Microsoft Health Innovation Awards 2016 – Entry Form
Email completed submission to by 5:00 PM PST, Friday, February 5th, 2016.
The Participant Release Form must be signed by BOTH ISV partner (if applicable) AND customer, then scanned and emailed to Monika Skibeness () preferably along with entry form.
Submitting organization must be signed up for the Microsoft Health Users Group newsletter. Registration is complimentary.
See Official Rules for complete details as there are very specific criteria including – only ONE submission per company/solution.
ATTENTION PUBLIC SECTOR EMPLOYEES: If you are a government or public education employee, all prize awards will be awarded directly to your public sector organization/Institution upon receipt of a gift letter signed by your Agency/Institution's ethics official.
The use of screen shots, images, graphs, etc. is admissible and not part of your word count. However, all screen shots, etc. must be incorporated into this one document – there may be NO additional documents for review.
SUBMITTER CONTACT INFORMATIONSubmitters Name/Title*
Submitters Email Address*
Submitters Phone (incl mobile)*
PARTNER, ISV, SP, VAR etc. CONTACT INFORMATION (if applicable)
Partner Organization Name *
Partner Contact Name/Title*
Partner Contact Email *
Partner Contact Phone (incl mobile) *
Account Manager at Microsoft? / Name:
SUBMITTER CONTACT INFORMATION
CUSTOMER CONTACT INFORMATIONCustomer/Organization Name *
Customer Contact Name/Title *
Customer Email *
Customer Phone (incl mobile) *
Customer URL
Account Manager at Microsoft? / Name:
SOLUTION SUG
STI
Customer type * / Individual PracticeClinic
Group Practice
Hospital
Imaging center
Homecare
Health System
Health Plan
Public Health Organization
Medical Device
Clinical Resource Organization
Pharmaceutical
Biotechnology
Other (Please specify)______
Entry/Solution Name:
One (1) winner will be awarded in each of the following categories. You must select one of the categories below to enter. You may only select one category – the one that is most appropriate to your solution.
Building the Intelligent Cloud Platform
Improving operational efficiency, insight, engagement, security, availability, reducing costs, and/or driving innovation through an intelligent cloud platform and/or advanced analytics.
Scenario examples include:
· Infrastructure Optimization – Infrastructure solutions that help enhance IT operations improving efficiency while adhering to compliance and privacy policies.
· Internet of Things – Connecting devices, other machine-to-machine assets, and people to harness data across the healthcare ecosystem.
· Identity Management – Maintain control over applications across the organizations and cloud platforms whether its accessed through corporate devices or personal.
· Interoperability/HIE – Improving infrastructure and interoperability within or between healthcare provider organizations and/or between healthcare provider organizations and health insurers.
· High Performance Computing – Leveraging cloud computing to deliver flexible, on-demand capacity Across the healthcare landscape.
Creating More Personal Computing
Enhancing the consumer or clinician experience by making experiences mobile, easier, faster, more integrated, and less prone to error or attack
Scenario examples include:
· Transforming Mobility – These enterprise-grade solutions transform the way health professionals use information and applications by providing virtually anywhere-connectivity for hassle-free mobility of experience across devices. Show how you enable your staff with mobility to collaborate, provide care, and access critical data.
· Internet of Things – Connecting devices, other machine-to-machine assets, and people to harness data across the healthcare ecosystem.
· Patient Relationship Management – Improve healthcare, health education, and information sharing using Microsoft technology to better serve patients and citizens.
· Security and Management – Demonstrate how you secure data from diverse devices while delivering consistent, reliable services.
Reinventing Productivity and Business Processes
Transforming care delivery or population health with new ways to connect clinicians or consumers to team members, insights, and/or processes.
Scenario examples include:
· Care Team Collaboration – Unified communications, messaging, and document sharing solutions for improved care collaboration and outcomes using Microsoft solutions for healthcare organizations such as Office 365/2013, Yammer, OneDrive, SharePoint, and/or OneNote.
· Clinical Decision Support and Quality Improvement – Enhance point of care with real time information
· Business Process Optimization – Using cloud services to improve resource allocation and workflow design.
Open
If there is truly no categories above for which your solution fits into, you may enter this category.
SOLUTION QUESTIONSCompetitor / HPC
Linux/Unix
Notes
VMWare / Novell
Oracle
SAP
Platform Compete / Symantec
Other (list here) ______
Deployment Status*
(note: solution must be deployed at least 2 months and not in beta form). / 0-3 months
3-6 months
6 – 12 months
> one year
Organization*
(max. 150 words)
Details about the health or life sciences organization, outlining as is applicable – services provided, annual revenue, and geographic area serviced, the number of beds, etc. This information is to help the judges become familiar with the customer.
Business Challenge *
(max. 150 words)
Solution Description *
(max. 300 words)
Briefly describe the technology solution being highlighted in this submission, outlining the operation in which it is being used, its primary function, purpose, and capabilities. Include in your description the main patient-care or business processes that the solution is being used to address.
Supporting Metrics (Benefits) *
(max. 150 words)
Please detail qualitative and/or quantitative measurements that the implementation has yielded within the health organization [ i.e. ROI; patient satisfaction; reduced duplication; increased patient capacity; fewer medical errors; faster decision-making; shorter training cycles]
If you wish to add a screen shot, graph, table, etc., please feel free to do so with a caption or explanation. No more than 3 images please. This will not count toward your word allotment.
Key Products, Solutions or Services* (List all Microsoft technology being used including version) – it is important to list ALL the Microsoft technology being used. / (please specify product and versions):
Please let us know if you use any of these:
Windows Azure
SQL Server
Windows 10
Office 365
What % of this solution runs on Microsoft technology?
Is the solution Cloud based or On Premise or Both? Please explain:
Activities Customer is willing to participate in: / Advertisement
Analyst Interview
Case Study
Customer to Customer Call
Event Speaking Opportunities / Marketing Reference/Quotes
Onsite Visit with Potential Customer
Press Interview
Video Testimonial
Webcast
E-mail completed document to by Friday, February 5th, 2016, 5:00 PM PST
The Participant Release Form must be signed by both Partner (if applicable) AND Customer, scanned and emailed to Monika Skibeness () (preferably with entry)
Submitting organization must be signed up for the Microsoft Health Users Group newsletter. Registration is complimentary.
ATTENTION PUBLIC SECTOR EMPLOYEES: If you are a government or public education employee, all prize awards will be awarded directly to your public sector organization/Institution upon receipt of a gift letter signed by your Agency/Institution's ethics official.
***Winners to be announced at the Annual HIMSS Conference & Exhibition, Feb. 29 – March 4, 2016, on Wednesday, March 2nd (winners will be notified approximately10 days prior if they are selected as a winner)***
Microsoft Health Innovation Awards 2016
Participant Release Form
I agree that Microsoft Corporation (Microsoft) retains the right to use any of the enclosed information for promotional purposes, editorial coverage, demonstration purposes, and pre/post-event promotion, unless I inform Microsoft in writing by Friday, February 5, 2016.
I have read the rules of the competition and all information in the Submission form. I have read and I understand the contest rules. I declare that the information supplied in this entry form is accurate and correct.
Disclaimer
In no event shall the Microsoft Health Innovation Awards 2016, or Microsoft including its affiliates, successors, officers, directors, employees, and agents, be liable for any direct, indirect, incidental, or consequential damages arising out of or in any way related with this Entry Form or the Microsoft Health Innovation Awards 2016.
Indemnification
By submitting this entry, I or the organization with which I am associated and have the authority to bind, do hereby release and hold harmless Microsoft, and its affiliates, successors, officers, directors, employees, and agents from and against any and all losses, damages, or expenses of any nature (including reasonable attorney fees) that may arise from my participation or acceptance of a prize in the Microsoft Health Innovation Awards 2016. Such indemnification shall include, but is not limited to, any claims based upon an alleged infringement of copyright or other proprietary rights.
Category Entered: ______
Customer Organization: Partner/ISV/SI/OEM Organization (if applicable):
Authorized Signature Authorized Signature
Name (Please print legibly) Name (Please print legibly)
Title Title
Customer Company Name Partner Company Name
Date Date
* If not typed in, please print legibly
Please scan and email this form no later than 5:00 PM (PT) Monday, February 5th, 2016, to Monika Skibeness
For more information, please contact Monika Skibeness at:
Email:
Phone: 425-870-4880