Patient/Resident/Client Care Provider Nomination - BusinessWest

Home Healthcare Heroes Healthcare Heroes 2018 Patient/Resident/Client Care Provider Nomination

Patient/Resident/Client Care Provider Nomination

NOMINATION APPLICATION

Patient/Resident/Client Care Provider

Who is eligible: Company or organization which has shown leadership and excellent service over a sustained period of time by providing quality care, and is considered exemplary by patients and peers.

Judging Criteria: The judges will be looking for evidence of high quality care and continuous improvement. Successful submissions should also demonstrate an area of going above and beyond in terms of training, new programs, best practices, and staff/service user engagement.

Patient/Resident/Client Care Provider Nomination

NOMINATED BY
Name:*
Job Title:*
Company:*
Address:*
City/Town:*
State:*
Zip Code:*
Email Address:*
Phone Number:*
NOMINEE CONTACT INFORMATION
Name:*
Job Title:*
Company:*
Address:*
City/Town*
State:*
Zip Code:*
Email Address:*
Phone Number*
QUESTIONS
Please complete the questions below to finalize the nomination. There is a 250-word limit for each question, any answers submitted above 250 words will be stopped after the 250th word.
What are the core values and goals of the provider and/or project(s)?*
Please identify tangible successes of the provider’s programs/projects.*
What is the provider’s long term vision for its care presence?*
What is the importance of the provider within the health and wellness sector?*
Tell us why the nominee should win the award.*
Provide any other information that will aid in the judges’ consideration of the nomination.*
Provide one reference that would recommend the nominee for this award. Example: a longstanding patient, a professional peer, nonprofit or civic leader, service professional or healthcare leader.*

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