindex="74" onclick="gf_apply_rules(110,[188,189,190,191,192]);" onkeypress="gf_apply_rules(110,[188,189,190,191,192]);"><label
for="choice_110_187_1" id="label_110_187_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_188" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_188">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_188" id="input_110_188" type="text" value="" class="medium" tabindex="75" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_189" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_189">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_189" id="input_110_189" type="email" value="" class="medium" tabindex="76" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_190" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_190">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_190" id="input_110_190" type="text" value="" class="medium" tabindex="77" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_191" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_191">
<li class="gchoice_110_191_0"><input name="input_191" type="radio" value="Conference" id="choice_110_191_0" tabindex="78"><label for="choice_110_191_0" id="label_110_191_0">Conference</label></li>
<li class="gchoice_110_191_1"><input name="input_191" type="radio" value="Conference And Workshop" id="choice_110_191_1" tabindex="79"><label for="choice_110_191_1" id="label_110_191_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_192" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_192">
<li class="gchoice_110_192_0"><input name="input_192" type="radio" value="Plus" id="choice_110_192_0" tabindex="80" onclick="gf_apply_rules(110,[193,194,195,196,197]);" onkeypress="gf_apply_rules(110,[193,194,195,196,197]);"><label
for="choice_110_192_0" id="label_110_192_0">Add Attendee</label></li>
<li class="gchoice_110_192_1"><input name="input_192" type="radio" value="Minus" id="choice_110_192_1" tabindex="81" onclick="gf_apply_rules(110,[193,194,195,196,197]);" onkeypress="gf_apply_rules(110,[193,194,195,196,197]);"><label
for="choice_110_192_1" id="label_110_192_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_193" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_193">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_193" id="input_110_193" type="text" value="" class="medium" tabindex="82" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_194" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_194">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_194" id="input_110_194" type="email" value="" class="medium" tabindex="83" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_195" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_195">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_195" id="input_110_195" type="text" value="" class="medium" tabindex="84" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_196" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_196">
<li class="gchoice_110_196_0"><input name="input_196" type="radio" value="Conference" id="choice_110_196_0" tabindex="85"><label for="choice_110_196_0" id="label_110_196_0">Conference</label></li>
<li class="gchoice_110_196_1"><input name="input_196" type="radio" value="Conference And Workshop" id="choice_110_196_1" tabindex="86"><label for="choice_110_196_1" id="label_110_196_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_197" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_197">
<li class="gchoice_110_197_0"><input name="input_197" type="radio" value="Plus" id="choice_110_197_0" tabindex="87" onclick="gf_apply_rules(110,[198,199,200,201,202]);" onkeypress="gf_apply_rules(110,[198,199,200,201,202]);"><label
for="choice_110_197_0" id="label_110_197_0">Add Attendee</label></li>
<li class="gchoice_110_197_1"><input name="input_197" type="radio" value="Minus" id="choice_110_197_1" tabindex="88" onclick="gf_apply_rules(110,[198,199,200,201,202]);" onkeypress="gf_apply_rules(110,[198,199,200,201,202]);"><label
for="choice_110_197_1" id="label_110_197_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_198" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_198">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_198" id="input_110_198" type="text" value="" class="medium" tabindex="89" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_199" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_199">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_199" id="input_110_199" type="email" value="" class="medium" tabindex="90" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_200" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_200">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_200" id="input_110_200" type="text" value="" class="medium" tabindex="91" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_201" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_201">
<li class="gchoice_110_201_0"><input name="input_201" type="radio" value="Conference" id="choice_110_201_0" tabindex="92"><label for="choice_110_201_0" id="label_110_201_0">Conference</label></li>
<li class="gchoice_110_201_1"><input name="input_201" type="radio" value="Conference And Workshop" id="choice_110_201_1" tabindex="93"><label for="choice_110_201_1" id="label_110_201_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_202" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_202">
<li class="gchoice_110_202_0"><input name="input_202" type="radio" value="Plus" id="choice_110_202_0" tabindex="94" onclick="gf_apply_rules(110,[203,204,205,206]);" onkeypress="gf_apply_rules(110,[203,204,205,206]);"><label
for="choice_110_202_0" id="label_110_202_0">Add Attendee</label></li>
<li class="gchoice_110_202_1"><input name="input_202" type="radio" value="Minus" id="choice_110_202_1" tabindex="95" onclick="gf_apply_rules(110,[203,204,205,206]);" onkeypress="gf_apply_rules(110,[203,204,205,206]);"><label
for="choice_110_202_1" id="label_110_202_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_203" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_203">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_203" id="input_110_203" type="text" value="" class="medium" tabindex="96" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_204" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_204">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_204" id="input_110_204" type="email" value="" class="medium" tabindex="97" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_205" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_205">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_205" id="input_110_205" type="text" value="" class="medium" tabindex="98" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_206" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_206">
<li class="gchoice_110_206_0"><input name="input_206" type="radio" value="Conference" id="choice_110_206_0" tabindex="99"><label for="choice_110_206_0" id="label_110_206_0">Conference</label></li>
<li class="gchoice_110_206_1"><input name="input_206" type="radio" value="Conference And Workshop" id="choice_110_206_1" tabindex="100"><label for="choice_110_206_1" id="label_110_206_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_141" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Do you have more Attendees?</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_141">
<li class="gchoice_110_141_0"><input name="input_141" type="radio" value="Yes" id="choice_110_141_0" tabindex="101"
onclick="gf_apply_rules(110,[67,156,157,158,160,161,162,163,164,165,166,209,210,211,212,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233,234,235,236,237,238,239,240,241,242,243,244,245,246,247,248,249,250,251,252,253]);"
onkeypress="gf_apply_rules(110,[67,156,157,158,160,161,162,163,164,165,166,209,210,211,212,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233,234,235,236,237,238,239,240,241,242,243,244,245,246,247,248,249,250,251,252,253]);"><label
for="choice_110_141_0" id="label_110_141_0">Yes</label></li>
<li class="gchoice_110_141_1"><input name="input_141" type="radio" value="No" id="choice_110_141_1" tabindex="102"
onclick="gf_apply_rules(110,[67,156,157,158,160,161,162,163,164,165,166,209,210,211,212,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233,234,235,236,237,238,239,240,241,242,243,244,245,246,247,248,249,250,251,252,253]);"
onkeypress="gf_apply_rules(110,[67,156,157,158,160,161,162,163,164,165,166,209,210,211,212,214,215,216,217,218,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233,234,235,236,237,238,239,240,241,242,243,244,245,246,247,248,249,250,251,252,253]);"><label
for="choice_110_141_1" id="label_110_141_1">No</label></li>
</ul>
</div>
</li>
<li id="field_110_67" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<p style="font-weight:700">Please list Additional Attendees</p>
</li>
<li id="field_110_156" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_156">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_156" id="input_110_156" type="text" value="" class="medium" tabindex="103" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_157" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_157">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_157" id="input_110_157" type="email" value="" class="medium" tabindex="104" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_158" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_158">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_158" id="input_110_158" type="text" value="" class="medium" tabindex="105" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_160" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_160">
<li class="gchoice_110_160_0"><input name="input_160" type="radio" value="Conference" id="choice_110_160_0" tabindex="106"><label for="choice_110_160_0" id="label_110_160_0">Conference</label></li>
<li class="gchoice_110_160_1"><input name="input_160" type="radio" value="Conference And Workshop" id="choice_110_160_1" tabindex="107"><label for="choice_110_160_1" id="label_110_160_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_161" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_161">
<li class="gchoice_110_161_0"><input name="input_161" type="radio" value="Plus" id="choice_110_161_0" tabindex="108" onclick="gf_apply_rules(110,[162,163,164,165,166]);" onkeypress="gf_apply_rules(110,[162,163,164,165,166]);"><label
for="choice_110_161_0" id="label_110_161_0">Add Attendee</label></li>
<li class="gchoice_110_161_1"><input name="input_161" type="radio" value="Minus" id="choice_110_161_1" tabindex="109" onclick="gf_apply_rules(110,[162,163,164,165,166]);" onkeypress="gf_apply_rules(110,[162,163,164,165,166]);"><label
for="choice_110_161_1" id="label_110_161_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_162" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_162">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_162" id="input_110_162" type="text" value="" class="medium" tabindex="110" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_163" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_163">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_163" id="input_110_163" type="email" value="" class="medium" tabindex="111" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_164" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_164">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_164" id="input_110_164" type="text" value="" class="medium" tabindex="112" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_165" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_165">
<li class="gchoice_110_165_0"><input name="input_165" type="radio" value="Conference" id="choice_110_165_0" tabindex="113"><label for="choice_110_165_0" id="label_110_165_0">Conference</label></li>
<li class="gchoice_110_165_1"><input name="input_165" type="radio" value="Conference And Workshop" id="choice_110_165_1" tabindex="114"><label for="choice_110_165_1" id="label_110_165_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_166" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_166">
<li class="gchoice_110_166_0"><input name="input_166" type="radio" value="Plus" id="choice_110_166_0" tabindex="115" onclick="gf_apply_rules(110,[209,210,211,212,214]);" onkeypress="gf_apply_rules(110,[209,210,211,212,214]);"><label
for="choice_110_166_0" id="label_110_166_0">Add Attendee</label></li>
<li class="gchoice_110_166_1"><input name="input_166" type="radio" value="Minus" id="choice_110_166_1" tabindex="116" onclick="gf_apply_rules(110,[209,210,211,212,214]);" onkeypress="gf_apply_rules(110,[209,210,211,212,214]);"><label
for="choice_110_166_1" id="label_110_166_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_209" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_209">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_209" id="input_110_209" type="text" value="" class="medium" tabindex="117" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_210" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_210">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_210" id="input_110_210" type="email" value="" class="medium" tabindex="118" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_211" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_211">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_211" id="input_110_211" type="text" value="" class="medium" tabindex="119" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_212" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_212">
<li class="gchoice_110_212_0"><input name="input_212" type="radio" value="Conference" id="choice_110_212_0" tabindex="120"><label for="choice_110_212_0" id="label_110_212_0">Conference</label></li>
<li class="gchoice_110_212_1"><input name="input_212" type="radio" value="Conference And Workshop" id="choice_110_212_1" tabindex="121"><label for="choice_110_212_1" id="label_110_212_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_214" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_214">
<li class="gchoice_110_214_0"><input name="input_214" type="radio" value="Plus" id="choice_110_214_0" tabindex="122" onclick="gf_apply_rules(110,[215,216,217,218,219]);" onkeypress="gf_apply_rules(110,[215,216,217,218,219]);"><label
for="choice_110_214_0" id="label_110_214_0">Add Attendee</label></li>
<li class="gchoice_110_214_1"><input name="input_214" type="radio" value="Minus" id="choice_110_214_1" tabindex="123" onclick="gf_apply_rules(110,[215,216,217,218,219]);" onkeypress="gf_apply_rules(110,[215,216,217,218,219]);"><label
for="choice_110_214_1" id="label_110_214_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_215" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_215">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_215" id="input_110_215" type="text" value="" class="medium" tabindex="124" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_216" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_216">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_216" id="input_110_216" type="email" value="" class="medium" tabindex="125" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_217" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_217">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_217" id="input_110_217" type="text" value="" class="medium" tabindex="126" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_218" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_218">
<li class="gchoice_110_218_0"><input name="input_218" type="radio" value="Conference" id="choice_110_218_0" tabindex="127"><label for="choice_110_218_0" id="label_110_218_0">Conference</label></li>
<li class="gchoice_110_218_1"><input name="input_218" type="radio" value="Conference And Workshop" id="choice_110_218_1" tabindex="128"><label for="choice_110_218_1" id="label_110_218_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_219" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_219">
<li class="gchoice_110_219_0"><input name="input_219" type="radio" value="Plus" id="choice_110_219_0" tabindex="129" onclick="gf_apply_rules(110,[220,221,222,223,224]);" onkeypress="gf_apply_rules(110,[220,221,222,223,224]);"><label
for="choice_110_219_0" id="label_110_219_0">Add Attendee</label></li>
<li class="gchoice_110_219_1"><input name="input_219" type="radio" value="Minus" id="choice_110_219_1" tabindex="130" onclick="gf_apply_rules(110,[220,221,222,223,224]);" onkeypress="gf_apply_rules(110,[220,221,222,223,224]);"><label
for="choice_110_219_1" id="label_110_219_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_220" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_220">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_220" id="input_110_220" type="text" value="" class="medium" tabindex="131" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_221" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_221">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_221" id="input_110_221" type="email" value="" class="medium" tabindex="132" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_222" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_222">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_222" id="input_110_222" type="text" value="" class="medium" tabindex="133" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_223" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_223">
<li class="gchoice_110_223_0"><input name="input_223" type="radio" value="Conference" id="choice_110_223_0" tabindex="134"><label for="choice_110_223_0" id="label_110_223_0">Conference</label></li>
<li class="gchoice_110_223_1"><input name="input_223" type="radio" value="Conference And Workshop" id="choice_110_223_1" tabindex="135"><label for="choice_110_223_1" id="label_110_223_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_224" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_224">
<li class="gchoice_110_224_0"><input name="input_224" type="radio" value="Plus" id="choice_110_224_0" tabindex="136" onclick="gf_apply_rules(110,[225,226,227,228,229]);" onkeypress="gf_apply_rules(110,[225,226,227,228,229]);"><label
for="choice_110_224_0" id="label_110_224_0">Add Attendee</label></li>
<li class="gchoice_110_224_1"><input name="input_224" type="radio" value="Minus" id="choice_110_224_1" tabindex="137" onclick="gf_apply_rules(110,[225,226,227,228,229]);" onkeypress="gf_apply_rules(110,[225,226,227,228,229]);"><label
for="choice_110_224_1" id="label_110_224_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_225" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_225">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_225" id="input_110_225" type="text" value="" class="medium" tabindex="138" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_226" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_226">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_226" id="input_110_226" type="email" value="" class="medium" tabindex="139" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_227" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_227">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_227" id="input_110_227" type="text" value="" class="medium" tabindex="140" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_228" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_228">
<li class="gchoice_110_228_0"><input name="input_228" type="radio" value="Conference" id="choice_110_228_0" tabindex="141"><label for="choice_110_228_0" id="label_110_228_0">Conference</label></li>
<li class="gchoice_110_228_1"><input name="input_228" type="radio" value="Conference And Workshop" id="choice_110_228_1" tabindex="142"><label for="choice_110_228_1" id="label_110_228_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_229" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_229">
<li class="gchoice_110_229_0"><input name="input_229" type="radio" value="Plus" id="choice_110_229_0" tabindex="143" onclick="gf_apply_rules(110,[230,231,232,233,234]);" onkeypress="gf_apply_rules(110,[230,231,232,233,234]);"><label
for="choice_110_229_0" id="label_110_229_0">Add Attendee</label></li>
<li class="gchoice_110_229_1"><input name="input_229" type="radio" value="Minus" id="choice_110_229_1" tabindex="144" onclick="gf_apply_rules(110,[230,231,232,233,234]);" onkeypress="gf_apply_rules(110,[230,231,232,233,234]);"><label
for="choice_110_229_1" id="label_110_229_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_230" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_230">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_230" id="input_110_230" type="text" value="" class="medium" tabindex="145" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_231" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_231">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_231" id="input_110_231" type="email" value="" class="medium" tabindex="146" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_232" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_232">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_232" id="input_110_232" type="text" value="" class="medium" tabindex="147" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_233" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_233">
<li class="gchoice_110_233_0"><input name="input_233" type="radio" value="Conference" id="choice_110_233_0" tabindex="148"><label for="choice_110_233_0" id="label_110_233_0">Conference</label></li>
<li class="gchoice_110_233_1"><input name="input_233" type="radio" value="Conference And Workshop" id="choice_110_233_1" tabindex="149"><label for="choice_110_233_1" id="label_110_233_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_234" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_234">
<li class="gchoice_110_234_0"><input name="input_234" type="radio" value="Plus" id="choice_110_234_0" tabindex="150" onclick="gf_apply_rules(110,[235,236,237,238,239]);" onkeypress="gf_apply_rules(110,[235,236,237,238,239]);"><label
for="choice_110_234_0" id="label_110_234_0">Add Attendee</label></li>
<li class="gchoice_110_234_1"><input name="input_234" type="radio" value="Minus" id="choice_110_234_1" tabindex="151" onclick="gf_apply_rules(110,[235,236,237,238,239]);" onkeypress="gf_apply_rules(110,[235,236,237,238,239]);"><label
for="choice_110_234_1" id="label_110_234_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_235" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_235">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_235" id="input_110_235" type="text" value="" class="medium" tabindex="152" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_236" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_236">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_236" id="input_110_236" type="email" value="" class="medium" tabindex="153" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_237" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_237">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_237" id="input_110_237" type="text" value="" class="medium" tabindex="154" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_238" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_238">
<li class="gchoice_110_238_0"><input name="input_238" type="radio" value="Conference" id="choice_110_238_0" tabindex="155"><label for="choice_110_238_0" id="label_110_238_0">Conference</label></li>
<li class="gchoice_110_238_1"><input name="input_238" type="radio" value="Conference And Workshop" id="choice_110_238_1" tabindex="156"><label for="choice_110_238_1" id="label_110_238_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_239" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_239">
<li class="gchoice_110_239_0"><input name="input_239" type="radio" value="Plus" id="choice_110_239_0" tabindex="157" onclick="gf_apply_rules(110,[240,241,242,243,244]);" onkeypress="gf_apply_rules(110,[240,241,242,243,244]);"><label
for="choice_110_239_0" id="label_110_239_0">Add Attendee</label></li>
<li class="gchoice_110_239_1"><input name="input_239" type="radio" value="Minus" id="choice_110_239_1" tabindex="158" onclick="gf_apply_rules(110,[240,241,242,243,244]);" onkeypress="gf_apply_rules(110,[240,241,242,243,244]);"><label
for="choice_110_239_1" id="label_110_239_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_240" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_240">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_240" id="input_110_240" type="text" value="" class="medium" tabindex="159" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_241" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_241">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_241" id="input_110_241" type="email" value="" class="medium" tabindex="160" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_242" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_242">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_242" id="input_110_242" type="text" value="" class="medium" tabindex="161" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_243" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_243">
<li class="gchoice_110_243_0"><input name="input_243" type="radio" value="Conference" id="choice_110_243_0" tabindex="162"><label for="choice_110_243_0" id="label_110_243_0">Conference</label></li>
<li class="gchoice_110_243_1"><input name="input_243" type="radio" value="Conference And Workshop" id="choice_110_243_1" tabindex="163"><label for="choice_110_243_1" id="label_110_243_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_244" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_244">
<li class="gchoice_110_244_0"><input name="input_244" type="radio" value="Plus" id="choice_110_244_0" tabindex="164" onclick="gf_apply_rules(110,[245,246,247,248,249]);" onkeypress="gf_apply_rules(110,[245,246,247,248,249]);"><label
for="choice_110_244_0" id="label_110_244_0">Add Attendee</label></li>
<li class="gchoice_110_244_1"><input name="input_244" type="radio" value="Minus" id="choice_110_244_1" tabindex="165" onclick="gf_apply_rules(110,[245,246,247,248,249]);" onkeypress="gf_apply_rules(110,[245,246,247,248,249]);"><label
for="choice_110_244_1" id="label_110_244_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_245" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_245">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_245" id="input_110_245" type="text" value="" class="medium" tabindex="166" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_246" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_246">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_246" id="input_110_246" type="email" value="" class="medium" tabindex="167" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_247" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_247">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_247" id="input_110_247" type="text" value="" class="medium" tabindex="168" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_248" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_248">
<li class="gchoice_110_248_0"><input name="input_248" type="radio" value="Conference" id="choice_110_248_0" tabindex="169"><label for="choice_110_248_0" id="label_110_248_0">Conference</label></li>
<li class="gchoice_110_248_1"><input name="input_248" type="radio" value="Conference And Workshop" id="choice_110_248_1" tabindex="170"><label for="choice_110_248_1" id="label_110_248_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_249" class="gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Add Another Attendee</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_249">
<li class="gchoice_110_249_0"><input name="input_249" type="radio" value="Plus" id="choice_110_249_0" tabindex="171" onclick="gf_apply_rules(110,[250,251,252,253]);" onkeypress="gf_apply_rules(110,[250,251,252,253]);"><label
for="choice_110_249_0" id="label_110_249_0">Add Attendee</label></li>
<li class="gchoice_110_249_1"><input name="input_249" type="radio" value="Minus" id="choice_110_249_1" tabindex="172" onclick="gf_apply_rules(110,[250,251,252,253]);" onkeypress="gf_apply_rules(110,[250,251,252,253]);"><label
for="choice_110_249_1" id="label_110_249_1">Remove Attendee</label></li>
</ul>
</div>
</li>
<li id="field_110_250" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_250">Name<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_250" id="input_110_250" type="text" value="" class="medium" tabindex="173" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_251" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_251">Email<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_251" id="input_110_251" type="email" value="" class="medium" tabindex="174" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_110_252" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_252">Title<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_252" id="input_110_252" type="text" value="" class="medium" tabindex="175" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_253" class="gfield gf_right_half gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"><span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_253">
<li class="gchoice_110_253_0"><input name="input_253" type="radio" value="Conference" id="choice_110_253_0" tabindex="176"><label for="choice_110_253_0" id="label_110_253_0">Conference</label></li>
<li class="gchoice_110_253_1"><input name="input_253" type="radio" value="Conference And Workshop" id="choice_110_253_1" tabindex="177"><label for="choice_110_253_1" id="label_110_253_1">Conference & Workshop</label></li>
</ul>
</div>
</li>
<li id="field_110_41" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible"><br>
<p style="font-weight: 700;">Payment Information: </p>
<p>
<img src="/wp-content/uploads/2017/10/Visa_Mastercard_Discover_and_AMEX_logo.jpg" width="300px">
</p>
</li>
<li id="field_110_56" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label">Credit Card or Pay by Mail<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_56">
<li class="gchoice_110_56_0"><input name="input_56" type="radio" value="Credit Card" id="choice_110_56_0" tabindex="178" onclick="gf_apply_rules(110,[21,50,22,23,28,19,134,57]);"
onkeypress="gf_apply_rules(110,[21,50,22,23,28,19,134,57]);"><label for="choice_110_56_0" id="label_110_56_0">Credit Card</label></li>
<li class="gchoice_110_56_1"><input name="input_56" type="radio" value="Pay by Mail" id="choice_110_56_1" tabindex="179" onclick="gf_apply_rules(110,[21,50,22,23,28,19,134,57]);"
onkeypress="gf_apply_rules(110,[21,50,22,23,28,19,134,57]);"><label for="choice_110_56_1" id="label_110_56_1">Pay by Mail</label></li>
</ul>
</div>
</li>
<li id="field_110_21" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_21">Card Number<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_110_21" type="text" value="" class="medium" tabindex="180" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_50" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_50">CVV<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_50" id="input_110_50" type="text" value="" class="medium" tabindex="181" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_22" class="gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_22">Month<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_22" id="input_110_22" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select></div>
</li>
<li id="field_110_23" class="gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_23">Year<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_23" id="input_110_23" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value=""></option>
</select></div>
</li>
<li id="field_110_28" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_110_28">Name on Card<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_text"><input name="input_28" id="input_110_28" type="text" value="" class="medium" tabindex="184" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_110_19" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label gfield_label_before_complex" for="input_110_19_1">Billing
Address<span class="gfield_required">*</span></label>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change" id="input_110_19">
<span class="ginput_full address_line_1" id="input_110_19_1_container">
<input type="text" name="input_19.1" id="input_110_19_1" value="" tabindex="185">
<label for="input_110_19_1" id="input_110_19_1_label">Address 1</label>
</span><span class="ginput_full address_line_2" id="input_110_19_2_container">
<input type="text" name="input_19.2" id="input_110_19_2" value="" tabindex="186">
<label for="input_110_19_2" id="input_110_19_2_label">Address 2</label>
</span><span class="ginput_left address_city" id="input_110_19_3_container">
<input type="text" name="input_19.3" id="input_110_19_3" value="" tabindex="187">
<label for="input_110_19_3" id="input_110_19_3_label">City</label>
</span><span class="ginput_right address_state" id="input_110_19_4_container">
<input type="text" name="input_19.4" id="input_110_19_4" value="" tabindex="189">
<label for="input_110_19_4" id="input_110_19_4_label">State / Province / Region</label>
</span><span class="ginput_left address_zip" id="input_110_19_5_container">
<input type="text" name="input_19.5" id="input_110_19_5" value="" tabindex="190">
<label for="input_110_19_5" id="input_110_19_5_label">ZIP / Postal Code</label>
</span><span class="ginput_right address_country" id="input_110_19_6_container">
<select name="input_19.6" id="input_110_19_6">
<option value="" selected="selected"></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Polynesia">French Polynesia</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="North Korea">North Korea</option>
<option value="South Korea">South Korea</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Sudan, South">Sudan, South</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<label for="input_110_19_6" id="input_110_19_6_label">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_110_134" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><b>Please make all checks payable to: </b><br> Business
Research & Intelligence Network<br> 852 Franklin Avenue, Ste 205<br> Franklin Lakes, NJ 07417<br></li>
<li id="field_110_57" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label">Choose Billing Address</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_110_57">
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* Instagram * Facebook * Twitter * LinkedIn * Home * Events & Conferences * Sponsors & Exhibitors * News * Contact Select Page * Home * Events & Conferences * Sponsors & Exhibitors * News * Contact 2019 POPULATION HEALTH MANAGEMENT CONGRESS * About * Agenda * Speakers * Who Should Attend * Venue * Sponsors & Exhibitors * Pricing * Register * Request Brochure * FAQ * About * Agenda * Speakers * Who Should Attend * Venue * Sponsors & Exhibitors * Pricing * Register * Request Brochure * FAQ 2019 POPULATION HEALTH MANAGEMENT CONGRESS FOR HEALTH PLANS & HOSPITALS SEPTEMBER 16-17, 2019 WESTIN KIERLAND RESORT * SCOTTSDALE, ARIZONA Register Now Request Brochure 2019 POPULATION HEALTH MANAGEMENT CONGRESS 047 Day(s) : 04 Hour(s) : 56 Minute(s) : 03 Second(s) About the Conference Population Health Management is at the forefront of the value-based healthcare landscape, driving the effort to achieve the Triple Aim and improve the health of the nation’s patient population. Both Providers and Payors are deeply involved in developing and deploying effective programs and processes targeted to deliver high quality, patient centric healthcare to significantly improve patient outcomes, while dramatically reducing healthcare spending. Innovative processes and systems involving enhanced care coordination, preventative measures, leveraging technology to manage high risk patients, Innovative processes have been implemented and are continuing to rapidly evolve and improve health outcomes. Collaborative efforts between Payors and Providers, as well as partnerships are improving the patient experience while reducing spending. This high level forum features knowledgeable leaders and executives from the nation's leading Hospitals, Health Systems and Health Plans who will share their valuable insights and expertise on how to achieve success in the rapidly evolving landscape of Population Health Management. Attendees will benefit from learning about best practices and strategies that have been implemented to address the challenges in transforming the nation’s healthcare to improve and maintain a healthy population while reducing healthcare spending. WHO SHOULD ATTEND? From Hospitals/Health Plans/Health Systems: * CEO ’s * CFO’s * Chief Medical Officers * Chief Quality Officers * Chief Marketing Officers * Population Health Management * Medical Management * Community Health * Medicare * Senior Products * Medical Directors * Government Programs * Health Reform * Patient Quality & Safety * Readmissions * Innovation * Compliance * Managed Care * Care Management * Operations * Finance * Strategy * Business Development * Regulatory Affairs * Risk Management * Utilization Management * Network Management * Business Development Also of interest to: Vendors; Solution Providers; Population Health Management Organizations; Home Health Care; Physician Groups; Healthcare Consultants CONFERENCE AGENDA DAY ONE – MONDAY, SEPTEMBER 16, 2019 7:15am – 8:00am Conference Registration & Morning Breakfast 8:00am – 8:15am Chairperson’s Opening Remarks 8:15am – 9:00am Creating Value Through Care Re-Design to Improve Outcomes and Reduce Costs This session will give a broad overview of innovative strategies being deployed by health systems, health plans, and the private sector to move care beyond the traditional 4-walls as payment models evolve away from traditional fee-for-service towards value-based payments. The talk will review evidence-based solutions that are currently working in the space, challenges that can inhibit innovation and scale of successful ideas, and a roadmap for future directions. Harry S. Saag MD, FACP Assistant Professor of Medicine NYU School of Medicine CEO & Co-Founder Roster Health 9:00am – 9:45am Thinking Upstream to Address High Healthcare Spending: Evidence on Cross Sector Partnerships to Improve Healthcare Outcomes The US health system is known as one of the best in the world for research and medical advances, but it is also known for its high spending per capita and poor outcomes as compared to other developed countries. This talk will discuss how payers across the US are seeking strategies to reduce costs and improve quality and sustainability; however, a growing body of evidence suggests that in order to reduce costs and improve health outcomes, payers will have to partner with other sectors to address the multiple social risk factors that lead to poor health outcomes. This presentation, will review evidence on the individual and community level drivers of health outcomes and costs, explore the evidence supporting the need for and promise of cross sector partnerships for improved health outcomes, examine keys to success in establishing cross sector partnerships, and review examples from across the US of partnerships between payers and other sectors with a shared goal of improving health outcomes. Melissa Sherry, MPH, CPH Director, Population Health Innovation and Transformation Johns Hopkins HealthCare 9:45am – 10:15am Networking Break and Refreshments 10:15am – 11:00am Key Population Health Cost-of-Care Initiatives to Drive Success in Value-Based Contracts This session will discuss how some large national payers plan to have >75% of all members covered through value-based arrangements. Value based goals encourages providers to curb unnecessary utilization, shift care to lower cost settings, collaborate as multi-specialty/multi-disciplinary/multi-setting teams, and improve patient's health and overall quality of life, especially in the ambulatory and non-hospital setting. The talk will provide an overview of strategies for provider clinical leadership to impact cost of care for value-based contract lives (short of Payer UM delegation), as well as outline a deep dive of select cost of care initiatives. The talk will also detail how to leverage a Clinically Integrated Network (CIN) to drive efficient utilization of acute care services, diagnostics, specialty care, and pharmacy costs. Arshad K Rahim, MD, MBA, FACP Vice President/Senior Medical Director, Population Health Assistant Professor, Medicine Mount Sinai Health System 11:00am – 11:45am How the Consumer and Technology Are Reshaping Healthcare This presentation will discuss how the consumer and technology are working to change and reshape healthcare. The session will explore how new entrants into healthcare may reconfigure the competitive landscape and how the vertical integration of large payers has the potential to redefine medical supply demand relationships. The talk will also reveal the need for incumbent healthcare organizations to integrate digital-physical experiences and work to create next generation care delivery models. Steven J. Lester MD, FACC, FRCP(C), FASE Consultant, Cardiovascular Diseases Associate Medical Director, Department of Business Development Associate Medical Director, Contracting and Payer Relations Mayo Clinic, Arizona Professor of Medicine Mayo Clinic College of Medicine and Science Director Hypertrophic Cardiomyopathy Clinic 11:45am – 12:30pm Leveraging Data Analytics to Drive Population Health Management Strategies This session will discuss how an academic health system like UW Medicine began its population health management journey. The approach has included shifting from “sickness” to also focus on “wellness” care, caring for “individuals” to “populations” and intentionally moving along the transformative trajectory of “fee-for-service” to “fee-for -value” across all lines of business. The talk will discuss how a critical success factor in managing the health of populations has been using data and analytics to define the life-cycle of care and tell the story around which “lives” we serve ,identify the characteristics of our population and the opportunities to improve health outcomes while reducing cost. The talk will also share a common core competency has been leveraging data analytics to define, measure, improve and monitor return on investment in population health as we aspire to serve all our patients. Van Chaudhari, FACHE, MHA Administrator Population Health Management UW Medicine 12:30pm – 1:30pm Luncheon for Speakers and Delegates 1:30pm – 2:15pm Clinical Integration to Maximize Health Outcomes This presentation will discuss how an interdisciplinary approach to care positively impacts patient engagement and experience and improves health outcomes. The talk will review how CareMore integrates health services to include primary care, chronic disease management, behavioral health and assistance in accessing resources. The talk will show how this integration is effective in addressing physical and psychosocial health needs. Sepideh Chegini, MD Senior Medical Officer CareMore Health 2:15pm – 3:15pm Panel Discussion: Developing and Deploying Collaborative Strategies and Partnerships Between Payers and Providers William Jonakin, MD, CPC, CRC Medical Director St. Luke's Health Partners Gavin Malcolm, LCSW Director, Population Health Broward Health ACO Services Harry S. Saag MD, FACP Assistant Professor of Medicine NYU School of Medicine CEO & Co-Founder Roster Health 3:15pm – 3:45pm Networking Break and Refreshments 3:45pm – 4:30pm Experience and Success of A Team Based Transitional Care Clinics at Dignity Health This session will discuss how Dignity Health Medical Group’s Center for Transitional Care, cares for the high-risk complex patient upon discharged from the acute care setting. The talk will reveal how patients are cared for by a team of APP, Physicians and Social workers. The team educates the patients on their medical condition, medications and identifies barriers to care. The session will discuss how patients have received triple aim care with improved quality, satisfaction and decrease cost of care as demonstrated by decrease readmission and improved patient satisfaction scores. Bruce Bethancourt, MD, FACP Chief Medical Officer Dignity Health Medical Group 4:30pm – 5:15pm Strategies to Implement Care Coordination Teams to Successfully Improve Population Health The purpose of today’s hospital case managers is patient centric care coordination. Case managers working with the interdisciplinary team which includes the patient as a central member, develop a care coordination plan for the next level of care. The case manager drives the hospital transition plan to meet the patient’s needs in the right setting, at the right time, with the highest quality and the lowest cost. This presentation will outline the strategy for patient centric care coordination in the acute care setting. The talk will discuss how case managers work with the interdisciplinary team to provide intensive, well planned care coordination services to the hospital patients requiring this. Mary McLaughlin Davis, DNP, ACNS-BC, NEA-BC, CCM Senior Director, Care Management Nursing Cleveland Clinic 5:15 End of Day One DAY TWO – TUESDAY, SEPTEMBER 17, 2019 7:15am – 8:00am Morning Breakfast 8:00am – 8:15am Recap of Day One 8:15am – 9:00am Strategies to Reduce Opioid Use and Addiction Opioid utilization and subsequent addiction is a tremendous crisis in the United States today, and continues to grow. This talk will reveal strategies and perspectives on how to tackle this epidemic that continues to take the lives of thousands of Americans on a daily basis. The presentation will also discuss working within the community to establish effective partnerships to aid in this effort. Mikelle Moore Senior Vice President, Chief Community Health Officer Intermountain Healthcare 9:00am – 9:45am Using Artificial Intelligence to Identify and Manage High rRsk Patients in Population Health Management This session will discuss how Artificial Intelligence (AI) offers the potential to contribute to success of population health efforts through automation of tasks and augmentation of human capability. The talk will reveal how AI offers great promise in supporting the shift to value-based care and alternative payment models. Implementation of these models requires organizational support and transformation. The presentation will explore how development and implementation of these models should be cautious in ensuring value to patients. They should operate within an ethical framework and not introduce or perpetuate bias. Naveen Raja, DO Medical Director of Population Health UCLA Health Associate Professor UCLA David Geffen School of Medicine 9:45am – 10:15am Networking Break and Refreshments 10:15am – 11:00am Optimizing the Patient Experience and Member Engagement This session will describe ways that Horizon BCBS collaborates with clinicians and health delivery administrators to improve the patient experience. The talk will explore a case study of “Secret Shopper”, a directly observed care Initiative. The presentation will also delineate Horizon’s specific tools and applications of vendor programs and technologies to enhance and improve member engagement and reduce consumer effort. Steven R. Peskin, MD, MBA, FACP Executive Medical Director Population Health Horizon BCBSNJ 11:00am – 11:45am The Patient Centered Medical Home: Coordinating Care For High Risk Patients The Patient Centered Medical Home as defined by the Agency for Healthcare Research and Quality (AHRQ) includes 5 attributes of functionality: Comprehensive, Patient centered, Coordinated, Accessible, and focus on Quality and Safety. Often patients who are high risk for poor health outcomes require additional assistance with coordination and navigation of health care which is frequently fragmented in delivery. As reimbursement for medical care continues to shift towards value-based models and health systems and payers address increasing risk, multiple stakeholders are developing approaches to care management and care coordination. Often these strategies are not coordinated, connected, or collaborative. This presentation will discuss how Penn Family Care, a large urban PCMH serving approximately 20,000 patients, has used multiple strategies to address care coordination needs for high risk patients. This talk will explore a framework for a core practice-based, multi-disciplinary, intensive care management program to connect, coordinate, and collaborate with multiple stakeholders to deliver a care coordination “umbrella” to high risk patients while tying back to the 5 primary domains of function for a Patient centered medical home. Anna Doubeni, MD,MPH Director of Population Health Management; Department of Family Medicine and Community Health Associate Professor of Clinical Family Medicine and Community Health Penn Medicine 11:45am – 12:30pm Managing Chronic Conditions Chronic conditions are among the most persistent and pervasive challenges facing the healthcare industry. While most common among older adults, their impacts have begun to reach younger generations. This talk will reveal how competing demands by payers to deliver value in the treatment of patients with chronic conditions and providers who either want to do less or be compensated more, leaders are in the unenviable position: between a rock and a hard place. This session will discuss how Working together with providers and payers, leaders can develop patient strategies to improve outcomes, drive down costs, and enhance experiences for patients with chronic conditions. Melissa Pierce, MPT, MHA Administrative Director, Continuing Care Services WellSpan Health 12:30pm – 1:15pm Addressing Social Determinants to Improve Population Health While most healthcare institutions and providers recognize the importance of social determinants in the context of population health, few have been able to create effective and efficient systems to handle these kinds of issues. This session will review how operationalizing a community-based, social determinants approach has helped to drive down cost and utilization. Nancy F. Becker, MA, CMC Resource Coordinator Hartford HealthCare Center for Healthy Aging 1:15pm Conference Concludes WORKSHOP – TUESDAY, SEPTEMBER 17, 2019 01:30 p.m. – 03:30 p.m The Future of Population Health Management in the New Era of Health Reform How will the future of health transform population health? The Future of Health will be fueled by data, interoperability, and consumers at the helm with a focus on maintaining health and well-being across multiple dimensions. Key elements of this vision include: * Evolution of cell and gene therapies, diagnostics, therapeutics, and scientific discovery methods * Deep, personalized data that will empower consumers with insights to stay well, with care provided virtually, via community hubs or in highly specialized facilities The workshop will start with an interactive discussion the future of health, grounded in what is happening today and content presented throughout the conference. We will consider how these changes might affect populations that are today hard to reach and engage and discuss scenarios for how government roles might change to enable delivery and health reform. Participants will then work to lay out implications for population health– what data might be available, where care might be provided, and even how we will need to redefine population health in a future where incipient health problems are avoided. We will conclude by working through implications of the more distant future for the nearer term – and how to think strategically about evolving capabilities and partnerships. About the Workshop Leader: Sarah Thomas is the managing director of the Deloitte Center for Health Solutions, part of Deloitte LLP’s Life Sciences and Health Care practice. As the leader of the Center, she drives the research agenda to inform stakeholders across the health care landscape about key trends and issues facing the industry. Market and policy forces include the shift from a volume-based system to one more focused on cost and quality outcomes, the rise in consumerism, and changes coming from new political leadership. Sarah aims for the Center to be a source of clarity for consumers, businesses, governments, and other stakeholders. She has deep experience in public policy – ranging from reimbursement to quality issues in Medicare, Medicaid, and the private health insurance market, including health insurance exchanges and marketplaces. Sarah was previously vice president for public policy and communications at the National Committee for Quality Assurance (NCQA), where she was responsible for the development of NCQA’s public policy strategy, its work with the federal and state government, as well as its media and communications operations. She also served as the director of the Public Policy Institute (PPI) Health Team at AARP. She oversaw AARP’s advocacy in areas of cost, access, and quality related to health care reform, Medicare, Medicaid, prescription drugs, private insurance, and public health. In addition to her nonprofit work, Sarah has 14 years of experience in the federal government. She was deputy director at the Medicare Payment Advisory Commission (MedPAC) and served at the Congressional Budget Office and the Centers for Medicare and Medicaid Services (CMS). Sarah has worked for national associations, in state government, and for the Advisory Board Company. She holds a M.S. in Health Policy and Management from the Harvard School of Public Health FEATURED SPEAKERS HARRY S. SAAG MD, FACP Assistant Professor of Medicine NYU School of Medicine CEO & Co-Founder Roster Health * Facebook * Twitter * Google+ * LinkedIn MELISSA SHERRY, MPH, CPH Director, Population Health Innovation and Transformation Johns Hopkins HealthCare * Facebook * Twitter * Google+ * LinkedIn ARSHAD K RAHIM, MD, MBA, FACP Vice President/Senior Medical Director, Population Health, Assistant Professor, Medicine Mount Sinai Health System * Facebook * Twitter * Google+ * LinkedIn STEVEN J. LESTER MD, FACC, FRCP(C), FASE Consultant, Cardiovascular Diseases, Associate Medical Director, Department of Business Development, Associate Medical Director, Contracting and Payer Relations Mayo Clinic, Arizona Professor of Medicine Mayo Clinic College of Medicine and Science Director Hypertrophic Cardiomyopathy Clinic * Facebook * Twitter * Google+ * LinkedIn VAN CHAUDHARI, FACHE, MHA Administrator Population Health Management UW Medicine * Facebook * Twitter * Google+ * LinkedIn SEPIDEH CHEGINI, MD Senior Medical Officer CareMore Health * Facebook * Twitter * Google+ * LinkedIn WILLIAM JONAKIN, MD, CPC, CRC Medical Director St. Luke's Health Partners * Facebook * Twitter * Google+ * LinkedIn GAVIN MALCOLM, LCSW Director, Population Health Broward Health ACO Services * Facebook * Twitter * Google+ * LinkedIn BRUCE BETHANCOURT, MD, FACP Chief Medical Officer Dignity Health Medical Group * Facebook * Twitter * Google+ * LinkedIn MARY MCLAUGHLIN DAVIS, DNP, ACNS-BC, NEA-BC, CCM Senior Director, Care Management Nursing Cleveland Clinic * Facebook * Twitter * Google+ * LinkedIn MIKELLE MOORE Senior Vice President, Chief Community Health Officer Intermountain Healthcare * Facebook * Twitter * Google+ * LinkedIn NAVEEN RAJA, DO Medical Director of Population Health UCLA Health Associate Professor UCLA David Geffen School of Medicine * Facebook * Twitter * Google+ * LinkedIn STEVEN R. PESKIN, MD, MBA, FACP Executive Medical Director Population Health Horizon BCBSNJ * Facebook * Twitter * Google+ * LinkedIn ANNA DOUBENI, MD,MPH Director of Population Health Management; Department of Family Medicine and Community Health, Associate Professor of Clinical Family Medicine and Community Health Penn Medicine * Facebook * Twitter * Google+ * LinkedIn MELISSA PIERCE, MPT, MHA Administrative Director, Continuing Care Services WellSpan Health * Facebook * Twitter * Google+ * LinkedIn NANCY F. BECKER, MA, CMC Resource Coordinator Hartford HealthCare Center for Healthy Aging * Facebook * Twitter * Google+ * LinkedIn SARAH THOMAS Managing Director Deloitte Center for Health Solutions * Facebook * Twitter * Google+ * LinkedIn VENUE The Westin Kierland Resort & Spa 6902 East Greenway Parkway Scottsdale, AZ 85254 480-624-1000 “Mention BRI Network to get discounted rate of $189/night” SPONSORS AND EXHIBITORS EXHIBITOR IDx is a leading AI diagnostics company on a mission to transform the quality, accessibility, and affordability of healthcare. The company’s first product, IDx-DR, is an FDA-cleared AI-based diagnostic system designed for use at the front lines of care to detect diabetic retinopathy. IDx-DR is intended for use by health care providers to automatically detect more than mild diabetic retinopathy in adults (22 years of age or older) diagnosed with diabetes who have not been previously diagnosed with diabetic retinopathy. 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