HIMSS Southern California Chapter

Clinical Informatics Summit

June 25, 2010
Los Angeles, Calif.

Below are the sessions that qualify for CPHIMS continuing education contact hours. Check the “√” column for
all sessions attended and total the number of contact hours earned each day. At the end of the form, total the
number of contact hours earned for the entire event. Do not send this form to HIMSS. Retain this form
for your records. You will need to provide a copy of this form when renewing your certification.

Friday, June 25, 2010

Time Session Hours (√)
8:15 – 9:00 Future Directions & Interdisciplinary Collaboration: TIGER (Technology
0.9
am Informatics Guiding Education Reform) Phase III
9:15 – 10:45
Panel Discussion #1 – Patient Safety 1.8
am
10:45 –
Transformation of American Healthcare through Medical Informatics 0.9
11:30 am
12:30 – 2:00
Panel Discussion #2 – Quality of care 1.8
pm
2:15 – 3:00
Innovation at Kaiser Permanente 0.9
pm

Total contact hours earned for Summit (max. = 6.3) __________

I attest that I have attended all the sessions indicated above in their entirety.

Printed Name CPHIMS Certificate Number

Signature Date