ACHS QUALITY IMPROVEMENT AWARDS 2015
Submission Document
  • Please ensure you have read the ACHS QI Awards 2015 – Submission Guidelines prior to sending your QI Awards submission to ACHS.
  • All submissions MUST use thisSubmission Document template.
  • Submission requirements for each entry:
a)An electronic submission (MS Word format) sent via email.
b)Four (4) printed hard copy submissions sent via post to ACHS.
  • Please provide one (1) application per entry
  • The closing date for QI Awards submissions is [insert date]

QI Awards Category / Select the appropriate award category for your submission.
Choose an item. / If you are unsure which category to select for your submission, please contact Dr Mark Burgess at ACHS by email () or by phone (+61 2 9281 9955).
QI Awards Submission / Enter your submission details below.
Submission Title / Click here to enter text.
Authors
  • Full name, excluding accolades and titles.
  • List in order of contribution.
  • Primary author is to be underlined and listed first.
/ Click here to enter text. /
Department / Unit / Group / Click here to enter text. /
Organisation Name / Click here to enter text. /
ACHS Member Code / Click here to enter text. /
Postal Address / Click here to enter text.
Person in charge of submission / Nominate one (1) person who can discuss the submission.
Name / Click here to enter text. /
Position / Click here to enter text. /
Email / Click here to enter text. /
Phone / Click here to enter text. /
Date / Click here to enter a date. /

Prior to sending your QI Awards submission, please ensure that the Authorising Delegate (e.g. Chief Executive, their delegate, or the appropriate Department Manager):

  • authorises the entry of this submission into the ACHS QI Awards 2015,
  • grants permission for ACHS to publish the content of this submission in the QI Awards publication “Quality Initiatives”.

Authorising Delegate / Nominate one (1) person who can authorisethis submission.
Name / Click here to enter text. /
Position / Click here to enter text. /
Email / Click here to enter text. /
Phone / Click here to enter text. /
Date / Click here to enter a date. /
Electronic Signature
ACHS Quality Improvement Awards 2015 – Submission Document / Page 1 of 4
A. AIM

[Insert Text]

B. SUMMARY ABSTRACT

[Insert Text]

C. REPORT

APPLICATION OF ACHS PRINCIPLES

  1. Consumer Focus

[Insert text]

  1. Effective Leadership

[Insert text]

  1. Continuous Improvement

[Insert text]

  1. Evidence of Outcomes

[Insert text]

  1. Striving for Best Practice

[Insert text]

INNOVATION IN PRACTICE AND PROCESS

[Insert text]

APPLICABILITY TO OTHER SETTINGS

[Insert text]

F. REFERENCES

[Insert text]

G. APPENDIX

[Insert text]

ACHS Quality Improvement Awards 2015 – Submission Document / Page 1 of 4