Press Ganey 2016 Success Story Awards
Call for Submissions
Online Application for entry into 2016 Success Story Awards
Enter our2016 Success Story Awardsand you could be presenting your case study alongside internationally renowned guest speakers at our conference in Sydney later this year.
As our client, by entering your submission, you will have the opportunity to be selected to present your case study at our conference and participate in a collaborative healthcare improvement forum and network with clinicians from top performing healthcare organisations.
DEADLINE FOR SUBMISSIONS IS MIDDAY (AEST), FRIDAY 11thMarch 2016
Please note: Once you begin to enter information online, you must complete the entire application. You will not be able to save the online application and return to it later. Please ensure you have the required information at hand and observe the character limits for each text box as indicated.
We suggest you download a copy of the Online Application Form inWord formatand review prior to submitting your online application.We recommend typing your answers into the Word document before you begin the process, then copy and paste your answers into the online application form.
If you are unable to submit your entry online, you may email your submission in Word format (no PDFs please) to the contact person listed below. If you have any questions about the online application process, please contact:
Maria Arnott
Email:
Ph: +61 7 5560 7400 (AU)
Ph: +64 9 925 0488 (NZ)
APPLICATION CONTACT INFORMATION
* Denotes a required field
1.First name*
2.Last name*
3.Title/Position*
4.Facility*
5.Location Address*
6.City*
7.State*
8. Country*AustraliaOther
New Zealand
9.Postal Code*
10.Phone (Please include area code and country code)*
11.Email*
12.Please click the box below to continue
I hereby certify I am an employee or authorised agent of the organisation I am representing with my submission.
PRESENTER INFORMATION
If selected to present your case study at the 2016 Press Ganey (AU/NZ/Asia) National Client Conference in Sydney.
Please enter the contact details of the person who will be speaking.
13.First Name*
14.Last Name*
15.Title*
16.Facility*
17.Location Address*
18.City*
19.State*
20.Post Code*
21.Country*
AustraliaOther
New Zealand
22.Phone*
23.Email*
FACILITY AND/OR GROUP INFORMATION
24.Group affiliation
(if applicable)
25. Facility
26. Address
27.City
28.State
29.Postal Code
30.Country
Australia
New Zealand
Other
VOLUME (Complete all fields that apply)
31.Number of licensed beds
32.Number of annual visits
33.Number of employees
34.Organisation Type*
Hospital
Medical Practice
Aged Care Facility
Community/Home Care Service
35. Location*
Metropolitan
Regional/Rural
SUBMISSION CONTENT
A character limit is indicated below each textbox. The character limit includes spaces. We recommend you type your text into a Word Document, check the character count to ensure it is within the limits, then copy and paste the information into the text boxes, 2,000 characters is approximately 150 words, 800 characters is approximately 60 words.
36. Title: *
37. Overview*
(maximum 2,000 characters)
38. Situation/Challenge*
Please describe the situation or challenge your organisation faced. What prompted you to implement this project or initiative?
(maximum 2,000 characters)
39. Actionable Take Aways
What specific, tangible action items and next steps will attendees take away from your session?
(maximum 800 characters)
40. Session Approach
What presentation techniques will you use to interact with your audience and make your session engaging?
(maximum 800 characters)
41. Strategy and Approach*
Please describe in detail your primary strategy. What people, processes and data were used to drive change and improvement? What were the key steps and unique aspects of the approach?
(maximum 2,000 characters)
42. Barriers You Overcame*
Please highlight any barriers and specific issues you encountered and how you were able to overcome them.
(maximum 2,000 characters)
43. Measurable Outcomes*
What measurable outcomes or ROI can be attributed to your improvement program or initiative?* Examples include:
- Improved percentile rank on patient/employee/doctor surveys
- Lowered employee and nurse turnover rates
- Decreased readmission rates
- Decreased ED wait times
- Reduced number of inpatients falls
- Reduced malpractice rates
- Increased referral rates as a result of improved doctor partnerships
(maximum 800 characters)
44. Innovative or Creative Aspects*
What were the creative, innovative or unique aspects of your improvement program or initiative? (We are looking not only for new ideas, but also for unique and creative approaches to any challenge, even those thought of as common or universal within health care.)
(maximum 800 characters)
45. Additional Presentation Information
List any conferences this content has been presented at
(maximum 800 characters)
SESSION FOCUS
Please indicate if your presentation includes content specific toany of the following audiences (select all that apply):
Setting/Facility type
Aged Care
Tertiary Hospital
Medical Practice
Children’s Hospital
Mental Health Facility
Community/Home Health
Not applicable
Role/Responsibility
Doctor/VMO/HMO
Nursing
Human Resources
Quality
Front-line ancillary, non-RN staff
Not applicable
46. Please indicate the primary Press Ganey solution used that relates to the content of your presentation.
(maximum 800 characters)
47. What other tools or resources (if any) have you or your colleagues utilised to achieve success?
(maximum 800 characters)
RELEASE FORM
All our clients are encouraged to submit an application.
Submissions will be reviewed by our Selection Committee and one organisation will be chosen as the winner.
Each application will become the property of Press Ganey Associates Pty Ltd. The material may be published in Press Ganey’s Best Practices Knowledge Base and may be distributed publicly in written and/or electronic form.
By signing this application release, I agree that the Success Story Award application submitted by our organisation may be published and distributed by Press Ganey Associates as a means of improving healthcare throughout the industry. I understand that the material in our application will be attributed and credited to our facility.*
I agree
THANK YOU!
Thank you for submitting your application for review by our Selection Committee.
The winning entrant and finalists will be notified by email by close of business (AEST) on 27th May 2016 and published on our website.