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Home My WebLink AboutOut of State Travel Request - RenewGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12-.00pm on Thrsday) REQUESTING DEPARTMENT. Renew DATE: 7/17/25 REQUEST SUBMITTED BYAnna Serrano PHONE,- (509) 765-9239 ext 5353 CONTACT PERSON ATTENDING ROUNDTABLE. Dell Anderson CONFIDENTIAL INFORMATION- OYES *111 N 0 TYPE(S) OF DOCUMENTS SUBMITTED: (CHECK ALL THAT APP�Y) 10'Agregime nt / Contract CAP Vouchers Appointment / Reappointment OARPA Related 0 Bids i RFPs I Quotes Award L-Bid Opening Scheduled Boards / Committees 0 Budget OlComputer Related 0County Code —..Emergency Purchase IlEmployee Rel 0Facilities Related CIFinanclal E::Funds ElHearing 01 Invoices / Purchase Orders IOGrants - Fed/State!County 01 Leases CIMOA I MOU inutes ElOrdinances F9 Out of State Travel 0 Petty Cash 0 Policies 0Proclamations 7 Request for Purchase R e s o I u t i o n El Re commendation OProfessional Sere/ Consultantp '.----,-Support Letter LiSur plus Req. E]Tax Levies []Thank You's ---,',Tax Title Property W S L C B SUGGESTED WORDING FOR AGENDA: (Who, What, When, Why, Term, cost etc. Out-of-state trag request for Nicole Davidson, Brooke Decubber, Jennica Rocha & Sue Sherwood Qualifacts Customer Conference / Nashville,September 29 - Octo-ber 1, 2025 Estimated Cost $2,710.00 / person $10, 40 total Funding MH 108.150.00.0000.564.00.xxxx 11 If necessary, was this document reviewed by accounting? YES LEGAL REVIEW: If this docume or If necessary, was this docurnent reviewed by legal? YES N _7 DATE OF ACTION -�`? APPROVE: DENIED ABSTAIN D1-1 D2, ...._. ,rA� __ D3: 4123/24 DEP"ERRED OR CONTINUED TO. Out of State Travel Request Application DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda,Request Form, to be on the following week's Consent Agenda. Traveler's Name(s):1 Nicole D. /Brooke D. /Jennica R. /&Sue L. ]Department/Office:j Renew Purpose of Travel: Qualifacts Customer Conference Destination: Nashville, TN Dates of Travel: September 29 - October 2, 2025 ITotal Trip Cost Estimate* E$ f This line will auto -sum the costs listed beltvy) ITravel Twe (Select One) : Q Out of State Travel 0 Out CONUS Travel (AK, HI or US Territory) C) Foreign Travel Q Extradition Fund Number/Department: 108.150.00.0000.564.00.xxxx Grant Funded? It Yes, List Grant Amount: Cost Application (Select One).* 0 Yes 0 Government Rate No 0 Conference Rate 0 Regular Rate Hotel - GSA Rate: Hotel - Nightly Rate: Hotel Totat: $ 248.00d $ - 274.001 Is Explanation for Rat-ew Required if hotel cost is greater than per them orgover nment ra No government rate available. Rental Car Required? If Yes, Rental Car Cost: 0 Yes a No I Air Carrier: Cost of Flight: Delta 1 $ 1628 Preparers: Name/Titte: Anna Serrano 10s,120.00 Conference Fee: $ 4,000.001 Totat Estimate of MME During Travel,., $ L204.001 Preapproved by EO/DH?. Q Yes 0 No Additional Expenses: (AddO costs for extended stays, flight upgrades, etc. at the expense of the traveler) If Yes, EO/DH Name: Dell. Anderson F Lvw� F�ECEIVED 9 * Groat Behov ic�ra'l �He,*Ith 15- We Illness ♦ Must attach traininginformationincluding agenda,, start and end times and meat inforMation. 0 1 1 Forms missing any of the required information wit[ be returned for completion. All fields must be fitted in completely. El In -State Training A Out -of -State Training (Must be received 30-days in advance) (Must bee received 90-days in advance) Nicole Davidson Employee Name: — Training Name: Qualifacts Customer Conference Dates of training: 9/29-10/l/2025 Departing Date- 9/28/2025 Departing Time. TBD Registration Cost: $1000 Hotel: MCI Yes E] No Are there any room blocks for this training at a specific hotel? 1UN 2 7 2025 RENEW ,_]Webinar Today's Date: 6/23/2025 Location: Nashville, TN Returnin:j Date: TBD Returning Time- TBD Transportation.- OPersona[Car M-1 Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare: [R] Yes 0 No Flight/ airport preferences? Spok2ne Int" (GEG) How will this training add value to the organization? This is a Qualifacts Credible Customer Conference that will, provide us with updates and advancements within Credible. There are many existing capabilities that we can better utilize as well as programs that we are implementing and upcoming. It is very important that we have a team of individuals working to improve the client and clinician experience by ease of use through our EH. This conference offers many courses as well as networking with colleagues for solutions and ideas to best utilize our current EHR. - -------- -- - - ------------------ --------------- ------------ TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Funding Source: Training Approved: ET_Ye s M_ N o Direct Supervisor Signature: -2 ....... Personal Car Approval: Ali Yes 0 Direct Supervisor Signature: Executive Staff Approval: es ONo Executive Staff Signature: Date: Date: 4"0 Date:—/ J 000wo, re i iew Gront Sebovi mf Heolth 6 Wellness Must attach training information Including agenda, start and end times and meat information. Forms missing any of the required information will be returned for completion. All fields must be filled in completely. El In -State Training A Out -of -State Training (Must be received 30--days in advance) (MILIst be received 90-days in advance) Employee Name-, Brooke Decubber Training Name: Qualifacts Customer Conference JUN'2 3 2025 Cl Webinar Today's Date: 6/23/2025 Location. Nashville, TN Dates of training: 9/29-10/1/2025 Departing Date: .9128/2025 Returning Date- TBD Departing Time: TBD Returning Time: TBD Registration Cost,- $100() Hotel: Al Yes DNo Are there any room blocks for this training at a specific hotel? Transportation: ^D Personal Car A Company Car (111 requesting to take personal car, direct supervisor signature is required below) f-11 airfare: A Yes Lj No Flight / airport prefearences? Spokane InVI (GEG) How will -this training add value to the organization? This is a Qualifacts Credible Customer Conference that will provide us with updates and advancements within Credible. There are many existing capabilities that we can betterutilizeas well as programs that we areimplementing and upcoming. It is very important that we have a team of individuals working to improve the client and clinician experience by ease of use through our EHR. This conference offers many courses as well as networking with colleagues for solutions and ideas to best utilize our current. EHRI TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost., Funding Source: -- - -- - - ------ Training Approved /Ye s � l 2 Direct Supervisor Signature: Date: Personal Car Approval: 04e's i No Direct Supervisor Signature:,___ _ Dater. Executive Staff Approval: e 0 . . ................ ......... Executive Staff Signature: - ----- - - ----- -- - ----------------- Date. !Ull RECEIVED renewGmnt Behovi*r-01 14001th & Wellness rvlus+- attach training information including agenda, start and end times and meat information, L Forms missing any of the required information wilt be returned for completion. All fields must be filled in completely. In -State Training Aj', Out -of -State Training (Must be received 0--days in advance) (Mus' be received 0-days in advance) Employee Name:. ennica Rocha ----------- Training Name- Qualifacts Customer Conference ---------- -------------- - - ------ -1011 /2025 929 Dates of training: 1 I-- Departinig Date: 9/28/2025 Departing Time: Registration Cost.- _$1-0-0-0 Hotel- 'Aff Yes E No Are there any room blmcks for this training at a specific hotel? R E N 1:1 Webinar Today's Date* 6/23/2025 Location: Nashville, TN Returning Date. TBD Returning Time: TBD Transportation: 1]11 Personal Car A Company Car if requesting to take personal car, direct supervisor signature is required below Airfare: A, Yes C., No Flight / airport preferences?, Spokane i2t.l (GEG) How wilt this training add value to the organization? This is a Quallfacts Credible Customer Conference that will provide us with updates and advancements within Credible. There are many existing capabilities that we can better utilize as well as programs that we - - -- -------- are implementing and upcoming. It is very important that we have a team of individuals working to improve the client and clinician experience by ease of use through our EHR. This conference offers many courses as well as networking with colleagues for solutions and ideas to best utilize our current EH . TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: -- -- --- --- -- --- ----------- ------ ----- ----- ----- ---------- -- ------- ------ Funding Source: Training Approved; ler,-e S No Direct Supervisor Signature: T Date* 2,3-c25 Personal Car Approval: o Direct Supervisor Signature., Date: Executive Staff Approval: fTlea El No,,------ A Executive Staff Signature: if .00-e Date: 3,7 I 0 0 * renew C-anto SehQvlorol He—,it:h 6 Welhnes,5 RENEW Must attach training information including agenda, start and end times and meat information. Forms missing any of the required information will be returned for completion. All fields must be filled in completely. 0 42 In -State Training A ut-of-State Training M Webinar Must be received 30-days in advance) CO ust be received 90-days in advance) Employee Name* Sue Sherwood Training Name: Amplify Change Customer Conference Dates of training: September 29 - October 1 Departing Date: September 28th am DepartingTime.- - Registration Cost: $1 000.00 will invoice Today's Date: , 06/24/2025 Location: -N-a-shville2 TN Returning Date: October 4, 2025 Returning Time: Pm Hotel: 1K Yes 71 No Are there any room blocks for this training at a specific hotel? Yes Transportation: X Personal Car 0 Company Car (if requesting to take personal car, direct supervisor signature is required below) Airfare: W-1 Yes 13 No Flight/ airport preferences? Spokane Howwill this training add value to the organization? This training is specific to Credible Administrators with hands on training and overview of best practice set up in out system. There are also trainings, on enhancing client experience along with measure based care. This training will benefit our agency as well as the clients we serve. TO BE COMPLETED BY DIRECT SUPERVISOR AND EXECUTIVE STAFF ONLY Estimated Cost: Training Approved: Yes 0 No Direct Supervisor Signatu M es Funding Source: Personal Car Approval: Yes El No Direct Supervisor Signatu e: ..��.. Executive Staff Approval::--- XYes 0 No Executive Staff Signatur Date:(.x�� Date: � 0 4Z�_� Date:( t a. C S El 2-01- Summary About Agenda Hotel Venue Fs Contact Us REGI-ID! 0-1 ER NOW All �_ady RlegLsitered? .AMNON&. WS Q A I I F's U `T&N A kv� CUSTOMER CONFERENCE 0 For System Administrators A"4L Uustorner C'�onference z0""025 for System Adm4ins This isn't just a conference; it's a pivotal moment in the ongoing advancement and transformation of mental healthcare. Our theme, "Amplify Change," embodies our collective power to drive unprecedented progress through innovation and partnership. Inspired by Nashville's dynamic spirit, we're orchestrating a strategic conversation designed exclusively for you, the indispensable EH R system administrators. You are the architects of day-to- day operations, and this year, we're equipping you with the cutting -edge tools and insights to not just excel, but to revolutionize how your Qu f solutions support the well-being of individuals and communities. Prepare to amplify your impact and reshape the landscape of care! Key topics include: a Optimizing Your EHR with Hands -On Training * Strategic Conversations & Networking # Artificial Intelligence (A[) # Maximizing Billing Efficiency & Revenue Capture * Reporting & Analytics # Enhancing the Client Experience # Measurement -Based Care * Fireside chats * And More! Agenda will be announced soon. 0 Rs- O /.l Already Le g I Istered? To help with your travel plans, please consider these dates and times. * 3 PM CT arrive in Nashville * 6:30-91:30 PM CT Customer Welcome Celebration (Transportation will be provided) # All Day Breakout Sessions (more information to come) liql I lam 1 PM CT breakout sessions enri o Box lunch will be provided # 1 :00-2:00 PM CT optional networkinig