• Rural Executive Educational Series Presentation Submission Form

    Rural Executive Educational Series Presentation Submission Form

    OverviewThe NRHASC Educational Series provides rural healthcare executives with actionable insights and proven solutions. All presentations must align with TRUSTED principles. Learn more on the Partner Resource Page.

  • Submission Guidelines

    To ensure proper submission and avoid delays in the approval process, please review the Rural Health Executive Educational Presentations Step-by-Step Guide before submitting your materials.


    Submission Checklist

    • Review the Step-by-Step Guide to ensure alignment with NRHASC standards.

    • Prepare a 90%-complete slide deck using the NRHASC templated slide deck if needed.

    • Ensure branding is limited to the final slide.

    • Include at least one polling question and two to three seed questions for audience engagement.

    • Provide a concise, results-focused title and description. Example: “How a 40% Reduction in Patient Travel Times reduced leakage, improved efficiency and sent $1.1M in revenue to our CAH in FY2023: A Telehealth Success Story”

      “Learn how Cameron Regional Hospital reduced patient outmigration by 40% through a targeted telehealth program, improving both care access and provider efficiencies while sending $1.1M in revenue to the bottom line in just 12 months”

    • Submit professional bios and high-resolution headshots for all presenters.

    Submission & Review Timeline

    1. Submission: Complete the form and attach all required materials.

    2. Initial Review (10 Business Days): NRHASC staff will assess alignment with TRUSTED principles and provide feedback if necessary.

    3. Revision Period (5 Business Days): If edits are required, resubmit within the given timeframe.

    4. Final Approval & Scheduling: Upon approval, a scheduling link will be provided (minimum 4 weeks out from approval), along with a pre-session setup and tech check.

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  • 4.Target Audience. Click all that apply*

  • Presenter #1

  • Presenter #2

    Add any additional speakers to "additional information" section on last page of form

  • Panelists

    Non-speaking staff

  • Polling Questions (Optional)

    Include polling questions (120 characters) for use during the presentation. Each poll takes about 2-3 minutes. Limit to 5 questions per webinar and each question can have no more than 5 possible answers (60 characters). Please provide both the question and possible answers (multiple choice only)

  • Seed Questions (Optional)

    Seed questions are used at the beginning of Q&A time until the attendees have had an opportunity to type their own questions. Seed questions also help to get Q&A started. Think of questions you are frequently asked.

  • Survey Questions

    Below are the questions we already ask. You are welcome to add additional questions.

  • #1. Do you have questions for the presenters? If yes, please type your question or provide name and contact information so the presenter can contact you. (short answer)

    #2. What would you like to learn about in future sessions? (short answer)

    #3. Do you want to share the recording of this session? (multiple choice)

    #4. Given the invitation to this event, did it meet your expectations? (multiple choice)

    #5. How would you rate the presenter’s expertise on this topic? (On a scale of 1 to 5 with five being the best)

    #6. Did you acquire knowledge beneficial to your work responsibilities? (multiple choice)

    #7. Including yourself how many staff members attended today's session from your facility? (short answer)

    #8. How did you hear about this educational session? (short answer)

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