Speaker Request Form (Requires Adobe Reader)
The Speaker Request Form is available in an interactive Portable Document Format (PDF). You can type your responses directly on the form, print and send it to the address below.
The Joint Commission Speakers Bureau offers qualified speakers on a variety of topics related to Joint Commission accreditation, performance measurement and quality improvement.
To request a speaker, complete the Speaker Request Form and return to:
Denise Tucker
Department of Communications
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
or
Fax to (630) 792-4633
dtucker@jointcommission.org
The Joint Commission will make every effort to fill speaker requests with the most qualified individual. The request may be forwarded to Joint Commission Resources (JCR) based on the topic and length of presentation. JCR is an affiliate of The Joint Commission.
After a speaker has been confirmed, he or she will work directly with the requestor to develop a presentation targeted to the particular audience. Please do not list a speaker in promotional material until confirmation from The Joint Commission has been received.
For us to match the best speaker with the program, we recommend the requestor contact The Joint Commission as early as possible, at least eight weeks prior to the scheduled event.
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The requesting organization is asked to pay an honorarium. The amount of the honorarium is based on the speaker, preparation and presentation time. The requesting organization is also asked to reimburse The Joint Commission for the speaker's travel, food and lodging expenses.
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Joint Commission speakers frequently make presentations on the following subjects:
- Accreditation of:
- Ambulatory Health Care Facilities
- Behavioral Health Care and Related Services
- Clinical and Pathology Laboratories
- Home Care Agencies
- Hospitals and Critical Access Hospitals
- Long Term Care Facilities
- Office-Based Surgery
- Disease-Specific Care Certification
- Health Care Staffing Services Certification
- Sentinel Events and Root Cause Analysis
- Joint Commission Standards and Survey Process
- Organization-Specific Performance Reports
- National Patient Safety Goals
- Staffing Effectiveness
- Performance Measurement and the ORYX Initiative
- Wrong Site Surgery
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